摘要:

AbstractBurning mouth syndrome is an underdiagnosed and often poorly managed oral sensory disturbance. This paper discusses the recognition of the condition and suggests clinical approaches to ensure a correct diagnosis and appropriate management. The expansion of the traditional dental rote of the dentist is reviewed in the context of overall oral and general health particularly with respect to the syndrome which demands an intensive workup, open discussions with the patient, and a carefully planned long‐term management strateg

ISSN:0045-0421    

DOI:10.1111/j.1834-7819.1996.tb06019.x

出版商:Blackwell Publishing Ltd    

年代:1996

数据来源: WILEY

摘要:

AbstractSeveral cases of advanced tooth destruction from widespread severe carious lesions are presented where methadone syrup has been used intra‐orally in a drug rehabilitation programme. Aetiological factors are discussed and suggestions made concerning treatment plans and social Implications for these patient

ISSN:0045-0421    

DOI:10.1111/j.1834-7819.1996.tb06020.x

出版商:Blackwell Publishing Ltd    

年代:1996

数据来源: WILEY

摘要:

AbstractThe sudden onset of paraesthesia in the distribution of the mental nerve should be regarded as an ominous symptom. It is usually related to events such as fractures or dentoalveolar surgery, but in the absence of such history this finding should be regarded with suspicion. Four case studies are presented in which the patient presented with unexplained mental paraesthesia, which were later related to metastatic malignant disease. Careful medical history is required to alert the clinician to appropriate diagnostic procedures and ensure correct management.

ISSN:0045-0421    

DOI:10.1111/j.1834-7819.1996.tb06021.x

出版商:Blackwell Publishing Ltd    

年代:1996

数据来源: WILEY

摘要:

AbstractA clinical study was carried out to determine the acceptability of a sugar‐free, low‐tack chewing gum by orthodontic patients undergoing fixed appliance treatment. Twenty‐five orthodontic and 25 non‐orthodontic control subjects were questioned on their preference between regular‐tack and low‐tack chewing gum. The orthodontic subjects showed a strong preference for the low‐tack gum compared with the regular‐tack gum. It was concluded that low‐tack, sugar‐free chewing gum can be used by orthodontic patients to increase saliva flow, with the potential to promote remineralization and help reduce white spot lesion formation related to fixed orthodontic appliances. This gum should also be of value in patients being treated for xerostomia who are wearin

ISSN:0045-0421    

DOI:10.1111/j.1834-7819.1996.tb06022.x

出版商:Blackwell Publishing Ltd    

年代:1996

数据来源: WILEY

摘要:

AbstractAs a result of motor vehicle accident soft‐tissue injury, temporomandibular joint articular disc derangement may develop and persist despite symptomatic treatment and medication. This study reports the effectiveness of management directed at controlling the TMJ and masticatory neuromuscular pain dysfunction with a TMJ/interocclusal stabilization appliance, specific biofeedback and ultrasound therapy. Following these conservative measures residual articular disc derangement was present in some subjects who were offered arthroscopic surgery and infrared midlaser with TMJ/ocdusal stabilization.Twenty subjects with residual disc derangement were randomly selected into two groups with and without arthroscopic surgery, and analyses of variance made before treatment, 12 months after conservative procedures, 3 months following arthroscopic surgery and midlaser therapy and 3 years since commencement of management. Dependent variables compared were pain‐discomfort, Clinical Dysfunction Index, articular disc derangement and maximal voluntary jaw opening. Conservative management alone provided significant reduction of pain‐discomfort and clinical dysfunction, while arthroscopic surgery resulted in significant reduction in articular disc derangement. The midlaser with TMJ/occlusal stabilization maintained significant improvement in the variables (p<0.01) for both groups. The common articular deviations in form found at arthroscopy were soft tissue alteration with hyperaemia, synovitis, synovial membrane and posterior attachment folding with connective tissue hyperplasia, and disc displacement with fibrous adhesions. The Global Status Score of pain behaviour compared with residual function, confirmed the presence of greater pain before treatment comm

ISSN:0045-0421    

DOI:10.1111/j.1834-7819.1996.tb06023.x

出版商:Blackwell Publishing Ltd    

年代:1996

数据来源: WILEY

摘要:

AbstractAnin vitrotest system involving application of 40 per cent silver fluoride solution to prepared cavities of moderate depth in extracted teeth failed to demonstrate the passage of significant amounts of fluoride into the dental pulp, despite a very high concentration of fluoride (100 000 ppm) in the applied solution. The test system used may not be conducive to quantitative investigation of ionic transfer because of disruptions to pulp circulation and fluid flow through dentine following tooth extraction. For this reason, the results are inconclusive as to whether or not application of 40 per cent silver fluoride as a cavity varnish or liner, and its use in the ‘atraumatic’ technique for treating deep caries, can be considered safe clinical procedu

ISSN:0045-0421    

DOI:10.1111/j.1834-7819.1996.tb06024.x

出版商:Blackwell Publishing Ltd    

年代:1996

数据来源: WILEY

摘要:

AbstractThe purpose of this study was to determine the tensile bond strengths of a resin‐modified glass ionomer cement and a poly‐acid modified resin composite to enamel. Three different enamel surface preparations (unetched enamel; enamel treated with 10 per cent polyacrylic acid; enamel etched with 35 per cent phosphoric acid), were used. On etched enamel, the glass ionomer cement (15.0 MPa) and the resin composite (14.3 MPa) had significantly higher bond strengths than the other groups tested, but were not significantly different from each other. In the acid treated groups, cohesive failure within the material occurred in all specimens, while in the other groups, all specimens failed adhesively. Further investigation is required to test the clinical efficacy of these restorative materi

ISSN:0045-0421    

DOI:10.1111/j.1834-7819.1996.tb06025.x

出版商:Blackwell Publishing Ltd    

年代:1996

数据来源: WILEY

摘要:

AbstractClinical success of fixed prosthodontic procedures is dependent in part upon the dimensional accuracy of elastomeric impression materials and impression procedures. Three elastomeric impression materials were used in custom and stock trays to determine the accuracy of impressions taken from an experimental stainless steel model representing premolar and molar bridge abutment preparations. Horizontal and vertical individual abutment and interabutment dimensions were measured on die stone replicas, and the measurements compared with those obtained from stainless steel master models. The results of this study demonstrate polysulphide is the least accurate impression material for both vertical and horizontal individual abutment dimensions. However, for interabutment horizontal dimensions, no statistical differences were noted between impression material types when using a custom tray. Stock trays produced unreliable results for all the materials tested.

ISSN:0045-0421    

DOI:10.1111/j.1834-7819.1996.tb06026.x

出版商:Blackwell Publishing Ltd    

年代:1996

数据来源: WILEY

摘要:

AbstractThere are many pathways involving different providers and locations that individuals may take in obtaining orthodontic services. The aim of this study was to document the provision of orthodontic services and establish the pathways taken toward fixed orthodontic treatment by adolescents in South Australia. Data were collected on the use of orthodontic services by a cohort of adolescents enrolled in the School Dental Service at age 13 years and again at age 15 years. By age 15 years, 83.2 per cent of the adolescents had received orthodontic consultations, 27.3 per cent had received fixed orthodontic treatment and 41.4 per cent had received other forms of orthodontic treatment (extractions, space retainers or removable appliances). The majority of fixed orthodontic treatment was supplied by orthodontists in the private sector, while extractions and removable appliances were provided mainly by public sector general dentists. Most individuals used services in both the public and private sectors and the most frequent pathway taken by the adolescents receiving fixed orthodontic treatment involved consultation in both the public and private sectors, non‐fixed orthodontic treatment in the public sector and fixed orthodontic treatment in the private sector. The findings indicate wide access to orthodontic consultation and a high uptake of fixed orthodontic treatment once the adolescent sought private sector orthodontic consultation. Orthodontic care was seen to be an interactive process between public sector general dentists and private sector orthodontist

ISSN:0045-0421    

DOI:10.1111/j.1834-7819.1996.tb06027.x

出版商:Blackwell Publishing Ltd    

年代:1996

数据来源: WILEY

ISSN:0045-0421    

DOI:10.1111/j.1834-7819.1996.tb06028.x

出版商:Blackwell Publishing Ltd    

年代:1996

数据来源: WILEY