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At least 37 records · Page 2Linked to original sources

Positional changes in mesio-angular impacted mandibular third molars during a year.

The results of this study show that positional changes occur in the mandibular third molar at least until 20 years of age. A significant number of mandibular third molars in young adults in positions of mesio-angular impaction attain an upright position in a year. A significant relationship exists between the initial age of the patient and the amount of change in the inclination of the third molar. Initial inclination is closely related to the change in inclination in mandibular third molars.

Adolescent

The use of laser beams for measuring tooth mobility and tooth movements.

The laser reflexion method, a direct contactless measuring technique with a high accuracy, has been applied for clinical purposes. A prototype has been tested using a laser beam to illuminate a patient's tooth fixed to the equipment by an impression plate. The reflected patterns were thrown onto a screen with a coordinate system and photographically recorded, and the movement of the tooth has been geometrically calculated. The relapse tendency after orthodontic treatment of a patient with periodontal disease and parafunctions was studied by repeated measurements of the left medial upper incisor. By use of the method, it was possible to observe that the velocity of the studied tooth was highest during the 1st day and, besides the horizontal movement, a rotation of the tooth began at the end of the measuring period.

Adult

Subgingival plaque and loss of attachment in periodontosis as observed in autopsy material.

Histologic sections from six autopsy cases which from a clinical point of view fitted into the criteria of periodontosis were examined with the aim at evaluating the role of subgingival plaque in the etiology of the loss of attachment in this condition. The following pertinent observations were made: 1. The subgingival plaque in most instances was not calcified to form calculus. 2. The thickness of the subgingival plaque varied between 20 and 200 mu (0.02-0.2 mm). 3. Where loss of attachment had taken place, the distance from the most apical part of the subgingival plaque to the most apical point of the epithelial cuff varied between 0.2 and 1.1 mm; this distance was never found to be more than 1.1 mm. This would indicate a cause and effect relationship, the plaque being the obvious cause. 4. There was very severe chronic inflammation in the soft tissue bordering upon the plaque with resulting collagenolysis. 5. The cellular infiltration and the collagenolysis may be limited to a zone of 1 to 2 mm in the immediate vicinity of the plaque. Between the inflamed area and the surface of the gingivae buccally and lingually there may be a fairly wide zone of healthy tissue which hides the symptoms of inflammation from being observed on a clinical examination. In turn this could leave the clinician with the impression that attachment has been lost and bone resorbed because of degenerative changes. The following conclusions can be made: In these six cases of "alveolar bone loss vastly out of proportion to what one would expect from the local etiologic factors in the patient at that age" there was no morphologic evidence that degenerative changes were responsible for the loss of attachment. On the contrary inflammatory changes induced by the subgingval plaque dominated the histopathologic picture.

Adult

Rationale for stabilization.

1. The subjective separation of the normal and the diseased periodontium for splinting purposes is artificial. With the exception of cases of secondary trauma from occlusion, the diseased periodontium should be treated in the same manner as the normal periodontium with regards to splinting. 2. Retionales for stabilization found to be valid are: I. Prevention of mobility A. Post acute trauma. B. In occlusal therapy. II. Prevention of drifting A. Replacement of missing teeth. B. Postorthodontics. III. In treatment of secondary trauma for occlusion. A. For functional stability. B. With unknown effects on the progression of periodontitis. 3. The relationship of trauma from occlusion and periodontitis is unclear at this time. 4. A need exists for a clinical test correlating histologic signs of trauma from occlusion and clinical findings. 5. Temporary splinting generally is not indicated during the initial or surgical phase of treatment of the periodontal patient, because mobility short of secondary trauma from occlusion does not impair healing.

Dental Occlusion, Traumatic

Effect of constant currents on orthodontic tooth movement in the cat.

Constant 10 muA currents were applied to the mandibles of 12 cats via electrodes implanted mesial and distal to premolars undergoing orthodontic treatment. A third were moved toward the cathode, a third were moved toward the anode, and a third were moved in the absence of an applied field. No significant difference in total movement was seen at the end of five weeks.

Analysis of Variance

Frequency of alveolar bone loss adjacent to proximal caries in the primary molars and healing due to restoration of the teeth.

The frequency of alveolar bone loss adjacent to extensive proximal caries, and the effect of dental restorations on alveolar bone loss and healthy alveolar bone were examined in human primary molars. Proximal caries, contact loss, mesial drift and the presence of alveolar bone loss were recorded from 190 bite-wing radiographs from 60 boys and 46 girls. Proximal caries was evident in 297 quadrants. In 63.0% of quadrants, both primary molars had proximal caries. Contact loss was evident in 38.4% of the quadrants with proximal caries. Bone loss was found in 12.1% of the quadrants with proximal caries or 31.6% of those with contact loss. Analysis of variance for the presence of bone loss indicated statistically significant values (P less than 0.05) for one or two teeth with caries by quadrant, the presence or absence of contact loss, and age. A second examination was available for 41 children. Among these, eight out of the 36 bone defects disclosed at the first examination were present. At the second examination, after tooth restoration, healing of five bone defects was evident. These findings indicate a connection between the presence and treatment of extensive proximal caries and alveolar bone health in the primary dentition.

Alveolar Bone Loss

[Preprosthetic straightening of tilted lower molars with reference to the condition of the periodontium].

30 mesially tipped lower molars in 18 patients have been uprighted previous to prosthetic treatment. The uprighting was performed using arch wires, box loops and uprighting springs. The plaque and gingival conditions as well as the pocket depths and levels of periodontal attachment were assessed at the start of the treatment, after a successfully completed hygienic phase and after the uprighting of the tipped molars. Following the successful completion of the hygienic phase a significant pocket reduction was seen on all surfaces of the teeth besides a highly significant reduction of plaque and gingival index scores. As a result of the orthodontic uprighting, a further significant reduction in pocket depth, associated with a gain of periodontal attachment, was found on the mesial and lingual aspects of the molars. The results indicate that the uprighting of lower tipped molars prior to prosthetic treatment is a simple and predictable procedure to positively influence the prognosis of the teeth involved.

Crowns