Biomedical subjects
Publications and source records attributed to I C Mackie.
Early recognition and action are essential elements in the management of amelogenesis imperfecta. The authors describe how a combination of prompt clinical action and preventive care were used to minimize the chances of decay and wear to the permanent dentition of a young patient suffering from this condition.
A large overjet is a well-recognised predisposing factor to traumatic injuries of upper incisor teeth. In order to reduce this risk factor, early reduction of an increased overjet has been recommended. This was attempted, but unfortunately was unsuccessful and further trauma resulted in loss of the upper central incisor teeth.
This report describes a conservative and preventive approach to the treatment of a two-and-a-half-year-old girl who presented with a severely compromised dentition. Clinical management was complicated by the fact that the patient had a ventricular septal defect that would require prophylactic antibiotic cover for any extractions.
Many adolescent patients go through phases where oral hygiene and caries control lapse. In this case a young patient presented with a severely compromised mouth. Treatment was complicated by his belonging to a travelling family, and the fact that he was also undergoing orthodontic therapy. This study describes how suitable behaviour management techniques were used to motivate him to achieve control of caries and periodontal disease, and allow the orthodontic treatment to proceed.
Consumption of low pH drinks has been steadily increasing, resulting in a number of instances of dental erosion. Such cases can easily be mistaken for attrition, abrasion or development abnormality, delaying proper treatment. In the example reported here the authors describe how differential diagnosis and dietary analysis were used to identify erosion as the cause of enamel loss, and the subsequent successful management of the case.
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Explore the source record for details and available documents.
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A field study of a practice based preventive programme was conducted over 18 months in a health centre in a socially deprived urban area. The programme comprised chairside education, including dietary advice and oral hygiene instruction, and a therapeutic intervention based on home consumption of a 1 mg of fluoride tablet daily. Participants were 242 boys and girls aged 11-13 years accepting routine dental care. They were allocated at random to a test and control group. Control subjects received all routine operative treatment needed to maintain dental fitness while test subjects received similar routine treatment but with the addition of the preventive regimen. Although the test subject's knowledge of dental self-care improved during the course of the study, this was evidently not translated into change of behavior and no significant differences in dental health between test and control groups could be detected at the conclusion.