Biomedical subjects
Publications and source records attributed to T C Lyon.
A Medicare prospective payment system (PPS) will have major operational implications for home care providers. Recent history has shown that health care providers' behavior is dramatically affected by the incentives inherent in new payment systems. One agency explains how it is changing its behavior in preparation for PPS legislation.
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Oral indices are reviewed and classified. The methods of using indices are discussed and a number of the periodontal indices are compared using a tabular format.
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This epidemiologic study of accidental dentofacial injuries to U.S. Army personnel was conducted to determine the frequency and distribution patterns of accidental dentofacial injuries to soldiers. Administratively, it was anticipated that this data would permit identification of high-risk groups and would suggest feasible preventive measures. This 9-month study was conducted on 16 Army posts with a combined population at risk of 210,500 soldiers; a standardized data collection form was completed by the dental corps officer treating the injury case and then was mailed to a central collection site for analysis. The data from this dentofacial injury study clearly reveal that differential risks exist for various military subpopulations. While the overall U.S. Army accidental dentofacial injury rate was 37.7 cases/10,000/year, this rate varied greatly for specific subgroups with high-risk factors including young males, lower enlisted ranks, recent recruits, and combat training posts. The primary specific causes of these injuries were fistfights (nearly 30%), sports (over 20%), and vehicles (about 15%).
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The clinical effectiveness of povidone-iodine as a disinfectant in teeth isolated by a rubber dam was compared to the effectiveness of isopropyl alcohol. The results showed no statistically significant difference between povidone-iodine or isopropyl alcohol for disinfecting intact enamel surfaces. When a scrub-type application of povidone-iodine was used, preliminary removal of plaque with pumice did not increase its effectiveness. Both agents were significantly less effective at 15 minutes after application than they were at 90 seconds after application.
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The benefits to the patient of the removal of tooth deposits is well documented. Should such removal provide the additional effect of "whitening" the tooth surface, an additional cosmetic benefit would be provided. This study documents that a Citroxain-containing dentifrice provides all of these benefits.
This survey determines the dental care needs of hospitalized adults with psychiatric and mental disorders. Comprehensive clinical and radiographic oral examinations, conducted on 33% of the patients in a large state mental hospital, found that extensive unmet needs existed in this population. The major requirements were for prophylaxis, calculus removal, and periodontal therapy. The patients' needs varied depending on several demographic factors, including length of hospitalization and psychiatric diagnoses.
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Realization of the important role of Streptococcus mutans in the initiation of dental caries has resulted in extensive studies of all its biologic characteristics. The ultimate goal is to control or eliminate it from the oral cavity. One means of accomplishing this is to reduce or eliminate its carbohydrate source. This study reports those carbohydrates which Streptococcus mutans cannot metabolize.
Baby bottle tooth decay (BBTD) is a term applied to a specific form of rampant decay associated with inappropriate bottle or breast feeding of infants and young children. Although the prevalence of BBTD has been studied in individual ethnic groups, comparison studies are rare. Head Start children have frequently served as study subjects for assessing the prevalence of BBTD. The purpose of this study was to compare BBTD and caries prevalence among Head Start children who are members of four ethnic groups in five southwestern States. Age, residence, and fluoridation status were also compared for the total sample and ethnic categories. The sampling process was a stratified random site selection; it was used to obtain data on 1,230 children. This number constituted 3 percent of the children enrolled in Head Start in Public Health Service Region VI (Arkansas, Louisiana, New Mexico, Oklahoma, and Texas) where the study was conducted. The criterion for determining the presence of BBTD was based on the number of carious deciduous maxillary incisors observed. The severity of the condition was reported as two of four and three of four of the target teeth affected. Thus, two levels of severity are reported. BBTD was prevalent in approximately 24 percent and 15 percent of the total sample, depending on the severity criterion used. Native American children had a significantly higher (P less than 0.05) prevalence than Hispanic, white, and black subjects. Rural children had significantly higher (P less than 0.05) prevalence of BBTD than nonrural children for all ethnic groups except whites. The prevalence of decayed and filled (df) surfaces of primary dentition was significantly greater for all rural than for non rural groups (P< 0.05).Children attending centers showed no significant differences based on fluoride status for the total sample or other variables. BBTD and caries prevalence increased with age. Studies are needed to identify predisposing factors among the ethnic groups and residence status in order for more effective preventive regimens to be developed, implemented,and evaluated.