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Biomedical subjects

A Thomas Indresano

Publications and source records attributed to A Thomas Indresano.

7 recordsLinked to original sources
PubMed2005

Prospective multicenter comparison of 4 temporomandibular joint operations.

PURPOSE: This study was designed to compare the outcomes of 4 operations used for the treatment of painful temporomandibular joints with an internal derangement. PATIENTS AND METHODS: A prospective, controlled study of arthroscopy, condylotomy, discectomy, and disc repositioning was conducted at 3 sites. All sites used the same inclusion and exclusion criteria. Trained, independent examiners assessed pain, diet, and range of motion before operation and 1 month and 1 year after operation. RESULTS: There were statistically significant reductions in the amount of pain ( P < .001) and daily time in pain ( P < .001) that were similar for all 4 operations 1 month and 1 year after the procedures. The degrees of change after each of the 4 procedures were not statistically different from each other (amount: P = .453 and time: P = .416). Ability to chew, as measured by diet visual analog scale, was substantially improved 1 year after operation ( P < .001). The degrees of change for diet at 1 year also were not different from each other ( P = .314). There were, however, statistically significant differences ( P < .05) in range of motion that varied with procedure. CONCLUSIONS: All 4 operations were followed by marked improvements in pain and diet. The amounts of improvement varied slightly by operation, but these differences were not statistically significant. There were small but statistically significant differences between procedures for range of motion. If these findings are confirmed, they have an important implication for procedure selection.

Adolescent↗
PubMed2005

Dental status and quality of life in long-term head and neck cancer survivors.

OBJECTIVES: To analyze how the dental status of long-term head and neck cancer survivors affects their subjective quality of life. STUDY DESIGN: Observational case series. METHODS: A convenience sample of 5-year head and neck cancer survivors underwent the following battery of tests: 1) targeted head and neck examination, 2) updated medical history, 3) dental evaluation, 4) standardized quality of life questionnaires. RESULTS: Eighty-six survivors were included in the study. The following associations were identified: 1) those who became edentulous secondary to cancer treatment and those without occlusion at time of the study demonstrated worse Pain, Activity, Recreation/Entertainment, Chewing, Swallowing, Speech, Eating in Public, Normalcy of Diet, Physical Well-Being, Social/Family Well-Being, Functional Well-Being, and Additional Concerns scores; 2) higher Decayed/Missing/Filled scores were associated with worse Pain, Disfigurement, Activity, Recreation/Entertainment, Employment, Chewing, Swallowing, Speech, Eating in Public, Understandability of Speech, Normalcy of Diet, Physical Well-Being, Additional Concerns scores, and weight loss; 3) decreased oral opening measurements were associated with worse Chewing, Swallowing, Eating in Public, Normalcy of Diet, Additional Concerns scores, and weight loss; 4) edentulous survivors who did not use dentures had worse Pain, Activity, Recreation/Entertainment, Understandability of Speech, and Eating in Public scores. CONCLUSIONS: Although previous studies have shown that many of the effects of cancer treatment disappear between 1 and 3 years, this study shows that the dental status has a persistent impact on subjective quality of life.

Activities of Daily Living↗
PubMed2004

The morbidity and mortality conference: a case assessment tool, quality control measure, and teaching method.

The morbidity and mortality conference and other traditions in hospital-based training inculcate the habits of understanding evidence and its clinical application and being able to articulate these to one's peers and to learn from unanticipated outcomes. By contrast, predoctoral dental training and the environment of general dental practice do not encourage collegial reflection on the outcomes of practice. Benefits and cautions in applying the habits learned through M&M conferences are discussed for both the oral and maxillofacial and the general practice settings.

Education, Dental↗
PubMed2004

Temporomandibular joint disease: an update of surgical treatment.

The temporomandibular joint is one of the most complicated joints in the human body. Because signs and symptoms of TMJ problems often disrupt mastication, the general dentist may be the first health care provider the patient sees. Cases that are refractory to nonsurgical treatment are frequently referred to an oral and maxillofacial surgeon. This paper provides an overview of the surgical procedures used to manage internal derangement of the TMJ.

Humans↗