[Role of a committee for the control of dental medicaments and apparatus].
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Dental Materials↗
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Results for “DENTAL APPARATUS”
Explore indexed PubMed citations for clinical trials, systematic reviews and public health research. Read source abstracts and follow each citation to its original PubMed record.
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[Current views on periodontosis].
Diseases of the suspensory dental apparatus are very widespread. Its consequences and course frequently lead to restriction of dental function and frequently also to loss of teeth with adverse health, social and economic sequelae. The objective of the present paper is to makes doctors of non-stomatological disciplines familiar with contemporary views on the genesis and therapy of these diseases.
Humans↗
Enterococcus faecalis: its role in root canal treatment failure and current concepts in retreatment.
Enterococcus faecalis is a microorganism commonly detected in asymptomatic, persistent endodontic infections. Its prevalence in such infections ranges from 24% to 77%. This finding can be explained by various survival and virulence factors possessed by E. faecalis, including its ability to compete with other microorganisms, invade dentinal tubules, and resist nutritional deprivation. Use of good aseptic technique, increased apical preparation sizes, and inclusion of 2% chlorhexidine in combination with sodium hypochlorite are currently the most effective methods to combat E. faecalis within the root canal systems of teeth. In the changing face of dental care, continued research on E. faecalis and its elimination from the dental apparatus may well define the future of the endodontic specialty.
Anti-Infective Agents↗
[Long-term results in regularly treated and untreated periodontitis patients].
37 patients who were treated 6-21 years ago at the institute, were recalled. The examination revealed that these patients must continue regular dental check-ups and home-care to maintain oral health and retention of the dental apparatus. It is the responsibility of the dentist to put his patients on a regular "recall" system after treatment. Depending on the severity of the case, the control intervals should be from 4-12 months apart. Oral hygiene, pocket depth, function and the hard tissues must be inspected and corrective treatment done where necessary. One time periodontal treatment is of questionable value over a long-time span. Only with regular supervision the dental structures can be retained.
Dental Care↗
The role of bioelectronic instrumentation in the documentation and management of temporomandibular disorders.
Temporomandibular disorders (TMDs) can affect the form and function of the temporomandibular joint, masticatory muscles, and dental apparatus. Electronic measurement of mandibular movement and masticatory muscle function provides objective data that are defined by commonly accepted parameters in patients with TMDs; these data can then be used to design and monitor therapy and enhance treatment therapy. In this study, data on 3681 patients with TMD are presented, including electronic test data on 1182 treated patients with TMDs. Electronic jaw tracking was used to record mandibular movement and to compare the presenting and therapeutic dental occlusal positions. Electromyography was used to analyze the resting status of masticatory muscles and occlusal function at presentation and after therapeutic intervention. Transcutaneous electrical nerve stimulation therapy relaxed masticatory muscles and aided in the determination of a therapeutic occlusal position. The data show a positive correlation between the clinical symptoms of TMD and the presenting occlusion, accompanied by muscle activity. A strong positive correlation also appears to exist between a therapeutic change in the dental occlusion to a neuromuscularly healthy position with use of a precision orthotic appliance and the significant relief of symptoms within 1 month and at 3 months.
Adolescent↗
[Recommendations for training with dental HF surgery apparatus].
A training program for the application of dental electrosurgery is presented. Exercises on muscle tissue and pig jaws are suitable to get informations of the proper adjustment of the units as well as the treatment procedures. The necessity of proper handling is illustrated by the results of wrong manipulations. Better understanding of the facts during electrosurgery enables the dentist to avoid adverse effects in treating his patients.
Animals↗
Pathophysiology of occlusal balance.
Functional disturbances of the masticatory system reflect a failure in the adaptive capacity of the individual to excessive structural and functional demands. Formerly, a particular type of articulation, balanced occlusion, was thought necessary for maintaining the health of the dental apparatus. Over the years the concept of stability of occlusion has evolved, however controversy still exists as to where stable tooth contact is made, centric occlusion of centric jaw relation. In order to express biological adaptability within the normal masticatory system, harmony at the anatomical median occlusal position is suggested as the prerequisite of a physiologically balanced occlusion.
Adult↗
The role of bioelectronic instruments in the management of TMD.
Temporomandibular disorders (TMD) comprise a group of conditions that can affect the form and function of the temporomandibular joint (TMJ), masticatory muscles and dental apparatus. Proper management of TMD by the dentist requires accurate appraisal of the status of the patient's dentition, TMJ and associated neuromuscular apparatus. Certain predefined standards or parameters of function/dysfunction are accepted by the profession. Electronic instrumentation provides objective measurement of many of these biological phenomena, and thus can be used throughout treatment for critical analyses that monitor and enhance treatment efficacy. A treatment protocol for TMD is presented that uses electronic instrumentation to establish a neuromuscular occlusion.
Clinical Protocols↗
[Early loss of teeth after treatment for childhood leukemia].
BACKGROUND: Only few reports of effects of radiotherapy in childhood on the dental apparatus are available in the literature. The basis for early loss of teeth appears to be a reduction of the root surface area after radiation exposure. These effects in the periodontium are a consequence of combined radiochemotherapy usually applied for treatment of childhood neoplasia. Chemotherapy alone also results in changes of periodontal development. CASE REPORT: A 33-year-old patient is reported, who, at the age of 11 years, received high-dose chemotherapy and radiotherapy of neuroaxis and cranium for acute lymphatic leukemia with relapse. The patient consulted the Implant Section of the Department of Oral and Maxillofacial Surgery because of severe dental changes and tooth loss despite adequate dental care and oral hygiene. Radiation doses given to the superior maxilla and mandible at the age of 11 were estimated to be in the range of 8-25 Gy. CONCLUSION: Intense, life-long dental care and follow-up of patients cured from malignant disease in childhood must hence be postulated in order to minimize dental treatment sequelae by supportive measures, but also to initiate timely adequate dental and prosthetic management.
Adult↗
Dental abnormalities in aging sand rats (Psammomys obesus).
Sand rats transferred from their natural environment to laboratory conditions develop diabetes, cataracts, vertebral lesions, liver tumors, malocclusion and gingival inflammation. In the present study 43 sand rats of different ages were randomly chosen from a colony maintained for 13 years in the laboratory. Macroscopical, microscopical and radiographical examinations of the dental apparatus showed marked abnormalities in animals older than 6 months. The incisors were affected more than molars with an asymmetry between the right and left side of the jaw. Pathological alterations in the incisors included variations in length and curvature, lateral inclination, coronal fractures and pulpal calcifications. The enamel on the buccal aspect of these teeth had a scalloped appearance with corresponding metaplastic changes and folding of the ameloblastic layer. Coronal fractures were also found in molar teeth and were accompanied by marked hypercementosis. These changes are consistent with those reported in rodents with induced hormonal imbalance and may be associated with the diabetic state of aging sand rats. These gerbils are suggested as a model for studying the role of age-related disorders in the pathogenesis of certain dental abnormalities.
Age Factors↗
Approximal caries diagnosis in epidemiological studies: transillumination or bitewing radiographs?
The aim of this study was to compare the results obtained by transillumination and bitewing radiography in the diagnosis of caries affecting approximal surfaces of molar and premolar teeth for epidemiological surveys. 3960 posterior approximal surfaces on the right side of 330 patients aged 5 to 35 years were examined using a transillumination probe with a 1.5 mm diameters light source (Oralum, Rocky Mountain, Denver, Colorado) and bitewing radiographs using a portable dental apparatus (Elin, Wien, 60kV, 15mA. Transillumination detected 89% of the carious lesions reaching dentine diagnosed on radiographs and no statistically significant differences were observed in the diagnosis yield of the two systems. However, transillumination detected only 45% of these lesions diagnosed from bitewings as being confined to the enamel. Transillumination also made it possible to detect approximal caries into dentine in teeth covered by orthodontic bands. Thus comparative study gives experimental support to the use of transillumination in large epidemiological studies. The transillumination method is however not suitable for epidemiological trials including caries confined to the enamel.
Adolescent↗
The adult orthodontic patient.
Adults now make up an increasing portion of the orthodontist's patient load. Though most seek esthetic correction, requests for multidiscipline treatment are expanding. The etiology of adult malocclusion, unlike that of malocclusion in the young, presents us with psychological and physiologic factors that specifically affect treatment and dictate special diagnostic, planning, and mechanical procedures. The adult patient offers the orthodontist a new challenge and the stimulus to develop successful treatment approaches peculiar to the nongrowing patient. Careful diagnosis and treatment planning on a multidiscipline basis will result in satisfactory resolution of most adult malocclusions, and there is no requirement for esoteric appliances or mechanics. An evaluation of treated cases indicates that all corrective dental movements are possible and that the health, function, and esthetics of the dental apparatus can be markedly improved. The cases presented demonstrate that adults are amenable to treatment over the full orthodontic spectrum. Treating the adult patient can be very satisfying. The patient is invariably pleased with his effort (and your help), once the "braces" are off. Since the original need was great in the patient's mind, success in its satisfaction is especially rewarding and it overflows on everyone involved.
Adult↗
Oral considerations of the myofascial pain dysfunction syndrome.
The oral health of twenth-two patients with a diagnosis of myofascial pain dysfunction syndrome was evaluated. Radiographs, photographs, study casts, visual and digital clinical examinations, hematologic data, blood pressure, and periodontal examinations were used with each patient. A review of the literature indicated a variety of causes for facial pain, including Costen's syndrome, muscle fatique and spasm, occlusion, and psychogenic factors. This study revealed the following trends: (1) The periodontal health of patients with the myofascial pain dysfunction syndrome appears to be better than anticipated. (2) Bruxism accounts for a healthy dental apparatus when other diseases are not present. (3) Groups of muscles, other than the masticatory group, may contribute to the myofascial pain dysfunction syndrome. (4) Patients presented with various ranges of malocclusions and normal occlusions, deep overbites and overjets, complete dentitions, and missing teeth (either equally missing right and left or unequally missing right and left). This article also discusses clinical considerations in the diagnosis of the myofascial pain dysfunction syndrome and offers a practical, physiologic approach to treatment. We conclude that how one uses his mandible is more of a causative factor than the relationships of the teeth.
Adolescent↗
Odontogenic myxoma. Surgical management and an ultrastructural study.
Odontogenic myxoma is a tumor of primitive mesenchyme, probably derived from the dental apparatus. Surgical management of this benign but locally aggressive tumor is either by curettage or en bloc resection. Two cases of odontogenic myxoma of the mandible are reported. In one case, en bloc resection. Two cases of odontogenic myxoma of the mandible are reported. In one case, en block resection with immediate reconstruction was undertaken. In the second case, the neoplasm was thoroughly curetted. The first case was studied by electron microscopy. Six ultrastructural studies of seven odontogenic myxomas have been previously reported. The ultrastructural features of odontogenic epithelium that may be present in myxomas of the jaws have been examined by electron microscopy once before. Our observations are in agreement with those of other workers who suggest that the connective tissue cell is the proliferating component of the tumor and is very similar to a fibroblast but has enough ultrastructural and functional features to deserve the term myxoblast. The majority of the tumor cells are metabolically active and secretory and there is adequate evidence that the tumor matrix consists of large amounts of mucopolysaccharides. It is reasonable, therefore, to conclude that myxoblasts secrete the mucoid matrix that is so characteristic of odontogenic myxomas. Unlike normal or neoplastic fibroblasts, the myxoblasts are not engaged in abundant synthesis of banded collagen throughout the entire lesion.
Adult↗
Management of mouth opening in patients with temporomandibular disorders through low-level laser therapy and transcutaneous electrical neural stimulation.
OBJECTIVE: The aim of this study was to evaluate the effectiveness of low-level laser therapy (LLLT) and transcutaneous electrical neural stimulation (TENS) on the improvement of mouth opening in patients with temporomandibular disorder (TMD). BACKGROUND DATA: TMDs are conditions that affect the form and/or function of the temporomandibular joint (TMJ), masticatory muscles, and dental apparatus. Often TMD is associated with pain localized in the TMJ and/or in the muscles of the face and neck. METHODS: This clinical trial was performed in 10 patients, 18-56 years old, diagnosed with TMD of multiple causes. All patients received both methods of treatment in two consecutive weeks. LLLT was delivered via a 670-nm diode laser, output power 50 mW, fluence 3 J per site/4 sites (masseter muscle, temporal muscle, mandibular condyle, and intrauricular). TENS therapy was applied with a two-electrode machine at 20 W, maximum frequency of 60 Hz, adjusted by the patient according to their sensitivity. The amplitude of mouth opening was recorded before treatment and immediately after using a millimeter rule; the measurements were performed from the incisal of the upper incisors to the incisal of the lower incisors. A paired t-test was applied to verify the significance of the results. RESULTS: A significant improvement in the range of motion for both therapies was observed immediately after treatment. Comparing the two methods, the values obtained after LLLT were significantly higher than those obtained after TENS (p < 0.01). CONCLUSIONS: Both methods are effective to improve mouth opening. Comparing the two methods, LLLT was more effective than TENS applications.
Adolescent↗
Some mechanical characteristics of amalgamators.
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Dental Equipment↗
Electroplating of dental impressions and materials.
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Crowns↗
[Anatomo-physiological dentotemporomandibular articulator].
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Dental Articulators↗