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Biomedical subjects

J G Keagle

Publications and source records attributed to J G Keagle.

7 recordsLinked to original sources

Effect of gingival wall on resistance to probing forces.

This study was conducted to determine whether the gingival tissue lateral to the periodontal sulcus contributes resistance to the advancement of a periodontal probe tip into the sulcus under different applied pressures. An electromechanical device was used to advance a probe tip 0.6 mm in diameter into the facial sulcus at a constant speed until resisting forces of 0.70 N were encountered. The device registered the resisting force and probe advancement simultaneously. The gingiva of all 2nd incisors, 2nd premolars, and 1st molars of 4 young adult male beagle dogs were tested. After the first measurement, the buccal gingiva of experimental sites were incised mesiodistally from the gingival margin to the alveolar crest and the sulcus was reprobed. 2 experimental and control quadrants were selected randomly resulting in 6 sets of both experimental and control data from each animal. The data were analyzed with analysis of variance. The analysis demonstrated significant variation from site to site, and dog to dog; therefore, only changes between the 1st and 2nd probings at the same sites could be compared. Less variability of probing distance in different animals occurred at higher forces; however, the incision had a significant effect on probing distance at these forces. The pressure at which probing distance had less variability among animals and least affected when the gingival sulcular wall was incised was estimated to be 106 N/cm2. This corresponds to 30 g force on the 0.6 mm diameter probe.

Analysis of Variance↗

The effect of tensile strength on the clinical effectiveness and patient acceptance of dental floss.

This study compared the clinical effectiveness and subjective approval of 2 waxed dental flosses that differed significantly in tensile strength and wax content. At the initial appointment, subjects (20 1st-year dental students) were instructed to stop interproximal cleaning on 2 contralateral quadrants in order to allow plaque to accumulate on these surfaces for 1 week. 1 week later, subjects were instructed to begin flossing these 2 contralateral quadrants with 1 of the 2 types of floss for the next 1-week period, while withdrawing interproximal cleaning on the opposite 2 contralateral quadrants. After flossing these 2 quadrants for 1 week, the subjects began flossing the opposite 2 contralateral quadrants with the same floss. After 2 weeks of flossing contralateral quadrants, the 1st floss was withdrawn and replaced with the alternative floss for another similar 2-week trial period. At the end of each 2-week trial period, subjects completed subjective questionnaires concerning the floss they had used during the previous 2-week period. Pre- and post-flossing plaque indices were calculated for each week for both flosses, and compared statistically by a repeated measures analysis of variance. The results showed that both flosses significantly reduced interproximal plaque deposits, and had equal subjective approval. However, neither the greater-strength nor the lower-wax content of the experimental floss was associated with an increase in clinical effectiveness or with a change in subjective approval.

Adult↗

Fixed partial dentures supported by periodontally compromised teeth.

This study tested the effect of fixed partial dentures on hypermobile abutment teeth with substantially reduced levels of periodontal attachment. One abutment tooth and one control (nonabutment) tooth of the same type and periodontal condition were selected for study in adults. Treatment consisted of periodontal therapy and a 3- or 4-unit fixed partial denture, after which all subjects were placed on a quarterly maintenance schedule. No differences were found between the mean baseline and 24-month measures for all dependent variables at test or control sites.

Adult↗

Gingival resistance to probing forces. I. Determination of optimal probe diameter.

This paper presents the results of a study designed to determine (1) if advancement of a periodontal probe under a given force against healthy gingiva differed from its advancement under a similar force, against inflamed gingiva, and (2) to select the diameter which best distinguishes healthy gingiva from that which is inflamed to varying degrees. The teeth of eight beagle dogs were cleaned three times per week for two months until a Gingival Index (GI) of 0 and gingival fluid flow (GFF) of 9 or less, as measured by the Periotron, were obtained. Probes of diameters 0.4, 0.6, 0.7, and 0.8 mm were advanced perpendicularly against the attached gingiva in the incisor, premolar, and molar regions by an electromechanical device which simultaneously plotted force versus displacement following initial contact of the probe tip with the gingiva. These forces ranged from 0.1 to 0.9N. This process was repeated in the same animals following cessation of plaque control measures when the GI reached a value of 1 and GFF reached levels of 10 to 19. It was repeated again following placement of an irritating ligature when GI reached 2 and GFF greater than 20. An analysis of covariance showed significant differences between all three levels of health and disease for all probe diameters. F values for the 0.6 mm probe were highest at all probing forces indicating that this diameter most consistently discriminated variation of gingival health status.

Animals↗

Gingival resistance to probing forces. II. The effect of inflammation and pressure on probe displacement in beagle dog gingivitis.

This study was undertaken to determine the effect of gingival inflammation and probing pressure on probe tip placement in relation to the base of the gingival crevice and the most coronal connective tissue attachment fibers. Nine young male beagle dogs were divided into three groups as determined by clinical status of the gingiva following implementation of a protocol designed to produce gingival health and disease. An electromechanical device was used to advance 0.6 mm diameter probes into the facial gingival crevices of selected teeth and to obtain force-displacement curves. The instrument stopped the probe at pressure of either 80, 160, 320, 640, 1280, or 2560 kPa which were randomly allocated to 12 test teeth in each dog. After the probe came to rest, it was attached to the tooth. When all 12 probes were attached, the animal was sacrificed. Blocks consisting of gingiva, probe, and tooth were processed to obtain two buccolingual sections, one containing the probe and the other immediately adjacent to it. Clinical and histometric measurements were performed and the data evaluated. Although three groups of animals were discernable by clinical criteria, only two groups, health and disease, could be formulated based on the degree of histologic inflammation. The histologic grouping was used in data analysis. Histometric distances from the cemento-enamel junction to the base of the crevice (cJ), to most coronal connective tissue attachment (cC) and to the probe tip (cP) all increased with change from health to disease. However, changes in health/disease did not influence difference between distances (cP-cJ,cP-cC).(ABSTRACT TRUNCATED AT 250 WORDS)

Animals↗