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At least 1,099 records · Page 61Linked to original sources
PubMed1996

Consequences of success: do more teeth translate into more disease and utilization?

OBJECTIVES: Increased tooth retention coupled with increased numbers of older adults means that the actual number of teeth at risk to dental disease will increase sharply. Whether this increase in the number of teeth will translate into more disease and utilization in unknown. The purpose of this study was to test this "more teeth, therefore more dental disease" theory using cross-sectional data. METHODS: In-home personal interview and oral examination data were obtained on a probability sample of elders aged 70 years and older living in the six New England states using the Medicare beneficiary list as a sampling frame. Data on dental utilization, number of teeth, dental caries, and periodontal disease were included in the current analysis. RESULTS: Analysis of variance on subjects with 1-10 (Group 1), 11-24 (Group 2), and 25-32 (Group 3) teeth show that the extent of bleeding on probing, pocket depth, and loss of attachment all increase as numbers of teeth increase. Similarly, a greater number of restored coronal and root surfaces were found in Group 3 relative to the other two groups. Mean numbers of decayed and filled coronal surfaces were 8.4 in Group 1.33.0 in Group 2, and 50.3 in Group 3. In contrast, unrestored coronal and root surface were significantly higher in Group 1 (mean root DS = 1.3) than Group 3 (mean root DS = 0.3). Utilization patterns of those with successful aging dentitions (Group 3) show that they are visiting dentists more frequently than the compromised group (Group 1). CONCLUSIONS: These cross-sectional data obtained from a probability sample of New England elders show that subjects who retained higher numbers of teeth have more periodontal disease and dental caries experience, and visit the dentist more frequently.

Aged↗
PubMed1984

[Pitfalls in restorative dentistry].

The first part of this report contains data on the pitfalls which may be encountered during the diagnosis of conditions for which reconstructive dentistry is applicable: dental caries, pulpitis, pulpo -arthritis, desmodontitis . The second part enumerates possible pitfalls during reconstructive dental surgery: anesthesia, arsenical dressings, use of canal pins and of ozone, canal obturation and its immediate consequences, nerve root artefacts and sections under anesthesia, apical cysts, caries obturation.

Dental Caries↗
PubMed2003

Comparison of complementary metal oxide semiconductor and charge-coupled device intraoral X-ray detectors using subjective image quality.

OBJECTIVE: To compare the subjective image quality of the newer generation Schick CDR detector employing complementary metal oxide semiconductor (CMOS) technology with images using the earlier generation charge-coupled device (CCD) Schick CDR detector. METHODS: All radiographic images were made using the same formalin-fixed adult cadaver maxilla with surrounding natural soft tissues in place. The X-ray generator used was a Villa Sistemi Medicali Diamatic srl AP/Explor X operated at 70 kVp and 8 mA. The source-to-detector distance was set at 38 cm and an optical bench was used to ensure reproducible beam geometry. A range of exposures was applied for both detectors. A panel of nine dentists independently observed and evaluated images made at each exposure. For both detectors, the three images ranked highest were randomized for re-evaluation in panels of six images. Each image was repeated randomly a total of 10 times. Features chosen as observation points were: (1) proximal dental caries; (2) gingival soft tissues; (3) cortical bone; (4) root canal space; (5) root apices; (6) periodontal ligament space; and (7) endodontic instrument tip clarity. Comparisons were made by use of odds ratio analysis applying a 95% confidence level. Interrater and intrarater reliabilities were computed to assess consistency in observer ratings. RESULTS: The CMOS sensor was rated as outperforming its CCD predecessor for depiction of cortical bone and root apices; the CCD detector was only rated superior for depiction of root canal space. No significant difference was found between the two detectors in perceived depiction of proximal dental caries, gingival soft tissues, periodontal ligament space or endodontic instruments. Combining rating scores from each of the tasks, CMOS and CCD detectors had a similar proportion of image ratings of excellent, acceptable and poor. CONCLUSIONS: Regarding subjective image quality, the Schick CMOS and CCD detectors were perceived to produce radiographic images of similar overall quality.

Adult↗
PubMed1997

Identification and analysis of a collagenolytic activity in Streptococcus mutans.

Streptococcus mutans is an important pathogen in coronal caries and is implicated in dental root decay by its ability to bind collagen from various sources. In the present study, electron microscopic analysis demonstrated the ability of S. mutans to bind and to disrupt collagen fibrils of the amniotic membrane. The synthetic peptide FALGPA, which is similar in structure to collagen, was degraded by S. mutans, with a lower level of FALGPA hydrolytic activity observed in sucrose-grown cells compared with cells grown in the absence of sucrose. Inhibition studies of FALGPA hydrolytic activity showed a pattern characteristic of collagenase activity, with inhibition by 1,10-phenanthroline and EDTA, but not by phenylmethylsulfonyl fluoride (PMSF). Additionally, immunological cross-reactivity was observed between proteins from disrupted cells of S. mutans and antiserum to collagenase from Clostridium histolyticum. Gelatinolytic activity was demonstrated by gelatin zymogram analysis. These findings suggest that collagenolytic activity by S. mutans may be an important virulence factor in dental root decay.

Amnion↗
PubMed1978

Tissue response to overdenture therapy.

Patients who had received overdenture treatment provided with uniform standards were recalled and studied. Two examiners simultaneously and independently evaluated the tissue response using a variety of indices. Data comparisons were made between overlaid teeth and control teeth and between overlaid teeth as a function of time to assess any effects of the treatment. Patients who did not apply fluoride to retained tooth roots had a high incidence of caries. No other significant differences were noted between the health of overlaid teeth compared to control teeth. Patients demonstrated large variations in their ability to maintain low plaque levels and healthy tissues. Despite this, on a longitudinal basis over 2 years, patients were able to maintain plaque levels and gingival response at clinically acceptable standards.

Consumer Behavior↗
PubMed2003

Evaluation of time required for recontamination of coronally sealed canals medicated with calcium hydroxide and chlorhexidine.

AIM: To determine in vitro the time required for recontamination of coronally sealed canals medicated with either calcium hydroxide (CaOH2), 2% chlorhexidine gel (CG) or with a combination of both. METHODOLOGY: Eighty intact, caries-free, premolar teeth with straight roots and mature apices were selected for the study. After biomechanical preparation of 75 teeth, they were randomly divided into nine groups according to the intracanal medicament and the coronal seal with 'Intermediate Restorative Material' (IRM) as follows: (i) 10 teeth medicated with CG, coronally unsealed; (ii) 10 teeth medicated with CaOH2, coronally unsealed; (iii) 10 teeth medicated with CaOH2 + CG, coronally unsealed; (iv) 10 teeth medicated with CG + coronal seal; (v) 10 teeth medicated with CaOH2 + coronal seal; (vi) 10 teeth medicated with CG + CaOH2 + coronal seal; (vii) 10 teeth without intracanal medicament and coronally sealed; (viii) 5 teeth without intracanal medicament and coronally unsealed, used as the positive control group (PC); (ix) 5 teeth with intact crowns used as the negative control group (NC). Glass flasks were filled with Brain Heart Infusion broth (BHI), so that only the root apex was in contact with the broth, while the crown was immersed in human saliva + BHI (3:1). The flasks were then incubated at 37 degrees C in an atmosphere of 10% CO2, and microbial growth was checked daily. RESULTS: All specimens of the PC showed contamination within 1 day of incubation, while the NC showed no evidence of broth turbidity. Recontamination was detected after an average time of 3.7 days in the unsealed canals medicated with CG, 1.8 days in the group medicated with CaOH2 and 2.6 days in the group medicated with CaOH2 + CG. When the crowns were sealed with IRM, recontamination was detected within 13.5 days in the canals medicated with CG, after 17.2 days in the group medicated with CaOH2 and after 11.9 days in the group medicated with CG + CaOH2. The group with no medication, but sealed with IRM, showed recontamination after 8.7 days. There were statistically significant differences between the teeth with or without coronal seal (P<0.05). CONCLUSION: The coronal seal delayed but did not prevent leakage of microorganisms. There was no difference between the various medicaments.

Anti-Infective Agents, Local↗
PubMed2000

Prospective clinical 5-year study of ceramic-veneered titanium restorations with the Procera system.

STATEMENT OF PROBLEM: The biocompatibility of titanium has been well documented, but clinical outcomes of ceramic-veneered titanium restorations were not conclusive. PURPOSE: The study presents the results of a 5-year clinical study of individual crowns and fixed partial dentures (FPDs) veneered with a low-fusing ceramic of the Procera system. MATERIAL AND METHODS: All patients at one clinic who required crowns or FPDs during a 2-year period were invited to participate. A total of 260 patients received 333 ceramic-veneered Procera restorations (242 single crowns and 91 FPDs). Clinical registrations were performed annually, and the restorations were evaluated according to the California Dental Association rating system. At the 5-year follow-up, 198 (76%) patients were examined. Most of the loss of patients could be explained. RESULTS: Practically all Procera restorations were judged as satisfactory both at baseline and follow-up examinations. One artificial crown and 1 FPD were remade because of extensive fractures of ceramic veneers. Two FPDs had fractures of a soldered joint, but only 1 FPD was replaced. Some minor complications occurred, such as small porcelain fractures that could be polished (6% of single crowns, 13% of FPDs) and or loosened restorations that were recemented. Other recorded complications were not related to the Procera system but to dental caries, loosened posts and cores, and root fractures. CONCLUSION: Clinical outcomes over a 5-year period for ceramic-veneered titanium restorations with the Procera system were favorable.

Adult↗
PubMed2006

Resistance to acidic and alkaline environments in the endodontic pathogen Enterococcus faecalis.

BACKGROUND/AIMS: This study aimed to investigate the biochemical mechanisms employed by the endodontic pathogen Enterococcus faecalis to confer acid- and alkali-resistance and to compare these with the mechanisms of representative oral streptococci. METHODS: E. faecalis JCM8728, Streptococcus mutans NCTC10449 and Streptococcus sanguinis ATCC10556 were used to assess both acid- and alkali-resistance by examining: (i) growth in complex media; (ii) stability of intracellular pH (pH(in)); (iii) cell durability to leakage of preloaded BCECF (2',7'-bis-(2-carboxyethyl)-5,6-carboxy-fluorescein); and (iv) cell permeability to SYTOX-Green. RESULTS: Growth was initiated by E. faecalis at pH 4.0-11.0, by S. mutans at pH 4.0-9.0 and by S. sanguinis at pH 5.0-9.0. The pH(in) was similar to the extracellular pH in S. mutans and S. sanguinis at pH 5-10, while the pH(in) of E. faecalis was maintained at approximately 7.5-8.5 when extracellular pH was 7.5-10 and was maintained at levels equivalent to the extracellular pH when pH < 7.5. Cell membranes of E. faecalis were resistant to BCECF leakage when extracellular pH was 2.5-12 and to SYTOX-Green permeability at pH 4-10. The cell membrane durability to extracellular pH in E. faecalis was higher than that observed in the Streptococcus strains. CONCLUSION: Compared to S. mutans, E. faecalis was found to be equally resistant to acid and more resistant to alkalis. The results suggest that pH-resistance in E. faecalis is attributed to membrane durability against acid and alkali, in addition to cell membrane-bound proton-transport systems. These characteristics may account for why E. faecalis is frequently isolated from acidic caries lesions and from persistently infected root canals where calcium hydroxide medication is ineffective.

Acids↗
PubMed1980

Oral health status and treatment needs in long-term medicine patients in a Copenhagen hospital department.

Oral health and dental treatment needs were investigated in 50 randomly selected long-term medicine patients admitted to The Glostrup Hospital, University of Copenhagen, Glostrup, Denmark. All the patients were clinically and radiologically examined. Oral health generally was poor. Two-thirds (66%) of the patients were totally edentulous, 24% partially edentulous. Only 10% were dentate with no dentures. The number of remaining teeth per patient averaged 4.7, that of caries destructed teeth 1.4. All 17 patients with remaining teeth had periodontal disease, and 13 of them suffered from caries. Alveolar ridge atrophy, periapical inflammation, root remnants, impacted teeth and oral mucosal lesions were demonstrated in, respectively, 80, 22, 24, 8, and 26% of the group. In total 82% of the patients needed some kind of treatment, mainly prosthetic and oral surgery. The estimated total treatment time per patient averaged 165 min.

Adult↗
PubMed1992

Oral-dental findings in dyskeratosis congenita.

A 13-yr-old girl with dyskeratosis congenita is presented. Besides oral leukoplakia and nail dystrophies, there was evidence of pancytopenia, growth retardation, alopecia, mental retardation and microcephaly. The oral findings included caries, gingival recession, short-blunted roots, gingival bleeding, tooth mobility and severe alveolar bone loss resembling juvenile periodontitis.

Adolescent↗
PubMed1992

Dentin hypersensitivity treated with a fluoride-containing varnish or a light-cured glass-ionomer liner.

Dentin hypersensitivity in 112 teeth was randomly treated with Duraphat or Vitrabond. No patients were included unless they, without being asked, complained about daily pain for a long period of time caused by cold, warm, sweet, sour, touch or any combination of these five variables. Patients were excluded if the dentin hypersensitivity could have been caused by cervical abrasion/erosion lesions deeper than 1 mm, cracked-tooth syndrome, caries lesions, operative caries treatment, and/or periodontal surgery or root scaling within the last 6 months. The pain was registered on a binary scale: 1) pain before the treatment; and 2) pain/no pain after the treatment. With Duraphat, 22% of the treatments failed within 1 wk and the cumulative 1-yr success rate was 41%. With Vitrabond, 2% failed within the first week and the 1-yr success rate was 79%. The difference between the two treatments was highly significant. Patients in whom Duraphat failed were treated with Vitrabond and vice versa; the 1-yr success rate for the retreated teeth was 68% when "Duraphat-failures" were treated with Vitrabond and 42% when "Vitrabond-failures" were treated with Duraphat.

Adult↗
PubMedDate not supplied

CT features of alveolitis and sinusitis in horses.

Sinusitis is a common disorder in horses and may result from trauma, dental diseases, or space-occupying lesions. Radiography can only provide a limited amount of information. Computed tomography (CT) has been documented as an alternative imaging method. Eighteen horses (mostly Warmblood) with signs of chronic sinusitis were examined preoperatively with CT to assist in diagnosis of the underlying cause. There was a group of common CT features in horses with dental disease and sinusitis. The first molar was the most frequently affected maxillary cheek tooth. Hypoattenuation of the cementum, destruction of the enamel, and filling of the infundibular cavity with gas were the most frequent CT findings associated with caries. Gas bubbles within the bulging root area or fragmentation of the root in combination with swelling of the adjacent sinus lining were the most important CT features of dental decay. CT findings associated with sinusitis included excessive thickening of the respiratory epithelium in the rostral maxillary sinus; the caudal maxillary sinus was less often involved. The infraorbital canal, the nasomaxillary duct, and the frontomaxillary aperture were usually involved. The maxillary bone, however, especially the facial crest, was involved in nearly every horse, being characterized by endosteal sclerosis, thickening, periosteal reaction, and deformation leading to facial swelling in chronic infections. CT images allowed identification of involvement of individual teeth more clearly to reveal the diseased one for treatment. Three-dimensional imaging allowed improved understanding of the extent and severity of the pathologic change.

Animals↗
PubMed2001

Dental disease in chinchillas in the UK.

Dental abnormalities are common in chinchillas, although knowledge of the lesions responsible for the clinical signs is incomplete. Animals bred in the UK were examined to gain further knowledge of dental disease in this chinchilla population. Dental abnormalities, particularly those related to tooth elongation, were detected on careful external examination of 35 per cent of apparently healthy chinchillas. Incisor abnormalities were seen on clinical examination in 55 per cent of chinchillas presented because of clinical illness. In all but one case, this occurred secondarily to crown elongation of the cheek teeth or to the absence of opposing teeth, rather than being a primary skeletal problem. Clinical signs commonly attributed to malocclusion, such as ventral mandibular swelling, weight loss, dysphagia, altered chewing pattern and changed food preferences, were not specific to malocclusion, being seen associated with coronal spike formation, root elongation and advanced periodontal lesions. Caries and resorptive lesions rarely caused clinical signs in this population, but were identified during 37 per cent of postmortem examinations. Congenital absence of teeth, skeletal malocclusion and pathological loss of teeth all resulted in significant clinical signs, but were rare. It is concluded that provision of a diet with physical properties more closely matching that of wild chinchillas should improve the dental health of captive animals.

Animal Husbandry↗
PubMed1995

Papillon-Lefèvre syndrome: a review of the literature and report of 4 cases.

This report describes 4 cases of Papillon-Lefèvre syndrome (PLS) affecting 2 Jordanian families with a total of 8 children. In family A, 3 girls out of 6 siblings were affected; and in family B, the eldest of 2 brothers. The patients were between 4 1/2 and 12 years old, and their parents, who are first cousins, were not affected. Diagnosis was determined by history, and clinical, laboratory, and radiographic examinations. All present cases exhibited the typical clinical features of PLS: hyperkeratosis of the palms and soles and the presence of advanced destructive periodontitis resulting in early loss of both the primary and permanent dentitions. In Case 4, cutaneous lesions were noticed at age 6 months and the child was edentulous by the age of 12 years. In all cases, there was a relationship between increased severity of skin lesions and seasonal variations and intensified periodontal destruction. There was an early eruption of the permanent teeth. The teeth were caries-free with no sign of root resorption. Dentists play a significant role in the diagnosis and management of PLS patients.

Child↗