Clinical preventive dentistry最新文献

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Clinical evaluation of Fluroshield pit and fissure sealant. Fluroshield窝裂封闭剂的临床评价。
Clinical preventive dentistry Pub Date : 1990-10-01
O E Jensen, R J Billings, J D Featherstone
{"title":"Clinical evaluation of Fluroshield pit and fissure sealant.","authors":"O E Jensen,&nbsp;R J Billings,&nbsp;J D Featherstone","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A triple-blind clinical study was performed to measure the amount, rate and oral distribution of fluoride released from Fluoroshield, a commercially available, filled Bis-GMA type sealant containing 2% NaF and 1% adhesion promoter. The study also compared the retention of this sealant in vivo with its nonfluoride-containing analog, Prisma-Shield. One hundred forty-seven pairs of caries-free permanent first molars in 82 children, aged six to nine years, were sealed with the two sealant types. Samples of whole unstimulated saliva, as well as site-specific saliva samples, were collected from 20 randomly selected subjects and analyzed for fluoride content. Complete or partial coverage was observed for 274 of 275 teeth evaluated at six months and for all 199 teeth evaluated at 12 months. There were no statistically significant differences in retention between the two sealants at 6 to 12 months. The release of fluoride was intense, but of short duration. Mean whole saliva fluoride content was 2.9 ppm +/- 0.13 (S.E.), and site-specific saliva fluoride content was 11.4 ppm +/- 1.02 (S.E.) buccal to the fluoride-releasing sealant at 30 minutes; both values returned to baseline within 24 hours. It was concluded that the addition and subsequent release of fluoride in Fluroshield did not decrease its retentiveness.</p>","PeriodicalId":75715,"journal":{"name":"Clinical preventive dentistry","volume":"12 4","pages":"24-7"},"PeriodicalIF":0.0,"publicationDate":"1990-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13244425","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}
引用次数: 0
Salivary flow rates: a diagnostic aid in treatment planning geriatric patients. 唾液流量:一种诊断辅助治疗计划的老年患者。
Clinical preventive dentistry Pub Date : 1990-10-01
R C Strahl, S Welsh, C F Streckfus
{"title":"Salivary flow rates: a diagnostic aid in treatment planning geriatric patients.","authors":"R C Strahl,&nbsp;S Welsh,&nbsp;C F Streckfus","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Salivary flow rate can be a highly significant diagnostic tool in the dental treatment planning of high risk groups. Those patients at risk for xerostomia (i.e. patients taking antidepressant and antihypertension medication, or having irradiation and pathology of the parotid) should be tested with the Lashley cup to determine if acceptable flow rates are being maintained or compromised. Adequate flow rates for dentulous and edentulous patients are significantly different. Group A had a mean flow rate of 0.75 ml/min while Group B (edentulous) had a mean flow rate of 0.5 ml/min. Using an independent t-test, there was a significant difference at the p less than 0.05 level. Both hard and soft tissue are ravished by xerostomia. In dentulous patients, caries rates soar and make the prognosis for fixed prosthetics poor. In edentulous patients there is an ineffective film thickness resulting in high abrasion (sore spots) and decreased retention of removable prosthesis. Masticatory and gustatory stimulants may help alleviate these symptoms. However, the measurement of salivary flow is an invaluable diagnostic tool in determining the prognosis of alternative treatment plans. Because the elderly are more likely to be taking medications which result in xerostomia, this diagnostic tool should be used on a routine basis with geriatric patients.</p>","PeriodicalId":75715,"journal":{"name":"Clinical preventive dentistry","volume":"12 4","pages":"10-2"},"PeriodicalIF":0.0,"publicationDate":"1990-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13243731","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}
引用次数: 0
Effect of plaque of five toothpastes used in the treatment of dentin hypersensitivity. 五种牙膏治疗牙本质过敏的牙菌斑效果。
Clinical preventive dentistry Pub Date : 1990-10-01
M Addy, P Mostafa, R G Newcombe
{"title":"Effect of plaque of five toothpastes used in the treatment of dentin hypersensitivity.","authors":"M Addy,&nbsp;P Mostafa,&nbsp;R G Newcombe","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>During a study to assess the efficacy of five toothpastes in the treatment of dentin hypersensitivity, the plaque scores of patients were recorded at baseline, 2, 4, and 6 weeks treatment and 6 weeks post-treatment visits. Baseline buccal and lingual plaque indexes were found comparable between the groups and the mean buccal plaque scores were considered low by normal standards. During the use of the three experimental silica-based pastes, one containing strontium acetate, one strontium acetate and MFP and a commercially available formaldehyde-containing paste, plaque scores fell significantly and to a similar extent in all four groups. After cessation of treatment at 6 weeks, plaque scores had increased back to baseline in all groups. During the use of a diatomaceous earth/strontium chloride toothpaste, commercially available, plaque scores increased significantly, both from baseline and by comparison with the other four pastes. Nevertheless, plaque scores in this group returned to baseline levels after cessation of treatment and a return to use of a conventional non-desensitizing toothpaste. The effects of all but the diatomaceous earth/strontium chloride toothpaste would not be inconsistent with previous experience in toothbrushing studies where patients are monitored regularly. The effects on plaque did not necessarily coincide with the previously reported treatment benefit of the respective products in dentin hypersensitivity.</p>","PeriodicalId":75715,"journal":{"name":"Clinical preventive dentistry","volume":"12 4","pages":"28-33"},"PeriodicalIF":0.0,"publicationDate":"1990-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13244426","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}
引用次数: 0
Abrasive effect of a rotating electrical toothbrush on dentin. 旋转电动牙刷对牙本质的磨蚀作用。
Clinical preventive dentistry Pub Date : 1990-10-01
H E Efraimsen, J R Johansen, E Haugen, R I Holland
{"title":"Abrasive effect of a rotating electrical toothbrush on dentin.","authors":"H E Efraimsen,&nbsp;J R Johansen,&nbsp;E Haugen,&nbsp;R I Holland","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The Rota-dent brush has been compared to conventional manual toothbrushes as to the abrasive effect on the dentin. Thirty-two teeth were embedded in epoxyresin. The test blocks were ground and polished, thereafter brushed with Jordan Soft, Jordan Blå Kjerne, Wisdom Plaque Master (hard) and three different Rota-dent brushes, Standardpoint, Hollow-cup and Longpoint. The brushing experiment was made in a test chamber filled with distilled water. After the brushing, the profiles of the brushtracks on the blocks were measured. On all the blocks, small tracks appeared which were not measurable. Conventional toothbrushes and Rota-Dent brushes used without dentifrice gave minimal abrasion on the dentin.</p>","PeriodicalId":75715,"journal":{"name":"Clinical preventive dentistry","volume":"12 4","pages":"13-8"},"PeriodicalIF":0.0,"publicationDate":"1990-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13243732","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}
引用次数: 0
Self-performed subgingival irrigation--a case report. 自行龈下冲洗1例。
Clinical preventive dentistry Pub Date : 1990-10-01
Y Zubery, E E Machtei, A Ben-Yehouda
{"title":"Self-performed subgingival irrigation--a case report.","authors":"Y Zubery,&nbsp;E E Machtei,&nbsp;A Ben-Yehouda","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Self-performed subgingival irrigation with 0.2% chlorhexidine is a simple method of treating isolated, deep periodontal pockets which do not respond favorably to conventional treatment techniques. Subgingival irrigation is most efficient in the anterior region, where it can be easily performed, and the results (resolution of inflammatory signs and pocket reduction) can be achieved within a short period of time (2-4 weeks). A case is presented whereby a non-surgical treatment of a patient with advanced adult type periodontal disease was used. After completion of active therapy, clinical and radiographic follow-up were maintained for three years. The need to depend on the patients's skill and cooperation may, however, limit the use of this technique.</p>","PeriodicalId":75715,"journal":{"name":"Clinical preventive dentistry","volume":"12 4","pages":"5-9"},"PeriodicalIF":0.0,"publicationDate":"1990-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13244427","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}
引用次数: 0
Sanguinarine: comparisons of antiplaque/antigingivitis reports. 血根碱:抗菌斑/抗牙龈炎报告的比较。
Clinical preventive dentistry Pub Date : 1990-08-01
T E Balanyk
{"title":"Sanguinarine: comparisons of antiplaque/antigingivitis reports.","authors":"T E Balanyk","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A critical comparison of the numerous clinical studies on sanguinarine indicates an extreme divergence of reported effects on plaque/gingivitis, ranging from significant reductions to findings of no detectable effect. These equivocal findings stem from numerous short-term studies and fewer long-term studies employing divergent experimental methods. The long-term performance of the sanguinarine mouthrinse or dentifrice, alone or in combined use, still remains to be firmly demonstrated and replicated. The majority of clinical trials fail to demonstrate consistent clinical benefits from the use of this agent.</p>","PeriodicalId":75715,"journal":{"name":"Clinical preventive dentistry","volume":"12 3","pages":"18-25"},"PeriodicalIF":0.0,"publicationDate":"1990-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13239123","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}
引用次数: 0
Efficacy of a prebrushing rinse for orthodontic patients. 正畸患者刷牙前冲洗液的疗效。
Clinical preventive dentistry Pub Date : 1990-08-01
J P Pontier, C Pine, D L Jackson, A K DiDonato, J Close, P A Moore
{"title":"Efficacy of a prebrushing rinse for orthodontic patients.","authors":"J P Pontier,&nbsp;C Pine,&nbsp;D L Jackson,&nbsp;A K DiDonato,&nbsp;J Close,&nbsp;P A Moore","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The oral health benefits of a prebrushing rinse, when used in conjunction with an established twice-a-day brushing regimen, was investigated in a population of orthodontic patients. Twenty children (ages 11-18) who were undergoing orthodontic treatment that required brackets and labial wires were enrolled. This randomized, double-blind, cross-over clinical trial compared five weeks of twice-daily use of a commercial prebrushing rinse (Plax) to five weeks of a placebo rinse. Three investigators rated plaque accumulation (Simplified Oral Hygiene Index) and gingival health (modified O'Leary Index) prior to treatment and after each five week session. Because one child exited from the project and three children did not satisfactorily comply with the treatment protocol, sixteen children were used for the analysis. Although both treatment groups showed plaque and gingival improvement from pretreatment scores, no differences in plaque accumulation ratings and gingival health ratings were noted between the active and placebo rinse treatments.</p>","PeriodicalId":75715,"journal":{"name":"Clinical preventive dentistry","volume":"12 3","pages":"12-7"},"PeriodicalIF":0.0,"publicationDate":"1990-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13239219","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}
引用次数: 0
Penetration of etched enamel and dentin cavity surfaces by bonding agent/composite resin. 结合剂/复合树脂对蚀刻的牙釉质和牙本质腔表面的渗透。
Clinical preventive dentistry Pub Date : 1990-08-01
J M Brady, J A Clarke-Martin
{"title":"Penetration of etched enamel and dentin cavity surfaces by bonding agent/composite resin.","authors":"J M Brady,&nbsp;J A Clarke-Martin","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Mechanical and adhesive advantage of resin bonding agents depend upon the ability to penetrate microspaces created with acid-etchants and close adaptation to cavity surfaces. As a replicating material, these resins may reveal morphologic characteristics of the cavity surfaces not seen by direct scanning electron microscope (SEM) investigation. The purpose of this study was to describe, with the SEM, the resin replications of acid-etched cavity walls of Class V cavity preparations in the labial and lingual surfaces of extracted premolar teeth. Cavities were prepared in the gingival third of these surfaces in 26 freshly extracted human premolar teeth using fissure burs in water-cooled, high-speed handpieces. The cavosurface margins were bevelled. The preparations were washed in tap water, dried, etched for 20 seconds with 35% phosphoric acid, coated with light-cured bonding agent and filled with light-cured composite resin in two applications. The teeth were dissolved in acid and the cavity walls of the composite examined in the SEM. Features observed included: (a) Type II resin penetration of interrod regions, (b) resin penetration of the lamellae to the dentino-enamel junction (DEJ), (c) a 10-20 microns step in surface contour at the DEJ, with penetration of terminal tubule branches, (d) insular regions of deep dentin tubule penetration and (e) 100-300 microns deep, 10-30 microns incremental microlamellar penetrations into the enamel at the DEJ corresponding to enamel tufts.</p>","PeriodicalId":75715,"journal":{"name":"Clinical preventive dentistry","volume":"12 3","pages":"30-3"},"PeriodicalIF":0.0,"publicationDate":"1990-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13239125","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}
引用次数: 0
Mechanical devices versus antimicrobial rinses in plaque and gingivitis reduction. 机械装置与抗菌冲洗在减少牙菌斑和牙龈炎中的作用。
Clinical preventive dentistry Pub Date : 1990-08-01
P Finkelstein, K G Yost, E Grossman
{"title":"Mechanical devices versus antimicrobial rinses in plaque and gingivitis reduction.","authors":"P Finkelstein,&nbsp;K G Yost,&nbsp;E Grossman","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The effectiveness of mechanical oral cleaning and oral antimicrobial rinses was compared for gingivitis and bacterial plaque control in 158 subjects. Teeth were brushed ad lib throughout; four of the five groups used either an interdental cleaner, dental floss, an essential oil mouthwash or a cetypyridinium mouthwash. Gingival bleeding (EIBI), visual inflammation (VGI), and tooth plaque coverage were evaluated at zero, six and 12 weeks of product use. After six weeks, bleeding reduction was 42% greater for the interdental cleaner and 21% greater for the dental floss than for the control. All groups showed a further decrease after 12 weeks, but only the 49% reduction of the interdental cleaner was significantly greater than the control. The rinses showed no more reduction in bleeding sites than the control throughout the study. VGI scores were no different from the control for any of the groups. However, the EIBI proved much more sensitive than the visual method finding three times as many inflamed sites. Plaque was reduced by both antimicrobial rinses 27% more than the control over 12 weeks; the interdental cleaner and dental floss groups showed no significant incremental plaque reductions. The results suggest antimicrobial rinses reduce plaque on visible tooth surfaces, but do not penetrate sufficiently between teeth to affect interdental plaque and thus interdental inflammation. However, by disturbing interdental plaque, both dental floss and the interdental cleaner have little effect on visible tooth surface plaque accumulation, yet produce a significant reduction in gingival inflammation.</p>","PeriodicalId":75715,"journal":{"name":"Clinical preventive dentistry","volume":"12 3","pages":"8-11"},"PeriodicalIF":0.0,"publicationDate":"1990-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13239129","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}
引用次数: 0
Anti-hypertension medications: an epidemiological factor in the prevalence of root decay among geriatric patients suffering from hypertension. 抗高血压药物:高血压老年患者牙根腐烂的流行病学因素。
Clinical preventive dentistry Pub Date : 1990-08-01
C F Streckfus, R C Strahl, S Welsh
{"title":"Anti-hypertension medications: an epidemiological factor in the prevalence of root decay among geriatric patients suffering from hypertension.","authors":"C F Streckfus,&nbsp;R C Strahl,&nbsp;S Welsh","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Predictions showing age distribution in our population of elderly citizens in our society within the next 30 to 40 years. One of the most destructive oral afflictions of the elderly is root decay. A study was performed to ascertain the prevalence of root caries among inner city geriatric patients taking anti-hypertension medications. One hundred randomly selected patients were studied. Fifty patients taking the anti-hypertension medications for at least two years were compared to a control group of 50 healthy patients of nearly the same age. With oral hygiene factors being equal, the group taking anti-hypertension medications demonstrated a higher prevalence of root decay at the p less than 0.01 level.</p>","PeriodicalId":75715,"journal":{"name":"Clinical preventive dentistry","volume":"12 3","pages":"26-9"},"PeriodicalIF":0.0,"publicationDate":"1990-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13305080","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}
引用次数: 0
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