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Biomedical subjects

V Henricsson

Publications and source records attributed to V Henricsson.

17 recordsLinked to original sources

Evaluation of in vitro properties of films of saliva substitutes in contact with different surfaces. A comparative study with instruments for measurements of friction and rheologic properties.

An instrument based on friction measurement has been developed to evaluate oral mucosal dryness objectively. The purpose of this study was to compare the friction instrument with instruments measuring in vitro rheologic properties. Measurements were performed against steel and irreversible hydrocolloid after application of different concentrations of aqueous solutions of carboxymethylcellulose and chitosan lactate. The results of the measurements were logical, with inversely proportional values for the friction instrument as compared with values obtained using the instrument measuring rheologic properties; that is, increased viscosity led to decreased friction values.

Alginates↗

Oral mucosal friction and subjective perception of dry mouth in relation to salivary secretion.

Assessment of oral mucosal friction and subjective perception of dry mouth was performed during treatment with thiazide diuretic bendroflumethiazide (2.5 mg o.d.) or placebo in a randomized, double-blind, cross-over study (2 x 2 wk) in 34 healthy volunteers. Treatment with bendroflumethiazide was associated with a 10% reduction in the stimulated whole saliva secretion rate and a 15% reduction in the salivary sodium concentration, as compared with placebo. Oral mucosal friction was concomitantly measured on the buccal mucosa and on the mucosa of the lower lip by means of a newly developed sliding friction device. In addition, a questionnaire was used to evaluate how the treatment was subjectively perceived with regard to symptoms of dry mouth. Mucosal friction of the lower lip increased significantly during treatment with bendroflumethiazide, as compared with placebo. When the test subjects, regardless of pharmacologic treatment, were divided into groups according to subjective perception of dry mouth, the dry mouth group showed significantly lower resting and stimulated flow rate and higher mucosal friction in comparison to the nondry group. When, in addition, pharmacologic treatment was also considered, the differences between the dry and the nondry group were restricted to resting whole saliva flow rate and mucosal friction during bendroflumethiazide treatment. It is concluded that resting whole saliva flow rate is the best predictive factor for evaluating subjectively perceived dry mouth. However, the sensitivity of the developed sliding friction device is capable of detecting minor changes in salivary secretion rate. In addition, measurements of oral mucosal friction may serve as an easily available method to complement sialometry when evaluating, for example, drug-induced dryness of the mouth.

Adolescent↗

Salivary gland involvement in autoimmune thyroiditis, with special reference to the degree of association with Sjögren's syndrome.

From a total of 63 patients with autoimmune thyroiditis, 19 cases were further investigated to determine the degree of concomitant morphologic and functional salivary gland changes. For comparison, 21 of a total of 28 cases of primary Sjögren's syndrome were also examined. Of the 19 cases of autoimmune thyroiditis, 11 showed various degrees of salivary gland involvement on the basis of an analysis of lower lip salivary gland biopsy specimens, scintigraphy of the parotid, and unstimulated whole sialometry. Six of these cases fulfilled the criteria of primary Sjögren's syndrome. A remarkably high proportion of dark-staining acini was observed in the lower lip biopsy specimens of our patients with thyroiditis (8 of 19, 42%) and less among our patients with primary Sjögren's syndrome (5 of 21, 24%). We conclude that significant involvement of salivary glands may occur in cases of autoimmune thyroiditis, which indicates that common mechanisms may frequently be operative in the development of thyroid and salivary gland immune disease.

Adult↗

Primary Sjögren's syndrome in patients with multiple sclerosis.

The relationship between multiple sclerosis (MS) and primary Sjögren's syndrome (PSS) is ambiguous; it was suggested that some patients diagnosed with MS may instead have PSS. In a recent epidemiologic study, the prevalence of PSS was 2.7% in southern Sweden. We randomly selected 30 patients with definite MS from our patient population and investigated them for evidence of PSS according to the Copenhagen criteria. One patient had clinical symptoms compatible with PSS and also fulfilled the Copenhagen criteria. In addition, five patients had keratoconjunctivitis sicca, one had xerostomia, and three had histopathologic evidence of sialadenitis in the lower lip salivary glands. However, one of these findings alone is not sufficient to support the diagnosis of PSS. We conclude that MS and PSS may coexist in the same individual, but PSS is not more common among MS patients than expected in the general population.

Antibodies, Antinuclear↗

A new device for measuring oral mucosal surface friction--reference values.

Sialometry and dryness measurements performed with a sliding friction instrument were carried out in healthy subjects and patients with oral dryness due to salivary gland diseases. The salivary flow rates were within normal reference values. The mean friction value in the healthy population was 1.73 +/- 0.37 in the lip mucosa and 1.25 +/- 0.31 in the buccal mucosa and did not show any age or sex differences. In the group of patients with salivary gland diseases, none produced measurable amounts of resting saliva but a few of them did produce small amounts of paraffin wax chewing-stimulated saliva. The friction instrument proved to register lubrication produced even by these very small amounts of saliva.

Adult↗

Evaluation of an infrared light absorption method for objective assessment of oral mucosal dryness.

The aim of this study was to evaluate an infrared light absorption (ILA) method for registration of dryness of the oral mucosa. Measurements were performed in the buccal and in the lip mucosa immediately before and every 30 min after submucosal injection of 1.0 ml methylscopolamine nitrate in nine healthy subjects. For comparison, a dental mirror sliding friction test was used. About 1.5 h after injection the ILA method showed statistically significant (P less than 0.01) decreases of values in both the buccal and the lip mucosa. However, in the individual subjects the deviations from initial values showed only slight agreement when measured with the ILA method and the mirror friction test. Thus, the ILA method does not seem to be suitable for registration of individual variations in oral mucosal dryness.

Absorption↗

Evaluation of some electrical methods for objective assessment of oral mucosal dryness.

The aim of this study was to evaluate different electrical methods (resistance, capacitance and polarization resistance) for clinical and objective registration of dryness of the oral mucosa. Measurements were performed in the buccal and in the lip mucosa before and every 30 min after injection of 1.0 ml methylscopolamine nitrate submucosally in the labial sulcus in 10 healthy subjects. For comparison, a dental mirror sliding test was used. About 1 h after injection, all three methods showed statistically significant decreases of values in the buccal as well as the lip mucosa except for polarization resistance, which showed such a difference only in the buccal mucosa. The deviations from initial values in the individual subject showed no agreement between measurements with the electrical instruments and oral mucosal dryness assessed with the mirror test. Neither was there any agreement between values registered with the three electrical methods. It seems that these electrical methods are not suitable for registration of individual variations in oral mucosal dryness.

Adult↗

Evaluation of a new device for measuring oral mucosal surface friction.

For the objective measurement of oral mucosal dryness or moisture, a device registering oral mucosal surface slide friction has been developed. Two prototypes, Probe I and Probe II, have been tested. Probe I was constructed for initial testing of the method and was based on easily accessible electrical components. Probe I was computerized and developed for more accurate registration and also for easy handling. Reliability and validity tests were carried out on Probe I as well as on Probe II. In repeated in vitro measurements, the probes showed good reproducibility. Validity was assessed on healthy subjects injected with methylscopolamine nitrate submucosally in the labial sulcus. All subjects experienced a pronounced oral mucosal dryness within half an hour. Registration with the surface slide friction device showed maximum friction values 1-2 h after injection. These reliability and validity tests gave good results for both Probe I and Probe II, but Probe II had several practical advantages over Probe I. Both probes were considerably more sensitive to changes of the oral mucosal surface than the previously used simple friction test using the back of a mouth mirror.

Adult↗

Clinical and immunological features of Sjögren's syndrome in patients with primary biliary cirrhosis with emphasis on focal sialadenitis.

Serological and pathological findings in 21 patients with primary Sjögren's syndrome (primary SS) were compared with those in 32 patients with primary biliary cirrhosis (PBC). In ELISA, anti-SS-B/La antibodies were detected in sera from 14 (67%) of the patients with primary SS, but only from 12 (38%) of those with PBC. With the Ouchterlony test, anti-SS-A/Ro antibodies were found in sera from 15 (71%) of the primary SS patients, but in no PBC patient. Of those PBC patients investigated prospectively with objective tests, four of 11 (36%) had keratoconjunctivitis sicca, and five of 15 (33%) had pathological sialometry results. In contrast, all PBC patients but one (i.e., 14 of 15 or 93%) showed evidence of focal sialadenitis. In immunochemical study of PBC patients, IgM immunoreactivity was found in the stroma, particularly adjacent to excretory ducts and acini in salivary glands (5 of 5), whereas no such IgM deposits were observed in patients with primary SS (3 of 3), nor in healthy controls (n = 20). We conclude that the frequency of anti-SS-A/Ro and anti-SS-B/La antibodies in serum is lower in PBC patients than in patients with primary SS. The incidence of focal sialadenitis is high in PBC, though only one third of the PBC patients studied here showed clinical evidence of glandular dysfunction. With immunochemical techniques, sialadenitis associated with PBC is distinguishable by its significant IgM reaction from sialadenitis in primary SS.

Aged↗

Device for measuring dryness of the oral mucosa. A preliminary report.

Following a survey of various methods used to register oral mucosal dryness--xerostomia--a new device, measuring surface slide friction, has been developed. An instrument is devised to register the twisting force as well as the force at right angle to the surface. Calculations from these parameters give standardized expressions for friction between the probe of the instrument and the oral mucosa. By using methylscopolamine, 3 students were tested for dryness in the mouth. The instrument showed a peak of increased friction after about 60 min. The reliability was tested by using various water solutions of a macromolecule as interphase between the instrument and the steel plate. These preliminary tests indicated that the instrument showed values of good validity and reliability. It should be further developed for registering oral mucosal dryness in clinical settings.

Equipment and Supplies↗

Association between recurrent aphthous ulcers and tobacco habits.

The study is a complication of data on oral mucosal lesions collected among 20 333 people aged 15 yr and over. The aim was to calculate the correlation between the prevalence of recurrent aphthous ulcers and various tobacco habits. The prevalence of aphthous ulcers in the population was 17.7% including cases referring to episodes within the last 2 yr. There was a negative correlation between the prevalence of ulcers and tobacco habits. The suppression of ulcers was most evident for those groups smoking pipe or cigarettes without filter and only moderate for those using snuff. Further, heavy smokers had a lower frequency of ulcers than moderate smokers.

Adolescent↗

The occurrence of recurrent aphthous ulcers in an adult Swedish population.

Aphthous ulcers were found in 2% of a total of 20,333 individuals aged 15 years or more examined in urban, suburban, and rural regions of Sweden. When a history of 2 years was considered, the prevalence was 17.7%. A slight predominance was found for females. The younger age groups showed the highest prevalences of the condition, which then decreased steadily with age. Interviews were conducted with a fraction of the population comprising 2771 people with regard to their experiences of aphthous ulcers. Thus, for example, the average number of episodes per year was two to four and the most prevalent time for healing, 5-8 days. Among the factors thought by patients to trigger the condition, catching a cold was reported as the main one, followed by stomach problems and menstruation.

Adolescent↗

Treatment of recurrent aphthous ulcers with Aureomycin mouth rinse or Zendium dentifrice.

Clinical trials with a cross-over double-blind technique were undertaken to test chlortetracycline (Aureomycin) and the enzyme-containing dentifrice Zendium with regard to therapeutic effects on recurrent aphthous ulcers. Aureomycin was found to reduce the number of ulcers and diminish pain when compared with placebo. When groups of patients treated with Zendium and placebo dentifrice, respectively, were compared, no statistically significant difference could be demonstrated. However, when the pH value of Zendium was stepwise changed from 5.9 to 6.8, an increased fraction of patients reported complete relief from pain and ulcer(s) during the trial periods.

Adolescent↗

Leukoedema - an epidemiologic study with special reference to the influence of tobacco habits.

Among 20,333 individuals aged 15 years and above, examined in urban, suburban and rural regions in the middle of Sweden, leukoedema was found in 48.9%. The sex difference, males 61.9% and females 35.9%, was highly significant (P less than 0.001). The condition was most prevalent in the age groups 25-34 and 15-24 years being 60.6 an 53.7%, respectively. Leukoedema was significantly more prevalent among individuals with some daily tobacco habit (60.0%) than among those without (36.3%) (P less than 0.001), being most prevalent among smokers. The lesion seemed to be related to the amount of smoking since it was most prevalent among heavy smokers and also the most clearly established lesions were found in this group.

Adolescent↗

Autoimmune thyroiditis and primary Sjögren's syndrome: clinical and laboratory evidence of the coexistence of the two diseases.

The prevalence of primary Sjögren's syndrome (primary SS) among patients with autoimmune thyroiditis (AT), and that of AT among patients with primary SS were studied prospectively. Of 63 patients with AT, one had precipitating antibodies against SS-A/Ro antigen together with objectively verified primary SS, and none had precipitating anti-SS-B/La antibodies; in contrast 17/63 (27%) had above normal values of anti-SS-B/La antibodies, as tested with ELISA. Of 19 AT patients tested objectively for xerostomia and keratoconjunctivitis sicca, six (32%) had keratoconjunctivitis sicca together with xerostomia and four (21%) had autoimmune sialadenitis. The prevalence of AT in patients with primary SS (n = 28) was 18%; of the 28 patients, 64% had an enlarged or abnormal thyroid gland on palpation and four of them (14%) had cytology verified AT. Ten (36%) had anti-thyroglobulin and/or antimicrosomal autoantibodies. Based upon the present investigation we conclude that the prevalence of primary SS is ten times higher among patients with AT, and that of AT is nine times higher among patients with primary SS, compared with the general population.

Adult↗