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At least 1,261 records · Page 70Linked to original sources
PubMed1996

Subsidized dental care improves caries status in male industrial workers.

The association between an employer-provided dental benefit scheme and dental status was studied in male industrial workers in southern Finland in 1994. A total of 325 workers (age 38-65 yrs) with access to subsidized dental care and 174 controls completed a multiple-choice questionnaire followed by clinical examinations. One or more carious teeth was registered in 19% of the subsidized group and 50% of the controls (P < 0.001). For subjects with retained roots the proportions were 2% and 15%, respectively (P < 0.001). Among those with caries the mean number of carious teeth was 2.1 (SD 2.0) in the subsidized group, and 3.2 (SD 3.8) in the control group (P < 0.05). The groups did not differ significantly in numbers of teeth or filled teeth. The probability of having one or more carious teeth was negatively associated with access to subsidized dental care, with a recall or check-up as the reason for the last dental visit, and with having had the last dental visit within the past two years. The results showed that the dental benefit scheme resulted in less untreated caries.

Adult↗
PubMed1989

[Clinical evaluation of the GaALAs laser treatment for hypersensitive dentin].

The methods available for treatment of hypersensitive dentin include the application of heavy metal salts such as diamine silver fluoride to the tooth, iontophoresis, Hyper-Band patching and restoration with various filling materials following cavity lining. Laser beam therapy, which has recently been used in dental treatment, is also expected to be applied to the treatment of hypersensitive dentin. In the present study, we obtained interesting results from the clinical use of a GaAlAs semiconductor Laser (Semilaser Nanox LX-800, GC Co.). The subjects were 63 patients with hypersensitive dentin: 8 patients without the exposed root, 40 with the exposed root, 21 treated with filling materials, 5 given Hyper-Band treatment, 14 with wedge-shaped defect, attrition or abrasion, and one with primary caries. Twenty-six fell into two or more categories. The effect of treatment was assessed by a single examiner in order to minimize error of estimates. Each lesion was directly irradiated for less than 3 minutes, and assessment of the result was conducted according to the criteria and method of Suzuki and Ishikawa. The results were as follows: The treatment was markedly effective in 44 (69.8%), effective in 12 (19.0%) and not effective in 7 (11.1%) of 63 patients. No case of exacerbation was found. The efficacy rate was 88.9%.

Dental Caries↗
PubMed1990

Mineral density and mineral loss after demineralization at various locations in human root dentine. A longitudinal microradiographic study.

From intact roots of human cuspids 83 dentine specimens were cut. The specimens with known location and thickness were embedded in a holder of polymethyl methacrylate and microradiographic images were made. From the longitudinal microradiography (LMR) measurements the average mineral density (kg/m3) of the sound human dentine specimens was calculated. All specimens were subsequently demineralized using a constant composition method in a solution containing 3 mM CaCl2.2H2O, 3 mM KH2PO4, 50 mM CH3COOH and 0.2 ppm fluoride as NaF at pH = 5 for 24 h. After demineralization the LMR measurements were repeated to calculate the amount of mineral lost. The data show that there is no correlation between: (1) the location of a dentine specimen in the root and the mineral density of sound human dentine, (2) the location of a dentine specimen in the root and the degree of demineralization after 24 h and (3) the mineral density of sound human dentine and the demineralization degree. This information is useful for future in vitro and in vivo studies on human roots.

Analysis of Variance↗
PubMed1992

Erosion.

With the current substantial decline in dental caries in adults, and increasing retention of teeth into old age, dental erosion is now being recognised as a major cause of tooth damage. It is easily recognised in its more advanced form, though more difficult to detect in its initial stages. Its mechanisms of action is generally not well understood. In this paper, current concepts of the chemistry of demineralisation of the mineral components of teeth are examined, with view to their providing a better understanding of some of the clinical characteristics of dental erosion of enamel. Categories and properties of potential erosive substances are reviewed. Speculation as to the potential effects of erosive substances on exposed root surfaces leads to consideration of the possible relationship between erosion and rapid caries development. The more commonly recommended mechanisms of control or prevention of erosion are described, and the rationale of their use analysed.

Dental Caries↗
PubMed2004

[Effect of irradiation on tooth hard tissue and its resistance to acid].

OBJECTIVE: To study the effect of irradiation on the susceptibility of radiation caries. METHODS: The structures of 56 teeth enamel and dentin of 63 roots were observed using SEM and the collagen fibre and the resistance to the acid were also investigated after irradiation of 30 Gy, 50 Gy and 70 Gy. RESULTS: The enamel structure changes were found after irradiation with different doses. The significant difference was found in the enamel changes between high or middle dose group and low dose group or control. The dentin morphology changed, some collagen fibre vanished and resistance to acid was reduced after irradiation with 50 Gy and 70 Gy. CONCLUSIONS: The radiation reduced the resistance of teeth to the acid and increased the caries susceptibility.

Acids↗
PubMed1984

Dental and maxillofacial abnormalities in long-term survivors of childhood cancer: effects of treatment with chemotherapy and radiation to the head and neck.

Sixty-eight long-term survivors of childhood cancer were evaluated for dental and maxillofacial abnormalities. Forty-five patients had received maxillofacial radiation for lymphoma, leukemia, rhabdomyosarcoma, and miscellaneous tumors. Forty-three of the 45 patients and the remaining 23 who had not received maxillofacial radiation also received chemotherapy. Dental and maxillofacial abnormalities were detected in 37 of the 45 (82%) radiated patients. Dental abnormalities comprised foreshortening and blunting of roots, incomplete calcification, premature closure of apices, delayed or arrested tooth development, and caries. Maxillofacial abnormalities comprised trismus, abnormal occlusal relationships, and facial deformities. The abnormalities were more severe in those patients who received radiation at an earlier age and at higher dosages. Possible chemotherapeutic effects in five of 23 patients who received treatment for tumors located outside the head and neck region comprised acquired amelogenesis imperfecta, microdontia of bicuspid teeth, and a tendency toward thinning of roots with an enlarged pulp chamber. Dental and maxillofacial abnormalities should be recognized as a major consequence of maxillofacial radiation in long-term survivors of childhood cancer, and attempts to minimize or eliminate such sequelae should involve an effective interaction between radiation therapists, and medical and dental oncologists.

Adolescent↗
PubMed1992

[Histological study of the change of pulp tissue during shedding of the deciduous tooth].

To understand the pulp change of root resorption of human deciduous teeth from a histological point of view, one hundred and twenty specimens were collected for study. The teeth (caries-free) were extracted for occlusal reason or because they exhibited various degrees of mobility and discomfort. The extent of root resorption was classified into five grades: Res. i, Res. 1/4, Res. 1/2, Res. 3/4 and Res. Co., according to Moorrees et al. and Haavikko. All teeth were fixed in 10% formalin (pH 7.2) immediately after extraction for 3-7 days. They were then decalcified for 14 days in 5% formic acid-sodium citrate, sectioned serially at 7 microns and stained with hematoxylin and eosin, Masson's stain, and silver impregnated stain. All sections were examined under a light microscope. The results obtained were as follows: 1. While the root was resorbed more than one half way, some normal pulp was replaced by the connective tissue as in inflammation. Internal resorption could be seen. 2. By the time deciduous root resorption was essential as complete, normal pulp tissue was no longer present. 3. Because the nerve degenerated during initial tooth resorption, there was no evidence that deciduous root resorption was under nervous control. 4. The present observation suggests that in addition to odontoclasts, several other cells such as fibroblast-like cells and macrophages, were actively involved in root resorption during the shedding of deciduous teeth.

Child↗
PubMedDate not supplied

[Tooth transplantation].

In the light of the thesis of J. Thibault, the authors suggest, in association with transplantation of wisdom tooth buds into the alveolus of the first molar, a technique consisting of placing the graft in its pre-eruptive position, removing in a block the bud, the gubernaculum and the sub-jacent gingival mucosa. Under these conditions, eruption occurs at the same time as development of the roots, which represents the most physiological solution. At the same time as formation of the root, the authors noted a paradoxal rhizalysis, hypercementosis resulting in ankylosis and conservation of vitality. In addition, almost all the teeth transplanted proved to be highly vulnerable to caries.

Female↗
PubMed2006

[Effect of host derived matrix metalloproteinase on the degradation of root dentin collagen].

OBJECTIVE: To evaluate the effect of dentin matrix metalloproteinase (MMP) on the degradation of root dentin collagen. METHODS: Root dentin powder was demineralized with acetic acid (pH 4.0) at 4 degrees C for 14 d, then dialysed and centrifuged. Precipitation was divided into 7 groups, with 6 samples in each group, and each sample was 50.0 mg. One milliliter artificial saliva with a different reagent was added in each sample respectively. The reagents were 2 mmol/L APMA (MMP activator), 2 mmol/L EDTA, 100 mmol/L EDTA, 200 mmol/L EDTA, 0.2% and 0.02% chlorhexidine (MMP inhibitor), and the blank artificial saliva was taken as control. The amount of degraded collagen of each sample was determined with hydroxyproline assay kit. Scanning electron microscope was employed to observe the morphological and structural changes of root dentin which was demineralized or put into artificial saliva after being demineralized. RESULTS: The mean amount of degraded collagen in APMA group was significantly higher than that in the blank group (P < 0.05). The mean amount of degraded collagen in 2 mmol/L, 100 mmol/L, 200 mmol/L EDTA, 0.02% and 0.2% chlorhexidine groups was dramatically lower than that of the APMA group and the blank (P < 0.01). SEM observation indicated that the structural integrity of the collagen network on root surface dentin still existed in root dentin surface after being demineralized alone, while collagenous fibril was destructed and the structural integrity on root dentin surface disappeared after being demineralized and treated by artificial saliva. CONCLUSIONS: MMP in root dentin can degrade root dentin collagen after being activated at low pH followed by neutralization. The results suggest that host MMP may play an important role in the process of dentin caries formation.

Collagen↗
PubMed1990

The microbial flora from root canals and periodontal pockets of non-vital teeth associated with advanced periodontitis.

Microflora from root canals and periodontal pockets of periodontally affected teeth were compared in order to elucidate the as yet unknown relationship between pulpal and periodontal disease. Caries-free teeth affected with advanced periodontitis and diagnosed as clinically dead by electric pulp testing were selected. The root canals and periodontal pockets were sampled, and the bacterial flora examined by both culture and interference microscopy. The results indicated that the aerobe/anaerobe ratio in the periodontal pocket was 0.23, while it was 0.0022 in the root canal, the large predominance of obligate anaerobes reflecting the anaerobic environment found in the root canal. Morphological classification obtained from interference microscopy showed similar proportions of morphotypes in the two sites. Results of anaerobic culture demonstrated a significantly higher rate of detection of facultative Streptococcus bacteria in the periodontal pocket than in the root canal. The predominant bacterial species common to both regions were Streptococcus, Peptostreptococcus, Eubacterium, Bacteroides, and Fusobacterium for obligate anaerobes. As for facultative anaerobes, Actinomyces and Streptococcus were detected predominantly in the periodontal pocket. The occurrence of micro-organisms common to both sites in this study suggests that the periodontal pocket may be a possible source of root canal infections.

Actinomyces↗
PubMed2004

The long-term effect of a plaque control program on tooth mortality, caries and periodontal disease in adults. Results after 30 years of maintenance.

BACKGROUND: The biofilm that forms and remains on tooth surfaces is the main etiological factor in caries and periodontal disease. Prevention of caries and periodontal disease must be based on means that counteract this bacterial plaque. OBJECTIVE: To monitor the incidence of tooth loss, caries and attachment loss during a 30-year period in a group of adults who maintained a carefully managed plaque control program. In addition, a comparison was made regarding the oral health status of individuals who, in 1972 and 2002, were 51-65 years old. MATERIAL AND METHODS: In 1971 and 1972, more than 550 subjects were recruited. Three hundred and seventy-five subjects formed a test group and 180 a control group. After 6 years of monitoring, the control group was discontinued but the participants in the test group was maintained in the preventive program and was finally re-examined after 30 years. The following variables were studied at Baseline and after 3, 6, 15 and 30 years: plaque, caries, probing pocket depth, probing attachment level and CPITN. Each patient was given a detailed case presentation and education in self-diagnosis. Once every 2 months during the first 2 years, once every 3-12 months during years 3-30, the participants received, on an individual need basis, additional education in self-diagnosis and self-care focused on proper plaque control measures, including the use of toothbrushes and interdental cleaning devices (brush, dental tape, toothpick). The prophylactic sessions that were handled by a dental hygienist also included (i) plaque disclosure and (ii) professional mechanical tooth cleaning including the use of a fluoride-containing dentifrice/paste. RESULTS: Few teeth were lost during the 30 years of maintenance; 0.4-1.8 in different age cohorts. The main reason for tooth loss was root fracture; only 21 teeth were lost because of progressive periodontitis or caries. The mean number of new caries lesions was 1.2, 1.7 and 2.1 in the three groups. About 80% of the lesions were classified as recurrent caries. Most sites, buccal sites being the exception, exhibited no sign of attachment loss. Further, on approximal surfaces there was some gain of attachment between 1972 and 2002 in all age groups. CONCLUSION: The present study reported on the 30-year outcome of preventive dental treatment in a group of carefully monitored subjects who on a regular basis were encouraged, but also enjoyed and recognized the benefit of, maintaining a high standard of oral hygiene. The incidence of caries and periodontal disease as well as tooth mortality in this subject sample was very small. Since all preventive and treatment efforts during the 30 years were delivered in one private dental office, caution must be exercised when comparisons are made with longitudinal studies that present oral disease data from randomly selected subject samples.

Adult↗
PubMedDate not supplied

[Radiographic study of teeth restored with porcelain and gold veneered crowns].

Radiographic study was performed to assess the results of the prosthetic therapy of teeth restored with porcelain and gold veneered crowns. Retroalveolar radiographs were used to evaluate the cast post-core-root ratio the presence of empty spaces between post-core and root canal filling. Also, bone resorption, marginal fit of the crowns, caries and proximal contacts were investigated. The failures were registered in a very high percentage for the teeth restored with gold veneered crowns. The poor marginal fit of the crowns, the presence of the secondary caries, and the bone resorption were at a very high level which could alarm the practitioner. The obtained results warn therapists that much greater attention should be paid to the construction of artificial crowns and to the radiographic analysis that gives very useful data on that regard.

Alveolar Bone Loss↗
PubMed1998

Cutaneous sinus tracts of dental origin: clinical review of 37 cases.

Cutaneous sinus tracts in the face and neck region are often dental in origin. The purpose of this study was to characterize the clinical features and treatment of 37 consecutive cases of odontogenic cutaneous sinus tracts, collected and reviewed in a 15-year period. More than half of the patients (21 cases, 57%) were referred from medical doctors, particularly plastic surgeons and dermatologists. The sinus tracts were associated with caries (26 cases), incomplete endodontic treatment (7), crown fracture (2), vertical root fracture (1) and impacted mandibular third molar (1). They occurred most often in adolescents and adults (30 cases, 81%). The most common causative teeth were mandibular teeth (34 teeth, 85%). The chin, submental, and cheek areas were the most common sites of sinus tracts (30 cases, 81%). The majority of causative teeth (32 teeth, 80%) were treated endodontically. All fistulas healed uneventfully after proper dental treatment, without cosmetic surgery. In 63% (20 cases) of the recorded cases, complete resolution occurred within 8 weeks. Half of the patients had had fistulas for more than 6 months before receiving dental treatment, demonstrating that delays in proper diagnosis and treatment were common. As most patients suffered from unnecessary medication or surgery due to the delay of dental treatment, early dental consultation and treatment is important. Conventional endodontic treatment should be the treatment of choice if the tooth is salvageable. The increasing incidence of incomplete endodontic treatment in association with the occurrence of sinus tracts indicates that standardized endodontic therapy should be emphasized for prevention.

Adolescent↗