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Survival of foot-and-mouth disease virus in cheese.

Persistence of foot-and-mouth disease virus during the manufacture of Cheddar, Mozzarella, Camembert cheese prepared from milk of cows experimentally infected with the virus was studied. Cheese samples were made on a laboratory scale with commercial lactic acid starter cultures and the microbial protease MARZYME as a coagulant. Milk was heated at different temperatures for different intervals before it was made into cheese. Food-and-mouth disease virus survived the acidic conditions of Cheddar and Camembert cheese processing but not that of Mozzarella. Foot-and-mouth disease virus survived processing but not curing for 30 days in Cheddar cheese preparaed from heated milk. However, the virus survived curing for 60 days but not for 120 days in cheese (pH 5) prepared from unheated milk. Foot-and-mouth disease virus survived in Camembert cheese (pH 5) for 21 days at 2 C but not for 35 days.

Animals↗

Effect of fluoride mouth rinse on fluoride releasing and recharging from aesthetic dental materials.

This study evaluated fluoride-release and recharging with the fluoride mouth rinsing technique on fluoridated materials. Three fluoride containing materials and one non-fluoride containing composite resin were used for this study. Samples for each material consisted of 15 discs, 9 mm diameter with a thickness of 1 mm. Initial fluoride release was assessed over a 60-day period. After that, 15 discs for each material were divided into 3 groups: distilled water group, 450-ppm and 900-ppm mouth rinsing groups. Fluoride release increased in combination with fluoride mouth rinse, and fluoride was higher in the 900-ppm group than the 450-ppm group. Moreover, S-PRG or F-PRG fillers materials released fluoride in higher than fluoroaluminosilicate glass fillers materials. In addition fluoride release from control samples was not observed. Therefore, only fluoride release material takes up fluoride. The findings of the present investigation suggest that the rate of fluoride release was different for each material, because they contained different function fillers. The results showed the importance of the fluoride mouth rinsing technique for fluoride-releasing restorative materials for the prevention of secondary caries.

Adsorption↗

Modified surgical treatment of intermittent open-mouth mandibular locking in a cat.

Intermittent open-mouth locking related to disorders of the temporomandibular joint are not uncommon. As a result of joint laxity, the mandible shifts to one side. The coronoid process then becomes locked lateral to the zygomatic arch. These patients present with the mouth opened and an inability to close the mouth. This article describes a case of intermittent open-mouth mandibular locking in a cat and a modified surgical treatment combining zygomatic arch and coronoid process reduction.

Animals↗

Comparative evaluation of efficacy of sodium fluoride, chlorhexidine and triclosan mouth rinses in reducing the mutans streptococci count in saliva : an in vivo study.

The primary objective of this study was to compare the efficacy of sodium fluoride (0.05%), chlorhexidine (0.12%) and triclosan (0.3%) mouth rinses in reducing the mutans streptococci count in saliva. 60 subjects in the age group of 12 to 14 years were selected from the schools of Mumbai and were equally divided into 4 groups. First 3 groups were test groups and the 4th group was control group. The subjects were instructed to rinse one full marked measure of mouth rinse for 1 minute, twice daily. Salivary samples were collected at baseline and after 2 weeks and cultured on M.S.B.agar. The number of mutans streptococci colonies were counted on agar medium. The results of the study confirmed that chlorhexidine mouth rinses are more efficient in reducing mutans streptococci count in saliva as compared to other mouth rinses.

Administration, Topical↗

Nocturia in the elderly in relation to thirst, dry mouth and dry eyes.

OBJECTIVE: To assess the relationship between nocturia, thirst and the perception of dryness in the eyes and mouth in a group of elderly men and women. MATERIALS AND METHODS: The study comprised 6103 elderly men and women recruited by a questionnaire from a group of pensioners (n=10216; response rate 61.3%). The age of the men and the women was 73.0 (6.0) and 72.6 (6.7) years, respectively. The questionnaire included questions on their health, diseases and symptoms, drugs, sleep habits and the number of nocturnal voiding episodes. RESULTS: Dryness of the eyes increased from 6.5% in men without nocturnal micturition to 15.8% (p < 0.05) in those with > three nocturnal voids, and correspondingly from 9.9% to 33.1% (p < 0.0001) in women. Dryness of the mouth increased similarly from 15.7% to 37.3% (p < 0.001) in the men and from 17.0% to 56.7% (p < 0.0001) in the women. Multiple logistic regression analyses revealed that dry eyes and dry mouth increased with increasing nocturnal micturition independently of the influence of age, sex, analgesics and the use of diuretics. CONCLUSION: Nocturia is associated with a significant increase in the occurrence of dry eyes and dry mouth among the elderly. The results may indicate that nocturnal polyuria is an overlooked pathogenetic mechanism in these symptoms.

Age Factors↗

Dominant form of arthrogryposis multiplex congenita with limited mouth opening: a clinical and imaging study.

AIMS: Arthrogryposis multiplex congenita (AMC) is characterized by congenital contractures and joint deformities, but there are only a few reports of temporomandibular joint (TMJ) involvement. The objective of this investigation was to study the cause of limited mouth movement in this disease. MATERIALS AND METHODS: Four individuals from a family affected by AMC over 5 generations were examined clinically and by magnetic resonance imaging (MRI) and 3-dimensional computerized tomography (3D-CT). RESULTS: The CT scans of the 4 individuals showed hyperplasia of the coronoid process protruding into the infratemporal fossa in 2 of them and cranially to the zygomatic arch in the other 2; the hyperplasia was associated with mechanical limitation of the mouth opening. The MRI showed a disc displacement with reduction in 1 patient and a disc displacement without reduction in another; disc displacement could not be evaluated because of the limited mouth opening in the other 2. The condyle-disc complex of these last 2 individuals could only rotate. The MRI on T2-weighted images showed disc hyposignal in all cases but no alterations in the masticatory muscle tissue. The pedigree of the family suggests an autosomal dominant form of inheritance. CONCLUSIONS: The restriction of mouth opening in the 4 individuals affected by AMC was likely due to osseous dysplasia.

Adolescent↗

[Craniofacial characteristics of the Class II division 1 malocclusion patients with mouth-breating: a posteroanterior].

OBJECTIVE: To evaluate the craniofacial characteristics of the Class II malocclusion patients with mouth-breating by posteroanterior cephalometry. METHODS: To measure craniofacial width of the 12 Class II malocclusion patients with mouth-breathing, and to compared these measures with corresponding measures in a group of normal children. RESULTS: The width of the maxillary base bone (J-J) was less than that in normal children significantly (P < 0.01). The mouth-breathing children's upper and lower arch width (at first molar and cuspid) were comparatively narrower, and lateronasal width (Lap-Lap) was narrower too. CONCLUSION: Mouth breathing may lead to craniofacial morphological abnormal development in craniofacial transverse structures.

Adolescent↗

Subjective assessment of a new moisturizing mouthwash for the symptomatic management of dry mouth.

OBJECTIVE: A randomized clinical trial and consumer usage test were conducted to evaluate the acceptability and benefits of OASIS Moisturizing Mouthwash in subjects experiencing symptoms of dry mouth. METHODOLOGY: Study 1: A randomized, double blind, two-period crossover clinical trial was conducted in 49 subjects to evaluate OASIS Moisturizing Mouthwash and an experimental mouthwash formulation. Following a three-day acclimatization phase, subjects used both products at home for three days. Each treatment phase was separated by a three-day washout period. Study 2: Subjects participated in a one- to two-week home usage consumer test using OASIS Moisturizing Mouthwash, after which they completed a 52-question online survey exploring sensory benefits and resultant quality of life attributes of the product. RESULTS: Study 1: A total of 46 adults with a mean age of 64 years completed the study. On average, subjects used the test products three times per day. OASIS Moisturizing Mouthwash was found to be beneficial in managing dry mouth, and was well-liked by the study population, as evidenced by a statistically significant improvement over subjects' normal remedies for managing dry mouth for strength of flavor, taste, freshening breath, immediate and long lasting lubrication, and moisturization. Both products were well-tolerated. Study 2: Three-hundred and twenty-three subjects completed a one- to two-week consumer home usage test followed by an online questionnaire. On a five-point scale, over 80% of respondents perceived the OASIS Moisturizing Mouthwash as "excellent" or "very good" on sensory attributes such as taste and texture, and 70-80% gave the product an "excellent" or "very good" rating on benefit attributes. CONCLUSION: These studies showed that OASIS Moisturizing Mouthwash was beneficial in managing dry mouth, and was well-liked by the study population.

Adolescent↗

Altering the mouth of a hydrophobic pocket. Structure and kinetics of human carbonic anhydrase II mutants at residue Val-121.

Eleven amino acid substitutions at Val-121 of human carbonic anhydrase II including Gly, Ala, Ser, Leu, Ile, Lys, and Arg, were constructed by site-directed mutagenesis. This residue is at the mouth of the hydrophobic pocket in the enzyme active site. The CO2 hydrase activity and the p-nitrophenyl esterase activity of these CAII variants correlate with the hydrophobicity of the residue, suggesting that the hydrophobic character of this residue is important for catalysis. The effects of these mutations on the steady-state kinetics for CO2 hydration occur mainly in kcat/Km and Km, consistent with involvement of this residue in CO2 association. The Val-121----Ala mutant, which exhibits about one-third normal CO2 hydrase activity, has been studied by x-ray crystallographic methods. No significant changes in the mutant enzyme conformation are evident relative to the wild-type enzyme. Since Val-121 is at the mouth of the hydrophobic pocket, its substitution by the methyl side chain of alanine makes the pocket mouth significantly wider than that of the wild-type enzyme. Hence, although a moderately wide (and deep) pocket is important for substrate association, a wider mouth to this pocket does not seriously compromise the catalytic approach of CO2 toward nucleophilic zinc-bound hydroxide.

Binding Sites↗

[Relationship between the chemical structure and the biological activity of antibodies against the foot-and-mouth disease virus].

Investigated was the effect of various amino agents (stained and phthalic anhydride and sulfopicric acid) on the complement-and antigen-fixing activity of IgG and IgM antibodies isolated from guinea pig sera, the donor animals being hyperimmunzed with type O, strain Polyana, of the foot-and-mouth disease virus, At the moderate modification (75-86 per cent acetylation, and 36-40 per cent 'phthalation') of the primary amino groups the foot-and-mouth disease antibodies retained only half of the conjugation caused greater and complete loss of this activity. IgG and IgM showed almost equal specificity with regard to the antigen that had induced them. The lowered complement-fixing capacity was shown to have no specific effect on the primary relation of the foot-and-mouth disease virus to the antibody. Chemical modifying agents inactivated the specific small, strongly defined complement-fixing zones in the Fc-fragment of the foot-and-mouth disease antibody molecule.

Acetaldehyde↗

An analysis of the Community Periodontal Index of Treatment Needs. Studies on adults in France. III--Partial examinations versus full-mouth examinations.

1005 persons were examined using the Community Periodontal Index of Treatment Needs. Presence or absence of every clinical sign was registered for each tooth. A specially written program computed CPITN values corresponding to full mouth or partial examinations. Results compare the prevalence and treatment needs obtained through either full mouth or partial examinations. Cross tabulation analysis of the number of cases detected by full mouth and partial examinations shows differences in detection rates of 23.5 per cent for deep pockets, 17.6 per cent for moderate pockets, 13.4 per cent for calculus, 3.2 per cent for bleeding and 53.0 per cent for health. When determining treatment needs using the partial examination procedure approximations of the number of subjects needing hygiene education and scaling are acceptable but the evaluation of the number of individuals needing complex therapy is greatly underestimated. The CPITN is most accurate using full mouth examinations.

Adolescent↗

Comparison between saliva stimulants and saliva substitutes in patients with symptoms related to dry mouth. A multi-centre study.

Five saliva stimulants (Salivin, V6, Mucidan, Ascoxal-T and Nicotinamide) and three saliva substitutes (Saliment, Salisynt and an ex témpore solution) were evaluated in 106 patients with a low salivay flow rate and a long history of dry mouth. The study was carried out as a multi-centre study in collaboration with ten different hospital dental clinics. The participants were interviewed about their complaints related to dry mouth. Each patient was then asked to use the eight saliva stimulants and substitutes for 14 days in a randomized order with one week intervals. After the 14-day-periods, the patients were interviewed about the effect of the various products by a dentist using a standardized questionnaire. Paraffin-stimulated whole saliva samples were collected after each test period. The most serious complaints among the patients were, besides dryness of the mouth, difficulty to talk and difficulty to swallow. The results showed that all eight tested saliva stimulants and substitutes relieved the symptoms of dry mouth to some extent. However, V6 chewing gum and Salivin lozenge were ranked as the two best products by the patients. No long-term effect was found with any of the eight products on the flow rate of paraffin-stimulated whole saliva.

Adolescent↗

[Diagnostic relevance of OPG and full-mouth X-ray and intraoperative findings].

During surgery the distance between cemento-enamel junction and alveolar limbus as well to the lowest point of the bony defect was measured for 617 tooth surfaces with a periodontal millimeter probe to study the usefulness of OPG and full-mouth X-ray for the detection of periodontal bony defects. The results of different operators did not show any significant differences. Therefore the method of evaluation might be considered reproducible. The average difference between intraoperative measurement and OPG measurement was -0.6 mm and -1.4 mm for the full-mouth X-ray. 50.9% of measurements on the full-mouth X-ray and 59.7% of measurements on the OPG were within the limit of 1 mm. In correlation with the intraoperative measurements the OPG was slightly less reliable for the SZG value at 31 and 41. In the other areas OPG and full-mouth X-ray showed the same correlation with the intraoperative findings. However, on the OPG 13.9% of intraoperatively examined tooth surfaces could not be evaluated since the cemento-enamel junction was not visible. By comparison the failure rate for the X-rays was only 5%. One may therefore conclude that the OPG is of basic usefulness for periodontal X-ray diagnosis, but that additional individual images will be required, since in a considerable percentage of the images the periodontal bone loss is not clearly visible.

Bone Resorption↗

[Benefits of a community oriented fluoride mouth rinsing program].

The benefits of a school-based fluoride mouth rinsing in a community dental health program were evaluated. In village "M", children from 4 to 14 years old have been participating in a school-based fluoride mouth rinsing program since 1974. In addition, an informal association for dental health of children was inaugurated in 1975 to support the community dental health program. In village "K", there were no fluoride mouth rinsing programs. However, the usual dental health education conducted in all schools was similar in both communities. In order to compare these two communities, dental examinations were carried out in 1990. The total number of subjects from 6 to 14 years old was 331 in village "M" and 408 in village "K". In village "M" for longitudinal comparison, 12-year-olds, 1,054 in total, were examined annually from 1974 to 1990. The DMFT-index in all subjects in village "M" was 76.1% lower than in village "K". In village "M", the DMFT-index in 1990 decreased 79.0% compared to 1974. The economic benefits obtained through the caries reduction were evaluated. In 1990 the mean cost of dental treatment for subjects 14 years old was 27,840 yen per person in village "K" and 4,248 yen in village "M". The cost-benefit ratio was 18.8 and the cost-effectiveness ratio was 137 yen. These remarkable benefits from the prevention of dental caries appears to have been mainly obtained due to the participation of children aged 4 to 14 years old in a school-based fluoride mouth rinsing program.

Adolescent↗

Effect of chlorhexidine gluconate mouth wash on the plaque microflora in children using intra oral appliances.

The effect of 0.2% chlorhexidine mouth wash (Hexidine) on the plaque microflora was evaluated on children wearing intra oral removable appliances. Plaque samples were collected from the enamel sections, both primary and permanent, mounted on the removable appliances. These appliances were worn by 12 children for one week. Plaque was allowed to accumulate on the in situ test sites and on the adjacent natural dentition. At the end of the experimental period the plaque microflora associated with the enamel sections were compared with that obtained from lingual and interproximal areas of the lower molar teeth. It was also compared with a control group of 12 children without an appliance. In addition, the effect of 0.2% chlorhexidine mouth wash on the plaque microflora for the next 14 days was also determined on both the groups. Although some quantitative difference was found between the proportion of isolates obtained from the different enamel surfaces, it was not statistically significant. There was a statistically significant increase in the isolates of plaque microflora after the insertion of removable appliance in children which decreased significantly with the use of 10 ml of 0.2% chlorhexidine gluconate mouth wash twice a day. The study indicates that the primary and permanent tooth specimens mounted on the intra-oral device collected plaque microflora similar to that present on the adjacent natural dentition and that chlorhexidine gluconate mouth wash therapy is effective in reducing plaque microflora in children with removable appliances.

Anti-Infective Agents, Local↗

[Histopathological effects of overextended opening of the mouth on the temporomandibular joint and masticatory muscles].

The purpose of this study is to explore the effects and the pathogenicity of overextended mouth opening on the temporomandibular joint (TMJ) and the masticatory muscles. In this experiment, the animal model of overextended opening was, established by overly opening the miniature pigs' mouths for certain periods with mouth gag, and then the TMJ and the masticatory muscles were studied histopathologically. The results showed that the histosytes of the TMJ and the masticatory muscles had suffered injury, proliferation, atrophy and degeneration from the overextended opening, and the extents of deterioration became greater with the increase of frequency and duration of overextended opening. Among the injured tissues, the cartilage of the condyle, the posterior and anterior portions of the articular disc, the anterior extenting tissue of the disc, the lateral perygoid muscles and the temporalises underwent the most obvious histopathological changes. The result of this study confirms that overextended mouth opening is one of the pathogenic factors of CMD, and it has great significance for the clinical diagnosis, treatment and prevention for CMD.

Animals↗

Technique for closure of the floor of the mouth in monobloc resection.

Closure of the floor of the mouth after resection with or without partial mandibulectomy is often unsatisfactory. The wound may fail to heal per primum and transient orocutaneous fistulas are not uncommon. A technique of closure of the floor of the mouth, based on a series of 68 patients treated by monobloc or "three-dimensional" resection, uses the hyoglossal muscle as a new muscular sling to close the surgical defect. The overlying hypoglossal nerve is mobilized in a neuromuscular transplant that preserves tongue function and speech. Such a procedure facilitates the successful surgical management of stages I and II carcinomas of the floor of the mouth.

Facial Muscles↗

Floor of mouth carcinoma. The management of the clinically negative neck.

OBJECTIVES: Examine the management of the clinically negative neck and evaluate the role of elective neck dissection in patients with squamous carcinoma of the floor of the mouth. DESIGN: Retrospective analysis of a cohort of patients with squamous carcinoma of the floor of the mouth and N0 stage disease of the neck who were treated between 1973 and 1992. The mean follow-up was 6 years. PATIENTS: The cohort consisted of 129 patients. Excluded from analysis were patients without evidence of disease but less than 3 years of follow-up and those with uncertain resection margins. INTERVENTION: Resection of the floor of the mouth lesion with or without marginal mandibulectomy. Elective lymphadenectomy was performed in 26 (23%) of the 129 patients. OUTCOME MEASURE: Estimates were obtained of survival according to mode of therapy, classification of treatment modality, determinate cure, locoregional failure, salvage, and occult disease by clinical stage. RESULTS: Occult disease was detected in 23% of the patients who underwent elective neck dissection. Recurrence in the neck occurred in 36% of 103 patients who received follow-up but did not undergo elective neck dissection. The determinate survival at 3 years was 100% for patients with occult disease who underwent elective neck dissection. Overall, 96% of the patients who were treated with elective neck dissection were cured; 85% of the patients who received no initial treatment of the neck were cured; and 59% of the patients with failure in the neck were salvaged. CONCLUSIONS: A more aggressive approach to the neck with N0 disease may be warranted. Selective neck dissection allows early removal of occult metastases with acceptable morbidity. In elective dissection for clinically and histologically negative necks, the high rate of survival may result from the removal of metastatic carcinoma that was missed in the histopathologic sampling process.

Adult↗