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Biomedical subjects

L R Bean

Publications and source records attributed to L R Bean.

At least 19 recordsLinked to original sources

Radiolucent halos associated with radiopaque composite resin restorations.

Since the introduction of radiopaque composite resins, clinicians and researchers have occasionally noticed radiolucent halos adjacent to composite restorations. Such halos have frequently been thought to be recurrent caries or voids in the material. Fifteen of 45 radiopaque composite resin restorations placed by students enrolled in a first-year preclinical operative dentistry course exhibited such halos. Micrographs showed that a thick layer of unfilled resin bonding agent was present. These halos were reproduced in other teeth when excess bonding was not blown off. The results indicate the importance of meticulous technique.

Adhesives

Significance of condylar positions in patients with temporomandibular disorders.

Radiographs of closed condylar positions in subjects with symptoms of temporomandibular joint disorders are compared with those in subjects without symptoms. Of the condyles in asymptomatic subjects, 30% had anterior or posterior deviations of more than 1 mm in either direction. Of the condyles in symptomatic subjects, 27% had anterior or posterior deviations of more than 1 mm. As the findings are almost the same for both groups, it appears that condylar position in the fossa, as determined by transcranial radiographs, is of questionable significance as it relates to the symptoms of temporomandibular disorders.

Adult

A clinical study of cysts arising from mucosa of the maxillary sinus.

Panorex radiographs taken during the past 5 years at the University of Kentucky College of Dentistry were reviewed for evidence of mucosal cysts of the maxillary sinus. Thirteen patients with this lesion were recalled for re-evaluation of their status. Ten of the patients had symptoms that could be related to the involved sinus. These included stuffiness, fullness, postnasal drip, gushing of yellow fluid from the nose, and headache. Radiographic examination revealed that three of the cysts had increased is size, three had decreased in size, three had not changed in size, and two had disappeared; no evaluation could be made on two. On the basis of radiographic, transillumination, history, and clinical findings, the nine cysts that could be evaluated were diagnosed as being of the nonsecretory type of mucosal cyst. We recommended periodic radiographic examination for this type of lesion. Surgical intervention is necessary only if destruction of surrounding bone has occurred or recurrence of disturbing symptoms is reported.

Adolescent