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Puns and near puns in fables.

In previous research, (L. G. Lippman, K. Bennington, & I. L. Sucharski, 2002; L. G. Lippman & M. L. Dunn, 2000; L. G. Lippman, I. L. Sucharski, & K. Bennington, 2001), the body of the material (one-liners or fables) had been manipulated to increase its contextual connection to the final word or sentence. In the present study, the body of 6 fables remained constant, and only 1-3 words of the final sentences were manipulated. The pun version had dual connections to the story. Final sentences of 2 other versions had the same meaning, only a single connection to the story, but 1 was related acoustically to the pun. University students, instructed to pretend that someone was telling them each story, rated the fables and their reactions. Compared with its acoustic counterpart, the pun version provoked more reported humor reactions. For the nonpun versions, the one related acoustically to the pun yielded reliably greater reported inclination to smile, suggesting that participants may have inferred or created a pun. The groan, as a communication device, is discussed.

Adult↗

[Much ado about nothing].

The professional routine often allows us to forget over time not only the name, but often also the pathology for which a patient has recovered from and treated for with much "love and dedication". However some cases contribute to the baggage of a good doctor's experience and become nearly "proverbial" in nature. A 50 year old woman, affected by chronic cholecystitis and under suspicion of neoplasia of the cholecyst, came studied and subordinated to cholecystectomy approximately a year ago. As per William Shakespeare's comedy "Much Ado About Nothing", also in this case numerous resources have been inefficiently used and precious diagnostic tools, instead of clearing our doubts and confirming the diagnosis, perhaps due to the lack of experience and also for the fear of the medical-legal reactions, they assumed otherwise. Now, thinking about this case, makes us smile. We shouldn't forget that, in accordance with what we remember from our Masters, often the most probable pathology is also that most frequent one.

Cholecystitis↗

[Gingival and dental parameters in evaluation of esthetic characteristics of fixed restoratons].

This paper argues on importance of gingival and dental parameters in evaluation of esthetic characteristics of fixed restorations. Human beauty is a specific category which is not easy to define by means of any known criteria or with mathematic formula. But, it is also important for practitioners to take into consideration some objective rules determining what is really nice and appealing. In reconstructing the personal identity, it is essential to harmonize the esthetic features. In dental practice, this approach means to establish a close correlation among the facial, dental, gingival and physical components of orofacial system. For the purpose of this study, the authors have divided the overview of esthetic principles into two parts. The first one deals with some objective parameters such as: gingival health, the zenith of gingival contour, the balance of gingival levels, relative tooth dimensions, the golden proportion of the teeth, the design of dental arch, interdental contact areas, interdental closure, the contour of incisal edge and the shape of interincisal angles. The esthetic integration of these parameters into a frame of smile and the whole face, as well as some subjective criteria are discussed in the second part of the paper.

Dental Restoration, Permanent↗

Communication--a theatre art.

The art of communication is not easy. We communicate with patients by speech, writing, illustrations, gesture, touch and smell, sometimes singly, sometimes all at the same time. The firmness of a handshake carries meaning as clearly as words, in the same way that a smile radiates confidence and friendliness. Good communication carries its own reward: the trust of a patient.

Communication↗

Treatment of gingival recession by modified Langer and Langer technique.

In recent years, stronger need for esthetics and growing cosmetic demand for a pleasing smile has made many individuals more conscious of the recession on facial aspect of the teeth. Here we report a case illustrating treatment for facial gingival recession using modified Langer and Langer technique. The clinical results showed good soft tissue coverage of the root surfaces and improving esthetics.

Adult↗

The congenitally missing maxillary lateral incisor. Part 1: esthetic judgment of treatment options.

AIM: To determine how general dentists, orthodontists, combined dental specialists, and laypeople judged the relative attractiveness of a series of photographs of teeth that included cases with congenitally missing incisors to compare the esthetic appeal of various treatment options. METHODS: The photographs included cases with Maryland bridges, dental implants, and orthodontic substitution of the lateral incisors with the canines. Cases with no missing teeth were included as controls. The subjects rated each photograph independently, assigning a number between 1 and 5 for each of a series of 7 bipolar adjectives. Each photograph was given an overall score from 7 (best) through 35 (worst) for use in statistical analysis (ANOVA). RESULTS: Results indicated that general dentists, orthodontists, combined dental specialists, and laypeople differed in their evaluations of the photographs, which represented multiple treatment options for congenitally missing maxillary lateral incisors. CONCLUSIONS: Including esthetics of the finished result as an advantage or disadvantage for either restoration or canine substitution of the lateral incisors could be misleading to the patient because the judgment of esthetics of a smile can vary from one person to another or from one dental professional to another, as indicated in this study.

Analysis of Variance↗

Morphologic skeletal asymmetry, with a Class III skeletal discrepancy, treated without surgical intervention.

Patient J.S., adult, female, presented with a morphologic skeletal asymmetry of the mandible resulting in a unilateral posterior crossbite, and a Class III skeletal discrepancy characterized by a hyperdivergent facial pattern (FMA, 30 degrees), retrognathic maxilla (SNA, 79 degrees), and compensating maxillary alveolar dental protrusion (1-NA, 7 mm). Maxillofacial surgery was declined. Orthodontic treatment, utilizing the Tweed-Merrifield edgewise technique, widened the maxillary dentition with a combination buccal crown torque and buccal root torque and with lingual crown torque in the mandibular posterior quadrant. Temporomandibular joint symptoms lessened and function improved with orthodontic treatment. The skeletal asymmetry improved and the patient was happy with the result, including her profile and her beautiful smile.

Adult↗

[Treatment of class I malocclusion with severe dento-maxillary dysharmony in the permanent dentition of young black African patients].

Class I malocclusion with severe dental crowding can constitute a serious psychosocial and functional damage among young patients; from where orthodontic importance of the treatment. In the present study the authors present the treatment of two clinical cases whose initial problems are similar. They are two cases of class I malocclusion but whose certain diagnosed clinical factors have constrained in a case to control to the maximum anchoring on the level of the molars and in the other to control the dental axes. The final results are satisfactory because of the restoration of a physiological occlusion. Concomitantly we obtain a clear improvement of the smile.

Cephalometry↗

Life enrichment for long-stay patients in acute care: an interdisciplinary program.

Mr. T's stay on a medical unit became much more meaningful and enjoyable for him as a result of the LEP. Patient Focus sessions, which included input from his family, elicited several changes. Reassessments revealed that he could walk short distances with assistance, hence, he was placed on a toileting regime and he remained continent. His volunteer devoted at least two visits a week to him, and as the communication patterns improved, he was able to be taken to the coffee shop regularly. Furthermore, his hidden talents were discovered in recreation sessions and he soon started bringing samples of artwork to his room to be posted on his bulletin board. Smiles and laughter, instead of anger, became the norm when people greeted him in his chair by the nursing station. The team felt that Mr. T had reached nursing home level of care but, unfortunately, his history of aggressive behaviour tended to make nursing home administrators wary and non-receptive. To date, the consensus of the health care teams which are involved with the LEP is that 45 minutes every two weeks for discussion and planning for a selected long-stay patient has been time well spent. The teams are proud of their collaborative efforts and achievements. Most of all, the patients and their families are pleased with the improved quality of life that has emerged.

Aged↗

[Paradigms of fetal ethology].

In utero, the fetus is protected against biological and social influences of the outside world. This circumstance offers an opportunity for sonographic investigation of inherited fetal behavior free of extraneous effects. Observation of fetal activities with ultrasound permits the recognition of certain uniform features of fetal behavior. Immediately after birth, the neonate continues repeating those activities that he/she became accustomed to in the womb. Later these become modified by environmental influences. Nonetheless, basic inherited behavioral characteristics continue to be expressed and may remain recognizable even during adulthood. Some aspects of adult behavior may derive from experience acquired during fetal life. These include the hand-face reflex, various types of facial expression, such as smiling, crying, yawning, grimaces of dissatification and desperation as well as sticking out one's tongue.

Fetal Movement↗

Association between childhood obesity and smooth-surface caries in posterior teeth: a preliminary study.

PURPOSE: The purpose of this study was to determine if increased body mass index (BMI) is associated with an increased risk for dental caries. METHODS: Caries severity averages were calculated for a convenience sample of 178 children, ages 8 to 11 years, who participated in the University of Louisville Dental School-based dental treatment program "Smile Kentucky." Caries severity averages were then analyzed against the children's BMI, with gender and age used as covariates. RESULTS: The mean caries average for permanent molars significantly increased with increased BMI, even after adjusting for age and gender. The mean overall caries average did not vary significantly with patient age, BMI, or gender and may be due to confounding mixed dentition events such as eruption, extraction, variable teeth exfoliation, etc. CONCLUSIONS: Elevated body mass index is associated with an increased incidence of permanent molar interproximal caries.

Analysis of Variance↗

Metal-composite copings in the aesthetic restoration of the severely compromised patient.

Aesthetic enhancement of the smile can be as simple as performing tooth whitening or as involved as a full-mouth reconstruction. In instances where porcelain veneers are contraindicated, when subgingival margin placement is required, or when it is necessary to conceal dark substructures or provide occlusal stability, metal-ceramic crowns may be required. This presentation highlights the properties of a metal-composite coping and demonstrates its application in a full mouth reconstruction used by the author to achieve the desired functional and aesthetic outcome.

Crowns↗

The four dimensions of orthodontic diagnosis--part 1.

This article discusses the three usual dimensions of diagnosis - transverse, vertical, and the anterior-posterior position of the maxilla and mandible and the important fourth dimension - condylar position. Also discussed is how the proper diagnosis and treatment of these dimensions lead to: The Seven Keys to Facial Beauty and TMJ Health. An accurate diagnosis of crowding cannot be made from a panorex or study models alone - the panorex can be very misleading. Also, an accurate diagnosis of the transverse width of the maxilla and mandible cannot be made from a lateral cephalogram, a panorex, or study models - how they can also be very misleading. A method of facial diagnosis based on facial esthetics and the patient's smile that more accurately evaluates arch width problems and the need for arch expansion. An early orthopedic phase of treatment in certain types of cases can head off a major crowding problem and/or impacted cuspids. It is important to develop the maxilla to its proper size and arch form to allow for complete mandibular development and positioning. Three patient examples are shown using these methods and the results achieved.

Activator Appliances↗

Improving implant aesthetics: prosthetically generated papilla through tissue modeling with composite.

UNLABELLED: Dental implants provide clinicians with a predictable means of replacing the function of lost natural teeth. Whereas innovative restorative materials and techniques have yielded predictable "white aesthetics" for a tooth, comparable success with the "pink aesthetics" of implant restorations has been more problematic. This article describes a technique for improving the aesthetic outcome of implant dentistry by contouring soft tissue around implants through a buildup of composite to a "UCLA-type" abutment. From this technique, it is believed that a similar procedure for other implant systems can be easily and successfully extrapolated. LEARNING OBJECTIVES: This article discusses a technique that allows for implant placement in cases where the emergence profile has been compromised. Upon reading this article, the reader should: Understand why the pink aesthetics of the patient's smile are as important as the "white aesthetics". Learn how to contour the soft tissues surrounding implants.

Adult↗

Biometric identification using 3D face scans.

Biometrics is an emerging area of bioengineering that pursues the characterization of a person by means of something that the person is or produces. Face recognition is a particularly attractive biometric challenge. Most of the face recognition research performed in the past used 2D intensity images. However, algorithms based on 2D images are not robust to changes of illumination in the environment or orientation of the subject. The ability to acquire 3D scans of human faces removes those ambiguities, since they capture the exact geometry of the subject, invariant to illumination and orientation changes. Unencumbered by those limitations, research in 3D face recognition is now beginning to address a different source of error in biometric recognition: facial geometry deformation caused by facial expressions, which can make 3D algorithms which treat 3D faces as rigid surfaces fail. In this paper, a 3D face recognition framework is proposed to tackle this problem. The framework is composed of three subsystems: expression recognition system, expressional face recognition system and neutral face recognition system. In particular, a system for the recognition of faces with one type of expression (smile) and neutral faces was implemented and tested on a database of 30 subjects. The results proved the feasibility of this framework.

Algorithms↗

Neurodevelopmental assessment in the first year with emphasis on evolution of tone.

Neurodevelopmental assessment in the first year of life is important for determining presence or absence of brain damage. Assessment of passive tone is essential for planning interventional therapy. One hundred infants with a normal antenatal, natal and perinatal course were prospectively followed up for one year. Social smile had appeared by 6 weeks in all infants, transfer of objects at 6 months, clapping by 9 months and scribbling on paper (imitative or spontaneous) by 12 months. Neonatal reflexes disappeared by 3 months, lateral propping appeared in all infants at 9 months, however parachute reflex appeared in 96.5% of 87 infants tested at 9 months. Measurement of passive tone by popliteal angle and adductor angle was done at 3, 6, 9, 12 months and scarf sign was also evaluated. The mean popliteal angle increased from 100.6 +/- 5.4 at 3 months to 136 +/- 4.0 at 12 months, whereas the adductor angle increased from 84.8 +/-6.5 to 126.6 +/- 5.3 degrees. The fast and the quick component of the dorsiflexion angle showed a difference of less than 10 at all testings. Assessment of active tone in the form of head support at 3 months was present in all the infants, 95% had pull to sit at 6 months and all 100% had pull to stand at 9 months.

Age Factors↗

Gelastic seizures involving the right parietal lobe.

Gelastic seizures have been described in various epilepsies arising from the temporal or frontal lobes, although the most commonly encountered form is related to the presence of an hypothalamic hamartoma. We report a patient with gelastic seizures involving the right parietal lobe. Our patient, a 32-year-old man, underwent video-EEG monitoring, interictal and ictal brain SPECTs during gelastic seizures. Subtraction ictal SPECT co-registered to MRI (SISCOM), was performed to localize any ictal hyperperfusion during these gelastic seizures. The seizures consisted of brief staring followed by smiling and laughing. Electroencephalography during the gelastic seizures showed rhythmic sharp waves in the right parietal lobe. SISCOM showed ictal hyperperfusion in the right parietal lobe and medial portions of right cerebellum. Our findings suggest that the right parietal lobe may actively participate in the particular epileptogenic network generating gelastic seizures.

Adult↗

Correction of congenitally missing lateral incisors with porcelain veneers.

The ability of the dental professional to improve a patient's smile has become a benchmark in modern aesthetic dentistry. When one type of tooth is transformed into another through the restorative process, special care must be taken to ensure correct preparation and gingival contours to create the illusion that the teeth are in their correct position. With accurate digital photographic planning, active patient consultation, detailed tooth preparation, and a meticulous laboratory sequence, porcelain laminate veneers can be functional and can achieve the aesthetic expectations of the patient.

Adult↗