Biomedical subjects
Publications and source records attributed to S Ericson.
A detailed radiographic study of 46 cases of maxillary incisor resorption related to unerupted cuspids finds most resorption in midroot, with about half on labial or lingual surfaces where it was not detectable on periapical radiographs. Resorption appears early, making it desirable to evaluate cuspid position no later than 10 or 11 years of age.
The effect of periodontal tissues of impacted lower 3rd molar surgery has been investigated in a retrospective study comprising 215 cases, 2 years postoperatively. In order to evaluate the precision and accuracy of the radiographic assessment of intrabony defects on the distal surface of the lower 2nd molar using conventional free hand technique, a methodological study was performed on 25 patients. The error variance due to variability in the radiographic reproduction and examiner inconsistency was between 3 and 4% of the total variance. In order to evaluate the radiographic assessment of intrabony defects, intraoral radiographs were taken in the deepest part of the intrabony defect with and without a probe as an indicator. Comparing the 2 sets of radiographs, the deviation was 1 mm or less in 87.9% of the cases. The radiopaque marker enhanced the accuracy of assessment of intrabony defects to 96.7%. The study shows the intraoral freehand technique to be sufficiently reliable as regards radiographic reproduction of the mandibular molar area. It also demonstrates that the radiographic method describes the depth of postoperative intrabony defects on the distal surface of the lower 2nd molar more accurately than probing depth measurements alone.
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This study was performed to elucidate the effect of periodontal treatment on the sinus mucosa. 21 patients with periodontal lesions of the upper molars and/or premolars and chronic mucous membrane thickening in the maxillary sinus diagnosed radiographically participated in the study. No teeth in the regions studied showed pulpal or periapical changes. Altogether, the patients exhibited 36 maxillary sinuses with mucous membrane thickening. 15-20 months after the final periodontal treatment, a marked reduction of the plaque index, gingival index and probing depth was recorded. Radiographic examination of the sinus mucosa before and after periodontal treatment showed that successful periodontal treatment in all quadrants resulted in normalisation of the sinus mucosa. Periodontal treatment was not successful in 2 quadrants. In one of these cases the thickness of the mucosa was unchanged and in the other case, further thickening of the mucosa seemed to have occurred. The study shows that severe periodontitis of the upper molars and/or premolars may initiate mucous membrane thickening in the maxillary sinus, and that successful periodontal treatment results in normalisation of the sinus mucosa.
In 505 Swedish schoolchildren, the need to supervise the eruption of the maxillary canines was assessed by digital palpation and related to occlusal development and somatic maturity. The aim was to judge the extent to which clinical methods should be supplemented with radiographic methods. The 505 children, aged 8-12 yr, were clinically investigated and the eruption was followed over a 3-yr period. The age of the child was found not to be a valid criterion for radiographic investigation of the canine position. The investigation showed that 29% of 10-yr-old children had non-palpable canines bilaterally. In 11-yr-old children, the corresponding figure was 5%. A palpable buccal bulge in the primary canine apical area was found to signify a favorable eruption position. The prevalence of non-palpable or unerupted canines was 3% in the age group 11-15 yr. Indications for radiographic examination of canine position were present in altogether 7% of the children over 10 yr of age according to the clinical diagnostic criteria used.
The effect on periodontal tissues of lower third molar surgery, due to impaction or semi-impaction, has been investigated in a retrospective study comprising 215 cases. The post-operative examination took place 2 years after the surgical treatment and included both clinical and radiographic variables. Clinical registrations included the amount of plaque, and presence of gingivitis and periodontal pockets. The results showed a higher incidence of plaque, gingivitis and pockets on the distal surface of the second molar than on other surfaces of the first and second molars. The alveolar bone level distal to the second molar was registered by radiographic examination with a periodontal probe as indicator. 2 years post-operatively, 43.3% of the cases exhibited pocket depths exceeding 7 mm and 32.1% showed intrabony defects exceeding 4 mm. Some factors affecting the periodontal healing after lower third molar surgery are discussed.
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It has been suggested in the past that milk causes an impaired absorption of tetracycline and this paper describes a study set up to examine any inhibition of absorption of a tetracycline derivative, lymecycline (Tetralysal) with the concurrent intake of milk. The results of the study show no clinical reason for restricting a moderate intake of milk in conjunction with lymecycline therapy.
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