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At least 37 records · Page 2Linked to original sources
PubMed1981

Tooth extractions and aortitis syndrome (Takayasu's disease).

Several problems in tooth extraction in patients with aortitis syndrome are described and the following points are stressed. (1) The extractions of teeth should be done at nonactive period of the disease. (2) Patients who reveal hyper- or impaired sensitivity of the carotid sinus should be positioned in the most relaxed way with no pressure and no stretch of the carotid sinus region. (3) Since no pulsation is present at any extremity in many patients, these patients should be carefully monitored during treatment. (4) Antibiotics before tooth extraction are necessary. (5) Tooth extractions should not alter an already unbalanced hemodynamic state to a more severe stage.

Adult↗
PubMed1991

[Analysing the effects of tooth extraction under acupuncture anesthesia in 825 cases of senior].

It has been found that the effects of tooth extraction under acupuncture anesthesia (AA) for the old patients are generally quite good. In order to verify this result, the authors had statistically analysed 825 cases aged over 60 years (Group A) and equal quantity whose age were between 18-40 years old (Group B) out of more than 4000 cases whose records of AA were rather completely during 1973 to 1988. 1. There was no significant difference under AA for different sexes. 2. The differences of the excellent rate of AA between Group A and Group B were extremely evident either in the positions of the tooth or the reason of tooth extraction. The former was 89.04% and the latter 76.20% (P less than 0.005). 3. Although a low rate in excellence of tooth extraction under simple AA (only 75.58%), not so good as the effect by AAA (an average about 88.21%), the simple AA was more common and more easier to be accepted by patients. 4. Tooth extraction under AA has been proved to be safe, effective and without any complications. 5. The reasons for the senior to extract their teeth were almost for the broken crowns and of roots or the purposes of prosthetic restoration. Even though the pain thresholds in the senior were commonly higher. It is still an important factor of the good effect and good rate of tooth extraction under AA. Referring to the statistics in this study the authors suggest that the hospitals which can use the AA for tooth extraction adopt the method as the first choice of anesthesia method to the senior who intends to accept it.

Acupuncture Analgesia↗
PubMedDate not supplied

[Survey of reasons for tooth extraction in the framework of government-sponsored dentistry].

The purpose of this study was to determine the reasons for tooth extraction and to estimate the state of dental health in Hungary. Questionnaires with detailed instructions were sent to 300 Hungarian dental practitioners selected at random asking them to record and submit data on every extracted tooth during one month in 1986. They were also asked to give the reason for extraction in each case. 115 dentists returned completed forms on 7978 teeth which they had extracted. The dental caries was the most frequent cause for extraction (64%), followed by periodontal diseases (25.1%). 3103 teeth, 60.73% of teeth extracted because of caries had not been treated before the extraction. The results show that the dental caries remains the most important challenge for the Hungarian dental service during the next decades. The great numbers of extractions per dentist reveal the inadequacy of dental service in Hungary.

Dental Health Surveys↗
PubMedDate not supplied

[Size of wound area and frequency of alveolitis after tooth extraction].

Electron spin resonance was used to measure out 160 tooth root surfaces. These data represent a measure for wound area sizes after tooth extractions. A comparison of these values with clinical data results in a correlation between the size of wound area and the frequency of inflammatory healing disorders after tooth extractions.

Dry Socket↗
PubMed1985

Periodontal status and total tooth extraction in a medium-sized city in the Netherlands.

A combined sociodental research project was started in the city of Groningen in 1982 aimed at gaining insight into the reasons for total tooth extraction. Patients showing up for total tooth extraction during 1982 participated in this study by filling out a questionnaire concerning the underlying reasons for their decision to have all their teeth extracted. The dentists in this city were asked to collect all the extracted teeth and to fill out a short questionnaire for each patient about the reason (diagnosis) for the total tooth extraction. The periodontal status of the extracted teeth was established afterwards by measuring the percentage of the loss of attachment (L.A.). It appeared that most surfaces in the molar region and the front teeth in the mandible were affected by periodontal disease. Advanced generalized periodontal disease was established in 17% of the patients, accounting for 64% of all teeth with an L.A. measurement of greater than 50%. Periodontal disease could not be identified as the main clinical condition requiring tooth extraction: even in the group of 55 yr of age and older advanced periodontal disease was found in only one third of the extracted teeth. Finally, the contribution of regular dental attendance to periodontal health is discussed.

Adult↗
PubMedDate not supplied

[Periodontal ligament anaesthesia in tooth extraction].

The article deals with the application of periodontal ligament anesthesia (PA) in mandibular tooth extraction. The aim of the study was to examine the efficiency of PA; to assess the pain during the application of PA and tooth extraction; and to compare PA with mandibular anaesthesia using the same criteria for assessment. The frequency of PA was 66%. No significant differences were observed between the assessment of pain during PA and mandibular anaesthesia. However, about 96% of patients agreed with PA in next tooth extraction. There was no complication of PA during the study. Therefore, there is no substantial contraindication for PA in oral surgery.

Adolescent↗
PubMed1986

Differences in total tooth extraction between an urban and a rural area in the Netherlands.

Differences in total tooth loss between an urban and a rural area (dentist-patient ratio 1:2500 and 1:5700 respectively) have been studied. Patients who participated in this study were those who received total tooth extraction during the calendar yr 1982 (urban area) and 1983 (rural area). The overall dentist response was 90%, the combined patient response was 75%. During the year, in the urban area 137 cases of total tooth extraction were recorded; in the rural area this was 237. This frequency is equivalent to 109 and 226 total tooth extractions per 100,000 inhabitants, respectively. The age and sex distribution of the urban and rural population could not account for this difference. The rural population had a lower educational level and more people insured in a State Health Scheme, which is related to income. The frequency of symptomatic attenders was highest in the rural area among those who were insured in a State Health Scheme. It is concluded that differences in numbers of total extractions between the rural and urban areas cannot be explained entirely by differences in population characteristics.

Adult↗
PubMed1991

Placement of endosseous implants into tooth extraction sites.

This study reports 4-year experiences with placement of hydroxylapatite-coated dental implants into extraction sites immediately after tooth extraction. Small defects present after implant placement were treated with dense, nonresorbable hydroxylapatite. Larger defects present after implant placement were treated with demineralized bone. Indications and contraindications for placement, as well as surgical techniques, are discussed.

Bone Resorption↗
PubMed1988

Time-dependent changes of collagen crosslinks in the socket after tooth extraction in rabbits.

Time-dependent changes of the reducible collagen crosslinks in the healing tissue of rabbit tooth extraction wounds were analyzed chromatographically. The ratio of dihydroxylysinonorleucine to hydroxylysinonorleucine in the collagen from normal alveolar bone was 4.4. This value increased about four times, on the 10th day after tooth extraction, coinciding with the phase of active woven bone formation, and then decreased rapidly toward a normal value on the 14th day after tooth extraction. The data suggest that active biosynthesis and fibrillogenesis of bone collagen precede the morphological completion of lamellar bone formation.

Alveolar Process↗
PubMed1987

Anaerobic bacteremia following tooth extraction and removal of osteosynthesis plates.

The occurrence of bacteremia was investigated in 39 patients undergoing tooth extraction (Group 1), surgical removal of impacted third molars (Group 2), or removal of osteosynthesis plates (Group 3). None of the 39 patients had bacteremia before anesthesia or after nasal intubation for general anesthesia. In two of 23 patients bacteria could be isolated after local anesthesia. Microorganisms were isolated in 14 of 19 patients (74%) with tooth extraction. In nine, a mixture of facultative anaerobic ("aerobic") and strict anaerobic bacteria were identified; in five, anaerobes were isolated exclusively. Two to 130 bacteria were cultured per 10 ml venous blood. Endocarditis causing alpha-hemolytic streptococci were found in seven cases (50%). At least one of the predominating anaerobes (Bacteroides, Fusobacteria, or Peptostreptococci) were found in all positive cases. Bacteremia was found in 40% of the Group 2 patients. There was no bacteremia in the Group 3 patients. The pathogenic relevance of anaerobic bacteremia is discussed and as a consequence it is suggested that the risk of developing organ abscesses as well as the problem of endocarditis following dental bacteremia has to be taken into consideration. On the basis of sensitivity testing, erythromycin does not appear to be the drug of choice in penicillin-allergic patients.

Adolescent↗
PubMed1977

A survey of causes of permanent tooth extractions in South Australia.

Reasons for permanent tooth extractions were studied in a survey in South Australia conducted over a two week period in which 154 dentists participated, a response rate of 43 per cent. Of 2,387 teeth extracted from 1,104 patients, caries accounted for 52 per cent, periodontal and orthodontic causes 25.6 and 11.1 per cent respectively, impacted teeth 6.5 percent, and prosthetic reasons 2.8 per cent. Caries was the most prevalent cause in the age groups 20-40 and over 70 years. Between 40 and 70 years more than 50 per cent of the teeth were extracted for periodontal reasons.

Adolescent↗
PubMed1980

Neuro-histological reactions following tooth extractions.

The neuro-histological reactions after tooth extraction were investigated in the extraction alveolus, the mandibular nerve and the trigeminal ganglion. In the ganglion, nerve cell bodies showing signs of retrograde reaction (chromatolysis and nuclear displacement) were seen 12 h after extraction. Maximal number of reacting cells were registered in the first postoperative week. Three weeks after extraction the number of reacting cells were at a normal low level. In the mandibular nerve no signs of axon degeneration could be demonstrated. In the alveolus, initial traumatic axon degeneration was followed by regeneration 2 days after extraction. Within the first postoperative week the alveolus was filled with connective tissue, in which many long thin axons were seen. Cancellous bone then filled the alveolus; the axons were thereby gathered - concentrated - into fascicles in the central part, with a direction towards the limbus. However, this was only passed by very few axons. Four months after extraction signs of axon degeneration were seen, and 2 months later the myelin sheaths also displayed degenerative signs. Ten months after extraction a minor area of connective tissue with a content of few axons and vessels was found at the bottom of the former alveolus. The histological appearance was of a small traumatic neuroma.

Alveolar Process↗
PubMed1991

A longitudinal study of the condition of first permanent molars in a group of adolescents with special reference to elective orthodontic tooth extraction.

The aim of this study was to investigate changes in the condition of first permanent molars over the teenage years, with special reference to adolescents who lost premolar teeth for orthodontic purposes. A total of 453 South Wales schoolchildren (219 males and 234 females) were examined at the ages of 11-12 and 19-20 years. At 11-12 years, 89.6 per cent of the cohort had all four first permanent molars, while 3.3 per cent had already lost these teeth. Of those first permanent molars present, 61.7 per cent had some caries experience. At age 19-20, 80.6 per cent of subjects retained four first permanent molars while 4.4 per cent had none. Of the first permanent molars present, 80.6 per cent had been affected by caries. In 60 per cent of the 186 subjects (75 males and 111 females) who had lost premolar teeth in the course of orthodontic treatment, a sound premolar was extracted in preference to a first permanent molar which already had evidence of dental disease. At age 19-20 years, the majority of the first permanent molars were restored and otherwise sound, though a small number which had been restored at age 11-12 years had been lost due to caries.

Adolescent↗