[Cerebral bioelectric effects of pulpitis. 2. Clinical course].
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Biomedical subjects
Publications and source records attributed to I Constantin.
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Total pulpitis leads in most cases to unilateral synalgia. Bilateral synalgiae are considerably rarer, but theoretically possible, in which pain radiates to the non-affected half of the jaw or face. Case reports illustrate the symptomatology, cause and therapy.
Due to the lowered resistance of the organism, acute pulpitic manifestations without discoverable external cause or exacerbation of chronic periapical processes may occur in the cours of influenza infections. Suggestions for therapy are given on the basic of some case resports.
The authors test by means of a measuring device of high precision the resistence of health or sick human pulpa, comparing it to them of gums, excluding in the same time the sensibility of the patient in question. The authors corroborate the obtained dates with clinical symptomatology and the histopathological photos, discussing the possibility of objective electrical test as an expedient in the diagnosis of pulpa-affections.
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By analysing in 2,769 patients the relation between bucco-dental pathology and age, it was noticed that the frequency of odontic affections decreases and that of chronic marginal periodontopathies increases with age. In the elderly, a tendency towards delaying the treatment of pulp inflammations and a very high percentage of extractions performed in the chronic marginal periodontopathies (81.8%) were noticed. The bucco-dental state of health was determined in 75 old-aged over 60 years, the ICORA and CPITN indices being used. Of these individuals, 93.3% presented various edentate forms, half without prosthetic appliance. Various degrees of pathological changes in the marginal periodontium were recorded in 92.3%, being more severe in women and individuals from rural areas.
Investigations on hygiene and sanitary conditions in a laboratory for dental techniques consisted in physico-chemical determinations on microclimate (temperature, humidity, air currents), determination of dust particles (suspended and sedimented), determination of gases (CO, CO2, NO2, NH3, SO4(2-), chloride ions), and determination of microelements (Fe, Cu, Zn, Ni, Cd). In certain conditions the concentrations for dust, NO2, NH3, SO2(4-), chlorine and Cu were above the maximal accepted levels. Measures should be taken for the prevention and for the elimination of these noxious factors by implementing optimal hygienic conditions (heat, humidity, ventilation), by reducing gas emanations, by using protections equipment (mask, eyeglasses, gloves), and by periodic controls of the health status of dental technicians.
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