Re: Conservative, non-surgical management of patients presenting with impacted lower third molars: a 5-year study. Br J Oral Maxillofac Surg 2006;44:347-50.
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Biomedical subjects
Publications and source records attributed to G D Wood.
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Microscopic structures (petrofilaments) may develop during palynological laboratory processing procedures that are superficially similar to secondary wall thickenings and elaters. These filaments form from angular bodies that resemble fungal spores and resin bodies. The angular bodies are a type of hydrocarbon called asphaltene and extrude the filaments when compounds in the bodies react with solvents in the mounting medium. They may be misinterpreted as fossils and so are illustrated here for the first time in the published literature.
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Temporomandibular disorder pain dysfunction syndrome (TDPDS) is the most common cause of facial pain after toothache. The symptoms are varied but are likely to affect the choice, intake and enjoyment of food. This has not been previously investigated. In this paper a preliminary study of 35 patients attending a department of oral and maxillofacial surgery at a general hospital is presented. Thirty-one subjects reported that eating was a problem; 15 prepared food differently and 24 considered that their choice of food was limited. Four of the five foods most often reported to be difficult to eat are valuable in the diet: meat (22), apples (20), bread (13), toast (7) and toffees (6). Twenty-three subjects reported eating a softer diet. Most (25) reported pain when eating. Such circumstances make it harder for TDPDS sufferers to meet current nutritional guidelines, especially, perhaps, for some to achieve an adequate intake of iron.
The presence of calcium-releasing ingredients in toothpastes containing sodium fluoride is usually avoided to prevent loss of active fluoride due to the formation of the insoluble calcium salt. The purpose of this study was to determine the bio-availability of fluoride from Enamelon Toothpaste (E), which simultaneously supplies fluoride, calcium and phosphate salts from a dual dispensing package. Fluoride uptake into artificially lesioned enamel cores due to the use of the test dentifrice (E) diluted 1:3 in whole human saliva was compared to that from a clinically proven effective sodium fluoride/silica USP reference toothpaste (C) and a non-fluoride control (E-w/o F). Enamel solubility reduction due to the use of E, C and E-w/o F was measured by determining the quantity of phosphate released to lactic acid buffer before and after treatment of the crowns of molars with 1:3 slurries of the dentifrices in water. Fluoride uptakes and enamel solubility reductions were 5031 +/- 158 ppm and 21.6 +/- 2.2% for E, 1915 +/- 39 ppm and 13.6 +/- 2.0% for C, and -3 +/- 2 ppm and 0.8 +/- 1.7% for E-w/o F. The fluoride uptake and enamel solubility reductions from E were significantly greater than from C (p < 0.001, Fisher LSD), and both fluoride-containing dentifrices significantly outperformed E-w/o F (p < 0.001). The laboratory results indicate that the calcium and phosphate salts delivered by the remineralizing Enamelon dentifrice increase the bioavailability of fluoride to substantially exceed that of the clinically proven standard dentifrice.
The effectiveness of fluoride ions provided by toothpastes and mouthrinses in promoting remineralization can be limited by the low concentrations of calcium and phosphate ions in saliva. The purpose of this study was to determine whether improved remineralization can be obtained from toothpastes or mouthrinses that simultaneously deliver fluoride, calcium, and phosphate ions from dual-dispensing systems. Enamel specimens with artificial lesions between 60 and 90 microns deep were cycled 15 times through demineralization for 30 minutes, treated for 5 minutes with an experimental or control fluoride toothpaste or mouthrinse, and remineralized for 60 minutes. In the toothpaste study, surface hardness increased by 11.5 +/- 9.2 and 2.7 +/- 3.6 Vickers hardness units, and enamel fluoride content was 5984 +/- 521 ppm and 3971 +/- 531 ppm for the experimental and control fluoride toothpastes, respectively. Remineralization was confirmed by x-ray microradiography. In the mouthrinse study, surface hardness increased by 8.8 +/- 7.7 and 2.2 +/- 3.7 Vickers hardness units, and enamel fluoride content was 6111 +/- 1078 ppm and 3160 +/- 364 ppm for the experimental and control fluoride mouthrinses, respectively. Use of a non-fluoride control mouthrinse led to a decrease in surface hardness of 3.7 +/- 5.2 Vickers hardness units despite a fluoride content of 402 ppm. The results demonstrate that calcium and phosphate supplementation in a toothpaste or mouthrinse can improve remineralization and increase fluoride uptake.
Patients with oral and facial injuries presenting as emergencies to the accident and emergency (A&E) unit at Arrowe Park Hospital have been used to compare the treatment method of direct referral to oral and maxillofacial surgery with that of the routine A&E procedure. A quicker and more effective treatment was administered by direct referral of patients to oral and maxillofacial surgery and an argument for such specialist staff to be based in A&E departments is advanced.
We describe the successful outpatient medical treatment of a patient with bilateral masseteric hypertrophy using botulinum toxin type A in a double-blind placebo controlled study. No significant side-effects occurred, and benefit has so far lasted for 6 months.
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There are no clear recommendations for prescribing antibiotics to patients taking warfarin. The risks of enhancing the anticoagulant properties of warfarin when it is taken concurrently with an antibiotic are seldom discussed. This article attempts to address this problem and to alert dentists to the risks of prescribing antibiotics to patients taking warfarin. A regimen is recommended for patients taking warfarin who require antibiotic dental treatment.
Patients' clinical notes made at review appointments following removal of third molars under a general anaesthetic at five Mersey Hospitals have been compared with those formed from the recording of the findings of preselected tasks. Consistent high quality retrievable records were achieved using the preselected task forms, superior to those formed on blank paper.
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