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Biomedical subjects

K Tsuga

Publications and source records attributed to K Tsuga.

At least 37 records · Page 2Linked to original sources
PubMed1999

The effectiveness of a new algorithm on a three-dimensional finite element model construction of bone trabeculae in implant biomechanics.

More validity of finite element analysis (FEA) in implant biomechanics requires element downsizing. However, excess downsizing needs computer memory and calculation time. To evaluate the effectiveness of a new algorithm established for more valid FEA model construction without downsizing, three-dimensional FEA bone trabeculae models with different element sizes (300, 150 and 75 micron) were constructed. Four algorithms of stepwise (1 to 4 ranks) assignment of Young's modulus accorded with bone volume in the individual cubic element was used and then stress distribution against vertical loading was analysed. The model with 300 micron element size, with 4 ranks of Young's moduli accorded with bone volume in each element presented similar stress distribution to the model with the 75 micron element size. These results show that the new algorithm was effective, and the use of the 300 micron element for bone trabeculae representation was proposed, without critical changes in stress values and for possible savings on computer memory and calculation time in the laboratory.

Algorithms↗
PubMed1998

Evaluation of the colorectal wall in normal subjects and patients with ulcerative colitis using an ultrasonic catheter probe.

BACKGROUND: Ulcerative colitis is usually evaluated by barium enema and colonoscopy, methods of imaging that are limited to the mucosal surface. Endoscopic ultrasonography (EUS) is the best modality for the evaluation of transmural changes in the bowel wall. We therefore evaluated the colorectal wall in normal control subjects and patients with ulcerative colitis using an ultrasonic catheter probe. METHODS: Endoscopic ultrasound with a catheter probe was performed on 36 normal control subjects (36 examinations) and 72 patients (111 examinations) with documented ulcerative colitis. RESULTS: In normal control subjects, the total wall, mucosa, submucosa, and muscularis propria were significantly thicker in the rectum than in the colon. There was no significant difference in the thickness of the colon and rectum among different age groups or between men and women. In ulcerative colitis, we classified the boundary of each layer into three patterns (smooth, irregular, and blurred) and then classified the wall into six types. In Matts grade 2 and 3 ulcerative colitis lesions, the total wall and each layer were significantly thicker than lower grade lesions and normal control subjects. For grade 1 and most of the grade 2 lesions, the boundary of each layer was smooth. In some of the grade 3 lesions, the mucosa-submucosa and submucosa-muscularis propria layer borders were abnormal. In all grade 4 cases, the mucosa-submucosa boundary was blurred. There was some correlation between the Matts grade and EUS findings except for Matts grade 3 lesions which had various EUS patterns. CONCLUSION: Endoscopic ultrasound with a catheter probe is a useful modality for the transmural assessment of the colorectal wall and, when used in conjunction with the many clinical and endoscopic parameters currently available, may contribute to the diagnosis and treatment of ulcerative colitis.

Adult↗
PubMed1998

A method for quantifying complete denture quality.

STATEMENT OF PROBLEM: Reproducible and quantitative clinical evaluation of complete denture prostheses is of great importance for preoperative diagnosis, treatment planning, and assessment of quality of denture treatment. PURPOSE: This study attempted (1) to clarify the degree of contribution each clinical factor made to the general assessment of experienced prosthodontists to complete denture prostheses, and (2) to develop a method for quantitative assessment of complete denture quality. METHODS: Sixteen clinical factors with a three-grade scale were used to evaluate complete denture prostheses in 320 patients. The general assessment of the dentures was conducted with a 10-point scale. The contribution of each grade of the 16 factors to the general assessment level was determined by a multiple regression analysis. RESULTS: Seven factors were highly correlated to the general assessment. On the basis of these significant contributions, a complete denture scoring method was established followed by the calculation of the category scores of these factors and conversion of the total sum of each category score to an integer number between 0 and 100. The resultant quantification score was closely correlated with the general assessment of the denture. CONCLUSION: An evaluation protocol used for scoring of complete dentures was developed based on the scientifically analyzed knowledge of experienced prosthodontists.

Aged↗
PubMed1998

Self-assessed masticatory ability in relation to maximal bite force and dental state in 80-year-old subjects.

By means of a questionnaire, clinical examination and force recordings, the relationships between self-assessed masticatory ability, dental state and bite force were studied in 160 80-year-old persons, 74 men and 86 women. The subjects were in general satisfied with their masticatory ability and 70% had no problems, while 6% reported three or more problems with mastication. Half of the subjects were dentate without removable prostheses and almost one-third had 20 or more natural teeth. The edentulous persons (about one-fifth of all) reported more problems related to mastication than the other dentition groups. The maximal bite force varied much and exhibited a significant correlation to the number of remaining teeth and dental state. The self-assessed masticatory ability was only weakly correlated with dental state and bite force. It was concluded that many subjects with few or no remaining teeth and/or removable dentures had only few complaints of impaired masticatory function and showed a good adaptation to an impaired dental status and small maximal bite force.

Adaptation, Physiological↗
PubMed1998

Post-impression preparation to prevent fracture to isolated abutments with extensive bone loss in master casts.

A post-impression preparation technique can be used for preventing fracture of isolated abutments in master casts with extensive bone loss. This technique involves using a sharp knife to trim the impression obliquely at the clinical cervical line, creating a 1- to 2-mm-width bevel, followed by the insertion of a dowel pin into the abutment for reinforcement. This technique enlarges the abutments' diameter at the clinical cervical line and increases the resistance to breakage without altering the shape of critical areas.

Alveolar Bone Loss↗
PubMed1997

Sex difference of electromyogram of masticatory muscles and mandibular movement during chewing of food.

The aim of this study was to investigate whether there were sex differences in the electromyograms (EMG) of the masticatory muscles and in the mandibular movement of young adults when chewing food. Twenty subjects with normal dentitions were selected. The 11 test foods selected were all easily available in Japan. The results showed firstly that although there were no significant differences of chewing frequency between males and females, females chew food more slowly with less masticatory force and narrower mouth opening width than males; and secondly it appears that the chewing function in females is lower than in males.

Adult↗
PubMed1996

Associations between self-assessed masticatory ability and some general health factors in a Swedish population.

OBJECTIVES: The aims of this study were 1) to describe changes in self-assessed masticatory ability over a 14 year period (1975-89); and 2) to describe associations between self-assessed masticatory ability and age, dental state and some other background factors in a sample of the Swedish population in 1988/89. DESIGN: The Swedish National Central Bureau of Statistics investigates annually the living conditions of the Swedish population by means of interviews by trained persons. The data were analysed by means of stepwise logistic regression and calculation of adjusted relative risks. SUBJECTS: In the investigation in 1988/89, 12,901 people above 16 years of age participated and the response rate was 80%. RESULTS: In comparison between the investigations, the prevalence of reported impairment was lower in 1988/89 than in 1975 and 1980/81. Prevalence of reported impairment of chewing ability increased with ageing from 2% in young adults (16-34 years old) to 44% in older elderly (> 85 years old). In most age groups, edentulous people reported the highest prevalence, and dentate people the lowest. Relative risks for impaired masticatory ability, independent of age, gender and dental state, were higher for people in rural areas, with low income and living single, as well as for those with skeletal, gastrointestinal, psychiatric and tumour diseases. In the elderly, results from the logistic regression showed that some disability and psychosocial factors were also associated with masticatory ability. CONCLUSIONS: The results indicated that there was a group of elderly people who reported several functional and health problems including impaired masticatory ability.

Adolescent↗
PubMed1993

Reproducibility of tooth tapping rhythm in young and elderly dentate subjects.

The reproducibility of tooth tapping frequencies was measured in young and elderly dentate subjects. Six rates of tapping, i.e. 40, 60, 90, 120, 160 and 200 times per min, were practised to the accompaniment of a metronome for 15 s before recording. After a 15-s break, subjects were asked to reproduce the same rate of tapping without metronome accompaniment, and these movements were recorded. It was determined that the young subjects regulated tooth tapping frequencies by controlling velocity of mandibular movement. On the other hand, the elderly subjects regulated tooth tapping frequency by controlling opening width.

Adult↗
PubMed1990

[Tooth tapping frequency of young and elderly subjects].

Tooth tapping frequency was measured in young (21-29 years) and elderly (61-67 years) subjects. They were asked to continue the maximal frequent tapping during 1 min., and their mandibular movement were measured with a Mandibular Kinesiograph. The results are as follows: 1. Each phase of closing, occluding, opening and cycle was prolonged at the terminal of the 1 min. tapping. That is, tapping frequency decreased. Young subjects had 4.6 Hz tapping frequency and 2.7 Hz for elderly subjects. 2. Although the opening phase per cycle and the closing were not changed in spite of the tapping continuity, the occluding one increased at the terminal of the 1 min. tapping. 3. No difference existed between the young subjects and elderly in the maximal velocity of the mandibular movement at the opening and closing. Opening velocity was larger than closing velocity at the young subjects.

Adult↗
PubMed1990

[A study on mandibular incisal point movement of TM disorder patients].

In order to establish diagnostic and treatment system for temporomandibular (TM) disorder patients, data were collected on mandibular border and tapping movements at incisive point and compared with those from the subjects without any TM disorders. Significant differences on the ratio of left and right sides of maximum lateral deviation, maximum opening amount and length of pathway of lateral border movement were clearly obtained, the values of maximum speed and acceleration of closing phase in tapping movement obtained from TM disorder patients were also different significantly from those in the control subjects. These findings suggests that those measured indices in this study would be useful for diagnosis of TM disorders.

Dental Occlusion↗
PubMed1989

A short-term evaluation of the effectiveness of stabilization-type occlusal splint therapy for specific symptoms of temporomandibular joint dysfunction syndrome.

To clarify the short-term effectiveness of stabilization-type occlusal splint therapy, a specific symptom approach was used toward 30 temporomandibular joint dysfunction patients with more than two major symptoms (temporomandibular joint and/or masticatory muscle pain, temporomandibular joint sounds, and limitation of mandibular movement). Eighty-seven percent of the patients with pain responded with this therapy and more than 50% had complete relief of pain 4 weeks after insertion of the splint. Temporomandibular joint sounds and limitation of mandibular movement responded more slowly than pain. These results suggest that the stabilization-type occlusal splint should be selected as a first choice among several therapies and that temporomandibular joint pain is particularly susceptible to this therapy.

Acrylic Resins↗
PubMed1989

[Electromyographic study on masticatory function of the telescope denture wearers in the Kennedy Class II mandible].

Masticatory function of 10 telescope denture wearers in the Kennedy class II mandible patients was evaluated with electromyography. Electromyographic activity during mastication with kamaboko and peeled raw carrot was recorded from bilateral masseter and the anterior part of temporal muscles at each interval: Before treatment, immediately after denture insertion and 2, 4, 6, 8 weeks after respectively. Mean of duration, interval and cycle of EMG activities, coefficient of variation and average variation were calculated. The results were as follows: 1. Means of duration and cycle times decreased immediately to 2 weeks after denture insertion. 2. EMG activities during raw carrot chewing became regular immediately to 2 weeks after denture insertion, and within 4 weeks in kamaboko chewing. These results suggest that telescope dentures would be adapted to stomatognathic system within short period after denture insertion.

Denture, Overlay↗
PubMed1989

Comparative evaluation of chewing function with removable partial dentures and fixed prostheses supported by the single-crystal sapphire implant in the Kennedy Class II partially edentulous mandible.

Differential chewing function with removable partial dentures (RPDs) and fixed prostheses supported by the single-crystal sapphire implant was evaluated in five subjects with Kennedy Class II partially edentulous mandibles by means of electromyography. Rehabilitation with the single-crystal sapphire implant resulted in regular chewing patterns with a low variation coefficient and higher activity of chewing-side masticatory muscles compared to RPD rehabilitation. This difference in chewing function between the two rehabilitation modalities could be the result of differences in stability of occlusion and neurophysiologic feedback systems.

Aluminum Oxide↗