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Biomedical subjects

M I MacEntee

Publications and source records attributed to M I MacEntee.

At least 55 records · Page 3Linked to original sources
PubMed1987

Mandibular dysfunction in an institutionalized and predominantly elderly population.

Oral health problems were identified among 653 residents of 40 long-term care institutions in Vancouver, using a personal interview and a dental examination. Information on jaw function was analysed as part of this investigation to identify associations between the clinical signs of mandibular dysfunction and the complaints of the subjects, their occlusal instability, and the quality of their dentures. The sample population were predominantly female and over 75 years of age, and 42% had some natural teeth. Complaints of jaw dysfunction, usually sore muscles, were heard from 13% of the 488 subjects interviewed. The examination was performed on all of the subjects and revealed that 43% had unstable occlusal contacts, 37% were using loose or unstable dentures, and 20% had one or more clinical signs of jaw dysfunction. Joint noise was the most frequent sign detected and it was heard in a greater percentage of the women than men, while deviation of the mandible during mouth opening was observed with great frequency in the younger age groups. There was no apparent association found between the clinical signs of jaw dysfunction and the complaints of the subjects or the condition of their teeth or dentures. The study demonstrated that complaints and clinical signs of jaw dysfunction, with the exception of joint noises, were uncommon in this population.

Adult↗
PubMed1987

Factors influencing oral health in long term care facilities.

In a stratified random sample of 41 long term care (LTC) facilities in Vancouver, 653 residents were chosen to investigate oral health needs and demands for treatment. All of the 603 dentists in the same area were questioned to assess their interest in attending the residents of the institutions. The information from each source was reviewed to identify factors influencing the oral health services to this predominantly elderly and medically compromised population. The majority (60%) of the residents were edentulous and they made infrequent demands on dentists. Two-thirds of those interviewed said that there was nothing wrong with their mouths, but most of those who were aware of a problem wanted it treated, preferably within the institution. They complained about loose or uncomfortable dentures most frequently, and many were dissatisfied with previous dental treatment. The oral mucosal lesions seen on examination were usually symptomless and associated with poor hygiene, while structurally defective dentures and deep carious lesions were not uncommon. The responding 334 dentists indicated that they enjoyed treating elderly patients, 19% had attended an LTC facility, usually to provide an emergency service, and 37% were willing to provide this service if asked. Interest, however, in the service was curtailed by pressures from private practice, concerns about inadequate training and the small demand and poor conditions in the facilities. Although the demand for treatment was not extensive from the residents, they did have problems that were not receiving care.

Aged↗
PubMed1986

A comparison of physical characteristics of six hard denture reline materials.

Six rigid autopolymerizing acrylic resins were examined to determine and compare the cost per reline, the curing temperatures, the setting times, and the porosity of each material. The cost per reline ranged from $0.63 to $1.55. Three product groups had significantly different mean setting times, and two groups had significantly different mean setting temperatures. SEM cross-sections of each product revealed an apparently porous-free solid mass of acrylic resin, which in two products was overlayed by a thin porous surface layer. The physical characteristics of any one product did not indicate clinical superiority.

Acrylic Resins↗
PubMed1985

Fit of three porcelain-fused-to-metal marginal designs in vivo: a scanning electron microscope study.

This study examined the comparative fit in vivo of three types of PFM crown margins. Marginal openings were measured with an SEM on replicas derived from elastomeric impressions. There was no significant difference among beveled metal margins, metal butt margins, or porcelain butt margins either before or after cementation at the 95% confidence level. This study has shown that it is possible under clinical conditions to consistently produce porcelain butt margins with less than 50 micron marginal opening in PFM restorations.

Crowns↗
PubMed1985

Oral mucosal disorders in denture wearers.

Patients who wear dentures present with a variety of symptoms and abnormal intraoral findings. The advanced age of the average denture wearer and the nature of the denture-bearing mucosa appear to influence the nature of the problems. Superimposed infection with candidal organisms and traumatic lesions are the most commonly encountered abnormalities. Patients with symptoms but no intraoral changes frequently had a psychologic component to their complaint and did not improve after alteration of their dentures.

Adult↗
PubMed1985

Evaluation of ceramic margins for metal-ceramic restorations.

This study evaluated various techniques for forming ceramic margins on metal-ceramic restorations. Marginal openings were measured using a scanning electron microscope on replicas derived from elastomeric impressions. Ceramic margins formed with a platinum foil backing showed significantly better fit than those formed with direct-lift techniques. With the platinum foil method these ceramic margins displayed a marginal fit comparable to that obtained with cast metal margins.

Crowns↗
PubMed1985

Oral health in a long-term care institution equipped with a dental service.

The oral health and medico-dental status of 250 mostly elderly residents of a long term care institution were assessed by examination and a review of medical records. In addition, attitudes to dental care, dental experiences, and demands for care were solicited from those who could participate in an interview. There were no dental complaints from 70% of those interviewed. The complaints most frequently reported were difficulties with mouth dryness, hygiene, and chewing. Natural teeth remained in at least one jaw in 30% of the 245 residents examined. Dental caries was present in 78% of this dentate group, with coronal and root lesions equally prevalent. Gingival bleeding was also common in this group and 29% had deep periodontal pockets. Nearly 50% of the mandibular dentures and 25% of the maxillary dentures examined were inadequate. Mandibular dysfunction occurred in 25% of the population and was more frequent in the dentate group. Oral mucosal pathoses were rare. No correlation was found between the systemic health and the oral health of the residents. There was a need to improve the oral hygiene of most of those examined. Less than 20% of the denture wearers would have benefitted from treatment and 10% of those with defective dentures were considered unsuitable for treatment. In contrast, 60% of those with natural teeth required restorations and 36% needed one or more teeth removed. Very few urgent needs were seen. An inter-examiner accumulative inconsistency of 11% was measured between the three examiners, and a third of the assessments made of periodontal status were contradictory.

Aged↗
PubMed1983

Effects of fatigue on a soldered base metal alloy.

An in vitro tensile fatigue test produced cyclic loading of joints made in a base metal casting alloy with a low-temperature precious metal solder, and the number of cycles to failure was recorded for a range of cyclic stresses. The majority of the joints survived stresses that should represent normal intra-oral loading.

Chromium Alloys↗
PubMed1982

Submucosal root retention. A two-year clinical observation.

Eight subjects had the crowns of 21 teeth surgically amputated, and the roots were covered by alveolar mucosa. At the time of surgery, 17 teeth were vital and four had received endodontic therapy. After an average 2-year-period, 12 teeth (57%) remained submerged without complications. Two roots have been extracted, three have been successfully converted to regular overdenture abutments, and the remaining four have appeared in the mouth and are still under observation. Caution is urged as to expectations of a long-term prosthetic benefit from this procedure.

Adult↗
PubMed1981

The tensile and shear strength of a base metal weld joint used in dentistry.

Samples of a base mental alloy were cast and welded together using a conventional welding procedure. The joints were loaded and placed either in a corrosive environment or in air for varying time periods. The tensile and shear strength of the joints was unaffected by the corrosive environment, and the joints, despite some internal defects, appeared suitable for clinical use.

Chromium Alloys↗