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Awards and Prizes↗
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High frequency jet ventilation in complete oral rehabilitation.

High frequency jet ventilation (HFJV) has been used recently as an alternative to conventional endotracheal intubation in bronchoscopy and laryngoscopy procedure. The objective of this study was to define the applicability of the system to dental procedures performed on healthy and medically compromised patients. A total of seventeen pediatric patients ranging in age from twenty-eight months to fourteen years were included. The results of this study indicate that this technique is most beneficial for non-extraction cases, especially those with coagulation disorders or significant airway abnormalities. Routine use of this technique is not generally recommended. The physical characteristics of the smaller diameter soft catheter used in HFJV exemplify the advantages of this technique.

Adolescent↗
PubMed1991

[Absolute or relative isolation for fissure sealants? 12-month clinical study].

The purpose of this clinical study is to analyse the effectiveness of a sealant. Rubber dam and cotton roll methods of isolation where compared with respect to the effect of isolation method on retreatment and protection from caries during 12 months. We study the cost effectiveness ratio for both methods of isolation. The results could not be substantiated any differences between two methods.

Dental Caries↗
PubMed1991

Occupational cervico-brachial disorders among dentists. Analysis of ergonomics and locomotor functions.

The aim of the investigation was to compare dentists with and without occupational cervicobrachial disorders with regard to the mobility of the neck and shoulders and the static endurance of the shoulder muscles. Further, differences in working position and the task performance on a stimulated case were to be analysed. The investigation was carried out during a visit to the workplace of 143 dental officers in the Public Dental Service in Malmöhus District and the Municipality of Malmö. Of these dentists, 96 had signs of cervico-brachial disorders and discomfort while 47 had not. The ergonomic examination showed, that significantly more dentists without symptoms of pain applied a wedge cushion under the upper part of the back of the patient to get an optimum view (p less than 0.05). It was also found that significantly more dentists without symptoms were aware of and utilised the naturally arising pauses in their work than dentists with pain and discomfort. Further dentists with cervico-brachial disorders kept their head sidebent and rotated to a greater extent than dentists without symptoms (p less than 0.01). No significant difference was found between the two groups concerning mobility of the neck and shoulders. Significant differences were found between women with and without cervico-brachial systems.

Adult↗
PubMed1991

The effectiveness of a layered baseplate training aid in the preclinical instruction of second-year dental students.

The effectiveness of the Cavidrill baseplate in the training of second-year dental students in cavity preparations in primary ivorine teeth was assessed. The preclinical class of 112 students was divided into four groups: Cavidrill-only group, two groups combining Cavidrill training with traditional typodont training, and a typodont-only group. The Cavidrill baseplate was found not to improve the students' performance in cavity preparation when assessed on midterm and final examinations.

Dental Cavity Preparation↗
PubMed1991

[Dental education and preclinical procedures to develop indirect vision].

The technological advance and the development of the odontologic profession, requires the gradual incorporation of more accurate psycho-motrice methods. The aim of this report is the presentation of the systems elaborated for the development of the students' and odontologists' psycho-motive skill. This report describes the method known as "reflection box", for the learning of indirect vision. In order to achieve a training, for the correct odontologic practice, in ergonomic positions that prevent skeleton-muscle disorders resulted from inadequate professional practices, exercises in two and three dimensions should be carried out with said box.

Dentistry, Operative↗
PubMed1991

Common dental conditions in patients receiving restorative dentistry.

Conditions that affect the dentition and the materials utilized to treat these conditions are often unfamiliar to the physician. Dental caries and missing teeth are processes routinely treated in dental practice. Recent improvements in dental materials and techniques permit the dentist to restore the dentition to allow for corrected form, function, esthetics, and patient comfort. This paper describes some of the common conditions that affect the dentition, and the modalities routinely used to treat them.

Dental Materials↗
PubMed1991

Iatrogenic injury to the pulp in dental procedures: aspects of pathogenesis, management and preventive measures.

This review calls attention to the fact that iatrogenic ('dentistogenic') injury to the dental pulp is not an insignificant problem in clinical dentistry. On a short-term basis pulpal inflammatory lesions and hypersensitive teeth are frequently associated with procedures that involve removal of the dental hard tissue structures. Although the pulp is likely to recover, reparative processes induced by the insult may impair pulpal function on a long-term basis. In this paper current concepts regarding pathogenic mechanisms associated with injuries induced in the pulp by restorative and periodontal treatment procedures are reviewed. Aspects of the management of accidental pulp exposures are also described as well as measures to prevent or reduce iatrogenic injuries to the pulp.

Dental Materials↗
PubMed1991

The clinical nurse anesthetist as diagnostic sleuth.

Two cases are presented where observations made during anesthetic management led to appropriate diagnoses that otherwise might not have occurred in a timely fashion. In the first case, an early diagnosis of myasthenia gravis was facilitated; while in the second case, an improbable response led to rethinking of the initial diagnosis. The role of the nurse anesthetist in being alert to the consequences of unusual clinical and theoretical responses on behalf of the patient is depicted.

Adult↗