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Biomedical subjects

W H Stalker

Publications and source records attributed to W H Stalker.

6 recordsLinked to original sources

Tooth loss in 1535 treated periodontal patients.

Of 1535 treated recall patients surveyed over an average time of 12.9 years since treatment was completed, 1371 had lost no teeth from periodontal disease. The total number of teeth lost was 444, with the average tooth loss for the 1535 patients being 0.29. In the three full arch splinted cases, the loss rate was 14.67 teeth per patient. Patients treated without any excisional or flap surgical procedures made up 26.5% of those surveyed, whereas 73.5% had required various surgical procedures. No attempt was made to compare different pocket therapy procedures. Although many patients developed recurrent periodontal problems during recall, only 15.9% of the 1535 patients required surgical retreatment. Teeth that were originally given a doubtful prognosis often were responsible for recurrent problems and sometimes required extraction.

Aged↗

Bilateral blind epithelized tracts associated with the inferior labial frenum.

Examination of a 45-year-old man disclosed, bilateral, blind, epithelium-lined tracts on the alveolar mucosa in proximity to the inferior labial frenum. These structures were excised surgically and examined histologically. This article represents the first report of blind mucosal pits in this location. The mechanism responsible for development of these structures is not clear, but they most likely result from entrapment or persistence of epithelium during embryogenesis.

Humans↗

Facial neuralgia associated with recurrent herpes simplex.

At least seven cases of facial neuralgia associated with recurrent herpes simplex have been reported in the medical literature. This condition has not been reported in the dental literature. A case of facial neuralgia associated with recurrent herpes simplex in a 34-year-old woman at varying intervals over a 20-year period is reported. Tension applied to the commissure on the right side of the patient's mouth during routine dental procedures can cause the neuralgia to develop, and she reports having undergone extraction of the permanent right mandibular first molar at the age of 15, when a similar neuralgia was present.

Adult↗

Tomography of the alveolar process.

This radiologic study using hemisected dog jaws was undertaken to determine whether or not tomographic techniques would be superior to standard dental x-ray techniques in detecting prepared periodontal defects within the cancellous bone of dog jaws. Specifically, it was done to determine whether or not tomography might be a reliable method of checking for bone fill in periodontal bone-grafting therapy. As an additional measure, a radiographic study, using a hemisected dog mandible and standard dental x-ray techniques, was undertaken to determine whether lesion size or cortical plate involvement was the determining factor in radiographic visibility. When tomographic techniques were used 55% of thirty-one prepared defects were visible, while standard dental x-ray techniques detected 29% of the same defects radiographically. The differences in detection rate were not statistically significant when analyzed by chi square. Although tomography resulted in radiographic visibility of a greater number of prepared defects, it is not reliable enough to replace re-entry procedures for documentation of bone fill in clinical studies of periodontal bone-grafting procedures. In the additional study it was determined that cortical plate involvement was the determining factor in radiographic visibility of bony defects.

Alveolar Process↗