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Biomedical subjects

J T Kemper

Publications and source records attributed to J T Kemper.

15 recordsLinked to original sources
PubMed1983

Craniomandibular disorders and headaches.

Three hundred patients were questioned regarding frequency of headache pain. One hundred forty-one patients were seeking treatment at the University of Kentucky College of Dentistry TMJ Clinic for CMD. A comparison group of 159 was selected from persons being screened for routine dental needs. The following findings regarding incidence and frequency of headache pain were observed: 1. The incidence of headache pain was twice as high in the CMD group than in the comparison group (p less than .001). 2. Of the persons in each group reporting the occurrence of headaches, the frequency of headaches in the CMD group was significantly higher (44%) than in the comparison group (p less than .001). Thirty-three patients with headache pain were treated for a 4-week period with occlusal splint therapy. Patients were questioned regarding the number of headaches per week they had before and after occlusal splint therapy. The following results were observed: 1. Twenty-one (63.6%) patients showed a decrease in the frequency of their headaches. 2. Ten (30.3%) patients showed complete remission of headaches. 3. No patient showed an increase in the frequency of headaches. 4. As a group the average number of headaches per week before treatment was 5.06; after occlusal splint therapy the average number of headaches per week was 2.15 (p less than .001).

Adolescent↗
PubMed1983

Evaluation of occlusal splint therapy and relaxation procedures in patients with temporomandibular disorders.

Twenty-four patients were selected to participate in this study. Twelve patients were randomly selected to receive occlusal splint therapy and the other 12 to receive a simplified relaxation therapy technique. Observable pain scores, maximum comfortable interincisal distance, and maximum interincisal distances were recorded for each group before and after treatment. The occlusal splint group showed a significant decrease in total mean observable pain scores (decrease score of 10.5, t = 3.124; P less than 0.1). The relaxation group showed no significant decrease in total mean observable pain scores (decrease score of 1.8, t = 0.888; P = ns). The occlusal splint group showed a significant increase in the mean maximum comfortable opening (an increase of 12.4 mm, t = 5.085; P less than .01). The relaxation group showed no significant increase in the mean maximum comfortable opening (an increase of 2.3 mm, t = 0.734; P = ns). The occlusal splint group showed a significant increase in the mean maximum opening (an increase of 6.0 mm, t = 2.471; P less than .05). The relaxation group showed no increase in the mean maximum opening (decrease of 0.7 mm, t = 0.343; P = ns). This study suggests that occlusal splint therapy is a more effective treatment for the pain, tenderness, and limited mandibular opening associated with temporomandibular disorders than relaxation therapy. In this study, the relaxation technique used had no significant effect on the patients' pain, tenderness, or limited opening.

Adult↗
PubMed1982

The evolutionary effect of endemic infectious disease: continuous models for an invariant pathogen.

Continuous deterministic models are used to investigate the relationship between the epidemiology of endemic infectious disease and the genetics of natural selection in ths host population when a specific genetic locus controls susceptibility to disease under a variety of circumstances. One locus, two allele genes are considered in the contexts of haploid and diploid host populations while the agent of infection is assumed to be invariant. It is found that polymorphic equilibria exist and are stable for certain parameter combinations in each of the cases studied. The equilibrium levels of gene frequencies and disease prevalence depend on both genetic and epidemic factors.

Biological Evolution↗
PubMed1982

The influence of assisted mandibular movement on the incidence of nonworking tooth contact.

A total of 147 subjects were examined for nonworking tooth contacts. The subjects were instructed to voluntarily move their mandibles 2 mm laterally and surveyed for tooth contacts on the nonworking side. If no contact was present, moderate forces were applied to the angle of the mandible and the subjects were again surveyed for the same tooth contacts. This procedure was repeated on the opposite side to collect two units of data from each subject. Three significant findings were revealed in the study. 1. A significant number of sides (29.9%) and patients (43.5%) had nonworking contacts during voluntary movement. 2. The incidence of nonworking contact increased significantly (87.8% of the sides and 94.5% of the patients) when force was applied to the mandible. 3. With assisted movement, women exhibited a more significant increase (91.1% of the sides) in nonworking contact than did men (79.3% of the sides).

Adult↗
PubMed1982

A study of the use of occlusion splints in the treatment of acute and chronic patients with craniomandibular disorders.

Thirty-three patients were treated for a 4-week period with splint therapy. Fourteen muscle and joint regions were palpated before and after treatment, and observable pain scores were recorded. Maximal comfortable interincisal distance and maximal interincisal distance were recorded before and after treatment. The following results were observed. 1. Of the 33 patients, 28 showed improvement in observable pain scores. The mean decrease was 4.4 (p less than .01). 2. Of the 33 patients, 27 showed increase in maximal comfortable interincisal distance. The mean increase in interincisal distance was 5.3 mm (p less than .01). 3. Of the 33 patients, 21 showed an increase in maximal mandibular opening; however, the increase of 1.7 mm was not statistically significant. 4. When the patients were divided into two groups according to the duration of symptoms, there was no significant difference between the groups' symptoms or their responses to treatment.

Acute Disease↗