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Biomedical subjects

M Kleber

Publications and source records attributed to M Kleber.

34 records · Page 2Linked to original sources

[The cleansing phase of periodontal therapy].

Having substantiated the need for treatment and having explained the treatment plan, the author describes the contents of the hygienizing phase of periodontal therapy. Now as before, great importance is attached to tooth-cleaning. The Charter technique is recommended for the periodontally diseased dentition. Mineralized deposits on teeth may be removed by means of hand instruments or ultrasonics. Various modifications of balneotherapy are indicated for all diseases of the tooth-supporting structures. The mechanotherapy supports the stomatological efforts towards oral health rehabilitation and prevents recurrences.

Dental Hygienists↗

[Exfoliative cytology of the periodontium].

Under certain conditions (reproducibility of the results, standardization of the sampling sites and of the procedure of staining), the exfoliative cytology can facilitate the primary and secondary prevention of periodontal diseases. The reproducibility of the counts was tested on 114 smears by repeated determinations and confirmed by statistical analysis. The comparison of the counts from smears from the vestibular papilla 32/33 and the lingual papilla 36/37 showed that the molar region is better suited for the early detection of periodontal lesions. Due to the greater reproducibility of its results, the technique of Shorr and Pundel is recommended for the fixation and staining of the exfoliated cells. The differentiation of the superficial cells should also be based on the affinity for dyes of the cytoplasm.

Cell Count↗

[The reproducibility of oral exfoliative-cytological findings].

In periodontology, exfoliative-cytological examinations are used to support the diagnosis, to assess the effectiveness of periodontal-therapeutical procedures and in basic research. It was tried to demonstrate the reproducibility of exfoliative-cytological findings by repeated counting of 114 gingival smears by two examiners (blind trial). The numerical values obtained for the different kinds of cells were in good agreement, which was confirmed with the aid of mathematical statistics.

Adult↗

[Conservative periodontal therapy and its indication in stomatological general practice].

The term of "conservative periodontal therapy" covers all therapeutical measures with the exception of surgical interventions. Since each periodontal therapy constitutes a complex of various measures, it seems to be more favourable to subdivide it, on principle, into continuous phases, which results in advantages for the methodics of treatment planning and performance. The contents of the hygienizing, correcting and stabilizing phase of periodontal therapy are expressed in words and tables.

Dental Prophylaxis↗

[Changes in the dental hard tissues and supporting structures in tetanic syndrome. I. Review of the literature].

The authors give a survey of the literature on the tetanic syndrome and its effects on the dental hard tissues and the tooth supporting structures. In cases of normocalcaemic tetany, no pathological alterations have been observed in the dental hard tissues, the pulp and the periodontium. On the contrary, enamel hypoplasia, broad pulp chambers, shortened tooth rootsdelayed dentition, hypodontia, inflammatory changes and bleedings from the periodontal ligament, bone densification and chronic gingivitis have been found in patients with hypocalcaemic tetany.

Anodontia↗

[Changes in the dental hard tissues and the supporting structures in tetanic syndrome. 2. Personal studies].

The authors present the changes of the orofacial system observed in 30 patients (of both sexes) with tetanic syndrome in the framework of a pilot study. The DMF-S values varied for different age groups from 40.6 to 79.5. The hypoplasia index was 1.3-2.1; and the periodontal disease index according to Kötzschke, 18.6-48.2%. Epithelial desquamation of varying markedness and intensity was seen in half of the patients. The interpretations of the radiographs revealed generalized denticle formation in 13.3% of the 30 patients; and isolated denticles in 73.3%. The authors observed a loosening of the spongiosa structure in the majority of patients, and localized radiolucencies of the jaw bone in two thirds of them. The average intra-alveolar root-length index was 46.4%.

Adolescent↗

Serratia marcescens bacteremia associated with schistosomiasis mansoni.

The case of a 21-year-old man coming from rural Paraíba, northwestern Brazil, with schistosomiasis mansoni associated with Serratia marcescens bacteremia, is reported. His main complaints on admission were fever, diaphoresis and chills for ten days, and diarrhoea that lasted for four days. On physical examination he had jaundice and hepatosplenomegaly. Diagnosis of S. marcescens bacteremia was made by isolation of the bacterium in blood culture, and schistosomiasis was diagnosed by rectal and liver biopsies. This is the first time that the association of S. marcescens bacteremia and schistosomiasis mansoni is recognized. Although our case does not fit into the classic definition of prolonged bacteremia associated with schistosomiasis, it can be considered as a mild form of this association. With the improvement of medical assistance and laboratory facilities, early diagnosis of this association will be made more frequently, cases with short duration will be diagnosed few days after the start of the symptoms, and classic prolonged cases will become rarer.

Adult↗