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Biomedical subjects

K K Gundlach

Publications and source records attributed to K K Gundlach.

At least 19 recordsLinked to original sources
PubMed1995

[Results of follow-up after apicoectomy with 2 different root canal filling materials].

Clinical and radiological findings in two groups of patients in whom apicectomies were done are presented. In one group root canal filling was by means of phosphate cementum; in the other, Diaket and guttapercha points were used. Evaluation was according to the methods applied already by Lüders in 1990. Preoperative diagnoses most often had been chronic periapical periodontitis followed by traumatic injuries to frontal teeth and complications encountered during endodontic treatment. In those persons in whom phosphate cementum had been applied, treatment was successful in 210 teeth (77.2%) and a failure was noted in 62 teeth (22.8%). In the Diaket/guttapercha group the success rate was 167 teeth (80.7%), while treatment was without success in 40 teeth (19.3%).

Adult↗
PubMed1994

[The late results following velopharyngoplasty. A data comparison of the 2 cleft centers of Hamburg and Rostock].

Speech results were evaluated in 349 patients following velopharyngoplasty in all cases according to Sanvenero-Rosselli. Velopharyngoplasty was performed several years after palatoplasty in either the Rostock or the Hamburg cleft centers. Comparison of the data revealed that the outcome after velopharyngoplasty in relation to speech was more or less the same in the patients from both centers. In 90% of the patients with clefts of the lip, alveolus, and palate, and in over 90% of those patients with only cleft palates, voice sound was at a level between 1 and 2 on a scale to 3 and on average levels of 1.46 and 1.53 were achieved. These results document that the surgery, when combined with close interdisciplinary team work with the speech therapist, culminated in the successful rehabilitation of cleft patients at both cleft centers.

Child↗
PubMed1994

Incidence of velopharyngoplasty following various techniques of palatoplasty.

A total of 474 patients with cleft palates were treated at the Department for Maxillofacial Surgery of Rostock University from 1971 to 1991. In 145 cases velopharyngoplasty was indicated. Primary velopharyngoplasty was performed on 36 and secondary velopharyngoplasty on 109 patients. In our opinion today primary velopharyngoplasty should be the exception. Intravelar veloplasty according to Kriens (1970) created particularly favorable conditions for good velar function so that secondary pharyngoplasty was only rarely indicated. Secondary pharyngoplasty should be performed and timed only in agreement with the speech therapist.

Alveolar Process↗
PubMed1992

[Mandibular condyle fractures in childhood--the clinico-roentgenological follow-up].

In a clinical and roentgenographical follow-up study in 35 children, who had suffered a fracture of the condylar process of the lower jaw, the following observations were made on the average 61 months after conservative treatment: The clinical outcome ranged from "satisfactory function" to "restitutio ad integrum". Best results were achieved after unilateral displaced fractures, while only few children showed a "restitutio ad integrum" after bilateral fractures or/and after fracture dislocations. In children, who were less than 8 years old, the results were much better than in older ones. Roentgenographically the morphological regeneration after fracture dislocations was frequently incomplete--in the contrary to fractures with displacement.

Adolescent↗
PubMed1991

[The regenerative capability of the condylar process of the mandible].

In a roentgenographic follow-up study in children with 139 fractures of the condylar process of the lower jaw the following observations were made: A restitutio ad integrum was achieved with conservative measures in all of the non-displaced fractures, in most of the displaced fractures, and in less than 50% of the fracture dislocations. The best results were seen in children under the age of 10 years.

Adolescent↗
PubMed1990

Long-term results following surgical treatment of internal derangement of the temporomandibular joint.

The long-term results achieved in 31 joints by means of discoplasty or (temporary) implantation of silastic for treatment of internal derangements are presented. These data support the philosophy of preserving the disc whenever possible. If, however, discectomy is inevitable this fibrous plate should be replaced. Interposition of a sheet of silastic for a period of 3-6 months has proven very useful as it has in surgery for ankylosis. Silastic induces formation of a scar located between fossa and condyle which is necessary for the preservation of both rotational and translatory movements. Our postoperative results have been stable for many years and the disadvantages noted by other authors have not been found in these patients.

Ankylosis↗
PubMed1989

[Results of physiotherapy for patients with myofacial dysfunction].

The methods and results of physiotherapy in the treatment of 200 patients with myofacial pain are described. The first step in this treatment consists of exercises to enhance body awareness. This is followed by mobilization of the entire locomotor system and manual massages for muscle relaxation. Subsequently coordinated physical exercises are performed to train complex movement patterns of masticatory, facial and trunk muscles. 127 patients (64%) could be cured by means of physiotherapy and behavioral guidance alone, another 53 patients (27%) with additional bite plane therapy.

Adult↗
PubMed1989

[Stabilizing splint versus relaxing appliances in the treatment of myofacial pain. Preliminary results of a prospective randomized study].

Both stabilizing splints and relaxing appliances have been recommended for the treatment of myofacial pain. It was the goal of the present study to compare the therapeutic effect of these two types of appliances. 26 patients with myofacial pain, whose symptoms were not overshadowed by arthropathy and in whom previous physiotherapy had failed to bring about sufficient pain relief, were divided into two prospectively randomized groups. They received either a stabilizing splint or a relaxing appliance. The therapeutic effect was assessed with the aid of the patients' subjective reports and the Helkimo indices. In spite of the small number of patients the statistical evaluation of the results showed stabilizing splints to be significantly (p less than 0.03) superior to relaxing appliances in the treatment of myofacial pain.

Facial Pain↗
PubMed1987

The double-headed mandibular condyle.

The double-headed condylar process is rare. Radiographs of four patients with this type of anomaly and one skeletal specimen are described in this article. Histologic studies in rodents suggest a possible mode of pathogenesis: maldirected muscular pull may lead to the development of an extra mandibular capitulum.

Adult↗
PubMed1987

Concomitant developmental anomalies of the face in patients with clefts of lip (alveolus, and palate) or cleft palates.

Out of 2,829 cleft patients of Nordwestdeutsche Kieferklinik Hamburg 356 were found to have additional pathologic findings in the head and neck area. It was noted that the greater the dimension of the cleft, the greater the number of concomitant anomalies. However, the severity of the additional malformation could not be correlated to the severity of clefting. All additional pathologic findings were classified according to Pfeifer's morphogenetic classification of craniofacial anomalies. In cleft patients the region most often affected was found to be the lateral (and posterior) parts of the head. However, in unilateral clefts it was not possible to correlate the location of the cleft to the location of the concomitant malformation.

Cleft Lip↗