Biomedical subjects
Publications and source records attributed to D F Duperon.
Early childhood caries continues to be a problem in the U.S. This paper examines the progression, etiology, prevention and treatment of this condition. A suggested future direction for research and governmental action needed to combat this expensive and debilitating condition is presented. The author recognizes all that the CDA has done and is doing to help prevent this debilitating oral disease in California.
A series of tap water samples were collected from residents in various areas of Los Angeles County. Three samples were collected each week over a period of three weeks, for a total of nine samples from each of the 45 residences. Samples were analyzed for fluoride content, and the data compared to information received from the agencies supplying the source water. Fluoride levels varied an average of .11 ppm during the three-week collection period; mean levels were consistently higher than values reported by the various agencies.
This study was undertaken to determine the dosages, treatment times and side effects of ketamine HCI with and without two benzodiazepines when used for sedation on a group of precooperative children at the UCLA Children's Dental Center. Ketamine was evaluated when used alone, and in conjunction with two benzodiazepines, diazepam or a new water-soluble midazolam. An anti-muscarinic, atropine or glycopyrrolate, and nitrous oxide-oxygen were included in all sedations. Mean treatment times were increased significantly when ketamine and a benzodiazepine were used in combination. Additionally, mean ketamine dosages were decreased significantly when ketamine was utilized in combination with a benzodiazepine. All children tolerated the sedation well and there were no severe adverse reactions. Side effects included nausea, vomiting, and a rise in post-operative temperatures.
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The EKG of twenty-four children (mean age = = 5.7 years) was individually and continuously recorded in a dental situation. Measures of cardiac activity (heart rate [HR] and heart rate variability [HRV]) were computed by means of a CDC 1,700 and an IBM 360 computer. Histograms of heart rate (HR) and heart rate variability (HRV) measures were generated. -Successive cosine fits were fitted for each 70 beats within an interval for each individual and these cosine fits were also presented in a histogram which represented a frequency analysis of cyclic functions within individuals. Within and between subject correlations were also computed for all measures. Sinus arrhythmia seemed to account for less of the variance than a yet unexplained cosine fit function having a lower limit of 18.6 seconds in this child population. In this population many measures of HRV seem to be negatively correlated with HR.
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Encephalitis is a neurological condition that can present with self-inflicted oral trauma from fever-induced dyskinesia as one of its complications. Three cases of encephalitis are described in this report. The management of this trauma, through the use of soft plastic mouth-guards, is discussed.
This report describes a method of bleeding control at dental extraction sites using medicaments (thrombin, cocaine, Amicar, Surgicel) in conjunction with a dental appliance containing vinyl polysiloxane silicone putty (Optosil) to provide greater coverage and pressure at the extraction sites. The acrylic splint was used to control bleeding in a 15-year-old male, with an aplastic pancytopenia anemia, who had required removal of severely mobile exfoliating teeth prior to a bone marrow transplantation procedure.