{"title":"Multidisciplinary patient care in preventive dentistry: idiopathic dental pain reconsidered.","authors":"L G Horowitz, L Kehoe, E Jacobe","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Pain is a complex phenomenon which challenges healthcare providers to develop multidisciplinary diagnostic and treatment competencies. This paper reviews literature on idiopathic odontalgia and tooth hypersensitivity without apparent cause, and considers the role bioelectric mechanisms may play in the onset and treatment of these moderately common disorders. The hypothesis considers that such pain may be associated with health disturbances in areas remote from the teeth and periodontium. A multidisciplinary approach to preventive dental health is discussed along with factors which may impact the outcome in the treatment of dental pain.</p>","PeriodicalId":75715,"journal":{"name":"Clinical preventive dentistry","volume":"13 6","pages":"23-9"},"PeriodicalIF":0.0,"publicationDate":"1991-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12976188","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":"Study of malarial chemoprophylaxis and pregnancy gingivitis in Nigerian women.","authors":"S A Ogunwande","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Resolution of pregnancy gingivitis during pregnancy despite the usual therapy of scaling has not proved to be satisfactory. A clinical study of pregnancy gingivitis in 55 pregnant women (23 primigravid, 32 multigravid) showed pyrimethamine prophylaxis had a significant positive effect in the resolution of gingivitis during pregnancy. At the end of the gestation period, pregnant women who received pyrimethamine as malarial chemoprophylaxis showed significant improvements, as compared with placebo, in relation to gingival bleeding and enlargement, whether primigravid or multigravid. These clinical observations suggest that pyrimethamine may exhibit properties that may be inflammatory, act as immune enhancer and antihyperplastic agent by probably possessing an antagonistic effect upon nucleic acid synthesis.</p>","PeriodicalId":75715,"journal":{"name":"Clinical preventive dentistry","volume":"13 5","pages":"25-30"},"PeriodicalIF":0.0,"publicationDate":"1991-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12971224","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":"Effect of vitamin E gel, placebo gel and chlorhexidine on periodontal disease.","authors":"R E Cohen, S G Ciancio, M L Mather, F A Curro","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The purpose of this study was to compare the effects of a topical 5% vitamin E gel, a placebo gel and chlorhexidine on established and developing plaque and periodontal disease in 48 adult subjects. Baseline data included Plaque Index, Gingival Index and periodontal probing depth. All data were collected by a single calibrated examiner using a double-blind methodology. One group of subjects applied 12 mL of a vitamin E-containing gel delivering 800 mg of alpha-tocopherol, another applied 12 mL of a placebo gel, and the final group rinsed with 0.5 oz of 0.12% chlorhexidine gluconate. After two weeks, the clinical data were again recorded, and two quadrants were randomly selected and treated by root planing and scaling, with data collection repeated after both 4 and 6 weeks. Our results indicated that no significant effects upon plaque or gingivitis were obtainable in either the placebo or the vitamin E groups. However, use of 0.12% chlorhexidine significantly reduced plaque. These results do not support the use of vitamin E as a topical chemotherapeutic agent for the control of gingivitis or periodontal disease.</p>","PeriodicalId":75715,"journal":{"name":"Clinical preventive dentistry","volume":"13 5","pages":"20-4"},"PeriodicalIF":0.0,"publicationDate":"1991-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12971225","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":"A comparison of the effectiveness of two systems for the prevention of radiation caries.","authors":"W Al-Joburi, C Clark, R Fisher","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The purpose of this study was to compare the effectiveness of two systems for the prevention of dental caries in patients who have received radiation treatment (mean number of rads; 5672 +/- 1113) for head and neck cancer. The baseline examination of 184 dentulous patients included measures of DMFS and the Root Caries Index (RCI), field of radiation, gingival inflammation, oral hygiene status, pocket depth and attachment loss. The patients were assigned randomly into two treatment groups. One group was instructed to use 0.4% Sn2 gel while toothbrushing everyday, and the other group was instructed to use a 1.1% neutral NaF gel for three months, followed by twice daily rinsing with a remineralizing mouthrinse (Salminsol Solutions, Iowa City, Iowa). One hundred and forty-three patients were re-examined after one-year, and 69, 56 and 18 patients continued in the NaF gel/remineralizing mouthrinse, SnF2 and non-compliant groups, respectively. Inter-group comparisons showed that the incidence of MT, DMFT, and DF surfaced, and the RCI were significantly higher in the non-compliant group compared to either the SnF2 or NaF gel/remineralizing mouthrinse groups (P less than 0.05). Also, the NaF gel/remineralizing mouthrinse group demonstrated a significantly higher incidence of carious root surfaces compared to the SnF2 group (P less than 0.05). Also the incidence of radiation caries was significantly higher when the field of radiation exposed a greater surface area of the major salivary glands.(ABSTRACT TRUNCATED AT 250 WORDS)</p>","PeriodicalId":75715,"journal":{"name":"Clinical preventive dentistry","volume":"13 5","pages":"15-9"},"PeriodicalIF":0.0,"publicationDate":"1991-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12971221","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":"Effect of amine fluoride subgingival irrigation on periodontally diseased sites.","authors":"L Shapira, S Kaplan, J Goultschin, I Gedalia","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Amine fluoride gel, a surfactant and bactericidal compound was tested for irrigation of periodontal sites in inflammatory periodontal disease. Eight volunteer-patients who had at least 4 sites with probing depths of 6 mm or more in two different quadrants participated in the study. The start of the study was preceded by supragingival scaling. At the selected sites clinical (PI, GI, BOP, probing attachment) and microbial examinations (percentage motile rods and spirochetes) were performed at baseline, 30, 60 and 9 days. Irrigation with AmF gel and saline was performed at experimental and control sites twice weekly during one month. The mean Plaque Index, bleeding on probing and percentage mobile rods and spirochetes, at baseline, were not significantly different between the experimental and control groups, where as the mean gingival index and probing attachment were significantly different. There were decreases in the Plaque and Gingival Indexes, bleeding on probing, percentage motile rods and spirochetes and gain in probing attachment in both experimental and control groups during the test period of 60 days. However, these improvements from baseline values to the periods of 30, 60 and 90 days between the treatment and control groups were not significant. Although mean improvements of the parameters examined were greater in the experimental group, this was probably due to higher baseline values in this group.</p>","PeriodicalId":75715,"journal":{"name":"Clinical preventive dentistry","volume":"13 5","pages":"31-4"},"PeriodicalIF":0.0,"publicationDate":"1991-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12971100","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}
A Stabholz, J Shapira, D Shur, M Friedman, R Guberman, M N Sela
{"title":"Local application of sustained-release delivery system of chlorhexidine in Down's syndrome population.","authors":"A Stabholz, J Shapira, D Shur, M Friedman, R Guberman, M N Sela","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The effect of local applications of sustained-release delivery polymer containing chlorhexidine as an adjunct to mechanical plaque removal was studied in institutionalized children with Down's syndrome. Thirty children, ages 8-13, participated in the study. Clinical parameters (P1I, GI, papillary bleeding) were recorded and bacterial samples from selected permanent teeth were collected and processed before and following treatment. Following the registration of clinical findings and collection of plaque, all children had their teeth scaled and polished and were randomized into three treatment groups of ten subjects each: Subjects in group I had their teeth coated with ethyl cellulose containing chlorhexidine; those in group II had their teeth coated with placebo polymer and those in group III received no further treatment. Individual oral hygiene habits were not interfered with. The application of the solutions to the respective groups was done every 3 days for 21 days. Chlorhexidine treatment significantly reduced the PLI, GI total aerobic counts and S. viridans counts compared to no treatment. The placebo group showed similar effects to that of the chlorhexidine-treated group except for the total aerobic counts which were not affected. The results suggest that the use of chlorhexidine in a sustained-release dosage form applied to the tooth surfaces may prove useful in the control of plaque and its sequela in children with Down's syndrome.</p>","PeriodicalId":75715,"journal":{"name":"Clinical preventive dentistry","volume":"13 5","pages":"9-14"},"PeriodicalIF":0.0,"publicationDate":"1991-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13000556","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":"Agranulocytosis--periodontal manifestations and treatment of the acute phase: a case report.","authors":"Y Zubery, O Moses, A Kozlovsky","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A case report of oral and periodontal manifestation of agranulocytosis in a 12-year-old girl is presented. The agranulocytic state may have been caused by chronic brucellosis since childhood. On admission to the hospital, the acute oral symptoms were treated in order to enable the child to eat and perform standard oral hygiene measures. Chlorhexidine gluconate 0.2% was irrigated daily under pressure for supra- and subgingival plaque control. Resolution of inflammation was achieved without increase in white blood count and thus can be attributed to the control of the local etiologic factor, i.e., plaque.</p>","PeriodicalId":75715,"journal":{"name":"Clinical preventive dentistry","volume":"13 5","pages":"5-8"},"PeriodicalIF":0.0,"publicationDate":"1991-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12971105","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}
M Petrone, R R Lobene, L B Harrison, A Volpe, D M Petrone
{"title":"Clinical comparison of the anticalculus efficacy of three commercially available dentifrices.","authors":"M Petrone, R R Lobene, L B Harrison, A Volpe, D M Petrone","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A three-month, double-blind, parallel and unsupervised clinical study was conducted to compare the effects on supragingival calculus formation of the following four dentifrices: 1) A placebo dentifrice containing 0.243% sodium fluoride in a silica base. 2) A commercially available anticalculus dentifrice containing 5.0% soluble pyrophosphate in a 0.243% sodium fluoride silica base. 3) A commercially available anticalculus dentifrice containing 1.3% soluble pyrophosphate and 1.5% of a Gantrez copolymer in a 0.243% sodium fluoride silica base. 4) A commercially available anticalculus dentifrice containing 3.3% soluble pyrophosphate and 1.0% of a Gantrez copolymer in a 0.243% sodium fluoride silica base. The three-month results indicated that the three commercially available anticalculus dentifrices provided statistically significant reductions (at the 99% level of confidence) in supragingival calculus formation of 43.87%, 46.60%, and 51.32% respectively, as compared to the placebo dentifrice. There was no statistically significant difference among the three commercially available anticalculus dentifrices.</p>","PeriodicalId":75715,"journal":{"name":"Clinical preventive dentistry","volume":"13 4","pages":"18-21"},"PeriodicalIF":0.0,"publicationDate":"1991-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12818732","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":"Long-term oral effects of manual or electric toothbrushes used by mentally handicapped adults.","authors":"J Bratel, U Berggren","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This study investigated the long-term oral hygiene effects in mentally handicapped patients using an electric toothbrush as compared to manual brushing. Twenty-three moderately handicapped patients were selected and sampled into two study and two control groups. The two study groups used electric toothbrushes, while the control groups used manual toothbrushes. One of each study and control groups were aided by parent or staff in brushing. Plaque and gingival indexes were scored at day 0, after 3 months and after 16 months. Instruction in toothbrushing procedures and information about oral hygiene was given. When the study was completed, no significant changes were found in or between the groups regarding plaque scores. The gingival score of the unaided electric toothbrush group was significantly reduced after 16 months. This improvement was probably attributed to frequent recalls and a well-designed prophylactic program. The main conclusion of this study is that an electric toothbrush is not superior to a manual toothbrush.</p>","PeriodicalId":75715,"journal":{"name":"Clinical preventive dentistry","volume":"13 4","pages":"5-7"},"PeriodicalIF":0.0,"publicationDate":"1991-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12993280","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":"The effect of a high consumption of citrus fruit and a mixture of other fruits on dental caries in man.","authors":"S R Grobler","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The purpose of this study was to determine the effect of a high intake of citrus fruit or a collection of different varieties of fruit on the caries experience in farm workers. The number of subjects included was: for the citrus-producing group 120 (55 men), for the mixed variety group 95 (49 men) and 50 (25 men) for the grain-producing group (control group). Only farms where the drinking water fluoride concentration was less than 0.10 ppm were selected for the study. The mean daily intake of added sugars (excluding that from the specific fruits to be investigated), was the highest for the control group. The percentage frequency of toothbrushing of the three different groups was comparable and low. Significant differences (p less than 0.05) in the caries experience could be demonstrated between the two age categories (15-34 yr and 35+ yr) within any one of the three groups. Significant (p less than 0.0001) differences in the mean DMFT were found between the control group and each of the fruit-producing groups. No significant differences (p greater than 0.05) could be demonstrated between the two fruit-producing groups. However, the highest DMFT (24.8) was found in the citrus-producing group, with less in the mixed variety fruit group (22.7) and the least in the control group (9.9). The sequence of the order of magnitude of the components (D, M, F) of the DMFT was the same as that for the caries experience as such. It is concluded that a high consumption of various fruits over a long period is associated with a high caries experience.</p>","PeriodicalId":75715,"journal":{"name":"Clinical preventive dentistry","volume":"13 4","pages":"13-7"},"PeriodicalIF":0.0,"publicationDate":"1991-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13045462","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}