Use of a modified rubber dam technique when bonding resin-retained fixed partial dentures.
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A group of anticoagulated patients undergoing general dental procedures was monitored for assessment of postoperative hemorrhagic complications. The anticoagulant regimen was not altered, but patients were checked by prothrombin time laboratory tests immediately prior to dental visits to assure that each patient was below the maximum therapeutic level of anticoagulation. Patients were monitored following seventy-four separate visits, which included eighty-five procedures. All episodes of hemorrhage were easily controlled locally without complication.
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This study has assessed the ability of five hand-washing agents, Hibisol, Hibiscrub, Betadine, 70% isopropyl alcohol and bar soap, to decontaminate the surfaces of Biogel D, Surgikos Microtouch and Ansell Gammex latex medical gloves after repeated inoculation with Staphylococcus aureus. The glove and hand-washing agents were compared in a Latin Square experiment, and a standardized handwashing regime followed. Each of the gloves used in the study was later tested electrically for micropuncture formation. On the basis of microbial recovery, no specific combination of glove and hand washing agent proved superior, the marker organism being isolated on a sporadic basis. In addition, 17% of the gloves showed evidence of micropunctures after five sequential inoculations and washings. These results suggest that, even under strictly controlled conditions, glove surfaces cannot be reliably and consistently cleaned of microbial contamination, nor can they be guaranteed to remain puncture-free. Ideally, therefore, a new pair of gloves should be worn for each patient.
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The Annual Conference of the British Association of Teachers of Conservative Dentistry (BATCD) was held in Sheffield on 16 and 17 September 1993. The main programme addressed educational issues in three areas: the undergraduate/vocational-trainee interface, the teaching of implants in the undergraduate curriculum, and the changing role of dental instructors in restorative dentistry. The programme also included a number of research papers and poster demonstrations, which were submitted for the Association's new QED/Maillefer prizes in Restorative Dentistry. This paper presents reports of the four principal lectures, and abstracts of the research papers and poster demonstrations, with details of the prize winners.
As restorative services are major components of service distributions, changes in their level of provision could have considerable impact on dental practice. The aims of this study were to compare the number and types of restorative and related services provided in 1983 and 1988. A weighted, stratified random sample of dentists in Australia was surveyed in 1983 (n = 730, response rate 73%) and 1988 (n = 855, response rate 75%). In both 1983 and 1988 the majority of restorative services provided consisted of amalgams and resin composites. The number of fissure sealants, crowns and one-surface glass ionomers increased significantly between 1983 and 1988 while there were decreased numbers of one- and two-surface amalgams, and one-surface resin composites. Trends by patient age between 1983 and 1988 showed that for younger patients there were decreased numbers of amalgams, three-surface glass ionomers, and one- and two-surface resin composites, while there were increased numbers of one-surface glass ionomers and fissure sealants. Older patients had increased numbers of crowns, one- and three-surface amalgams, glass ionomers, and three-surface resin composites. These results demonstrate a shift in the types of restorative services and materials provided over time and between different age groups of patients.
In the present paper it is demonstrated that transcutaneous electrical nerve stimulation (TENS) and vibratory stimulation can reduce pathological pain but give insufficient pain reduction to allow dental and oral surgery. Thirty-seven patients were assigned to one of 4 groups receiving either TENS of high (100 Hz) or low (2 Hz) frequency, vibration at 100 Hz or placebo stimulation. Pain intensity was continuously assessed. A crude assessment of pinprick threshold, paraesthesia and anaesthesia was made prior to the clinical treatment. After 30 min of afferent stimulation the surgical treatment was started, aiming at pulp surgery, abscess incision or tooth extraction. However, all patients experienced intolerable pain at these attempts although about half of the patients experienced relief of their pathological pain, increase in pinprick threshold, paraesthesia as well as anaesthesia during the stimulation period. All patients were thus given conventional local anaesthesia and were all painlessly treated.
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This article focuses on lasers and aesthetic dentistry and their unique parallel in history from their early development to their present day usage and application. The demand for aesthetic dentistry has had a major impact not only on treatment planning but also on the choice of materials, techniques, and equipment. It is this demand that has married the use of lasers with aesthetic dentistry. A short literature review on the five basic laser types precedes the basic premise of smile design and its critical importance in attaining the desirable aesthetic end result. A short review on biologic width and biologic zone reinforces their importance when manipulating gingival tissue. Four case reports highlight the use of diode, erbium, and carbon dioxide lasers. The end results show the power of proper treatment planning and the use of a smile design guide when using these instruments and confirm a conservative, aesthetic treatment without compromising the health and function of the patients.
Erbium hard tissue lasers have the capability to prepare enamel, dentin, caries, cementum, and bone in addition to cutting soft tissue. The ability of hard tissue lasers to reduce or eliminate vibrations, the audible whine of drills, microfractures, and some of the discomfort that many patients fear and commonly associate with high-speed handpieces is impressive. In addition, these lasers can be used with a reduced amount of local anesthetic for many procedures. Today, these instruments have evolved from their initial use for all classes of cavity preparations to their ability for removing soft tissue, their usefulness in the disinfection of bacteria within endodontic canals, and most recently, as an alternative to the high speed handpiece for the removal of bone in oral and maxillofacial surgery. In addition, recent research has centered on the value of the erbium family of laser wavelengths in periodontics, including the removal of calculus.