Hygienic maintenance of dental handpieces and turbines.
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Biomedical subjects
Publications and source records attributed to K Bössmann.
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The influence of antimicrobial mouthrinses containing dequalinium chloride or sanguinarine on early plaque formation was assessed in vivo in a clinical-experimental study. Rinses with water served as controls. After 24 and 72 hours, plastic films, which were applied to the buccal surfaces of six upper front teeth at the start of experiment, were removed and processed for transmission electron microscopic study. Dequalinium chloride or sanguinarine applied on plaque resulted in an increased and higher structured surface coating. Degenerated microorganisms were observed and the variety of bacteria seemed to be reduced. Both mouthrinses effected the early supragingival plaque formation. The effect of sanguinarine was more intensive than that of dequalinium chloride.
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Three multi-tufted short-head toothbrushes were compared on 15 test persons, with respect to their efficiency in removing the plaque from margo gingivae and from the interdentium. With a different design of the bristle bed, all three brushes evidenced very little difference in the cleaning effect which, on the basis of the deliberately prescribed short cleaning time at the gingival margin, can be considered as good in respect of all teeth sections and as satisfactory in the approximal area. In individual cases, a slanted bristle bed can lead to better cleaning of the side teeth area.
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Plaque, a causal factor for caries and periodontal diseases, is a habitat for various microorganisms. The considerable qualitative and quantitative variation of microorganisms, predominantly Streptococcus mutans, depends on age, thickness, and acidogenicity. The food passing through the mouth is also a crucial factor. Plaque removal (plaque control) is the most important measure for prevention of caries and gingivitis. Since mechanical removal of plaque is not adequate, chemical agents must also be used. Fluoride, for example, effectively inhibits plaque metabolism. The efficacy of enzymes, alkaloids, and antiseptics is limited. No active immunization against cariogenic streptococci is available at present. Mechanical, chemical, and biological measures of plaque control are effective only when the population is motivated to practice oral hygiene.
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The abrasion strength of the exogenous pellicle (EP) was investigated in in vitro experiments on extracted human teeth. The aim of the study was to elucidate the effect of daily brushing on the EP. EP-coated tooth specimens were cleansed under in vivo-like conditions. Five toothpastes with different degrees of abrasiveness were variously diluted with artificial saliva. The evaluation was done on the transmission electron microscope. The individual toothpastes differed significantly with respect to their abrasive effect on EP, which extended from only a slight effect on EP, which extended from only a slight effect to extensive removal of the pellicle. EP abrasion was considerably reduced by increasing dilution of the pastes with artificial saliva. No changes of the EP could be observed after brushing with only the toothbrush and saliva.
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