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Biomedical subjects

W M Goebel

Publications and source records attributed to W M Goebel.

At least 19 recordsLinked to original sources

Assessing the risk of angina for dental therapy.

The purpose of this article is to review signs and symptoms of three of the most common patterns of angina pectoris and to outline the prognostic implications as an aid to the dentist when dental therapy is contemplated. The three anginal patterns discussed are classic angina, variant angina, and unstable angina.

Angina Pectoris↗

Hepatitis B: the clinical detection of the chronic carrier dental patient and the effects of immunization via vaccine.

The dental staff must be aware of the potential for transmission of hepatitis B in the dental operatory via the undetected chronic carrier patient. To detect these patients, one should be familiar with signs and symptoms of the disease, the validity of the medical history in this area, and general populations which are at a higher risk of developing the disease. Once these patients are identified, the dental staff can protect themselves should exposure to these patients' secretions occur. Immune serum globulin, hepatitis B immune globulin, and a vaccine against hepatitis B are all available and indicated in specific situations.

Carrier State↗

Reactions to acrylic resin dental prostheses.

A review of the pertinent literature concerning acrylic resin and its relation to allergic reactions and chemical injury has been presented. The relation of acrylic resin prostheses and materials to oral reactions and lesions is discussed and possible causes and means of evaluation are proposed. Examples of mucosal infection and mucosal disease are presented (which may mimic acrylic resin allergy) along with examples of direct chemical injury of the oral mucosa as a result of autopolymerizing prosthetic techniques.

Acrylic Resins↗

Reliability of the medical history in identifying patients likely to place dentists at an increased hepatitis risk.

Blood was sampled for all new patients entering a dental school clinic to determine the presumed carrier prevalence in such a population. In a second portion of the study, serologic testing was completed for 140 patients who had a history of hepatitis infection or exposure to hepatitis, or who otherwise were part of a group likely to have a high incidence of hepatitis. The results from the test were compared with the information given by the patients.

Adult↗

Fractured genial tubercles.

It is apparent from these reports that fractures of genial tubercles occur periodically and that surgical treatment for most fractures is not necessary. This type of patient is quite likely to seek dental care because a denture may seem to be the obvious source of irritation. Review of all available information indicates that conservative management is the treatment of choice for fractures of genial tubercles.

Aged↗

In vitro comparison of sialographic agents.

An experimental model is presented for in vitro comparative evaluation of radiopaque media. Experimental results parallel the clinical picture of fractionated filling films and comparative radiodensity of oil- and water-soluble media.

Contrast Media↗

Clinical evaluation of the (+) isomer of mepivacaine.

A human clinical study was undertaken to evaluate the effectiveness and safety of dexivacaine 2 per cent, mepivacaine 2 per cent, and mepivacaine 3 per cent. A double-blind technique was used to evaluate time of onset, duration, depth of anesthesia, and side effects. Results indicated no significant differences among the three anesthetics, except that mepivacaine 3 per cent had a significantly longer duration of soft-tissue symptoms in the mandibular block series. The few side effects noted were minimal and of no statistical significance. The evaluation of an anesthetic by the several parameters employed and especially by the over-all opinion of the anesthesia was deemed a valuable research method whem comparing the clinical effectiveness of local anesthetics.

Adult↗