Thyroid radiation dose during panoramic and cephalometric dental x-ray examinations. Radiation exposure from panoramic equipment can be reduced significantly by use of smaller film, adjustment of the beam height to the height of the smaller film, and careful positioning of patients. These techniques have no adverse effect on the quality of the diagnostic information needed in dentistry. In addition to describing methods of reducing exposures from panoramic machines, this study demonstrates that the use of a barrier collar during static, cephalometric examinations can appreciably reduce thyroid exposure. Since the objective is to obtain diagnostic information from the film without irradiating the thyroid, the application of a lead-impregnated collar is a minor inconvenience, easily borne by the patient and operator. It should be noted that the use of the collar during panoramic examinations affords little or no protection since the relative motion of the panoramic machine places the axis of movement inside the head and neck of the patient. While the evolution of diagnostic radiology may have reached a high level of technical refinement of equipment and film the clinician still must avoid unnecessary exposure for X-ray examinations and must carefully select the best type of examination to be used for each patient. For example, a complete panoramic examination to determine the position of a known unerupted third molar tooth is probably not an exercise of good judgment since other examinations, such as periapical, could yield the same information with less exposure. Decisions must be made with good judgment, value being placed on relative risks versus the benefits of diagnostic yield.


The effect of bite plane use on terminal hinge axis location. The effect of bite phase therapy on the location of hinge axis was observed and compared in a sample of normal subjects and a group of individuals with TMJ dysfunction. The normal group displayed a mean change of 1.0 mm with a range of 0.3 mm to 3.4 mm between bite plane use and its absence. The direction of change with bite plane use was anterior with a tendency for superior component. The same group utilized the bite plane a second time and the axis location was compared with the original determined with bite plane use. This procedure was done to test the reproducibility of hinge axis on normal subjects. The mean change between the two bite plane uses was .87 mm with a range of 0.0 mm to 3.0 mm. The symptomatic patients changed a mean of 1.46 mm with a range of 0.0 to 3.3 mm. The direction of change was definitely posterior following therapy with a strong tendency for a superior component. This study seems to emphasize the need for a relaxed and asymptomatic muscular pattern for individuals on whom occlusal adjustments are to be made. In the presence of erroneous maxillomandibular skeletal relationships inaccuracy is inherent for occlusal equilibration.


Effects of Von Langenbeck palatoplasty on facial growth. The conclusion derived from this study is that the Von Langenbeck palastoplasty as performed on the cleft individuals evaluated here did not produce gross discrepancies in the dento-facial structures or relations examined. On the average, the skeletal and profile relations of the maxilla to the mandible can be considered within the acceptable range. With this in mind, speech becomes a more crucial parameter in evaluating the over-all results of this procedure. Other dental parameters, e.g., incidence of crossbite, arch collapse, etc., need to be examined if a complete evaluation of the results of palatal surgery is described. This should be done after all orthodontic treatment has been completed and all retainers removed.


A cephalometric study of the relationship between the malar bones and the maxilla in white American females.


The saddle angle: constancy or change?

The saddle angle: constancy or change? Serial cephalometric radiographs of 165 children have been used to analyze age-associated changes in the saddle angle (Ba-S-N). There are mean decreases in this angle of about 5 degrees from birth to 2 years in those with either a Class I or a Class II occlusion; later changes are slight. The mean values tend to be slightly smaller in Class I boys than in those with Class II. Generally, the means are slightly larger in boys than girls but in adults this sex difference is in the reverse direction while remaining slight. It is reasonable to conclude that change is dominant in the first two years. Even after pubescence the angle is not constant but the changes are much smaller. The variability of the angle is greater for Class II than Class I individuals and its variability is greater in girls than boys after 12 years. Almost all the median increments are negative; that is, the flexure of the cranial base decreases with age particularly if the increments begin at the first available radigraph. This tendency is more marked in Class II then Class I occlusion. The increments are markedly variable in each occlusion group with large changes occurring in some individuals. Correlations between the saddle angles at different ages are high; this shows a marked constancy of the relative levels for individuals. The correlations between increments are small; presumably this reflects the small sizes of these increments relative to error terms. In the present group the saddle angle is positively correlated with Ba-N length, but the correlation between the saddle angle and either cranial vault length of stature are near zero. These findings show that there is marked constancy within individuals after the age of 2 years although, as noted earlier, there is marked variability in the size of the angle at particular ages and the serial data for some unusual individuals show large changes that are generally decreases.


Effects on lower third molars after extraction of second molars. The material consisted of 78 cases, 44 males and 34 females of the ages of 10-15 years. The orthodontic treatment followed the diagnosis of Class II malocclusion with crowding in the lower jaw. In addition to extraction of lower second molar the treatment consisted of distal driving of lower first molars in different ways. The treated cases were assessed by use of study models and lateral oblique X-rays. No third molars were treated in any cases. The results showed that in the majority of cases the third molars were adequate substitutes for the extracted second molars.


Caries experience in orthodontically treated individuals. The caries ecperience in 26 girls and 26 boys living on an island outside. Bergen, who had received orthodontic treatment with fixed appliances, was examined 1.5 to 2 years after the end of treatment. The children were then between 1l and 17 years old. The remaining children of the same age group, 58 girls and 53 boys, served as controls. The orthodontic patients had received repeated hygiene instructions during the treatment period and were expected to rinse their mouth with 0.05% sodium fluoride daily. The percentage distribution of DMF-surfaces indicated somewhat less caries experience in the treated group. A chi-square test showed significantly more intact surfaces on the maxillary first molars, second premolars, canines and central incisors, and mandibular molars and second premolars in treated than in untreated children, and also demonstrated significantly fewer new lesions in the upper second molars at the time of examination in the treated groups. A comparison of the caries experience of the different surfaces revealed significantly more intact surfaces in the treated group and significantly fewer new lesions on the mesial and distal surfaces in treated in untreated children at the time of examination.


Problems and methods in research on the genetics of dental occlusion.


Case report.

Case report.


Hypokalemia in leukemia.

Hypokalemia in leukemia.


Amphotericin B induction of sensitivity to adriamycin, 1,3-bis (2-chloroethyl)-1-nitrosourea (BCNU) plus cyclophosphamide in human neoplasia. Seven patients with metastatic tumors resistant to therapy with adriamycin, BCNU, plus cyclophosphamide received the same chemotherapy combined with amphotericin B. One complete response (acute myelomonocytic leukemia), two partial responses (carcinoma of the breast and multiple myeloma), and one case with objective improvement (carcinoma of the breast) were observed in seven evaluable trials. Myelosuppression was not consistently changed by addition of amphotericin B. Fever and chills were common after amphotericin B. Bronchospasm and hypotension occurred twice. Amphotericin B reverses resistance to adriamycin-containing chemotherapy regimens in some patients.


Myelomonocytic leukaemia with a preleukaemic syndrome and Ph1 chromosome in monozygotic twins. A case of monozygotic twins with a preleukaemic phase of 3 1/2 years is reported. The final haematological picture was that of myelomonocytic leukaemia. The karyotype investigated in one twin during the final period of the disease showed a Ph1 chromosome.


Does allergy play a role in fibrositis?

Does allergy play a role in fibrositis? Twenty patients with active fibrositis and no underlying disease (and with normal electromyographic findings) were evaluated for the possible role of an active allergic process in their conditions. A definite atopic history was obtained in just fewer than 50% of the patients, and an allergic diathesis in slightly more than 50% of the patients' families. Serum immunoglobulin E levels and eosinophil counts for all 20 patients fell within the normal range. Thus the traditional allergic reaction (type I hypersensitivity) would seem unlikely as a mediator of fibrositis.


Anesthesia and postoperative care for cardiac operations. Almost three decades have passed since the establishment of open-heart surgery, and in such a short life span the specialty has established itself scientifically and reached a certain maturity. New techniques, better understanding of the pathophysiology of cardiac problems, and the effective use of new drugs constantly improve the results of operation. Greater experience in anesthetic management and improved postoperative care will contribute much to the success of this youngest surgical specialty. This review outlines the current principles of anesthesia and postoperative care of patients undergoing cardiac operations. Preanesthetic evaluation provides guidance for anesthetic management, supportive techniques, and postoperative care. During operations, light anesthesia is usually sufficient for patients with cardiac disease and minimizes myocardial depression. Monitoring must provide data on the physiological changes that are taking place from moment to moment during and after operations. Perfusion produces a highly abnormal state, and the severity of complications varies with its duration. Introduction of new drugs has also facilitated hemodynamic management during and after operations. Postoperative care is based on careful observation of the patient and early detection of trends, both of which lead to preventive rather than curative treatment wheneven possible.


Experimental luting agents based on the glass ionomer cements.


The adaptation of composite resins to tooth structure. Part 1. Study 1: introduction and the adaptation of composite resins to the unetched enamel cavity wall.


Electrolyte and acid-base disturbances in the management of leukemia. Electrolyte disturbances in leukemia can be the result of the disease process or drug therapy. One group of electrolyte abnormalities is related to the stage of the leukemic process. Included in this group are newly diagnosed patients who may show elevated serum potassium, phosphorus, and magnesium--a result of their release from malignant cells after cytotoxic therapy or their accumulation due to urate nephropathy. Patients in remission usually have normal serum electrolyte concentrations, but acute leukemia patients during relapse may have hypokalemia, hypophosphatemia, and hypomagnesemia. This imbalance may be related to cellular uptake of these electrolytes in the presence of inadequate dietary intake. Other factors contributing to electrolyte derangements, and related to the leukemic process, include hyponatremia and hypochloremia secondary to the SIADH, hypokalemia in acute monocytic or acute myelomonocytic leukemia due to lysozyme-induced tubular damage, hypercalcemia possibly secondary to leukemic infiltration of bone or parathyroid glands (with PTH release), or production of a PTH-like substance by leukemic cells. Nonspecific factors related to the disease process which may aggravate the electrolyte imbalance include gastrointestinal loss through nausea, vomiting, and malnutrition. The drug-related electrolyte abnormalities include cyclophosphamide- and vincristine-induced SIADH; decreased serum sodium, chloride, potassium, and calcium concentrations as a result of polymyxin B nephrotoxicity; hypokalemia and hypomagnesemia secondary to amphotericin B; hypocalcemia, hypophosphatemia, and hyperphosphaturia due to L-asparaginase-induced hypoparathyroidism; hypokalemia due to a nonreabsorbable anion effect of antibiotics in the distal tubule or changes in membrane ionic transport of all cells by large doses of antibiotics. Electrolyte disturbance in leukemia thus have a multifactorial pathogenesis which can best be delineated according to the stage of the leukemic process and the drugs being used. Recognition of the cause or causes in a particular patient is essential for an effective approach to management. This review emphasizes the need for routine measurement of serum electrolytes during all phases of the leukemic process.


Changing erythrocyte populations in juvenile chronic myelocytic leukemia: evidence for disordered regulation. Fetal and adult erythrocyte characteristics were studied serially in a 30-mo-old female with juvenile chronic myelocytic leukemia. On presentation the erythrocytes exhibited predominantly fetal characteristics as indicated by 69% hemoglobin F (HbF), 1.1% hemoglobin A2 (HbA2), absent I antigen, and fetal levels of the erythrocyte enzymes, carbonic anhydrase I and II, glucose-6-phosphate dehydrogenase, hexokinase, pyruvate kinase, and lactate dehydrogenase; 100% of the erythrocytes present contained HbF. However, Orskov-Jacobs-Stewart hemolysis demonstrated that at least one adult characteristic was present. Seven months later HbF was 17%; I antigen and carbonic anhydrase I had increased to adult levels. The number of cells containing HbF had decreased to 30%. Further studies indicated that at least three new populations of red cells were present after 7 mo which had not previously been detected. Two of these populations exhibited a mixture of both fetal and adult characteristics. Such findings suggested that an ongoing disturbance of regulatory mechanisms was responsible for the variable expression of fetal versus adult erythrocyte characteristics.


The Philadelphia chromosome in human macrophages. Three patients with chronic myelocytic leukemia in different phases of the natural history of the disease were studied. Their bone marrow cells were cultured under conditions favoring macrophage proliferation, and parallel cytogenetic and cytochemical studies were performed. All cell metaphases examined contained the Ph1 chromosome at a time when more than 80% of these metaphases were in identifiable macrophages. We conclude that the mononuclear phagocyte cell line contains the abnormal chromosome in Ph1-positive chronic myelocytic leukemia.


IgD myeloma and acute myelomonocytic leukemia.


Stand on in-office audits reaffirmed.

Stand on in-office audits reaffirmed.


Oral cancer screening--our continuing responsibility.


"Dental work--cheap".

"Dental work--cheap".


Radiotherapy in leukemia and lymphoma of children. Radiotherapy is important in the treatment of leukemia and lymphoma of children. In acute lymphocytic leukemia administration of cranial irradiation early during chemotherapy-induced remission prevents initial meningeal relapse. When cranial irradiation is combined with a 3-year course of multiple drug systemic chemotherapy approximately one-half of the children remain in complete remission for 5 years or more and are at little risk of relapse. Preventive cranial irradiation is effective in children with acute myelocytic leukemia, also, but this does not affect survival because of the inadequacy of chemotherapy in controlling bone marrow disease. Low dose palliative irradiation can be helpful in caring for some children with obstructive, painful or disabling leukemic lesions. In Hodgkin's disease of children radiotherapy is effective in curing stages IA, IIA, and IIIA disease and contributes to chemotherapy control of stages IIIB and IV disease. The role of radiotherapy in non-Hodgkin's lymphoma is less clear. Children with T-lymphoblastic lymphoma tend to have rapid dissemination to bone marrow and meninges and appear to benefit more from multiple agent chemotherapy and preventive meningeal irradiation. Children with B-lymphoblastic lymphoma usually benefit from cyclophosphamide therapy; the value of irradiation is yet to be established. However, radiotherapy is frequently curative in stage I B-lymphocytic nodular and histiocytic lymphomas. The indications for radiotherapy in children with leukemia and lymphoma are constantly changing. Before each child is treated the multi disciplinary evaluation and treatment team must consider the rationale in relation to the specific child and current knowledge.


Repeated chlorpromazine administration increases a behavioural response of rats to 5-hydroxytryptamine receptor stimulation. 1 The hyperactivity syndrome produced in rats by administration of tranylcypromine (20 mg/kg i.p.) followed 30 min later by L-tryptophan (50 mg/kg i.p.) is generally considered to be due to increased 5-hydroxytryptamine (5-HT) functional activity. It is inhibited by chlorpromazine (30 mg/kg i.p.) injected 60 min before the tranylcypromine. However, chlorpromazine injection for 4 days either at a dose of 30 mg/kg once daily or 5 mg/kg twice daily results in an enhanced hyperactivity response to tranylcypromine and L-tryptophan administration 24 h after the final dose of chlorpromazine. 2 One injection of chlorpromazine (30 mg/kg) did not produce enhancement 24 h later and the inhibition of the tranylcypromine/L-tryptophan hyperactivity observed after acute chlorpromazine injection was seen if the rats were given tranylcypromine and L-tryptophan 1 h after the fourth chlorpromazine (30 mg/kg) dose. 3 Chlorpromazine (30 mg/kg) once daily or 5 mg/kg twice daily for 4 days resulted in rats displaying enhanced behavioral responses to the suggested 5-HT agonist 5-methoxy N,N-dimethyltryptamine (2 mg/kg) on day 5. 4 Chlorpromazine (30 mg/kg) once daily for 4 days produces a slight increase in brain 5-hydroxytryptamine (5-HT) concentration on day 5, but no difference in the rate of brain 5-HT synthesis or the rate of 5-HT accumulation after tranylcypromine and L-tryptophan administration. 5. There is some evidence that chlorpromazine blocks 5-HT receptors. It has also been observed that several other neuroleptic drugs do not produce enhanced 5-HT responses after repeated administration. It is suggested therefore that the enhanced behavioural response to 5-HT receptor stimulation following repeated chlorpromazine administration may be because this drug blocks 5-HT receptors.


Role of radiation therapy in management of adult leukemia. There are both defined and evolving roles for radiation therapy in the management of adult leukemias. For the acute leukemias, emphasis presently is on adjuvant irradiation of local manifestations including CNS "prophylaxis" for subclinical meningeal involvement. In chronic myelocytic leukemia, local palliative radiotherapy is complemented by the use of splenic irradiation for its systemic effect. Recently, total body irradiation has been shown to influence the natural history of chronic lymphocytic leukemia. For the first time, it has been possible to achieve remissions that prolong survival as well as improve the quality of life. Future exploitation or radiotherapy in adults with leukemia will be dependent upon improved communication and cooperation between the various medical specialists concerned with patient care in these diseases.


Reproduction and the test tube baby.

Reproduction and the test tube baby. The goals of research into human reproduction leading to the ultimate of a test tube baby are discussed.  While research today focuses on helping the infertile couple or correcting unwanted genetic traits, many problems and questions of an ethical and moral nature are left unanswered.  Some of the techniques in current use are described: 1) artificial insemination, 2) in vitro fertilization, 3) in vitro culture, 4) embryo reimplantation, and 5) cloning.  It is only responsible to become aware of current research so that it is possible to deal with questions that will confront us.


ADA comments on hospital staff controversy.


Consumerism sequesters denturism.

Consumerism sequesters denturism.


Jungle dentist.

Jungle dentist.


This survey will benefit you!

This survey will benefit you!


Become involved!

Become involved!


Belize beckons professionals.

Belize beckons professionals.


Deanol in Gilles de la Tourette Syndrome: a preliminary investigation. On the basis of its pharmacologic action Deanol (dimethyl aminoethanol) was hypothesized to be of benefit in the Gilles de la Tourette Syndrome. In one case report the addition of Deanol to perphenazine did not result in an improvement of uncontrollable movements or involuntary speech utterances. Gilles de la Tourette Syndrome is a condition combining organic and psychogenic features existing in the interface between two etiologies. Classically the disease begins in childhood and is characterized by the appearance of sudden involuntary movements, involuntary speech utterances frequently consisting of curse words (coprolalia), and imitative phenomena such as echolalia and echopraxia. Neurotic symptomatology such as anxiety and obsessive thinking have also been reported. This condition is regarded neuropharmacologically as a dopaminergic state that responds to drugs with antidopaminergic activity e.g. the phenothiazines and butyrophenones. Deanol (dimethyl aminoethanol) is a putative cholinergic agonist and has reported effectiveness in conditions where there is a predominance of dopaminergic versus cholinergic activity, e.g. levodopa-induced dyskinesias, neuroleptic induced tardive dyskinesia, and Huntington's chorea. Because of its effectiveness in dopaminergic states it was hypothesized that Deanol could also be of benefit in the Gilles de la Tourette Syndrome.


Characteristics of osteosarcoma cells in culture. Osteosarcoma cells (BFO cell line) were successfully maintained in tissue culture for 3 years. BFO cells showed 100 per cent tumorigenicity by the isologous implantation, and almost the same histological features as the original BF osteosarcoma. BFO cells synthesize and secrete large quantities of alkaline phosphatase both in vitro (cell culture) and in vivo (tumor bearing mice). BFO cells showed a suppression in synthesizing the osteoinductive factor in vitro, but regained the capacity to synthesize it when implanted back into an isologous host. The cells showed rapid growth, a serum requirement, and no contact inhibition. Doubling time was 8.6 hours in a logarithmic growth phase. Cell cycle analyses by pulse labeling of 3H-thymidine was performed after synchronization of the cells by double treatment with an excess thymidine.


Delegate strength.

Delegate strength.


Solo performance--President's address.

Solo performance--President's address.


Apical curettage or apicoectomy?

Apical curettage or apicoectomy?


President's inaugural address.

President's inaugural address.


On professionalism.

On professionalism.


Regarding mercury.

Regarding mercury.


Common sense first.

Common sense first.


Together we will achieve.

Together we will achieve.


CDAs know the reasons why.

CDAs know the reasons why.


Going the extra mile.

Going the extra mile.


Educated assistants.

Educated assistants.


Behavioral guidelines for plaque control programs.


Dental hygienists, the endangered species.


Dental hygienists assume responsibility in licensing and regulatory processes.


The dental hygienist as a community health program manager.


Reach out--and grow.

Reach out--and grow.


The role of the association in education for the profession.


Osteomyelitis, malignant disease, and fibrous dysplasia. Some radiologic similarities and differences.


Kodak Instatech X close-up camera. A new camera for dental photography.


A late development of the torus mandibularis.


Patients edentulate themselves.

Patients edentulate themselves.


Let's accentuate the positive.

Let's accentuate the positive.


It's tax reform time.

It's tax reform time.


What your questionnaires told us about dental insurance.


Divorcing yourself from corporate practice.


Is this the tooth warden's office?

Is this the tooth warden's office?


Resolving patient fear 'I hope you know what you're doing!'.


Coping with the lady in operatory 2.

Coping with the lady in operatory 2.


Have fun with this budget.

Have fun with this budget.


Confirmations are a waste of time.

Confirmations are a waste of time.


Teratocarcinoma X friend erythroleukemia cell hybrids resemble their pluripotent embryonal carcinoma parent.


Problem solving in orthodontic and orthognathic surgery.


A check list for planning combined orthodontic and maxillofacial surgery.


President's message.

President's message.


I.J.O. Diagnostrix.

I.J.O. Diagnostrix.


Have you taken time to notice.

Have you taken time to notice.


Head posture and its role in occlusion.

Head posture and its role in occlusion.


Guilty? Not guilty? Of "doing" without "thinking" "thinking" without "doing" or 'thinking with doing--doing with thinking'.


The dental assistant: guest editorial.

The dental assistant: guest editorial.


Science and research ... peer review, PSRO's and the independence of the private dental practitioner.


Brief reports.

Brief reports.


Regional intrapulmonary gas distribution in awake and anesthetized-paralyzed man. Intrapulmonary distribution of ventilation/unit lung volume was studied in 28 volunteers in the sitting, supine, or right lateral decubitus position, either awake or anesthetized-paralyzed and mechanically ventilated. We found significant differences between the awake state and anesthesia-paralysis with mechanical ventilation in 1) intrapulmonary gas distribution, and 2) the vertical gradient of regional functional residual capacities for the subjects in the lateral decubitus position, but not for those in the sitting and supine positions. The effect of increasing the tidal volume on distribution of ventilation was significantly different 1) between the three body positions for a given state, and 2) between the two states for a given body position. The data suggest thoracoabdominal mechanics are different in the three body positions and that anesthesia-paralysis and mechanical ventilation may cause a different pattern of expansion of the respiratory system than spontaneous breathing in the awake state.


Cytochemical detection of histamine in the human granulopoietic series of healthy subjects and of patients affected by chronic myeloid leukaemia. A spectrophotofluorimetric test for checking OPT-induced fluorescence in isolated cells. Cellular histamine in blood and bone marrow has been identified histochemically using an o-phthaldialdehyde fluorescence reaction. The specificity of the reaction was tested by a spectrofluorometric analysis of cell extracts. In normal blood, the basophils emit a bright yellow fluorescence, whereas neutrophils, eosinophils and platelets react less consistently and when they do, they give off a less intense yellow or blue emission. In normal marrow, basophils react strongly whereas the metamyelocytes and later granular cells show only a weak yellow or blue fluorescence. In chronic myeloid leukaemia, cells of the granular series emit a strong yellow fluorescence at all stages of development, although still less intense than the basophils. During remission, the fluorescence pattern of cells from leukaemic subjects reverts to that of normal cells.


Dental plaque and dietary intakes in schoolchildren in Hawaii. Plaque formation on the teeth as measured by the number of teeth with a heavy plaque accumulation was found to be influenced by diet. Accumulation of plaque was enhanced by the frequent consumption of food items such as sweet rolls, sweet breads, manapua, and poi. All of these are characterized by their sucrose content and stickiness. However, fruit drinks were shown to have a retarding effect on plaque growth. The information on the amount of plaque had little relationship with the dental caries status of the subjects, whereas it was significantly associated with periodontal health.


Effect of multiple dental floss-SnF2 treatment on Streptococcus mutans in interproximal plaque. Samples of dental plaque obtained from the interproximal tooth surfaces of seven young men showed considerable variation in the prevalence and anatomic site distribution of the potentially cariogenic microorganism S mutans. Multiple application of 10% SnF2 topical solution and saline solution delivered to interproximal test sites with dental floss were evaluated as short-term measures for eliminating S mutans from these surfaces. A greater overall reduction in the number of positive S mutans sites was observed for the SNF2-treated sites than the saline solution-treated sites. Long term studies are required to evaluate the effect of the treatments on the incidence of dental caries.


Diffusion of strontium from desensitizing agents into human dentin as determined by energy-dispersive analysis. Strontium-containing desensitizing agents were applied to one set of tooth surfaces and were burnished onto another set of diametric surfaces. Concentration of strontium at dentin depth was determined by X-radiation dispersive analysis. Burnishing produced deeper strontium penetration. Fick's Second Law provided an estimate of relative effective time for equal strontium distributions by the two methods.


Creep and phase transformation in dental amalgam. Creep measurements were performed on different types of amalgams as a function of heat treatment after specimen preparation before testing. The types of amalgams included lathecut, spherical, nonpreamalgamated amalgams, and an amalgam containing Ag-Cu particles. Heat treatment significantly reduced the creep of all alloy types studied. Creep reduction was associated with the phase and transformation gamma1 leads to beta1 (Ag-Hg), which was detected by metallographic and microprobe analysis.


Structure and effects of non-gamma-2 amalgam. The metallurgical structure of a non-gamma-2 amalgam was investigated by using metallurgical microscopy, surface, point, and line analyses by an electron probe microanalyzer, and a microhardness test. Referring to these findings, their effects on clinical results were then discussed. Findings were as follows: The residual dispersant particle was less hard than the gamma 1 matrix, but the ring around it was much harder than the gamma 1 matrix or the residual gamma particle. The improved mechanical properties seem to be the result of the presence of this ring. The gamma 2 phase was absent in this amalgam. The absence of gamma 2 phase seems to improve chemical resistance, to prevent the deformation by mercuroscopic expansion of amalgam margins, and thus to decrease their fracture potential. The minute gamma 1 crystals found adjacent to the ring around the residual dispersant particle seem to indicate that they were late in crystallization, resulting in low early strength.


Effects of parathyroid extract on the rupture strength of intact skin of the rat. Rats were injected with parathyroid extract (PTE) to search for possible effects on connective tissue of the skin. Rupture strength analysis of skin samples showed a significant increase in strength of skin from PTE-treated rats. The explanation for this effect is not understood at present.


In vitro strength of the human periodontal ligament. The tensile properties of the human periodontal ligament were studied by direct loading and compression experiments. It was found that the ligament behaved in an elastic manner up to an elastic limit after which rupture occurred. The values obtained for the tensile strength of the ligament are in general agreement with those of other workers for similar tissues.


Distribution of Streptococcus mutans biotypes in five human populations. The distribution of S mutans biotypes in five geographically separated human populations was investigated. Samples of dental plaque were obtained from recruits at the US Naval Training Center in Orlando, Fl (N=49) in San Diego, Calif (N=25), and in Great Lakes, Ill (N=194), and from a sample of Hawaiian school children (N=55) and Saudi Arabian Navy personnel (N-217). Cultural and biochemical methods were used for the isolation and identification of the five different biotypes of S mutans which correlate with Bratthall's serotypes a through e. Geographic differences in S mutans biotype distribution were most apparent when the Saudi Arabian sample was compared to the other four groups. Single and multiple biotypes were observed in each group. Multiple biotypes occurred most frequently in the Saudi Arabians. Biotypes a and b were rarely observed; c was the most common in each of the populations; and d and e were more prevalent in the Saudi Arabians than in the other groups. Because of the multifactorial nature of dental caries, caution should be exercised in the interpretation of population differences in caries experience that seem to be associated with differences in S mutans-type distribution.


Effect of topical application of fluoride on the healing rate of experimental calvarial defects in rats. The effect of the local application of fluoride on the healing process of experimental calvarial defects in rats was studied. A total of 172 male rats, 6 weeks old, weighing 100 to to 160 gm, were used in the experiments. Two standard defects, each approximately 2.8 mm in diameter, were drilled through the parietal bones on either side of the sagittal suture. In one half of the rats that were operated on, a 20-minute topical application of 2% acidulated (0.1 M H3PO4) NaF solution was used. The control rats underwent the same local treatment with saline solution. Groups of 9 to 13 rats were killed at 4, 5, 7, 9, and 12 weeks after the operation. Radiographs of each calvarium demonstrated the healing area in the bone. Linear bone apposition was measured from histological sections. Fluoride content was determined in ashed calvaria with an Orion electrode. The results indicate that all fluoride-treated groups had increased bone gain compared with the control group. The histological examination revealed no major differences in the structure, number, and size of the cells of the newly formed bone in either group. The mean fluoride concecreased until completion of the experiment.


Lymphatic vessels of the human dental pulp. Noncarious teeth obtained from individuals 15 to 50 years of age were used to study the lymphatic drainage of the human pulp. Thick sections (50 to 150 microns) were stained with iron hematoxylin for the demonstration of lymph and blood vessels. Lymph capillaries originated as blind sacs in the odontoblastic layer and in the pulp proper near the pulpo-odontoblastic border. They drained into small thin-walled collecting vessels that were irregular in shape and showed great variability in their drainage patterns. Communications between these vessels were very common. The larger conducting lymphatic vessels accompanied the blood vessels and nerves in their course through the pulp. They could be identified by their thin walls and small size. The large caliber lymphatic vessels contained valves, a structure not present in the veins of the same size. The conducting lymphatic vessels passed through the roots as individual units without draining into a large single vessel. The lymphatic vessels of the human pulp must be considered as a pathway for the removal of excessive tissue fluid in normal and diseased pulps.


Relation of body mass to oxygen consumption rate in dental pulp. Oxygen consumption rates of dentinogenically active dental pulp at 38 C have been determined for 13 different species of mammals ranging from 18.6 gm to 800 kg in mean body mass. The QO2 is inversely related to body mass. The influence of body mass on the oxygen consumption rate seems to be about ten times greater in animals weighing less than 18 kg than it is in larger animals.


Rate of permeation of isotopes through human dentin, in vitro. A simple in vitro method has been described for quantitatively measuring the rate at which isotopically labeled substances permeate through dentin in occlusal cavity preparations. The presence or absence of pulp tissue had only a minor effect on the kinetics of permeation. As the dentin was made thinner there was a resulting increase in the rate of iodide permeation. The relative rates of permeation were 3H2O greater than 131I greater than 99mTc greater than 14C-urea, a sequence that follows the molecular dimensions of these substances.


Caries rate in hamsters given nonacidulated and acidulated tea.


Effects of calcium on smooth surface carious lesions in rats.


Presence of protein kinases in dental pulp and phosphorylation of intrinsic proteins by these enzymes in vitro.


Carbamimic acid ester as an inhibitor of Streptococcus mutans strain 6715.


Reaction of sodium nitrite with amino constituents of dentifrices: on formation of carcinogenic N-nitrososarcosine.


HL-A histocompatibility antigens in recurrent aphthous ulceration. The frequency of HL-A phenotypes has been investigated in 64 patients who had recurrent aphthous ulcers and 100 subjects who did not. The HL-A phenotypes were determined by a two-step microcytotoxicity test on peripheral blood lymphocytes, incubating these cells with a range of defined antiserums and complement and subsequently assessing lymphocyte viability by dye exclusion. There were no significant differences between the frequency of individual HL-A antigens in the patients with aphthous ulceration and those of subjects without aphthous ulceration. Similarly, no differences in numbers of shared antigens could be demonstrated. The distribution of HL-A antigens was essentially similar in subdivisions of patients with aphthous ulceration, grouped on the basis of sex, family history, age at onset, and maximum number of concurrent ulcers and their duration before healing.


Color of gingival tissues of blacks and whites. Value, chroma, and hue of gingiva of 100 black and 100 white patients were measured clinically with Munsell color tabs under fluorescent light and under simulated daylight. The color of uniformly pigmented attached gingiva of both blacks and whites was described most often by a value between 5/ and 7/, a chroma of /4, and a range of hues from 2.5R to 7.5R when determined under fluorescent light. The color of gingiva pigmented by melanin in 61 black patients was lower in value (3/ to 4/) and chroma (/1 to /2) but had a similar range of hues compared with uniformly pigmented gingiva. The use of a simulated daylight source instead of a fluorescent light present in the clinic resulted in a modest change in color described by an I of no more than 3.6.


Dental condition of two tribes of Taiwan aborigines--Ami and Atayal. This is a study of dental and oral conditions of Taiwan aborigines from the epidemiological and anthropological points of view. A total of 166 Ami and 128 Atayal adolescents were included from their original living area, the Hwa-Lien Hsin and Wa-Lai District, Taiwan, Republic of China. Oral examination was done carefully and caries incidence, periodontal index, and Angle's Classification combined with OFI were included. After that, hydrocolloid impressions were taken, and dental casts were immediately made. The mesiodistal and buccloingual crown diameters and also the arch depth and width were measured using a sliding caliper. Dental morphological traits, such as shovel-shaped incisors, Carabelli's cusp, protostylid, and upper and lower molar groove patterns were observed and classified, and the results are given with statistical analysis. The aborigines have a quite low incidence of dental caries and periodontal disease which may be related to their dietary habits, good oral hygiene, and good dental occlusion. With regard to the differences between the Ami and Atayal, most of the date show no statistical significance except in the dental occlusion. The Atayal's occlusion is better than that of the differences of genetics or other factors. There are no sex differences in all the date in the dental survey, but there are sex differences in both the misiodistal and buccolingual crown diameters of both the Ami and Atayal tribes (the tooth crown of the male subjects is invariably broader and larger than that of females). In the dental arch dimensions, most of the data show no sex diffreence, except in the breadth of the upper and lower dental arch of the Atayal. Anthropologically, there are no statistical differences,  in  mesiodistal and buccolingual crown diameters and most of the data of dental arch dimesions, but there is a difference in arch depth in Ami and Atayal adolescents. The Atayal have a deeper dental arch than do the Ami. As for dental morphologi, the Taiwan aborigines have a high frequency of shovel-shaped incisors and Carabelli's trait but a relatively low frequency of protostylid.  There are no definite differences between races in the occlusal pattern of maxillary first molars, but there are differences in the maxillary second molars. The usual pattern is 4-- for the upper first and second molars of the Taiwan aborigines as well as for thedibular occlusal pattern, the first molar tends to follow the primitive "dryopithecus" pattern of 5 cusps and Y configuration, but in the second molar there are varying degrees of departure from Y5 to the more advanced +4 pattern with +5 and Y4 as intermediates.


Role of attrition and occlusal contact in the physiology of the rat incisor: XL Kinetics of inner enamel epithelium during severely impeded eruption. Under conditions of high impediment, the rate of eruption of the rat incisor decreases considerably as does the rate of cell production of the inner enamel epithelium (IEE). The latter is acomplished by a decrease in the size of the proliferative compartment and an increase in the generation time. A linear relation exists between IEE cell production and tooth eruption, and cell production can be estimated from eruption measurements.


Proteolipid and calculus matrix calcification in vitro. The initiator of calculus matrix calcification, in vitro, was isolated. Crude phospholipid, known to contain the factor, was separated into five fractions by column chromatography. A single protein-containing fraction induced apatite formation during incubation. The nucleating fraction was indentified as a proteolipid.


Pore size measurements and some age-related changes in human alveolar bone and rat femur. Bone pore volume of pores ranging from 0.1 to 77 mum in diameter was unchanged in alveolar bone from patients with periodontal disease compared with control subjects, a finding that is inconsistent with the involvement of systemic factors in alveolar bone loss in this disease. Bone density was decreased in alveolar bone from patients with periodontal disease. Bone density of normal alveolar bone increased with age. A similar finding was obtained in rat diaphyseal bone, suggesting that this is a general phenomenon in aging bone. This could be significant inasmuch as high density bone would be expected to be more brittle. In contrast to these findings in normal alveolar bone, bone density decreased rather than increased in the 50- to 59-year-old age group in patients with periodontal disease. The cause of  decreased bone density remains to be established.


Ceramic hydroxylapatite as a plaque growth and drug screening substrate. A new polycrystalline form of hydroxylapatite, CHA, has been shown to closely mimic dental enamel, in vitro, in regard to rate and degree of plaque formation and effectiveness of antiplaque drugs. The material has successfully been exploited as a standardized hydroxylapatite plaque growth substrate in conjuntion with a mass antidental plaque drug screening program.


Competitive binding among oral strptococci to hydroxyapatite. The relative affinity of various oral streptococci for hydroxyapatite (HA) differed widely. Streptococcus mutans affinity for dextran-coated HA was the highest of all the streptococci to any HA coating. S salivarius had the lowest affinity, and S sanguis affnity was higher then S miteor for saliva-coated HA. Competition for binding sites on saliva-dextran-coated, dextran-coated HA. Hhwever, competition between this pair was not for the same binding site but for closely associated sites.


Isoproterenol and G2 acinar cells in the developing rat parotid gland. In the present study, premitotic period (G2)-delayed or blocked acinar cells were identified in the parotid gland of the neonatal rat. The noncycling G2 cells retain the potential to divide and respond to administration of the sympathomimetic amine, isoproterenol (IPR). The effects of IPR on suckling and weaned rats were compared. Both groups showed the presence of G2-acinar cells with a possible age-related change occurring after weaning.


Husband-wife similarities in dental caries experience.


Dental caries in gnotobiotic rats inoculated with a strain of Peptostreptococcus intermedius.


Presence of Rothia dentocariosa strain 477 serotype 2 in gingiva of patients with inflammatory periodontal disease.


Simple apparatus for examination of fish tooth succession.


Prevention of xerostomia-related dental caries in irradiated cancer patients. Three caries preventative regimens: oral hygiene; oral hygiene and topical fluoride; and oral hygiene, typical fluoride, and sucrose restriction were evaluated in patients with cancer given xerostomia-producing radiotherapy. The oral hygiene-fluoride gel combination was remarkably effective in protecting these high risk patients from caries, regardless of the cariogenicity of the diet.


Comments on "should boards of dental examiners assume a role in the regulation of dental and dental auxiliary education?".


Social change and clinical excellence in dental education.


An expanded model for extramural dental clinics. The extramural program at the University of the Pacific School of Dentistry is described. The program is designed to facilitate the students' transition from a school clinic to dental practice after graduation. Management skills are taught by providing supervised experience in a model practice setting. Five major facilities are described along with the curriculum modifications made to permit all students to spend eight four-day weeks in these remote sites. The quality control mechanism is discussed as well as four key concepts developed in the six-year experience of operating this program.


An outreach cancer education program: a model for continuing education in the dental office. During the period 1970-1973, only 2.5 percent of the dentists practicing in Kentucky attended cancer continuing education courses offered by the University of Kentucky College of Dentistry. In the fall of 1973 a different approach to cancer education was launched: Learn about Oral Cancer in Your Office. Self-instructional materials, developed in the College of Dentistry, were taken to the dentist's office on an appointment basis. This method had great appeal and significantly increased the number of dentists involved in cancer continuing education. Other positive results of this approach were a greater awareness on the part of the dentist of his role in cancer detection, a desire amont the participants to alter the pattern of practice to include cancer detection techniques, and exposure of dental auxiliary personnel to cancer education material.


A multiple regression approach to predicting preventive behavior in dental practice.


Survey of curriculum and instruction: radiology.


Assertiveness training for dental students.


President's inaugural address.

President's inaugural address.


Are we producing too many dentists.

Are we producing too many dentists.


The essence of professional worth.

The essence of professional worth.


The origins of treatment demands. The oral disorder.


The origins of treatment demands. The patient.


The origins of treatment demands. The influence of third parties.


Foreign-trained practitioners should meet our standards to be licensed [editiorial].


Article criticized: silver points and gutta-percha nad the role of root canal fillings.


Dichotomy of the dentist.

Dichotomy of the dentist.


Different tactic urged: PEP.

Different tactic urged: PEP.


Old-new threat to the public.

Old-new threat to the public.


Opening pandora's box.

Opening pandora's box.


Dental missionary work.

Dental missionary work.


Shared responsibility.

Shared responsibility.


Dentrues and inflammation.

Dentrues and inflammation.


Joint replacement and prophylaxis.

Joint replacement and prophylaxis.


Female dentists, clinicians.

Female dentists, clinicians.


Disagree on EDDAs.

Disagree on EDDAs.


Dubrow responds: silver points and gutta-percha and the role of root canal fillings.


Does the public ever appreciate us.

Does the public ever appreciate us.


See your dentist once a week--in TV.

See your dentist once a week--in TV.


Military, civilian groups cooperate in oral cancer screening project.


Characterization of airborne particles from irreversible hydrocolloids. Airborne particles of irreversible hydrocolloid powders were monitored and characterized. Ten to fifteen percent of the particles were siliceous fibers with dimensions of less than 3mum in diameter and more than 20mum in length. These dimensions conform closely to the dimensions of  the fibrogenic and carcinogenic fibres of asbestos, glass, and aluminum oxide. With almost daily utilization of irreversible hydrocolloid materials in the dental office, the improper handling of the materials could be hazardous to the health of dental personnel. It is recommended that inhalation of aerosols arising from irreversible hydrocolloid powders be avoided.


Repair and restoration of a fractured, pulpally involved anterior tooth: report of case. An 8-year-old boy was hit on the maxillary central incisor with a rock, resulting in a diagonal fracture and exposure of the pulp. After endodontic treatment, the fragment was joined to the tooth and the tooth restored using pins, a cold-curing composite, and an ultraviolet-light-activated material. This is a useful technique in cases were preparation of a fractured tooth is impossible or undesirable.


Hepatitis B prevalence within a dental student population. In this descriptive epidemiologic study, prevalence rates of hepatitis B surface antigen (HBsAg) and its antibody (anti-HBs) among fourth-year dental students and second-year dental hygiene students were found to be comparable to those of a control population and a local age-adjusted blood donor group. This observation contrasts with the rates reported for practicing dentists, especially oral surgeons, and indicates that the increased risk experienced by dentists after dental school may be attributable to potentially greater exposure to the hepatitis B virus resulting from an expanded patient load. No significant correlation was found between a positive serologic response and several potential risk factors: previous liver disease, prior contact with hepatitis patients, parenteral injections, facial hair, and punctures sustained during dental procedures. In contrast, prevalence of HBsAg and anti-HBs was increased significantly among black students.


Effect of acidulated phosphate-fluoride chewable tablets in schoolchildren: results after 55 months. Two groups of children initially in the first and second grades chewed, rinsed with, and swallowed an acidulated phosphate-fluoride tablet containing 1 mg of fluoride either once or twice a day in school. A control group of children followed the procedure once a day using a placebo tablet. An interim evaluation after 55 months showed that the children receiving two fluoride tablets daily had a significant reduction in incremental caries on early erupting teeth, which received primarily topical exposure to the fluoride, as well as on late erupting teeth, which received mainly preeruptive, systemic exposure. The findings also suggested that the use of a single fluoride table daily may reduce dental caries, although the presence of a benefit was less definitive than it was for the two-tablet procedure.


Effects of an alexidine mouthwash on dental plaque and gingivitis in humans over a six-month period. The primary purpose of this study was to determine the safety and effectiveness of alexidine in the control of plaque and gingivitis in humans. For six months, 207 persons who continued their usual oral hygiene procedures rinsed twice daily with 15 ml of either alexidine (0.035% or a placebo solution. At the 30-day examination and for the remainder of the study, a statistically significant reduction in plaque between the two groups was recorded. Gingivitis was reduced in persons in both the test and placebo groups (the former always had the greater reduction), and a statistically significant difference was found at the 30-day and 90- day examinations. The preponderance of data indicates that, under the described experimental conditions, the alexidine rinse was effective in reducing both indicators of oral health and it may have important therapeutic potentials.


Transposition: orthodontic treatment.

Transposition: orthodontic treatment. Case reports of three brothers, a father, and cousin portray a genetic influence relative to transposed teeth, congenitally missing teeth, and pershaped incisors. Orthodontic treatment, the associated problems, and the appliance used in treatment were discussed.


Eagle's syndrome: diagnostic considerations and report of case. Orofacial pain, as well as other neurologic symptoms, can result from the presence of an elongated styloid process. These symptoms are familiar to dentists and can indicate a broad range of dental conditions. Eagle's syndrome of the type, symptomatic elongated styloid process, has been described and a case presented. We believe that the simple diagnostic procedure of palpation of the tonsillar fossa should be routine during oral examination. Eagel's syndrome must be considered as a differential diagnosis of hemifacial pain of obscure causation.


Kansas Supreme Court establishes precedent in dental litigation.


American Dental Association Principles of Ethics with official advisory opinions as revised. Council on Judical Procedures, Constitution and Bylaws.


Morphometric observations on root canals of human anterior teeth.


Evaluation of 71 replanted teeth.

Evaluation of 71 replanted teeth.


Unusual resolution of a periapical radiolucent area without endodontic therapy.


A histopathologic and histobacteriologic study of 35 periapical endodontic surgical specimens.


Status report on the public relations program of the American Association of Endodontists.


Chemomechanical removal of pulpal and dentinal debris with sodium hypochlorite and hydrogen peroxide vs normal saline solution.


Preliminary scanning electron microscopic study of the chlororosin lateral condensation technique.


Reaction of human periapical tissue to pulp extirpation and immediate root canal filling with calcium hydroxide.


Localization of immunoglobulins and the third component of complement in dental periapical lesions.


Morphometric observations on root canals of human premolars.


[Interpretation of arterial blood gas values].


Preserving the role of the specialist.

Preserving the role of the specialist.


Community confusion.

Community confusion.


Extrinsic discoloration of the oral mucosa.


High condylectomy for treatment of arthritis of the temporomandibular joint. A review of 55 high condylectomies is presented with a discussion of diagnosis, rationale, technique, some simultaneous problems, and complications. An average two-year follow-up shows good results, and the procedure is thought to be useful when indicated. Many of our respondents, who classified themselves as improved, were actually cured of their arthritis, but had a previously diagnosed synergistic disorder. Muscle spasms and anxiety syndromes frequently required continued treatment after a 6- to 12-month interval. Despite the difficulty in diagnosis and the frequent occurrence of simultaneous disorders there is a definite place for the high condylectomy. Its use, however, is still restricted at this institution to that group of patients with persistent pain in the TMJ or severe functional disorders caused by actual pathologic conditions of the condyle. After surgery, all patients should be followed for at least two years for recurrence of any TMJ-related disorder.


Intraoral blue nevi.

Intraoral blue nevi.


Cryotherapy in the treatment of ameloblastoma of the mandible: report of cases. Two cases of ameloblastoma treated in part by cryotherapy have been presented. The first case was of particular interest because of the extensive intraoral involvement and history of recurrences. The second case evolved as an example of the rare peripheral ameloblastoma. In both cases, cryotherapy was used as an adjunctive modality to conserve mandibular bone without compromising the primary objective of adequately treating the tumor. We contend that the judicious use of cryotherapy offers the advantage of treating a broad area of bone without destruction of the basic structural matrix of this tissue.


An unusual incident of dental fluorosis: report of a case.


Avascular necrosis after anterior horizontal augmentation genioplasty.


Parotid sialocele and fistula after mandibular osteotomy. Two cases are presented that show the progression to sialocele or salivary fistula, or both, after a modified Risdon approach is used for mandibular subcondylar osteotomy. Use of antisialogogues and conservative management is recommended.


A study of four rare cases of dens in vaginatus.


Chronic orocutaneous fistula: report of case.


Gustatory sweating caused by blunt trauma. A case of gustatory sweating after blunt trauma to the left side of the face has been discussed. In addition to a fibular fracture, the patient sustained multiple mandibular fractures as well as paralysis of the left facial nerve, which disappeared within five weeks. Three months after the trauma, the patient had gustatory sweating, which was controlled with topical applications of scopolamine hydrobromide.


Tuberculosis of the maxilla: report of case.


Intraoral extranodal Hodgkin's disease.

Intraoral extranodal Hodgkin's disease. A case of extranodal Hodgkin's disease that was limited to the maxillary alveolus has been presented. A team approach was used to diagnose and treat the lesion. After appropriate staging procedures, treatment consisted of local excision and cobalt teletherapy. Follow-up examinations for the past three years have failed to disclose recurrent or new disease.


Leiomyoma of the tongue: report of case. An instance of leiomyoma of the tongue has been reported. The theories of origin of smooth muscle tumors within the oral cavity have been reviewed. The necessity for differentiation of leiomyomas from other spindle-cell tumors and the need for thorough examination of the specimen have been discussed. Complete surgical excision of these tumors is the preferred treatment.


Congenital fibromyxoma: report of case.

Congenital fibromyxoma: report of case. We have reported the clinical behavior and histochemical patterns of a congenital fibromyxoma in the soft tissues. The tumor was excised without difficulty; one year postoperatively, no recurrence was seen by clinical and radiographic examinations. There were no findings to suggest that the myxoma is a true neoplasm derived from the so-called myxoblast.


Photocephalography for evaluation of tissue relations in mandibular surgery. A technique permitting evaluation of the relation of the facial soft tissues to the mandible is presented. This procedure can be used both preoperatively and postoperatively in patients having orthognathic surgery.


Lateral coronoid approach for intraoral reduction of fractures of the zygomatic arch. A technique for reduction of fractures of the zygomatic arch with use of a more direct anatomical approach is presented. This method obviates the potential difficulty of coronoid interposition and elevation of an isolated fragment encountered with use of the old Keen approach.


Subacute subdural hematoma after minimal facial trauma.


Cerebral calcifications associated with intrathecal methotrexate therapy in acute lymphocytic leukemia.


Salt appetite in children with sickle cell disease.


Subgingival plaque and loss of attachment in periodontosis as evaluated on extracted teeth. The correlation between downgrowth of subgingival plaque and loss of attachment was evaluated on 27 teeth which had to be extracted because of advanced bone loss in 16 patients between ages 12 and 22. The diagnostic criteria were those used for periodontosis. The teeth were stained and examined under the stereomicroscope. There was a very high degree of congruence between the subgingival plaque front and the line of lost attachment on all the teeth, thus showing that plaque is strongly involved in the destruction of the attachment apparatus. On some of the vestibular and lingual surfaces where efficient supragingival plaque control had been maintained, there was no subgingival plaque and no loss of attachment, showing that subgingival plaque develops from supragingival plaque. The highest speed of apical growth of the subgingival plaque front in any one case was estimated to be about 5 mu per day, or about 1,8 mm per year. Such an unusually rapid advancement must be the combined effect of an extremely high invasiveness of some inhabitants of the plaque and some deficiency in the host's defense mechanism against the same organisms. The subgingival plaque was found to be very thin and only occasionally calcified to form calculus. Symptoms of inflammation, if any, were only seen at the gingival margin, giving the clinical impression of a noninflamatory, degenerative condition. This explains why the concept of diffuse atrophy has developed. The observations made in this material indicate that what has been diagnosed as periodontosis, in fact is a highly destructive juvenile periodontitis which should be so named. The high destructiveness depends on a host parasite imbalance rather than on a degenerative condition.


Short term results of three modalities of periodontal treatment. Short term data were obtained from 74 patients who recieved comprehensive periodontal treatment using a split mouth approach to test three variables; subgingival curettage, pocket elimination surgery, and modified Widman flap procedure. The patients initially had an average interproximal loss of attachment of 3.2 mm and an average interproximal pocket depth of 3.9 mm. Evaluation of the data indicate that after 4 to 6 weeks: 1. All three surgical procedures reduce pocket depths. In order of effectiveness they are: pocket elimination surgery, modified Widman flap, and subgingival curettage. 2. Pocket elimination surgery reduces pockets more than subgingival curettage on the buccal, lingual and interproximal, and more than the modified Widman flap on the lingual. The modified Widman flap procedure reduces pockets more interproximally than subgingival curettage. 3. Subgingival curettage results in a gain of attachment interproximally, and on the lingual side, while the modified Widman flap resulted in a gain of attachment interproximally only. 4 Pocket elimination surgery resulted in a loss of attachment buccally. 5 Subgingival curettage results in a more favorable postoperative attachment level on all surfaces than did pocket elimination surgery.


The remodeling of human gingival tissues following gingivectomy. A total of 30 facial gingivectomies were carried out for reduction of suprabony pockets (mean +/- S.D. preoperative pocket depth 2.8 mm +/- 0.3 mm). Remodeling of the gingival margin was monitored by clinical measurements. The following techniques were utilized: A polyvinyl stent was constructed for each surgical quadrant. This stent covered the occlusal margins of the involved teeth and contained the fixed point of reference. Preoperatively, the following measurements were taken: the distance from the fixed point to (a) the height of the free gingival margin, and (b) the base of the clinical pocket. For control purposes similar measurements were taken at the facial surface of an adjacent tooth. A standard gingivectomy to the base of the clinical pocket was then performed and a periodontal dressing was applied for 1 week. Utilizing the stent (fixed point of reference), measurements were taken of the healing margin and control sites inn the same manner as preoperatively; 1,4,8 and 12 weeks after surgery. Our findings indicate that 12 weeks after gingivectomy, the newly formed free gingival margin was located coronally to the line of incision in all cases. The mean pocket depth at 12 weeks after surgery was 0.7 mm +/- 0.2 mm. However, the mean gain in coronal marginal height was 1.2 mm +/- 0.3 mm. Thus, a clinical coronal pocket closure of about 0.5 mm seemed to have taken place at the soft tissue-tooth interface. Measurements at the nonoperated control site showed no significant variations in crevicular depth during the experimental period. We therefore conclude that the excisional reduction of a crevice to 0 mm depth was altered by gingival remodeling during the healing phase. In our experience, this remodeling took place within 3 months after surgery and clinically appeared as a limited coronal pocket closure and gain of marginal height.


Coronal positioning of a previously placed autogenous gingival graft. A procedure has been presented, with indications and necessary precautions, for predictably covering the denuded root surfaces of canines and premolars. The results of treating other areas with this technique have been less predictable. An alternate technique for covering denude root surfaces of the same teeth has been described. The alternate technique is more difficult to carry out and the results achieved are not as favorable.


In vitro antiplaque effects of antiseptic phenols. Several phenols known to be antiseptics were tested in vitro for their ability to adsorb to saliva-coated enamel and subsequently inhibit plaque formation. 3,5,4'-tribromosalicylanilide was found to be effective against growth and plaque formation of A viscosus, A naeslundii, S mutans and S sanguis. Dibromsalicil was effective against A viscosus. The other phenols (hexylresorcinol, thymol, phenylphenol and zinc phenolsulfonate) did not inhibit in vitro growth or plaque formation.


Presidential address.

Presidential address.


Microleakage and marginal adaptation in conventional and adhesive class II restoration.


A new semiadjustable articulator. Part III. An investigation of the capability of the Hanau XP-51 articulator. A new semiadjustable articulator, the Hanau XP-51, was investigated by comparing its movements at the cusp level to those of a Stuart articulator when guided by straight condylar elements. No clinical trial was undertaken in this investigation, and no mandibular movements were registered on the Stuart articulator for transfer to the Hanau XP-51 articulator. A method of comparison and mathematical formulae were described whereby specific angles were calculated for both articulators. All tabulated angles were correlated by determining the least-squares slope of the observed angular variation as a function of the three independent variables in a computerized program. The standard deviation from these was calculated for each articulator, and the differences were found to be very small. It was concluded that the experimental Hanau XP-51 articulator could reproduce specific movements made by the Stuart articulator. Further, the adjustable posterior wall within the condylar housing was found to compensate for the lack of an adjustable intercondylar distance on this articulator.


Aids for positioning prosthetic eyes in orbital prostheses.


The pathogenesis of the adult respiratory distress syndrome.


Controversies in the management of abdominal sepsis: a questionnaire course.


Positive 99mTechnetium polyphosphate bone scan in eosinophilic granuloma.


Hemangiopericytoma: a case report and review of the literature.


Bronchial adenoma causing recurrent pneumonia.


Coping with medical obsolescence.

Coping with medical obsolescence.


Headache and third molar impactions: case report.


Basic rules in occlusion.

Basic rules in occlusion.


Report on illegal dentistry.

Report on illegal dentistry.


Effect of xenogeneic immune RNA on normal human lymphocytes against human osteosarcoma cells in vitro. New Zealand White rabbits were immunized with whole-cell suspensions of TE-85 cells (from a human osteosarcoma) maintained in tissue culture. RNA was extracted from the lymphoid tissues of the immunized animals. Normal human peripheral blood lymphocytes were pretreated with both the whole-cell immune RNA (IRNA) and the Sephadex column-eluted fractions of the whole-cell IRNA. Significant stimulation of the cytotoxic effect of the lymphocytes was observed following whole-cell IRNA pretreatment and pretreatment with peak III fractions eluted from the column. This increase in inhibition was observed whether the target cells were TE-85 (the immunizing cells), L.M. and M.Mc. (two unrelated osteosarcoma primary cell cultures), or TE-85-M-MSV cells (a cell line capable of producing a human osteosarcoma in immunosuppressed hamsters). No inhibition was observed when cells from other types of human tumors were used as target cells. The results suggested that the transferred immunity was directed against tumor-specific osteosarcoma antigens.


Therapeutic embolization of symptomatic secondary renal tumors. A patient with colic and hematuria from renal involvement with osteogenic sarcoma who was palliated by percutaneous arterial embolization is described. While there has been much experience with embolization of primary renal tumors, this represents the first reported case of therapeutic embolization of a secondary renal tumor. Embolization is recommended as an adjunct to chemotherapy in the poor-risk patient with a symptomatic secondary renal tumor.


President's Message: What's on the front burner.


Disseminated candidiasis in a patient with acute leukemia. Successful treatment with miconazole.


Chronic granulocytic leukemia.

Chronic granulocytic leukemia.


Recent progress in chemotherapy and immunotherapy of sarcomas of bony origin, both as primary and adjunctive therapy. Treatment for primary malignant tumors of bone, in the past several decades, has yielded uniformly poor results. Recent progress in chemotherapy and immunotherapy are detailed. An important advance in treating osteogenic sarcoma has been the application of adjuvant chemotherapy after initial amputation. CONPADRI-I and COMPADRI-II chemotherapy (a multiple drug approach) is discussed. Adriamycin in combination or alone has proved effective in treating osteogenic sarcoma. Ewing's tumor is showing increased survival rates from radiation therapy alone, as well as by use of systemic adjuvant chemotherapy combined with local radiation. Adjuvant triple chemotherapy with radiotherapy has resulted in pronounced improvement in survival. Chondrosarcomas are largely chemotherapy-resistant. Immunotherapy in bone tumors still is in the experimental stage and investigations with immunotherapy are preliminary. It appears, however, that the immunological status of a patient definitely relates to prognosis. Through increased sophistication in specific chemotherapy and magnitude of treatment, further advances in treatment of primary malignant bone tumors may be expected.


An adolescent boy's adjustment to leukemia.


Remission maintenance of adult acute lymphoblastic leukemia. This report describes the results of a study of central nervous system (CNS) prophylaxis and combination chemotherapy for the maintenance of remission in adult acute lymphoblastic leukemia. Adults with acute lymphoblastic leukemia who achieved complete remission were treated with 2,400 rads cranial irradiation and intrathecal methotrexate for CNS prophylaxis followed by continuation systemic chemotherapy with oral methotrexate, 6-mercaptopurine and cyclophosphamide. There were no CNS relapses following treatment. One-half of the patients relapsed within 11 months, with 5 patients remaining in remission for 27+ to 31+ months. The toxicity was acceptable with no treatment-related deaths. This regimen is capable of producing long remissions in a significant proportion of adults with acute lymphoblastic leukemia and appears to be effective in reducing the incidence of CNS relapse. It has the additional advantage of ease of administration and can be largely administered in the community.


Variable duration of vincristine-induced metaphase block in leukemic and nornal bone marrow cells of children. In four children with previously untreated acute leukemia the stathmokinetic effect of a single IV dose of vincristine (in two children with AML), or of a single IV dose of vincristine combined with daily prednisone (in one child with AMMoL and one with ALL), were investigated. The kinetics of bone marrow blast cells from all patients, and of red cell precursors from the patient with ALL, were studied by conventional methods (determinations of mitotic index and pro-+metaphase/ana-+telophase ratios). In two of the four patients (one AML and one AMMoL) the progression of cells through S, the incorporation pattern of tritiated thymidine, and the nuclear projection area changes during S were analyzed by a combination of autoradiographic and cytophotometric techniques. The results suggest that the doses of vincristine used (0.05 and 0.075mg/kg body weight) did not influence the progression of cells from G0/G1 into S nor from S into G2, and had no effect on the incorporation pattern of tritiated thymidine or on the nuclear projection area changes during S. The results suggests, however, that the duration of the metaphase block induced by vincristine varied from one cell system to another. Differences in the time course of regeneration processes in neoplastic and normal cell systems might be one of the mechanisms responsible for the anti-neoplastic effect of vincristine in man.


Intermittent chemotherapy and BCG in continuation therapy of children with acute lymphocytic leukemia. Continuation therapy using intermittent chemotherapy and BCG inoculation was commenced in 28 children with acute lymphocytic leukemia (ALL) immediately after remission induction and "CNS prophylaxis." At a median followup time of 17 months, 71% remain in total remission and 86% in bone marrow remission. Complications of the therapy were minimal. Major infections occurred on two occasions and there were no deaths in remission. Neutropenia, "minor" infections and postponement of chemotherapy occurred most often during the first three courses of treatment. There were no local or systemic BCG infections. Tuberculin sensitivity was tested in 25 patients. It was positive in 17 of 18 patients in total remission and all four patients with only CNS relapse, and was negative prior to relapse in three patients who developed bone marrow disease.


Anesthetic gases. Scavenging systems in Manhattan hospitals.


Dismembered pyeloplasties. A review.

Dismembered pyeloplasties. A review.


Oral contraceptive use. Epidemiology.

Oral contraceptive use. Epidemiology.


Sclerotherapy of varicose veins. Phlebographic demonstration of immediate venous spasm.


Implementation of medical record and data system for correctional facilities. Prison health data system.


Caffeine-withdrawal headache and fasting.


Diffuse esophageal spasm.

Diffuse esophageal spasm.


Tracheal fenestration with self-aspiration in treatment of severe chronic obstructive pulmonary disease.


Care of patient with stroke. Role of primary physician.


Vanishing internship. Alternate solutions for psychiatrists.


Mononuclear phagocyte. Development, structure, function, and involvement in immune response.


Tumor marker in ovarian cancer. Tumor-associated antigen.


Left ventricular compliance and pulmonary artery end-diastolic pressure.


Severe asthma. Course and treatment in hospital.


Widows and widowhood.

Widows and widowhood.


Emergency brain angiography. Simple reliable technique requiring only plain skull film technique.


Low-dose steroid treatment in polymyalgia rheumatica.


Bacterial antibiotic susceptibility tests. Evaluation of tests performed by permit clinical laboratories in New York State exclusive of New York City.


Diagnostic vacuum aspiration curettage. Evaluation in office practice.


Chloramphenicol.

Chloramphenicol.


Unsuspected disseminated fungal infection in centenarian.


Office evaluation of hypertensive patient.


Giant fibroma of soft tissue.

Giant fibroma of soft tissue.


Schistosomiasis japonica of liver.

Schistosomiasis japonica of liver.


Isotope studies of mesenteric lymphoma. Radioactive gallium (67 Ga) and indium (111 In) scans, sulphur colloid (99mTc) flow study, and abdominal aortogram.


Hypoglycemia and leukemoid reaction with hypernephroma.


Puerperal chyluria.

Puerperal chyluria.


Hydrops fetalis with vena caval thrombosis in utero.


En garde! The denturism threat.

En garde! The denturism threat.


Auxiliaries and pit and fissure sealants-- a time to reconsider.


Dental school reports.

Dental school reports.


Dental peer review: a conceptual model.

Dental peer review: a conceptual model.


OSU students volunteer dental services in Haiti.


Correction of maxillary excess by anterior maxillary osteotomy. A review of three basic procedures. With proper planning, execution, and follow-up care, the anterior maxilla can be surgically repositioned in selected cases to correct the anteroposterior, vertical, and horizontal manifestations of maxillary excess. The technical problems in planning and design for the necessary bony and soft-tissue incisions for three basic anterior maxillary osteotomy techniques are discussed and illustrated. Selection of the most appropriate procedure is based upon the type of positional change that is planned.


How critical is the interval between extractions and irradiation in patients with head and neck malignancy? A total of sixty-two patients with head and neck malignancy who had teeth extracted prior to irradiation therapy were studied. Only one in this group of sixty-two patients developed posttherapy necrosis, and this instance was in no way related to the pre-irradiation extractions. Our experience with patients who have undergone extractions prior to radiotherapy indicates that exodontia may not be, within itself, associated with increased serious postirradiation sequelae. The incidence of osteoradionecrosis in these patients is extremely low. Further, our data do not indicate a critical time period for healing of extraction sockets prior to initiation of radiotherapy. When the state of the underlying disease allows, a healing time of 10 to 14 days should be granted when teeth are extracted prior to irradiation. This recommended interval is only a guideline, since a shorter healing time does not entail a significantly greater risk and should therefore not be arbitrarily classified as inappropriate.


Atypical facial pain.

Atypical facial pain. "Atypical facial pain" is the current label for a possibly heterogeneous group of discomforts localized in the lower half of the head and often confused with dental disease. As illustrated in seventeen cases reviewed here, the condition occurs mostly in women, and there are often neurotic problems in addition to the pain. The pain is dull or burning, incessant, and, in contrast to trigeminal neuralgia, relatively poorly relieved by carbamazepine or diphenylhydantoin sodium; antidepressants and psychotropic agents are worth considering. Although local pathology can occasionally be detected, in this condition the entire state of the patient and the emotional concomitants of the illness require particular attention.


Aspergillosis of the maxillary sinus. Review of the literature and report of a case. Aspergillosis of the paranasal sinuses is an infrequently reported disease which can occur in two forms: (1) a noninvasive form that can clinically mimic nonspecific chronic sinusitis and (2) an invasive form that can simulate malignant disease of the sinuses. The disease occurs without known predisposing systemic disease. Primary treatment consists of surgical eradication of infected tissue. The question of whether concomitant antifungal chemotherapy should be used in the noninvasive form of aspergillosis has not been definitely resolved. Presented is a review of the literature, the report of a case, and a discussion of possible pathogenic mechanisms.


Chronic sclerosing osteomyelitis of the mandible. Histologic and histochemical findings. The histologic features of chronic sclerosing osteomyelitis of the mandible were studied. Four different types of tissue reaction were found to be characteristic of the disease. Histochemical recordings were used in an attempt to facilitate differential diagnosis. Similar types of fibro-osseous lesions and biopsy technique are discussed.


Oral manifestations of pachyonychia congenita. Report of a case. Few cases of pachyonychia congenita are reported in the dental and medical literature because of the rarity of the disease. This article presents a review of the literature and adds a new case history. Examination of a 4-year-old boy revealed the presence of the disease, which was also present in the mother and a newborn sibling.


Chronic staphylococcal stomatitis resistant to penicillin and tetracycline, with evidence of local immune response. Report of a case apparently precipitated by toothbrushing trauma. Described is a case of chronic staphylococcal stomatitis, apparently precipitated by toothbrushing, which persisted for almost 6 months. The implicated organism, Staphylococcus aureus, was resistant to penicillin and tetracycline but sensitive to erythromycin. Recovery finally occurred after antibiotic therapy combined with surgical excision of some small persistent ulcers. Ther sera from a paired set of blood specimens failed to show a significant agglutinating titer, but the samples of saliva collected at the same times gave evidence of specific secretory Iga and showed relatively high agglutinating titer.


A follow-up study of sixty-one oral dysplastic precancerous lesions in Indian villagers. In a 7-year follow-up study of 107 cases of oral epithelial dysplastic precancerous lesions in Indian villagers, 6.6 per cent were found to develop into carcinomas. A clinical spontaneous regression occurred in 14.8 per cent. Follow-up biopsies showed histologic regression of dysplasia in six cases.


Malignant transformation of ameloblastic fibro-odontoma to ameloblastic fibrosarcoma. Two cases of malignant transformation of ameloblastic fibro-odontomas are presented, along with a review of the literature on ameloblastic fibrosarcomas. The occurrence of this malignant transformation of ameloblastic fibromas, ameloblastic odontomas, and ameloblastic fibro-odontomas appears to be more frequent than previously thought. This potential transformation alone does not justify radical treatment of all these benign lesions. If there is recurrence accompanied by a histologic pattern change toward a more unorganized fibrous stroma with displacement of the epithelial component, however, then more extensive treatment procedures appear to be indicated.


Oral leiomyosarcoma. Report of a case and review of the literature pertaining to smooth-muscle tumors of the oral cavity. Primary malignant smooth-muscle tumors of the mouth have rarely been reported. A review of the literature has yielded only eleven cases; to these, a new case is added. The age, sex, and site distribution of oral leiomyosarcomas are compared with those of oral leiomyomas.


Smoking habits of 611 patients with oral lichen planus. The smoking habits of 611 patients (68 per cent females and 32 per cent males) with oral lichen planus were studied. Forty-six per cent were daily smokers, 4 per cent smoked only at social events, and 50 per cent were nonsmokers. In comparison with the nonsmokers, the daily smokers showed significantly lower prevalences of reticular and atrophic types of oral lichen planus lesions and a significantly higher prevelance of the plaque type (P less than 0.001). It is suggested that these findings depend on a mechanism whereby original atrophic and reticular types of lesions are altered into the plaque type of lesions under the influence of smoking. The question arises whether such plaque type of lesion can be regarded as leukoplakias which have been superimposed on the oral mucosa affected by lichen planus.


Root amputation as a predictable procedure. Report of a case. The diagnostic procedures required to arrive at an accurate treatment plan when one is confronted with severe periodontal and endodontic involvement in the same tooth are reviewed. A case report is presented, relating these techniques to the clinical situation. The clinical management of the "combined lesion," once the diagnosis and treatment plan have been determined, is described, with emphasis on methods which will improve the predictability of these difficult cases.


Endo-metaendodontic nomenclature.

Endo-metaendodontic nomenclature.


Endodontic procedures must never be performed without the rubber dam. The rubber dam is an absolute essential in all endodontic procedures. In documentation of that fact, we have presented the case of a 50-year-old man who swallowed an endodontic broach during endodontic treatment; the instrument passed through the gastrointestinal tract without difficulty.


Densitometric evaluation of quick x-ray developing solutions. 1. A 1:2 dilution is the most effective concentration when Kodak developer-replenisher is used as a quick processing solution. 2. Clayton solution used at the manufacturer's recommended concentration with rapid processing times produces radiographs with greater densities than Kodak developer-replenisher or Dry-X-Sol. 3. Clayton, Dry-X-Sol, and concentrated Kodak developer-replenisher used as rapid developers produce radiographs with less image densities than standard Kodak developing solution used at conventional processing times. 4. Radiographic contrast is slightly less when rapid processing is utilized.


Panoramic radiography--an adjunct.

Panoramic radiography--an adjunct.


Radiographic changes of the mandible related to oral contraceptives. This study tested a hypothesis that some radiopacities on radiographic surveys, specifically in the alveolar bone of the mandible from first molar to first molar, not related to the teeth by position or by pathosis, were related to the taking of oral contraceptives. The random sample included 218 adults entering consecutively for full-mouth radiographic surveys at the Radiology Department. All female patients were asked pertinent questions regarding their use of oral contraceptives. Those not responding (fourteen) were not included in the final tabulations. Radiographs were viewed without regard to sex by two persons at the same time, and an interpretation was made concerning the presence (positive) or absence (negative) of the radiopacities in question. Results were based on 204 patients (112 women and 92 men). Positive radiographic findings were significantly more frequent in women (45/112 versus 14/92; chi-square = 14.12; df = 1; p less than 0.001). Positive radiographs were significantly more likely in women using oral contraceptives (28/45 versus 5/67; chi-square = 36.25; df = 1; p less than 0.001).


Glass fragment in tooth socket.

Glass fragment in tooth socket.


The Heimlich Maneuver in dentistry.

The Heimlich Maneuver in dentistry.


Are your employees 'disclosed'?

Are your employees 'disclosed'?


President's message.

President's message.


'Flesh vs. fruits' cont.

'Flesh vs. fruits' cont.


What is the dental society?

What is the dental society?


Acute leukaemia in adolescents.

Acute leukaemia in adolescents.


Neoplasms of bone.

Neoplasms of bone.


Toxicity of 5-bromo-2'-deoxyuridine to malignant lymphoid cell lines.


Aspects of the dosimetry of alpha-emitting radionuclides in bone with particular emphasis on 226Ra and 239Pu. The dosimetry of alpha-emitting radionuclides in bone is discussed. Results are presented for average dose rates to tissues close to endosteal surfaces and to haematopoietic bone marrow from thin plane sources of radionuclides buried to different depths in bone and emitting alpha-particles with energies in the range 3-8 MeV. These results are used to demonstrate that on an activity basis 239Pu is unlikely to be more than fifteen times as toxic as 226Ra with respect to osteosarcoma and leukaemia induction in man.


Brown and the state hospitals.

Brown and the state hospitals.


Experiences with the Garden operation in resistant tennis elbow.


Should a physician incorporate? Some considerations in light of the Pension Reform Act of 1974.


WHO's accent on prevention.

WHO's accent on prevention. It is widely recognized that oral health has its major obstacles in the form of dental caries and periodontal diseases and that in many populations each of these disease areas attacks nearly 100% of the population during the normal life span. Furthermore, there are clear signs of sharp increases in the dental caries problem in populations which previously benefited by a near absence or low prevalence of the disease. For highly developed countries dental caries and periodontal disease are responsible for an ever increasing economic burden which could easily become intolerable for even the richest of economies. In developing countries where dental caries prevalence is increasing the extreme lack of manpower resources is the first barrier, any response to which will encounter the second and associated economic constraint. It is essential for both situations that greater emphasis be given to prevention of oral diseases both by methods already proven, such as fluoridation of water supplies and other uses of fluorides, by oral hygiene programs, and by coordinated research to develop complementary or other methods. The WHO program in oral health has now developed a priority activity to promote and guide such endeavors.


Fluoride concentrations in saliva after single oral doses and their relation to plasma fluoride. The saliva and plasma fluoride (F) concentrations following intake of different doses of fluoride tablets were studied in six subjects. There was a close relationship between saliva F and plasma F and the ratio was 0.64 +/- 0.01 (s.e.). The plasma half life of F was 4-16 h. This results indicate that saliva F may be a useful substitute for blood sampling in studies concerning the pharmacokinetics of fluoride.


SIMS study of element concentration profiles in enamel and dentin. The ion probe technique has been employed for the determination of the concentrations of P, F, Cl, C, Na, K, Mg, Sr, Al, and Si at different depths in human tooth. The applicability of the method depends selectively on the element's position in the periodic table, but may be regarded as good for a wide range of microelements of dental interest.


Early supply of fluoride and enamel fluorosis. A study of enamel fluorosis in 1,094 children was carried out in areas with a water fluoride content of from less than 0.2 mg/l with and without supplementary fluoride, to 2.75 mg/l. The fluorosis was correlated with different infants diets and also with the calculated supply per kilo body weight. As in cattle, 0.1 mg F/kg body weight daily appears to cause fluorosis. This dose may for example be reached with water-diluted gruel powder in low-weight infants with high consumption in low F areas, in normal weight infants in 0.8 areas, and also in high-weight infants in 1.2-1.5 areas. The resultant fluorosis is very mild or mild and not disfiguring. Enamel fluorosis can be avoided or minimized in areas with up to at least 1.2 mgF/l water if F-supply, e.g. water-diluted gruel and/or supplementary fluoride, is not commenced until 6 months of age when body weight is higher. With a water fluoride content of 2.75 mg F/l a very mild fluorosis is difficult to avoid also with normal water consumption during the 1st year of life.


Ph1-positive polycythemia vera.

Ph1-positive polycythemia vera. The rare presence of the ph1 chromosome in chronic myeloproliferative disorders other than chronic granulocytic leukemia (CGL), i.e. polycythemia vera (PV), myeloid metaplasia with myelofibrosis (MMM) and hemorrhagic thrombocytopenia (HT) raised the question whether or not the Ph1 chromosome is peculiar to CGL. In an attempt to answer this question, the authors reports six cases of positive-Ph1 of which two are from their personal experience and four from the literature. Three of these six cases converted to CGL. The authors conclude that the cases of Ph1-positive PV and HT are transition forms to CGL, and the cases of Ph1-positive MMM are in fact secondary forms derived from CGL.


Fortnightly fluoride rinsing combined with topical painting of fluoride solutions containing Al-, Fe-, and Mn-ions. The possibility of achieving a caries-reducing effect by a combination of fortnightly mouthrinsings with 0.2% NaF-solutions and topical painting with solutions containing Al-, Fe-, and Mn-ions was examined in a 4-year clinical study. In addition to the fluoride rinses one of two randomized groups was given three paintings per year with a 0.2% NaF-solution. The other group was painted three times per year with a potassium fluoride solution containing Al-, Fe-, and Mn-ions. This group developed significantly less caries during the study than the NaF-group. The results indicate that certain metal ions can enhance the caries-prophylactic action of the fluoride ions.


Quantification of dental plaque through planimetric analysis. The aim of this study was to develop a planimetric, automatic method for evaluation of the extension and volume of plaque. Series of color macrophotographs of stained plaque were analyzed with a digitizer entering Cartesian coordinate data from the graphic records in a calculator. Estimations were carried out on the reproducibility, discriminatory power, and time required for the planimetric analysis. In addition, the ratios between values obtained before and after reproducible cleansing were interpreted as measurement of the adhesion of plaque in vivo.


The relation between betel chewing and dental caries. In the eastern part of Java and on the island of Bali betel chewing is a very common habit confined principally to females. The purpose of the present study was to examine the influence of betel chewing on the prevalence of dental caries. The study, which is based upon 982 villagers, indicates a strong inverse relationship between the prevalence of dental caries and the intensity of betel chewing. The possible mechanisms whereby betel chewing may have a caries-inhibiting effect are discussed.


Leukaemia-associated antigen (LAA) in proliferative blood disorders. Serum leukaemia associated antigen (LAA) was found in 41-75% of patients with acute leukaemia or chronic myelogenous leukaemia, but in only 12% of persons suffering from chronic lymphocytic leukaemia. LAA was present in detectable amounts in 1% of healthy blood donors. Thus LAA is truly leukaemia associated rather than leukaemia specific. Occurrence of LAA in the serum of a leukaemia patient may signal a serious turn of the disease.


Syndrome of Shwachman and leukaemia.

Syndrome of Shwachman and leukaemia. The syndrome of Shwachman is characterized by pancreatic insufficiency and bone marrow dysfunction, usually manifesting itself as neutropenia. The pancreas shows replacement of the exocrine glands by adipose tissue; sweat electrolytes are normal. A 23-year-old male who was known to suffer from neutropenia and pancreatic dysfunction from early childhood, presented with fever, acquired Pelger-Huet anomaly (of the polymorphonuclear granulocytes) and sideroblastic anaemia, a combination of symptoms suggestive of preleukaemia. A few months later he died of acute myeloblastic leukaemia and autopsy showed a dystrophic pancreas. Considering this case history it seems possible that the haematological anomalies of Shwachman's syndrome are signs of preleukaemia. Careful follow-up of patients suffering from Shwachman's syndrome seems warranted.


Electromyographic activity in digastric muscles and opening force of mandible during static and dynamic conditions. A method is presented for simultaneous recording of the integrated electrical activity in the anterior belly of the digastric muscle and the force developed at the chin during static and dynamic conditions of opening. A linear relationship was demonstrated between force and integrated electrical activity during isometric contraction.


Identification and quantitation of carbohydrates in fluid from non-keratinizing jaw cysts. Glucose, mannose, galactose, glucosamine, and fucose were detected by paper or thin-layer chromatography, and N-acetylneuraminic acid (sialic acid) was identified by absorption spectroscopy in acid hydrolysates of pooled cyst fluid. Quantitation of these monosaccharides in 37 frozen-stored cyst fluids and autologous sera showed that the average content of hexoses, hexosamine, and sialic acid in cyst fluid approximated that in serum, whereas cyst fluid contained significantly more fucose than did serum. Fifteen of the cyst fluids and samples of autologous serum were also analyzed for free glucose. A mean cyst fluid to serum concentration ratio of 0.48 was found. The results show that the sugar components bound to proteins are the same in cyst fluid and serum. High levels of fucose in cyst fluid indicate the presence of fucomucins.