Biomedical subjects

Martin F Land

Publications and source records attributed to Martin F Land.

4 recordsLinked to original sources

PubMed2004

Dentists' molar restoration choices and longevity: a web-based survey.

STATEMENT OF PROBLEM: The increasing trend toward esthetics has led to controversy as to the longevity of esthetic restorations and the wisdom of having traditional restorations replaced for esthetic reasons. With the assumption that the way dentists treat their own teeth may be a good indication of the accumulated wisdom of the profession, knowledge of dentists' own restorative choices may provide guidance in selecting the most appropriate restorations. PURPOSE: The purpose of this article was to determine restorative choices of dentists for personal molars and estimate restoration longevity. MATERIAL AND METHODS: Information about dentists' molars was obtained from a Web-based survey designed to receive dentists' demographic data and charting of 8 molar teeth with estimated longevity. Approximately 12,000 e-mails asking to access the website were sent to dentists' addresses randomly selected from a commercial database. Nonrespondents received 1 reminder. The responses were statistically analyzed with a chi-square analysis (alpha=.05). RESULTS: Seven hundred fifty-seven valid replies provided information for 6,034 teeth (22% unrestored, 75% restored, 2% missing). Restorations reported included amalgam (36%), gold inlay/onlay (13%), complete veneer crown (CVC) (10%), metal-ceramic crown (MCC) (8%), and composite (7%). Other esthetic options accounted for less than 3%. Restorations with more than 20 years longevity included amalgam restorations (58%), gold inlays/onlays (48%) and crowns (23%). Fifty-six percent of esthetic restorations and 5% of amalgams were placed in the last 5 years. The following restorations were placed in the last year (n=186): 38% esthetic, 29% crowns (18% MCC; 11% CVC), and 17% gold inlay/onlay or amalgam. Significant differences (P<.001) were identified for dentist's gender, year of graduation and practice location. CONCLUSIONS: Most dentists have not replaced traditional metallic restorations with esthetic alternatives. Dentists still choose nonesthetic options for significant numbers of their own restorations.

Attitude of Health Personnel↗

PubMed2003

Anterior deprogramming device fabrication using a thermoplastic material.

This article presents a simple and efficient technique to fabricate an anterior deprogramming device using a thermoplastic material. The material, softened by heating, is adapted to the maxillary incisors while moldable. The operator guides the mandible into closure as the material stiffens. The device is then trimmed, and a posterior centric relation record is made using the recording material of choice.

Centric Relation↗

PubMed2003

Effect of two types of latex gloves and surfactants on polymerization inhibition of three polyvinylsiloxane impression materials.

STATEMENT OF PROBLEM: Polymerization inhibition of polyvinylsiloxane impression materials has been reported when in sustained contact with some types of latex gloves. PURPOSE: This study examined the polymerization inhibition of 3 polyvinylsiloxane impression materials placed in contact with surfaces subjected to prior contact with gloves or commonly used surfactants. MATERIAL AND METHODS: A 2 x 3 x 4 x 2 design was used (n = 20), with 2 types of gloves (powdered and unpowdered), 3 types of polyvinylsiloxane impression materials (Aquasil, Extrude, and Affinis), 4 surfactant conditions (water, soap/water-rinse, alcohol, and unexposed), and 2 ambient temperatures of 22 degrees C and 36 degrees C. After glove exposure to surfactants, a glass surface was subjected to rubbing contact with the treated glove for a standardized time. After drying, automixed polyvinylsiloxane impression materials were dispensed onto the treated surface. Specimens were removed and evaluated for polymerization inhibition at the manufacturer's recommended polymerization time (36 degrees C), or after 15 minutes at 22 degrees C. Specimens were rated as polymerized, or as inhibited if any polyvinylsiloxane residue remained on the slab. A chi-square analysis was used to evaluate the results (alpha=.05). RESULTS: Setting inhibition was found only with one of the polyvinylsiloxane materials when alcohol was used as a surfactant. At 22 degrees C, the inhibition rate ranged from 95% to 100% for both glove types; at 36 degrees C inhibition ranged from 40% (unpowdered gloves) to 75% (powdered gloves), respectively. CONCLUSION: Under these in vitro conditions, glove exposure to alcohol resulted in polymerization inhibition of 1 of 3 tested polyvinylsiloxane impression materials (Extrude).

Alcohols↗

PubMed2003

Antidepressant use in psychiatry and medicine: importance for dental practice.

BACKGROUND: Many dental patients receive antidepressant therapy. However, antidepressants taken with other drugs may increase the risk of complications that require special dental precautions and care. METHODS: The authors conducted a retrospective study of 1,800 randomly selected patient records and evaluated the prevalence of using antidepressants and other medications concurrently. They analyzed antidepressant intake relative to drug classification and mechanism of action, age, sex and associated potential for clinical complications such as xerostomia, orthostatic hypotension and interaction with vasoconstrictors. The potential for additive adverse effects between antidepressants and other medications also was analyzed. RESULTS: Three hundred eighty-one (21 percent) of the 1,800 patient records indicated that patients were being treated with 412 antidepressants. Female subjects out-numbered male subjects by an approximate 2.3:1 ratio. Selective serotonin reuptake inhibitors were most commonly prescribed, followed by tricyclic antidepressants, atypical and third-generation antidepressants, and monoamine oxidase inhibitors. Based on reported medication intake, almost 58 percent of subjects in the antidepressant group were receiving treatment with two or more medications that had the potential for producing xerostomia. Two hundred fifty-seven (67 percent) of the 381 records documented intake of an antidepressant or other medication with orthostatic hypotension potential. CONCLUSIONS: Three hundred eighty-one patients reported that they were receiving antidepressant therapy for psychiatric and other medical reasons. Potential adverse effects and interactions with other medications have direct implications for dental treatment. CLINICAL IMPLICATIONS: Patients receiving antidepressant therapy are at risk of developing xerostomia and orthostatic hypotension, as well as experiencing the adverse effects of interaction with vasoconstrictors. Dentists must take appropriate precautions in treating these patients.

Adolescent↗