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Biomedical subjects

S Carossa

Publications and source records attributed to S Carossa.

15 recordsLinked to original sources

[Psychometric and psychofunctional studies of a group of patients with craniomandibular disorders].

The base myoelectric of masticatory muscles, and their response to stressor, was studied in a group of patients affected with craniomandibular disorders (CMD) and in a control group. Patients suffering from craniomandibular disorders were affected by at least two of these three groups of symptoms: 1) articular and/or muscular pain; 2) articular noise; 3) alteration of mandibular mobility. The psychofunctional investigation was as follows: in order to measure the base myoelectric activity of the masticatory muscles and their response to stress, the Myotron 222 two-channel electromyographs were used, so as to record the activity of four muscles contemporaneously. The research was conducted on the masseter and anterior fascia of the temporal muscles, which are the most readily accessible of the elevator muscles. A non-specific stressor (shot pistol) was administered to the subjects after the base myoelectric level had been established. These factors were evaluated on the electromyograms: base activity before the stressor; the shape of the response to the stressor; the recovery time after the stressor. The minimum activity before the stressor was usually measured as the minimum activity the subject was able to maintain for roughly one minute. The psychometric investigation used "Minnesota Multiphasic Personality Inventory" (MMPI); this is a nonprojective personality test widely used in clinical psychology. The base level of myoelectric activity was higher in patients affected with craniomandibular disorders than in healthy patients, who generally had low initial values.(ABSTRACT TRUNCATED AT 250 WORDS)

Adult

Clinical applicability of the radiographic method for determining the thickness of calcified crown tissues.

A previously developed radiologic method for determining the thickness of the mineralized crown tissues was applied clinically to 10 teeth diagnosed for extraction. The thickness of the mineralized crown tissues as measured radiographically was compared with that measured directly on the extracted tooth. A statistical analysis indicated accuracy of 4.46%, equivalent to an error of 0.12 mm.

Dental Cementum

A graphic evaluation of the intermaxillary relationship before and after therapy with the Michigan splint.

The effect of the Michigan splint was evaluated graphically in a group of 19 patients. Gothic arch tracings were registered before and after a period of therapy of 4 months, and the two tracings were compared photographically. The position of the apex of the Gothic arch was displaced in most patients, while the shape of the arch was more regular in almost all patients. The validity of the use of the Michigan splint was confirmed.

Adolescent

The unreliability of facial measurements in the determination of the vertical dimension of occlusion in edentulous patients.

The aim of this research was to test the reliability of skin markers in the determination of the V.D.O. in edentulous patients during prosthetic rehabilitation. Two resin baseplates were constructed: on the upper one a modified pin of the Central Bearing Point registration device was fixed with impression compound. The height of the pin could be altered by rotating the pin directly in the patient's mouth with a probe. Two lead spheres were inserted on the resin base-plate as bone markers, and two others were fixed to the skin as markers, one above (end of nose) and one below (point of chin) the oral commissure. Five lateral cephalometric radiographs were exposed for each patient, raising the V.D.O. by 1.2 mm on each occasion. Statistical analysis of measurements made on the resulting radiographs showed a very strong correlation between bone markers and pin position, whereas great variation and considerable differences were found between skin markers and bone as well as measurements.

Adult

[Direct rebasing of temporary crowns in the fixed denture. An experimental assessment of the increase in heat at the pulp cavity level].

Self-curing resins are generally used to directly temporary prostheses on the crown abutments. This technique enables the operator to obtain a better marginal adaptation of the temporary prosthesis. The risk of such a procedure is the inflammation of the pulp due to the exothermic polymerization reaction of self-curing resins. The authors suggest experimentally evaluating the rate of thermic increase within the pulp cavity of an extracted tooth while directly relining a temporary crown.

Composite Resins

[An evaluation of the signs and symptoms in patients with craniomandibular disorders correlated with the radiological pictures obtained by OLTP].

The study evaluated the frequency of noise, pain and alterations of mandibular movements in a group of 88 patients. Condylar position was also studied using OLTP X-ray images, and the presence of arthrotic lesions using multitomography. The condylar position was related to the presence of organic lesions at an articular level, and a higher frequency of the latter was found in anterior condylar displacements; the presence of condyles centered in the glenoid cavity on OLTP examination does not exclude the possibility of arthrotic lesions. Another important finding was the observation of a greater frequency of contralateral organic pathologies in posterior condylar displacements.

Adolescent

[Extension bridges. A bibliographic evaluation and the clinical indications].

Extension bridges are a valid alternative to partial and implanted prostheses for the rehabilitation of small intercalary or distal lacunae. Following a critical review of published reports on the subject and the assessment of longitudinal studies, the authors examine the clinical parameters and technical procedures used to implement these prosthetic reconstructions.

Dental Abutments

[A radiographic assessment of condylar position after therapy with the Michigan plate].

The paper analyses condylar movement in the sagittal plane following four months of therapy using a Michigan-type plate in a group of 19 patients with craniomandibular disorders. An OLTP radiographic examination was used; X-rays carried out before and after therapy were compared using a special image subtraction technique. From the analysis of results it emerged that 63.12% of patients showed a mono- or bilateral condylar movement which was visible by X-ray.

Adult

A radiologic method for determining the thickness of the hard crown tissues.

This study describes a radiologic method that provides a reliable evaluation of the thickness of the hard crown tissues of the tooth scheduled for prosthetic and conservative preparation. The first stage consisted of calculating the discrepancy between the actual dimensions of the specimen under examination and the dimensions of the same specimen as measured and radiographed. Some coefficients of distortion were calculated for the distance(s) more usually involved clinically. Radiographs were made by using the "paralleling" technique. In the second stage, radiographs were made of 83 extracted teeth (22 incisors, 12 canines, and 51 premolars). On the resulting radiographs some prefixed distances were measured. Finally, to gain an anatomic comparison of the values obtained radiologically, 24 of the previously radiographed teeth were sectioned along the sagittal plane at the diameter, and measurements were made and compared with the radiologic data to which the correction coefficients had been applied.

Data Interpretation, Statistical

[Occlusion in the etiology of craniomandibular disorders. Current directions].

Craniomandibular disorders are a pathology with a multifactorial genesis where the aetiological aspects it represented by emotional and occlusal factors. These provoke muscular hyperactivity so determining a change in all components of the stomatognathic apparatus. A critical analysis of the literature leads to an analysis of the importance of the occlusal factor in the aetiology of MCD. The conclusions reached are that the ideal occlusion is a theoretical concept. Physiological occlusion is the situation in which, independently of the number, lay-out and relationship between teeth there exists a subjective occlusal stability and a satisfactory masticatory, phonatory and aesthetic function.

Dental Occlusion