Biomedical subjects
W D McHugh
Publications and source records attributed to W D McHugh.
The dental scientist model.
A case has been presented for strengthening the science-base of the future dentist. Such a development is essential and inevitable and we must plan the changes in the dental education continuum that will facilitate it. Transfer of advanced clinical training to mandatory post-doctoral education will control the economic impact of the change and improve the education of the dentist tomorrow.
Statement: effects and side-effects of dental restorative materials.
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["We should pause at the point of progress" (the Eastman Dental Center). Interview by Michel Perrier].
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The effects of exclusion of epithelium from healing periodontal pockets.
Epithelium was excluded experimentally from artificially induced periodontal pockets by cutting off the crowns of vital teeth and covering the roots with mucoperiosteal flaps. This procedure was carried out on 58 teeth in eight rhesus monkeys and specimens recovered at from five to 36 weeks postoperatively. Thirty-eight (66%) of the teeth remained completely covered by soft tissue for the duration of the experiment. Up to 4.4 mm (mean = 0.9 mm) of new attachment with cementum and attached collagen fibers was found on both the sides of the roots and the cut ends, but root resorption and downgrowth of epithelium over root surfaces were about equally common. Thus, even when epithelium is excluded from healing periodontal pockets, reattachment with new cementum and attached collagen fibers is not consistently achieved, even after periods of 36 weeks. Root resorption and ankylosis are major complications. Although most new attachment appears to result from cells originating in the periodontal ligament, it can also arise from cells from the gingival connective tissue.
The long-term effects of daily rinsing with stannous fluoride or sodium fluoride on bacteria in dental plaque.
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Dental caries and staining after twenty-eight months of rinsing with stannous fluoride or sodium fluoride.
The aim of this study was to compare the effects of daily mouthrinsing with aqueous solutions of 0.05% NaF or 0.1% SnF2 on dental caries and tooth staining. The study population consisted of 437 children, aged from 12 to 15 years at baseline, residing in a non-fluoridated community. By stratified random sampling, the subjects were divided into two groups, one group rinsing daily under supervision for 28 months with the NaF solution and the other with the SnF2 solution. The SnF2 group exhibited four to five times as much extrinsic stain as did the NaF group, although the stains were quite mild and not explicitly distinguishable between groups. There were no statistically significant differences between the two groups in terms of total DMFS. However, the increment of pit and fissure caries was 0.9 surfaces fewer for the SnF2 group (p = 0.04), while the increment of smooth surface caries was 0.6 surfaces fewer for the NaF group (p = 0.04). These data suggest that there may be a difference in mechanism of action between SnF2 and NaF rinses.
Effect of daily rinsing with stannous fluoride on plaque and gingivitis: final report.
Two groups of children, ages 12 to 15, rinsed daily for 28 mo with aqueous fluoride solutions, one group using 0.05% sodium fluoride (NaF) and the other group using 0.1% stannous fluoride (SnF2). The SnF2 group had less plaque accumulation after four mo, but no difference was apparent at 16 and 28 mo. Gingivitis was less severe in the SnF2 group throughout the study, although the difference did not reach statistical significance. The 0.1% SnF2 solution, used daily as a mouthrinse, inhibits plaque formation, although this inhibitory effect is not apparent after 16 mo of rinsing.
Professional ethics in dental research.
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A good investment?
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The effect of daily mouthrinsing with stannous fluoride on dental plaque and gingivitis--four-month results.
This clinical trial of a daily 0.1% SnF2 mouthrinse involved over 400 children, from 12 to 15 years of age. With 0.05% NaF as the active control, rinsing was conducted daily for four mo after baseline examinations. Four-month examinations showed significantly lower Plaque Index scores for the SnF2 group. Gingival Index scores for the SnF2 group were lower, but did not reach statistical significance.
Present-day status and direction for future research on the etiology and prevention of periodontal disease.
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Toothbrush age and wear. An analysis.
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Gingival exudate--an index of gingivitis?
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Patient reaction to an electric toothbrush.
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The influence of time of examination, eating, smoking and frequency of brushing on the oral debris index.
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An epidemiological investigation into the effects of the loss of first permenent molar teeth.
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