{"title":"In vitro demineralization inhibition of enamel caries utilizing an unfilled resin.","authors":"K J Donly, M Ruiz","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Smooth surface caries remain a concern in children, particularly those that are diagnosed with \"baby bottle caries.\" The purpose of this study was to evaluate the caries inhibition of an unfilled resin placed on smooth enamel surfaces. Incisors were obtained and painted with an acid-protective varnish, excluding 2 mm x 6 mm windows on the labial surface. Each tooth had an unfilled resin placed over half the area of the window; the remaining area was not treated. One hundred microns longitudinal sections were obtained from the treated and non-treated sites. Polarized photomicrographs were taken of each section, in imbibition media of air, water and Thoulet's (R.I.: 1.41, 1.47), representing a minimum of 1%, 5%, 10%, and 25% pore volume respectively. The sections were then painted with an acid-protective varnish so that only the external surface was exposed and placed in separate closed environments of a non-fluoridated artificial saliva. One section from each tooth had unfilled resin on the external surface, one section had only natural enamel exposed, and a third section had the external surface varnished to act as a control. The teeth were thermocycled at 10 degrees C and 50 degrees C, 20 cycles per day for three months; they were also cycled through artificial caries challenge (pH 4.4) for 35 minutes, three times per day. Sections were then photographed under polarized light, as before, and areas of lesions were digitized. Results demonstrated caries to be present on all non-treated enamel surfaces exposed to the artificial caries challenge. Significantly less enamel demineralization occurred when an unfilled resin was placed on it (p < 0.001).</p>","PeriodicalId":75715,"journal":{"name":"Clinical preventive dentistry","volume":"14 6","pages":"22-4"},"PeriodicalIF":0.0,"publicationDate":"1992-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12472846","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Indirect pulp capping: a survey.","authors":"G J Kaplowitz","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This study addresses the acceptance of the clinical practice of indirect pulp capping. State and regional dental boards and postgraduate dental education programs throughout the United States were surveyed. Results indicate that no clear consensus exists for the acceptance of this clinical procedure.</p>","PeriodicalId":75715,"journal":{"name":"Clinical preventive dentistry","volume":"14 6","pages":"20-1"},"PeriodicalIF":0.0,"publicationDate":"1992-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12472845","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Variability of two methods of measuring absorbed dose in dental radiography.","authors":"G Soh, Y H Chong","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Thermoluminescence dosimetry (TLD) has been widely used in the monitoring of radiation exposure in healthcare workers operating radiation devices. This study compared the reliability of TLD to an electronic dosimeter. The absorbed dose registered by the TLD chips was found to be higher than that by the electronic dosimeter. Variability was found to be significantly higher and the variance component attributed to the variability of the method of measurement was more than twice as much in TLD when compared to the electronic dosimeter. It is concluded that TLD is a more variable method of measuring absorbed dose than the electronic dosimeter.</p>","PeriodicalId":75715,"journal":{"name":"Clinical preventive dentistry","volume":"14 6","pages":"17-9"},"PeriodicalIF":0.0,"publicationDate":"1992-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12472844","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Enhancing flossing compliance in college freshmen.","authors":"J G Bagley, K G Low","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This study examined the relationship between dental compliance and health locus of control in 41 college freshmen. Subjects were randomly assigned to either a control (N = 13) or experimental (N = 28) group. Dental flossing compliance was assessed in all subjects using a brief dental exam that assessed pocket depth and plaque as indexes of flossing behavior. The Multidimensional Health Locus of Control Scale was used to measure health locus of control. An educational, low-fear intervention, consisting of the presentation of a pictorial diagram of the progression of periodontal disease and discussion of the importance of flossing was presented to the experimental subjects before monitoring began. Control subjects underwent a brief dental examination and flossing instruction only. Self-reported flossing compliance was monitored for 24 days following the dental examination and intervention. Significant decreases in the dental exam variables associated with plaque were found for both the experimental and control conditions. The low-fear, educational intervention had no significant impact on compliance. Instead, a dental exam and self-monitoring were as effective at increasing flossing compliance as the more time-consuming educational approach. A significant increase in internality of health locus of control across all subjects was also found. No significant interaction was found between health locus of control and group, but a trend was apparent. Control subjects who were externally oriented had the lowest flossing compliance scores while internal subjects in both conditions had higher flossing compliance scores.</p>","PeriodicalId":75715,"journal":{"name":"Clinical preventive dentistry","volume":"14 6","pages":"25-30"},"PeriodicalIF":0.0,"publicationDate":"1992-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12472849","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Comparing shower-based oral hygiene with traditional and electric toothbrushing.","authors":"L G Horowitz","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Despite the importance of self-care for disease prevention, dentists and hygienists have been largely unsuccessful as oral hygiene motivators. Because of competing values, patients commonly fail to comply with prescribed oral hygiene regimens. In this investigation, attitudes of 84 adult dental patients were evaluated following a 30-day trial in which a shower-based oral hygiene system (SBOHS) was compared with manual and electric toothbrushing regimens performed in traditional settings. While attitudinal differences between manual and electric toothbrushing groups were insignificant, the SBOHS was perceived as substantially more enjoyable, convenient and reinforcing than either conventional or electric toothbrushing performed outside the shower. Significantly more SBOHS users reported spending more time on oral self-care, taking better care of their teeth and gums, feeling better about plaque control, appreciating oral hygiene practices more and perceiving cleaner teeth and a fresher mouth after oral hygiene than either the conventional or electric toothbrush users.</p>","PeriodicalId":75715,"journal":{"name":"Clinical preventive dentistry","volume":"14 6","pages":"11-6"},"PeriodicalIF":0.0,"publicationDate":"1992-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12473009","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
S Mankodi, C Walker, N Conforti, W DeVizio, J J McCool, A R Volpe
{"title":"Clinical effect of a triclosan-containing dentifrice on plaque and gingivitis: a six-month study.","authors":"S Mankodi, C Walker, N Conforti, W DeVizio, J J McCool, A R Volpe","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A total of 294 adult male and female subjects completed a 6-month, double-blind clinical trial designed to evaluate the effects of a dentifrice which contained 0.3% triclosan in conjunction with 2% of a methoxyethylene/maleic acid copolymer in a 0.243% sodium fluoride/silica base, relative to a control dentifrice, on supragingival plaque accumulation and gingivitis. Plaque and gingivitis were scored after 3 and 6-month use of the assigned dentifrice. At the end of the study, the triclosan group showed an average reduction, relative to the control group, of 12% in plaque accumulation and 20% in gingivitis. Both were statistically significant at p < or = 0.0001. The effect of the triclosan dentifrice was most pronounced on the more severe manifestations of plaque and gingivitis. The improvement in the gingival parameters at 6-months relative to the control dentifrice was statistically significant at p < or = 0.0001. It was concluded that the twice-daily use of the triclosan-containing dentifrice resulted in significant reduction in supragingival plaque formation and a significant improvement in gingival health without the presence of any extrinsic staining or objectionable taste.</p>","PeriodicalId":75715,"journal":{"name":"Clinical preventive dentistry","volume":"14 6","pages":"4-10"},"PeriodicalIF":0.0,"publicationDate":"1992-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12472850","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Survey on AIDS, fear and infection control: attitudes affecting management decisions.","authors":"L G Horowitz, R D Lipkowitz","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>As a result of increased public concern about AIDS and dental treatment, dental professionals need to cope with legislative reactions, increased infection control costs, patient anxiety and vigilance on the part of law enforcement agencies regarding compliance with \"universal precautions.\" Recommendations abound for educating patients about dental office infection control to allay irrational fears and market dental office asepsis, but few studies quantitatively measure these needs or address the behavioral concerns patients have about AIDS infection related to dental care. In this investigation, dental patients were surveyed to determine their beliefs, attitudes and behaviors regarding AIDS and dental office infection control. Several important educational caveats were identified. This paper considers these challenges and provides patient education and practice management recommendations consistent with a preventive focus on allaying dental patients' fears while building more successful dental practices.</p>","PeriodicalId":75715,"journal":{"name":"Clinical preventive dentistry","volume":"14 6","pages":"31-4"},"PeriodicalIF":0.0,"publicationDate":"1992-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12472852","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
J S Dillenberg, S M Levy, D C Schroeder, E N Gerston, C J Andersen
{"title":"Arizona providers' use and knowledge of fluoride supplements.","authors":"J S Dillenberg, S M Levy, D C Schroeder, E N Gerston, C J Andersen","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Dietary fluoride supplements are recommended for dental caries prevention in children without access to optimally fluoridated water. Previous studies have shown deficiencies in dentists' and physicians' knowledge about dietary fluoride supplementation. Data were collected from dentists, physicians and other healthcare provider groups to assess dietary fluoride supplement knowledge and practices. Pediatricians and dentists were found to be the most knowledgeable concerning the recommended prescribing protocols. Substantial proportions of all practitioner groups had insufficient knowledge about the recommended dosages of dietary fluoride supplements by age, fluoride levels in local water supplies, and the effectiveness of fluoride delivery methods. Baseline knowledge and practices were determined for healthcare provider groups within Arizona.</p>","PeriodicalId":75715,"journal":{"name":"Clinical preventive dentistry","volume":"14 5","pages":"15-26"},"PeriodicalIF":0.0,"publicationDate":"1992-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12466306","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Remineralizing potential, antiplaque and antigingivitis effects of xylitol and sorbitol sweetened chewing gum.","authors":"L M Steinberg, F Odusola, I D Mandel","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The objective of this study was to investigate the effects of xylitol and sorbitol sweetened chewing gums on plaque accumulation, gingival inflammation and remineralizing potential of plaque following six weeks of use. Twenty-eight consenting individuals were randomly assigned to each of three phases (six weeks in duration) consisting of chewing xylitol gum, chewing sorbitol gum and a non-chewing phase. Subjects chewed one stick after every meal and at two other times for a total of five sticks per day. At the completion of each treatment phase, plaque and gingival indexes were performed and plaque was later collected. Calcium concentration in plaque was determined by atomic absorption spectophotometry. Reductions in plaque indexes were significant for both xylitol gum (p < 0.001) and sorbitol gum (p < 0.05) when compared to the no chewing period. The gingival indexes reflected a decrement in gingival inflammation with both xylitol and sorbitol, though only sorbitol values were statistically significant (p < 0.05). Chewing xylitol and sorbitol gums reduced plaque accumulation and gingival inflammation. In addition, both gums enhanced the remineralization potential of plaque. Xylitol gum showed a superior effect with respect to remineralization potential and plaque reduction. Sorbitol gum had a superior effect on gingival health but not significantly so.</p>","PeriodicalId":75715,"journal":{"name":"Clinical preventive dentistry","volume":"14 5","pages":"31-4"},"PeriodicalIF":0.0,"publicationDate":"1992-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12466310","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Non-invasive 27-hour blood pressure registration including dental checkups in some dental practices.","authors":"R A Gortzak, L Abraham-Inpijn, G Peters","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The study involved 53 patients aged 18 to 67 (mean age 38.8, SD 13.6), 26 male and 27 female, who were monitored by means of a 27-hour non-invasive ambulant blood pressure registration, using the Oxford Monitoring System. All patients had been under dental supervision by the same dentist for more than one year, and were familiar with the procedure during checkups. This study showed a significant rise in systolic blood pressure (8.6 mmHg) and a tendency towards increased diastolic pressure (2.9 mmHg) during dental checkups in comparison with the values recorded 24 hours earlier during normal daily activity. These results were independent of the blood pressure classification (normotensive, borderline or hypertensive) of the patients and are comparable to the increases measured during a visit to the GP. Neither the sex nor the manner of the dentist had any significant influence on either the systolic or diastolic pressure values during the checkup. Nor did the phobic level of the patients significantly influence blood pressure values during the dental checkup. On the basis of the results of this study, it may be concluded that regardless of whether the patient is phobic or non-phobic, and regardless of the sex and manner of the dentist, blood pressure measurements taken during dental checkups are reliable and can be used for referral decisions.</p>","PeriodicalId":75715,"journal":{"name":"Clinical preventive dentistry","volume":"14 5","pages":"5-10"},"PeriodicalIF":0.0,"publicationDate":"1992-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12466312","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}