Biomedical subjects
Publications and source records attributed to R E Bates.
The findings in 30 cases diagnosed as atypical odontalgia are presented. The clinical characteristics of these cases are compared with other cases reported in the literature. Three cases are described in detail. Patient understanding and treatment with tricyclic antidepressants are discussed together with medication side effects and interactions. The importance of deferring invasive procedures is emphasized.
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Eighty-two periodontally involved patients were treated in a split mouth design such that one quadrant received coronal scaling (CS), root planing (RP), modified Widman surgery (MW), and flap with osseous resection surgery (FO). The therapy was performed in three phases: Phase I: the teeth previously designated to receive RP, MW, and FO were thoroughly root planed and the teeth designated to receive CS were scaled with no subgingival instrumentation, plaque control was initiated and reinforced for the entire mouth; Phase II: the designated teeth received MW or FO surgery; and Phase III: maintenance therapy every three months. The CS teeth received coronal scaling and polishing during maintenance appointments, while RP, MW, and FO teeth received supragingival instrumentation, subgingival instrumentation and polishing. Clinical measurements were taken initially, four weeks post-Phase I, 10 weeks post-Phase II, and after each of two years of maintenance care. All therapy modalities resulted in a decrease of mean probing depth with the FO producing the greatest decrease followed by MW, RP, and CS. The deeper the initial probing depth, the greater was the mean reduction of probing depth. FO created a loss of mean probing attachment in the 1 to 4 mm category. RP and MW produced the greatest gain of mean probing attachment in the 5 to 6 mm category. RP, MW, and FO produced similar gains in the greater than or equal to 7 mm category. FO created the most gingival recession followed by MW, RP, and CS.
A method that will determine the condyle position necessary to keep the disk in place during splint fabrication has been described. The equipment used is simple and relatively inexpensive, and the entire procedure can be accomplished chairside in a matter of minutes. In those instances in which splint therapy does not result in significant improvement in symptoms, the Quick Set recorder can be used to repeat the initial condyle path recordings. A comparison of these sets of recordings can be used to determine whether the disk is in place. If doubt exists about the diagnosis, arthrography can be done to determine whether a closed locked disk position exists.
Data are presented on the outcome of 100 adolescents after discharge from an adolescent inpatient unit. Outcome is recorded in terms of placement at home, day care provision, and partial or full-time residential care provision, relating this to diagnosis, sex, age, duration of admission and evidence of family pathology. Of these only duration of admission was significantly related to outcome. More than two thirds (69 per cent) of all patients are discharged home. At six months, of those traced, 82 per cent are at home. Stability of outcome is the norm. This reflects the bio-psycho-social approach of the unit and refutes the notion that psychiatric institutional care for adolescents merely predicts a continued need for therapeutic resources.
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Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.