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Biomedical subjects

Daniel M Laskin

Publications and source records attributed to Daniel M Laskin.

15 recordsLinked to original sources

Determining the limits of orthodontic treatment of overbite, overjet, and transverse discrepancy: a pilot study.

INTRODUCTION: Because of the severity of some malocclusions, it is not always possible to treat them without a combination of orthodontics and orthognathic surgery. However, many insurance carriers have difficulty in deciding whether such treatment should be covered. The purpose of this study was to develop a simple method that can be used by insurance carriers to determine when a malocclusion is not correctable by orthodontics alone. METHODS: Twenty-eight orthodontists independently evaluated 30 sets of pretreatment dental models (10 with overjet from -6 to 12 mm, 10 with overbite from 60% to 100%, and 10 with transverse discrepancies from single tooth to total arch crossbite) to determine whether the conditions were orthodontically treatable. They were instructed to assume that growth was complete and that the treatment would not seriously compromise facial esthetics. RESULTS: It was the opinion of the orthodontists that a positive overjet greater than 8 mm, a negative overjet of -4 mm or greater, and a transverse discrepancy greater than 3 mm were not orthodontically treatable. However, most orthodontists believed that they could treat all overbite patients without surgery. CONCLUSIONS: These data can serve as a simple guideline for helping insurance carriers determine the need for orthognathic surgery.

Feasibility Studies↗

Panoramic imaging of the temporomandibular joint: an experimental study using cadaveric skulls.

OBJECTIVE: The purpose of this study was to determine if condylar morphology can be accurately depicted on the panoramic radiograph and if variations in condylar anatomy affect the radiographic appearance of the condyle. STUDY DESIGN: The shape and angulation of the condyle were determined on 8 cadaveric human skulls. Lead foil markers were then placed on the articulating surface and lateral and medial pole of each condyle. A panoramic radiograph was made of each skull and the position of the markers was assessed. RESULTS: The true shape of the condyles was not recognizable on any of the panoramic images. The exact location of the articulating surface and medial and lateral poles could not be predicted on the panoramic images without markers. The location of these structures varied depending on the amount of condylar angulation. CONCLUSION: Because of the radiographic variations produced by differences in condylar angulation, it is not possible to accurately determine condylar morphology on the panoramic radiograph. Therefore, its value in providing the detailed information needed to guide diagnosis and treatment of the temporomandibular joint patient is limited.

Cadaver↗

Improving communication through publications: contributions of American oral and maxillofacial surgery.

The Journal of Oral Surgery was the first specialty publication in the United States and since 1943 it, its successor, the Journal of Oral and Maxillofacial Surgery, and other publications of the American Association of Oral and Maxillofacial Surgeons have been committed to communication within the specialty, among dental specialties, and with dentists in general practice. A review of back issues of the journal is a history of the development of the specialty. AAOMS publications are intended to share emerging scientific and clinical knowledge, inform and educate all dentists, and establish standards for quality patient care.

Anesthesia, Dental↗

The residents' viewpoint of the matching process, factors influencing their program selection, and satisfaction with the results.

PURPOSE: The purpose of this study was to determine the factors considered by oral and maxillofacial surgery residents in selecting residency programs, to estimate the level of their satisfaction with the selection and matching processes, and to analyze the relationship between these factors and overall satisfaction with their match. MATERIALS AND METHODS: A questionnaire was sent to 675 residents listed as members of the American Association of Oral and Maxillofacial Surgeons, and 208 responded to the survey. Of these residents, 56.7% were in an MD integrated program, 30.3% were in a 4-year certificate program, 10.6% were in an MD optional program, and 2.4% were in a combined PhD program. RESULTS: There were no differences between the program types and the number of resident applications or the number of interviews. Residents in the MD integrated programs had significantly higher board scores than both the MD optional residents and the 4-year certificate residents. The most important factors that residents considered when making their match list were as follows: good relationships between residents, good relationships between residents and attendings, training in orthognathic surgery, training in implant surgery, and training in dentoalveolar surgery. When residents were asked whether they were satisfied with the program in which they were currently enrolled, MD integrated residents were significantly more satisfied than were those residents in the MD optional and 4-year certificate program. Additional predictors of residence satisfaction were satisfied with the results of the match process, accuracy of the program in representing itself during the interview process, and less importance placed on orthognathic surgery training. Although generally satisfied, 25% would want to go to a different program if they could go through the match again. CONCLUSIONS: The majority of residents seem to be satisfied with the program in which they matched. Among the important factors determining satisfaction are the degree of honesty during the interview process, good relations among residents and between residents and attending doctors, the scope of clinical training, and the didactic/academic content of the program.

Analysis of Variance↗

Recovery after third molar surgery: clinical and health-related quality of life outcomes.

PURPOSE: The study goal was to assess both clinical and health-related quality of life (HRQOL) outcomes after third molar surgery. METHODS: Patients who were having 4 third molars removed were enrolled in a prospective clinical trial. Baseline data were recorded that included demographics, the patient's and surgeon's assessment of third molar conditions, and details of the surgical procedure. After surgery, clinical data were collected that detailed healing and any treatment that was rendered. Each patient was given an HRQOL instrument to complete on each postsurgery day for 14 days; the instrument was designed to assess a patient's perception of recovery in 4 main categories: pain, lifestyle, oral function, and other symptoms related to the procedure. RESULTS: Recovery data were available for 630 of 740 enrolled patients. The median age of the 630 patients was 21 years, and the median operation time was 30 minutes. Recovery for most HRQOL measures occurred within 5 days after surgery. However, recovery from pain to the criterion of "little or none" was delayed relative to other HRQOL measures. Twenty-two percent of patients were treated for delayed healing after surgery. CONCLUSIONS: Having both clinical and HRQOL data on recovery after third molar surgery could assist the surgeon when informing prospective patients about what to expect after surgery to remove third molars.

Adult↗

Differential diagnosis of tongue lesions.

This article reviews the clinical characteristics of the numerous local and systemic conditions that frequently involve the tongue and presents classifications based on their appearance and common locations that can aid dentists in their early recognition and clinical diagnosis.

Diagnosis, Differential↗

Personality and gender influences on faculty ratings and rankings of oral and maxillofacial surgery residency applicants.

This study examined effects of applicants' personality and gender on faculty rankings and matching to an Oral and Maxillofacial Surgery (OMS) residency program. Forty-seven applicants completed a standardized personality measure (Adjective Check List, ACL), and faculty interviewers rated each applicant on five personality dimensions during their onsite interview. Applicants were found to be similar to the normative population on all ACL personality dimensions, indicating that there is no distinctive personality profile characteristic of individuals seeking an OMS residency position. Male applicants were rated by interviewers as being more capable of dealing with stress effectively and more affiliative and deferent to authority than female applicants. Applicant ACL scores were unrelated to faculty rankings, but applicants rated as more friendly, motivated, assertive, confident, and tolerant of stress received more favorable rankings. Compared to applicants who did not match at this site, matched applicants were more likely to seek emotional support from others and were rated as being more assertive. Study limitations as well as implications for the use of personality measures and interviews in the selection of OMS residency candidates are discussed.

Adult↗

Public recognition of specialty designations.

PURPOSE: Although there is no supporting evidence, there is a perception that the public is unfamiliar with what an oral and maxillofacial surgeon does. The purpose of this study was to evaluate the knowledge of persons about the type of treatment rendered by 12 different specialties and to determine if such unfamiliarity is true only for oral and maxillofacial surgery or whether it occurs with other specialties. PATIENTS AND METHODS: Two groups of patients, one in a dental setting (n = 101) and one in a general medical office setting (n = 157), were asked to match a list of 12 different specialists with list of 15 brief treatment options. Data related to level of education, gender, and age were also collected. Logistic regression was used to assess the relationship between correct identification of individual specialties and the demographic variables. RESULTS: Subjects in both settings correctly matched an average of 72% of the specialists. The most commonly identified specialist in both groups was the gastroenterologist (90%), and the least recognized was the nephrologist in the dental setting (44%), and the otolaryngologist in the medical setting (53%). The oral and maxillofacial surgeon had an identification rate of 77%. Older and better-educated respondents correctly recognized the greatest number of specialists. CONCLUSIONS: The results of this study show that name recognition is not a problem faced only by oral and maxillofacial surgeons. It also shows that efforts directed at improving this situation should be aimed at the younger and less-educated population.

Adolescent↗

Learning to read it right.

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Data Interpretation, Statistical↗