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Biomedical subjects

H E Strassler

Publications and source records attributed to H E Strassler.

At least 73 records · Page 4Linked to original sources

Microbiological and microhardness evaluation of artificial enamel fissures worn intraorally by humans.

Devices simulating occlusal fissures were constructed from dental enamel and bonded to human maxillary molar teeth for 3 weeks. Facilitation of in vivo caries research in humans is the long-range goal for this model system. In the present investigation, microbial compositions of plaque in the fissural space of the model and natural fissural plaque from teeth bearing the devices were compared. Plaque from models constructed from either bovine or human enamel was also compared. In addition, microhardness of the enamel surfaces was examined before and after oral exposure. Plaque in both bovine and human enamel models differed significantly from natural fissural plaque in several microbial categories. Differences appeared to be related to the increased accessibility of the deep fissural contents of the models. For example, levels of the aciduric Streptococcus mutans and Veillonella species were higher in the models, although levels of a salivary inhabitant, Streptococcus salivarius, were lower. Plaque in bovine and human enamel models was similar, and both models showed significant decreases in enamel microhardness after oral exposure for 3 weeks. The model system should be useful in caries research in that carieslike activity was simulated within a relatively short period of time, and the fissural space became colonized by high levels of cariogenic bacteria.

Animals↗

Adolescent dentistry programs: a survey of United States dental schools.

The dental care needs of the adolescent have not been recognized as a distinct area of education and treatment. A survey was sent to United States dental schools to determine the number of schools with adolescent dentistry programs and how these programs are organized. The results suggest that dental schools are beginning to incorporate adolescent dentistry as a separate entity. Greater attention is required for teaching of this topic in the future.

Adolescent↗

Microbiological assessment of dental plaque on bovine enamel implants worn intra-orally in children.

Nine caries-active children, each from six to nine years old, wore small removable enamel implants intra-orally for four weeks as part of an effort to develop removable model systems for studying dental plaque in fissures. The implants, consisting of two enamel cubes arranged to simulate a fissural space, were cemented in box preparations in stainless steel crowns on pulpotomized primary molars. Upon removal, the fissural spaces were opened to facilitate plaque harvesting. The plaque samples were cultured, and enamel decalcification of the plaque-exposed surfaces was measured. Quantitative microbial values were compared with those of natural fissure plaque samples from both caries-active (CA) and caries-and restoration-free (CF) children, also from six to nine years old. Streptococcus mutans and S. sanguis levels of fissural insert plaque (FI) and natural fissural plaque from (CA) were similar. Both contained higher S. mutans levels than did plaque from (CF). FI harbored higher concentrations of Lactobacillus and Actinomyces species and lower concentrations of Neisseria species. Otherwise, FI plaque resembled natural fissure plaque. Microhardness of FI plaque-exposed enamel decreased significantly compared with pre-experimental values and showed a significant negative correlation with values for total lactobacilli on selective media, and for S. mutans on non-selective media.

Actinomyces↗

Periodontal and other soft tissue considerations in esthetic dentistry.

Esthetic considerations are playing a greater role in the treatment planning of dental care, especially in the restoration of anterior teeth. Much attention has been paid to both operative and prosthodontic techniques that are available in esthetic restorative dentistry. Less attention has been given to soft tissue esthetics, the shape of the face and position of the lips, and the contours, color, and overall appearance of the gingiva and associated soft tissues. This article reviews a basic approach to soft tissue esthetics, the appearance of the gingiva, the interrelationship of the gingiva, teeth, and restorations, and outlines several common soft tissue problems and their management.

Alveolar Ridge Augmentation↗