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Biomedical subjects

B S Moskow

Publications and source records attributed to B S Moskow.

At least 37 records · Page 2Linked to original sources

Longevity: a critical factor in evaluating the effectiveness of periodontal therapy.

A 47-year-old male patient with an advanced form of adult periodontitis presented for evaluation and treatment in 1963. There were several angular bony lesions and 3 molar teeth had an extremely questionable prognosis. The patient was treated by scaling, root planing and gingivectomy, with no attempt to alter the existing morphology of the effected alveolar bone. 23 years following periodontal therapy, there were marked changes of the contour of the marginal bone crest throughout, minimal pocket depth and acceptable gingival form. The patient was seen at regular 5-6 months intervals for maintenance therapy and his home care regimen was exemplary. Advanced cases of periodontitis can be treated successfully by simplistic methods if the "repair potential" of the patient is good and if regular maintenance visits and meticulous plaque control are carried out.

Dental Scaling↗

Periodontal repair of periapical lesions: the borderland between pulpal and periodontal disease.

A series of cases demonstrating the destruction of periapical periodontal structures, without pulpal involvement has been presented. Treatment using both surgery and antibiotics resulted in extensive healing without any concommitant endodontic therapy. The results suggest that lesions affecting the apical periodontium are either periodontal or pulpal in origin. Careful diagnosis allows the maintenance of pulp vitality in cases where apical destruction has a source other than an infected pulp. The commonly held belief that lateral and accessory canals are a significant source of pulpal contamination from deep periodontal pockets has been questioned.

Adult↗

Gingival salivary gland choristoma. Report of a case.

A unique example of a gingival salivary gland choristoma together with a gingival cyst is described in a human autopsy specimen of periodontal tissues. A choristoma is a tumor-like growth which is derived from primordial cells which have been displaced from their original tissue or organ. Only 6 other examples of the gingival salivary gland choristoma have been described in the world literature.

Choristoma↗

Repair of an extensive periodontal defect after tetracycline administration. A case report.

A pathologically migrated maxillary central incisor tooth with a poor periodontal prognosis was treated successfully with conventional periodontal therapy. After almost 4 years, an extensive periodontal lesion developed on the same tooth and extraction was recommended. The patient did not comply and the acute symptoms disappeared after the administration of 1 gm of Tetracycline a day for 2 weeks. Although no definitive periodontal therapy was done, complete resolution of the lesion occurred with the healing of the structures of the periodontium and a dramatic reduction in mobility of the tooth. Antibacterial therapy could be an effective means of treating some periodontal lesions once a more exact and direct association is established between the various clinical forms of periodontitis and specific periodontal or groups of pathogens.

Female↗

Visualization of the human periodontium using serial thin section contact radiography.

A method is described to produce radiographs of thin sections of human teeth and periodontal structures. These high resolution contact x-rays allow for visualization of the microscopic details of the mineralized components of these tissues in a dimension heretofore not examined. Twenty-five blocks of human jaws containing teeth affected by periodontal disease were obtained from cadavers. Sagittal, transverse and cross-sectional serial slices were cut using a rotary instrument (1500 rpm) with a water-cooled 3-inch jewelers slot saw. Five hundred-micron sections were made of jaw specimens containing 2 or 3 teeth. The radiographs were taken with a Faxitron low voltage x-ray machine on Kodak-Ortho, Type 3 film. Films were exposed at a distance of 12 inches from the x-ray source at 35 kVp and 1.0 mA for 3 minutes with the specimen in direct contact with the film. Spatial representation of the internal structure of the alveolar bone was obtained using this technique and the detailed anatomy of the vascular channels within the cancellous and cortical compartments of the jaws was studied. Mineralization patterns of plaque and calculus, calcifications in the periodontal ligament, pulp calcifications, accessory root canals, caries and detailed structural changes in the enamel and cementum were also viewed on these films with the aid of microscopy. Magnifications of up to 30 times were used without excessive image distortion resulting from film grain.

Alveolar Process↗