Journals and the Internet. Medical journals will continue to be important in prioritising important data.
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Biomedical subjects
Publications and source records attributed to M Palat.
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This article documents the clinical observations made in the course of a surgical procedure in which a resin ionomer was used as a barrier for guided tissue regeneration. The results indicate that this material appears to demonstrate potential in such procedures.
The purpose of these case reports is to introduce a potential use for a resin-ionomer in guided tissue regeneration. The resin-ionomer is used in a two-fold manner (1) to lute an e-PTFE membrane in place in furcation defects and (2) to act as a barrier itself in furcation and infrabony defects. Clinical observations made in this report indicate that a resin-ionomer barrier may be placed subgingivally without sutures. In addition, the resin-ionomer, given its ability to release fluoride, may serve as a delivery system for local antimicrobial therapy during the initial stages of wound healing. Further studies should be conducted in order to evaluate the potential of the resin-ionomer for the uses described in this article.
The purpose of this in vivo double-blind study was to determine and compare the antimicrobial effectiveness of four commercial over-the-counter mouthwashes and a water control. Two of the products tested contained alcohol (Listerine and Scope) and two products were alcohol-free (Rembrandt Mouth Refreshing Rincs and Clear Choice). The antimicrobial efficacy of the products was determined against aerobic, microaerophilic, and anaerobic bacteria in saliva. Thirty human subjects participated in the study. At each experimental session for a given subject, a pretest saliva sample was taken. This sample was divided and used to grow three bacteria cultures under the different incubation environments. After giving the pretest sample, the subject rinsed with one of the commercial mouthwashes or the water control for 30 seconds, then waited one hour at which time a posttest saliva sample was collected. Again, the sample was divided and used to culture the different type of bacteria. Following a 48-hour incubation period, the numbers of microbial colonies on each plate were counted and compared. The results indicated that all of the mouthwashes tested performed significantly better than the water control. Both of the non-alcohol-containing products showed efficacy in inhibiting aerobic, microaerophilic, and anaerobic bacteria. Rembrandt Mouth Refreshing Rinse and Listerine inhibited all three types of bacteria, and were not significantly different from each other in efficacy. The Rembrandt mouth wash inhibited all three types of bacteria more effectively than Clear Choice mouthwash, and inhibited two of the three types of bacteria more effectively than Scope mouthwash.
The number of malpractice suits related to implants has recently increased significantly, with awards that are among the largest in dentistry. This article discusses the principles involved in assessing liability for implant failure and the various clinical situations that can affect liability in implant practice. The author also provides a list of the interrogatories required of defendants in malpractice suits related to implants.
Having given a definition of chronic pulmonary patients and of readaptation by reference to the W.H.O. and to the results of an international survey and the study group of the special Unit of the European Society of respiratory Physiopathology, the authors report a critical study of the conception and the present aims of readaptation. They successively present the therapeutical, medico-social and psychological aspects of readaptation, the different techniques used today, and summarize the present functioning of Europeans centres of readaptation. Finally they draw the main lines of a program of readaptation with the public health scheme and envisage the problems of organization and functioning.
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This study evaluated the effects of an at-home vital bleaching system on gingival responses over a 6-week period. Objective measures were utilized to measure and monitor gingival inflammation over this period of time. Vital bleaching was performed as follows: (1) bleaching gel in a prefabricated mouthguard and (2) an ad-mix technique--bleaching gel and toothpaste in a 1:1 ratio. In addition a control group used a placebo in a prefabricated mouthguard. The at-home vital bleaching system produced no adverse gingival tissue responses. Furthermore, the at-home vital bleaching system helped produce a therapeutic effect on inflamed gingival tissues over the course of the study.
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Many people with severe and profound mental retardation have poor oral health and suffer from inadequate oral hygiene. They may also have neurological disorders and limited intellect, which can erect barriers to dental treatment, such as resistive behavior. Lack of an agreed-upon definition of physical restraint by clinicians or governmental and administrative nondental professionals adds to the problem. As a result, controversy and confusion arise when the appropriate use of safety support systems, (i.e., physical restraint) is considered. The purpose of this paper is to address the need for and appropriate use of restraint for a specific population and set of conditions. The appropriate use of restraint permits the administration of oral hygiene, which can help control the level of oral health in this population; if restraint is not used, oral hygiene cannot be accomplished, dental disease increases, and dental neglect can be cited. This paper concludes with several sets of restraint guidelines for appropriate use.
Records are the backbone of the dentist's defense in any malpractice claim. Cases involving periodontal disease--failure to timely diagnose, failure to adequately treat, and failure to refer--are responsible for a great number of lawsuits against dentists. Since individuals of all ages are susceptible to periodontal disease, all dental records should contain periodontal evaluations data. This article discusses what information should be recorded in order to assist any attorney defending the dentist or, in many instances, how the completeness of such information may deter a plaintiff's attorney from proceeding with a suit. The information recorded should enable the dentist to assess the patient's health, assess the patient's dental status, diagnose any existing periodontal disease, and provide a diagnosis and treatment plan for the patient. In addition, the record must reflect the consent of the patient to the eventual treatment, the progress notes made during treatment, and completion notes at treatment's end. Finally, the dentist must be made aware of the legality of terminating the doctor/patient relationship and the transfer of records. Complete and accurate records can substantiate proper diagnosis and treatment and/or contributor negligence but poor records may be insufficient to protect even an innocent dentist.
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