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[Utilization of dental services--results of an oral hygiene study in Saxony]. | services compared to subjects with non-regular utilisation. These differences were significant for subjects over 54 years (tooth loss) and subjects aged 25-44 years and over 54 years (level of restoration). Compared to previous studies the utilisation was similar or higher in our sample. The enhanced oral health belief paves the way for professional preventive measures. In the over 64-year-olds the need for regular dental visits was obvious and this age group must definitely be given more relevant informat | 10666941 | [
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[Utilization of dental services--results of an oral hygiene study in Saxony]. | ion on the subject. | 10666941 | [
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[Statistically evaluated 95% prediction ranges as alternative to reference ranges exemplified by polychlorinated dibenzo-p-dioxins/dibenzofurans and lead]. | Using the 95% prediction limits of an age-related multiplicative regression model describing the datasets of blood examinations carried out on subjects suspected of having been exposed to lead and to polychlorinated dibenzo-p-dioxins/dibenzofurans (PCDD/F); it was shown that the relevant curves can be used as an alternative to reference ranges describing the actual background exposure to these pollutants. The upper limit of the actual German background exposure can be estimated by the following equations: P | 10666942 | [
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[Statistically evaluated 95% prediction ranges as alternative to reference ranges exemplified by polychlorinated dibenzo-p-dioxins/dibenzofurans and lead]. | CDD/F as International Toxicity Equivalents in the age range of 10-70 years [pg/g lipid basis] = 1.64.age0.871 and lead in the age range of 15-80 years [microgram/l] = 18.15.age0.3638. | 10666942 | [
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[Quality assurance and teamwork in social medicine expert assessment exemplified by the expert assessment aid "corrective breast surgery" of the North Rhine Health Insurance Medical Service]. | To standardise sociomedical expertising procedures in surgery of the breast a project team of medical advisors of the Medical Advisory and Expertising Service North Rhine worked out a manual. A form was created for sociomedical pre-advice occasions. Detail parameters for examination (time needed and advisor selection) were fixed in consent. Checklists were worked out; which may be admitted to quality assurance procedures. The manual "Medical opinion for surgery of the breast" has been implemented and is app | 10666944 | [
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[Quality assurance and teamwork in social medicine expert assessment exemplified by the expert assessment aid "corrective breast surgery" of the North Rhine Health Insurance Medical Service]. | lied in the Medical Advisory and Expertising Service North Rhine since January 1999. In the sense of teamwork participation those who were involved as team-workers became participants in decision-making. The manual "Medical opinion for surgery of the breast" may be seen as an example of quality assurance and participation in socio-medical opinion procedures. The influence of this manual on the formal quality of medical opinion will be checked. | 10666944 | [
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[Examples of methodological problems in evaluating misuse of hospital admission and approaches to correction]. | nan | 10666945 | [
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Awareness of, use and perception of efficacy of alternative therapies by patients with inflammatory arthropathies. | Fifty one patients with chronic inflammatory polyarthritis were surveyed on unconventional treatments they used to self-treat their condition. Awareness of the availability of alternative therapies (ATs) was universal. Sixty-six percent (66%) of patients had tried one or more ATs. The most popular ATs were dietary manipulation (no red meat; dosing with vinegar and honey); the wearing of magnets and copper bracelets; and acupuncture. The best predictors of AT use were male sex; Caucasian race and formal educ | 10666947 | [
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Awareness of, use and perception of efficacy of alternative therapies by patients with inflammatory arthropathies. | ation beyond high school. Numbers were too small to make definitive statements about perceptions of efficacy; but the users of magnets and fish oils tended to be dissatisfied with these ATs; while those who had tried bee stings; herbs and hormones claimed effectiveness. | 10666947 | [
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Trends across two time periods in the diagnosis of substance abuse comorbidity at the Hawaii State Hospital. | This study investigates the changes from the late 1980s to early 1990s of comorbidity (mental illness plus substance abuse) at the Hawaii State Hospital. For the 1990s; a prevalence rate ranging from 14.2% to 30% was estimated; with the latter figure based on a closer review of the records. A higher proportion of comorbid clients were single; and compared to the non-abusers (i.e.; patients diagnosed with only schizophrenia or affective disorder); a higher percentage were male and had an educational level le | 10666948 | [
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Trends across two time periods in the diagnosis of substance abuse comorbidity at the Hawaii State Hospital. | ss than high school. There was an increase in the percent of non-abusers and substance abusers; but a decrease in the dual diagnosed. The implications of these findings are discussed. | 10666948 | [
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Clinical applications of hypnotherapy in a medical setting. | Since 1958; hypnosis has been recognized by the American Medical Association as a legitimate form of medical treatment when administered by an appropriately trained practitioner. With the prevalence of certification societies and international organizations; the specialty has increased its level of professionalism and clinical applications. However; in spite of increased exposure and utilization of this unique clinical application; its use within medical settings varies considerably. The purpose of this art | 10666949 | [
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Clinical applications of hypnotherapy in a medical setting. | icle is to provide an understanding of clinical hypnosis and offer clinical applications; with the goal of increasing its exposure and utilization within medical settings. | 10666949 | [
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[Morphometric analysis of nuclear variations in normal and neoplastic mammary ductal cells]. | Morphometry is a method to detect changes in a variety of tissues through quantitative elements. The purpose of this study was to examine several nuclear morphologic characteristics in normal and neoplastic mammary ductal cells using a multivariable method and expression of estrogen receptors by immunohistochemical techniques. A total of 1879 nuclei were examined by a computerized program; following the detection of estrogen receptors. Nuclear area; perimeter; diameter; maximal and minimal radio were obtain | 10666950 | [
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[Morphometric analysis of nuclear variations in normal and neoplastic mammary ductal cells]. | ed in 439 normal ductal nuclei. The mean nuclear area was 14.45 with a range between 10.88 and 17.90. Variables showed adequate statistical correlation (r > 0.5). A total of 1440 neoplastic nuclei were classified as grades I; II and III; and a statistical significative difference was found between these three groups. We conclude that the nuclear area is a reliable variable for statistical correlation being the ductal nuclei anisotropic objects. | 10666950 | [
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[Candida in biological human samples]. | Infections by Candida have been raising in the last decades; and risk factors; mainly immunosuppression and the appearance of Candida no albicans; are determinants in the prognosis of these mycoses. The purpose of this investigation was to identify and establish the prevalence of C. albicans and Candida spp. in candidiases; in patients to the Hospital Universitario de Maracaibo; whose biological samples were processed for both direct examination and cultures; needed for the proper identification. From Octob | 10666951 | [
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[Candida in biological human samples]. | er 1996 to October 1998; isolation and identification of yeasts of Candida were performed in 177 biological samples: 73 (41.24%) Candida albicans and 104 (58.75%) Candida spp. Both blastoconidias and pseudohyphae were found in 34 samples (19.21%); 24 of which (70.5%) were diagnosed as C. albicans and 10 (29.5%); as Candida spp. Blastoconidias identified by direct method were distributed as C. albicans 34.2% and Candida spp. 65.7%. C. albicans was found more often in intertrigo; sputum and in bronquial lavag | 10666951 | [
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[Candida in biological human samples]. | e samples. Candida spp. was more frequent in nails. Candidiasis is a frequently diagnosed mycosis in hospitals; mainly among immunossuppresed patients. It is very important to use direct microscopical evaluation and cultures; in order to establish the presence of blastoconidias and pseudohyphae; that will help to diagnose the aethiology and prevalence of candidiasis. It is also important to recognize subungueal candidiasis in hospital staff; that could spread the infection to inpatients. | 10666951 | [
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[Analysis of prevalence of point mutations in codon 12 of oncogene K-ras from non-cancerous samples of cervical cytology positive for type 16 or 18 PVH]. | Ninety-one non cancerous samples from genital specimens positives for VPH 16 or 18 and 27 non-infected samples as controls were studied. Mutations at codon 12 in K-ras gene was analyzed using enriched alelic PCR technique. Among the samples studied 17.58% showed mutations in this codon. Significant differences were observed between the control group (negative DNA-HPV) and positives DNA-HPV samples (p < 0.01). No differences were found between both viral types in relation to the mutation frequency. The prese | 10666952 | [
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[Analysis of prevalence of point mutations in codon 12 of oncogene K-ras from non-cancerous samples of cervical cytology positive for type 16 or 18 PVH]. | nce of mutations in the K-ras gene in non cancerous cytological samples point out new questions about the role of mutations in proto-oncogenes and the development of cervical cancer. | 10666952 | [
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Hypertrophic pulmonary osteoarthropathy in acquired immunodeficiency syndrome. Case report and review. | We describe a case of hypertrophic pulmonary osteoarthropathy (HPOA) in an adult patient with acquired immunodeficiency syndrome (AIDS). This is the ninth case of HPOA associated with AIDS in adults; reported in the literature. The presence of pulmonary tuberculosis was also suspected; based on clinical grounds. Cases of clubbing associated with AIDS infection are reviewed. | 10666953 | [
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[The NADPH-oxidase complex in chronic granulomatous disease: preliminary description of a cluster in Mérida-Venezuela]. | Chronic Granulomatous Disease (CGD) is a primary immunodeficiency characterized by an unusual predisposition to develop bacterial and fungal infections due to a failure of phagocytic leukocytes to generate superoxide; required for the intracellular killing of microorganisms. The lack of superoxide production is secondary to a defect in the NADPH-oxidase enzymatic complex activation; as a result of mutations of any of the components. Both; X-linked and autosomal recessive patterns of inheritance have been de | 10666954 | [
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[The NADPH-oxidase complex in chronic granulomatous disease: preliminary description of a cluster in Mérida-Venezuela]. | monstrated in this disease; being the X-linked the most frequent and characterized by mutations in gp91phox. Mutations in p47phox; p67phox and p22phox have been shown in the autosomal recessive pattern. The molecular and genetic characteristic of NADPH-oxidase complex and its pathology in CGD are reviewed along with a brief description of the preliminary findings in two families from Mérida; Venezuela. | 10666954 | [
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Intra-oral topical anaesthetics: a review. | This review considers the use of topical anaesthetics in the mouth to reduce the discomfort of local anaesthetic injections and intra-oral operative procedures.Electronic literature search using Pub Med; manual search of references within papers found by the primary search and manual searching of abstracts from scientific meetings.The articles selected for this review investigate or used topical anaesthesia in dental procedures.The use of topical anaesthetics does not guarantee pain-free dental local anaest | 10666956 | [
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Intra-oral topical anaesthetics: a review. | hesia. Efficacy is dependent upon the duration of application and the gauge of needle used. Evidence is available that the use of topical anaesthesia alone is sufficient to perform some intra-oral procedures including periodontal manipulations; operative dentistry and oral surgery. | 10666956 | [
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The teaching of Class I and Class II direct composite restorations in European dental schools. | The purpose of this descriptive study was to provide updated data on the teaching of Class I and Class II direct composite restorations in Europe as part of a survey of this aspect of the primary dental curriculum in Europe and North America.Data on the teaching of posterior composite restorations and related matters were collected by means of a postal questionnaire sent to 185 dental schools known to exist in Europe. Non-respondents were sent a second questionnaire after two months. Further information per | 10666957 | [
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The teaching of Class I and Class II direct composite restorations in European dental schools. | taining to student requirements was sought after six months from all respondents.The response ranged from 92% for dental schools in Scandinavia to 40% from dental schools in Southern Europe with an overall response of 56%. All but four of the 104 participating schools were found to teach the use of composites in Class I and Class II; two-surface situations in at least premolar teeth. Contraindications and techniques taught for posterior composites varied within and between the country groupings of Northern | 10666957 | [
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The teaching of Class I and Class II direct composite restorations in European dental schools. | and Central Europe. Scandinavia; Southern Europe and Eastern Europe. However; certain consensus views were identified. The experience of adverse biological reactions to the use of resin-based restoratives in European dental schools was found to be limited.Notwithstanding the variation in the response from the four geographic regions investigated and the relatively low overall response to the questionnaire; it is concluded that the data reported indicates that most dental schools in Europe teach the use of c | 10666957 | [
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The teaching of Class I and Class II direct composite restorations in European dental schools. | omposites in selected Class I and Class II situations. However; considerable variation exists both within and between the regions investigated in relation to this teaching. Further research and consensus conferences should be planned to reduce variability across Europe in relation to the contraindications and techniques taught for posterior composites. | 10666957 | [
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Validity of the examination method of occlusal contact pattern relating to mandibular position. | This study was based on the hypothesis that conflicting findings and inconclusive consensus regarding the role of occlusal factors in the masticatory system are due to the variations in the definitions and methods used to describe and examine the occlusal factors. The object of this study was to determine whether contact patterns during lateral movement vary with mandibular positions and whether the contact pattern in lateral positions close to the maximum intercuspation has characteristics distinct from th | 10666958 | [
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Validity of the examination method of occlusal contact pattern relating to mandibular position. | ose in an edge-to-edge position.Occlusal contacts of 86 young adults were examined using shim stock in regulated lateral positions: 0.5; 1; 2 and 3 mm from the maximum intercuspation; where the 0.5; 1 and 2 mm positions were defined as lateral positions close to the maximum intercuspation and the 3 mm position as an edge-to-edge position.The occlusal contact pattern in the 0.5 mm position showed a marked prevalence of posterior tooth contacts on the working and the non-working sides; compared with the 1; 2 | 10666958 | [
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Validity of the examination method of occlusal contact pattern relating to mandibular position. | and 3 mm positions. The occlusal contact pattern in the 3 mm position predicted the presence or absence of the occlusal contact in the 1 and 2 mm positions (sensitivity > 0.7) but not in the 0.5 mm position (sensitivity < 0.6).The occlusal contact patterns during lateral movement varied greatly with mandibular positions. The examination method of the occlusal contact pattern in one unregulated position will be invalid. It is necessary to distinguish the occlusal contact patterns between a position close to | 10666958 | [
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Validity of the examination method of occlusal contact pattern relating to mandibular position. | the maximum intercuspation and an edge-to-edge position when investigating its role in the masticatory system and in oral disease. | 10666958 | [
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Investigations into the use of an ultrasonic chisel to cut bone. Part 1: Forces applied by clinicians. | To measure in vitro the direction and force of applied loads applied by clinicians when using both a conventional slow surgical handpiece (CH) and an ultrasonic chisel (USC) for cutting bone.Five clinicians were asked to cut bovine bone using either an USC or a CH. The bone was placed on a force measurement system that could measure both longitudinal and downward loads. The rate of cut was calculated over a fixed time-period and the depth of cut measured using a penetratometer.The magnitude of the longitudi | 10666959 | [
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Investigations into the use of an ultrasonic chisel to cut bone. Part 1: Forces applied by clinicians. | nal forces generated varied between 1.48 and 3.22 N (USC) and 0.04 and 4.56 N (CH). The CH had a pulling force directed towards the operator. Both instruments produced a similar range of downward forces although there was intra- and inter-operator variability. The rate of cut varied in a similar manner; however; the CH produced a significantly greater depth of cut (p < 0.05).The force measurement system demonstrated differences in the way clinicians used the USC and CH instruments to cut bone. Of the two cu | 10666959 | [
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Investigations into the use of an ultrasonic chisel to cut bone. Part 1: Forces applied by clinicians. | tting methods investigated; the rotary bur is more efficient than the ultrasonic chisel. An ultrasonic chisel does cut bone in a different manner from a conventional bur and clinicians may require training before using it clinically. | 10666959 | [
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Investigations into the use of an ultrasonic chisel to cut bone. Part 2: Cutting ability. | Ultrasound may offer a possible alternative to rotary instruments for removing bone. This study was undertaken to analyse in vitro the various factors that influence the cutting of bone by an ultrasonic chisel.A block of bovine femur was moved in a longitudinal direction under a stationary ultrasonic chisel. The force and depth of the cut was recorded for cutting rates of 28-112 mm/min and with increasing rake angles of 0 to +20 degrees. The pressure exerted by the chisel was recorded for different cutting | 10666960 | [
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Investigations into the use of an ultrasonic chisel to cut bone. Part 2: Cutting ability. | rates.When the cutting rate increases there is a corresponding increase in the downward force which is followed by a decrease in the force at rates greater than 56 mm/min. The depth of the cut increases up to a rate of 56 mm/min after which it decreases. Both the longitudinal and downward forces do not change when the rake angle changes from 0 to +10 degrees. The downward force decreases when the rake angle increases from +10 to +20 degrees.The bone is cut slowly with the ultrasonic chisel; but this would a | 10666960 | [
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Investigations into the use of an ultrasonic chisel to cut bone. Part 2: Cutting ability. | ssist in precision. Where such an instrument is used for cutting bone the clinicians should be aware that both low forces and cutting rates are required; and the instrument should be held at a low rake angle. | 10666960 | [
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Composition of the oral streptococcal flora in healthy children. | To identify the predominant streptococcal species in the mouths of healthy children and to investigate the composition of the oral streptococcal flora over a period of 4 months.The subjects were 33 fit; healthy schoolchildren aged between 5 and 16 years. These children were part of a large study and were the matched controls for a group of subjects undergoing bone marrow transplantation. The oral flora was sampled using an oral rinse technique on two separate occasions 4 months apart. The outcome measures w | 10666961 | [
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Composition of the oral streptococcal flora in healthy children. | ere the number of each streptococcal species per millilitre of oral rinse; the isolation frequency of each species; the proportion of each species as a percentage of both the total streptococcal count and the total anaerobic count.The predominant species were Streptococcus salivarius; S. oralis and S. mitis. There was no significant variation in the composition of the oral streptococcal flora over the 4 month period.The oral rinse technique provides a reliable method of sampling the streptococcal flora of c | 10666961 | [
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Adaptation of dental plaque to metabolise maltitol compared with other sweeteners. | There is some evidence that plaque can adapt to regular exposure to some bulk sweeteners; leading to increased metabolism and acidogenic potential of the sweetener. This potential for adaptation varies between non-sugar sweeteners and has important implications for manufacturers of food; confectionery and medicines used long-term. Maltitol (99% purity crystalline D-maltitol) is a relatively newly approved non-sugar sweetener and appears to have potentially good dental properties.To compare plaque adaptation | 10666962 | [
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Adaptation of dental plaque to metabolise maltitol compared with other sweeteners. | to pure sucrose; sorbitol; xylitol or maltitol and the effect of their prolonged use on acid production by plaque from sucrose; in vivo.Two series of plaque pH experiments were carried out. Each experiment involved a 14 day adaptive period when four 5 g lozenges of the sweetener were taken between meals each day. Each experiment was separated by a 14 day wash-out period. Acid production was quantified as: (a) minimum pH; and (b) cH area (difference between plaque pH curve and resting value; expressed as cH | 10666962 | [
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Adaptation of dental plaque to metabolise maltitol compared with other sweeteners. | units).Thirteen adults; of mean age 41 years completed the study. When adaptation of dental plaque to the metabolism of sweeteners was compared; there was a statistically significant difference (p = 0.033) between xylitol and sorbitol; and between xylitol and sucrose but not between xylitol and maltitol. When the effect of prolonged use of sweeteners on acid production after sucrose rinsing was compared; there were no statistically significant differences between the sweeteners.Dental plaque does not adapt | 10666962 | [
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Adaptation of dental plaque to metabolise maltitol compared with other sweeteners. | to metabolise xylitol or maltitol following prolonged exposure over 14 days. | 10666962 | [
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Cytotoxic effects of composite restorations employing self-etching primers or experimental antibacterial primers. | The aim of this study was to investigate the cytotoxic effects of composites which employ proprietary self-etching primers or experimental primers containing an antibacterial monomer 12-methacryloyloxydodecylpyridinium bromide (MDPB) on human pulpal cells by in vitro dentine barrier tests.Experimental primers were prepared by the addition of MDPB to each of two control proprietary primers at 1; 2 and 5%. Direct and indirect composite specimens were placed using each primer on one side of a dentine disk asse | 10666963 | [
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Cytotoxic effects of composite restorations employing self-etching primers or experimental antibacterial primers. | mbled in a simple pulp chamber device. Human pulp cells were incubated on the other side of the disk. After 48 h of incubation; the uptake of [3H]-thymidine by the cells was compared with that for negative controls using wax. Tests were repeated four times for each material. The diffusion of monomers from each specimen was determined using the same device.The specimens with control primers showed 26-35% reduction in cell activity. There were no significant differences in cytotoxicity between the control and | 10666963 | [
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Cytotoxic effects of composite restorations employing self-etching primers or experimental antibacterial primers. | experimental primers-specimens (Kruskal-Wallis test; p > 0.05). 2-Hydroxyethyl methacrylate at more than 1 mg ml-1 diffused from all specimens and was considered to be the cause of cytotoxic effects. The concentrations of MDPB diffused from the experimental primers-specimens were less than the toxic level; even for 5% MDPB-containing specimens.The results demonstrate that composites employing proprietary self-etching primers produced cytotoxic effects on human pulpal cells in vitro; although the toxicity w | 10666963 | [
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Cytotoxic effects of composite restorations employing self-etching primers or experimental antibacterial primers. | as not severe. Incorporation of MDPB into a proprietary primer of up to 5% had no significant influence on the cytotoxicity observed. | 10666963 | [
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Retentive and compressive strengths of modified zinc oxide-eugenol cements. | This investigation sought to improve the handling and physical properties of a commonly used temporary zinc oxide-eugenol cement by changing the base/accelerator (B/A) ratio or combining it with a petroleum jelly or fluoride varnish.Twelve modifications of a temporary cement were evaluated in terms of retentive strength; compressive strength at 24 h; film thickness and by scanning electron microscopy.Decreasing the B/A mixing ratio increased the retentive and compressive strengths; but reduced the film thic | 10666964 | [
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Retentive and compressive strengths of modified zinc oxide-eugenol cements. | kness of the cement. By increasing the percentage of incorporated petroleum jelly or fluoride varnish in the cement; there was a progressive decrease in the retentive and compressive strengths and in film thickness.Modifications of a zinc oxide-eugenol temporary cement to change the B/A ratio or to incorporate additives resulted in variations in physical properties. All modified forms of the cement had a film thickness less than 25 microns and a compressive strength below 35 MPa. With a wide range of retent | 10666964 | [
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Retentive and compressive strengths of modified zinc oxide-eugenol cements. | ive strength; modified forms of zinc oxide-eugenol cement may be found to have diverse clinical applications. | 10666964 | [
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Designing new treatment strategies in vital pulp therapy. | The development of strategies in vital pulp therapy; which aim to maintain vitality and function of the dentine-pulp complex; represents a major focus of attention. Recent progress in understanding the molecular and cellular changes during tooth development and how they are mimicked during dental tissue repair offers the opportunity to now assess whether this knowledge can be exploited to design new treatment strategies in vital pulp therapy.Current literature on the molecular and cellular basis of tooth de | 10666965 | [
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Designing new treatment strategies in vital pulp therapy. | velopment and dental tissue repair has been reviewed in the context of stimulating dentinogenic responses in the tooth together with pertinent published abstracts of relevant conferences and personal communications. Tissue events of direct relevance to clinical application for vital pulp therapy are discussed.The involvement of growth factors and extracellular matrix molecules in signalling and regulating dentinogenic events during tooth development has been identified. During dental tissue repair; many of | 10666965 | [
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Designing new treatment strategies in vital pulp therapy. | the processes are mimicked leading to responses of focal deposition of tertiary dentine at injury sites. The nature and specificity of these responses are determined in part by the extent of tissue injury. Traditional clinical strategies are capable of exploiting endogenous signalling molecules in the tissues to develop more effective treatment modalities. Application of exogenous signalling molecules offers opportunities for development of new therapies; although a number of delivery considerations must be | 10666965 | [
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Subgingival calculus: where are we now? A comparative review. | To critically analyse the formation; composition; ethnic variations and pathogenic potential of subgingival calculus in comparison with supragingival calculus.Using CD-ROM and index medicus; scientific papers relating to subgingival calculus or subgingival and supragingival calculus written in the English language since 1960 were considered; with the emphasis on more recent articles.Studies were selected for their relevance and contemporary nature re:composition and formation of dental calculus and comparis | 10666966 | [
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Subgingival calculus: where are we now? A comparative review. | ons of ethnic groups with regard to dental calculus; especially subgingival calculus. Some similar studies were not included.Abstracts of studies were kept brief unless particularly important to the review. Population; methodology; statistics and accurate conclusions were used as important guides to the quality and validity of studies.Similarities and differences between supragingival and subgingival calculus in composition and formation were shown. Different morphological types of subgingival calculus were | 10666966 | [
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Subgingival calculus: where are we now? A comparative review. | demonstrated. There was evidence for an association between calculus formation and ethnicity with regard to supragingival and subgingival calculus; and an association between subgingival calculus composition and ethnicity was indicated.An association between ethnicity and subgingival calculus formation and composition was found. Further research into the reasons for these ethnic differences in dental calculus and the role of the mineral constituents especially of subgingival calculus would be valuable. | 10666966 | [
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Iatrogenic damage to approximal surfaces in contact with Class II restorations. | This study investigated the frequency of iatrogenic damage to approximal surfaces in contact with Class II restorations.Patients (n = 28) with a Class II restoration in contact with an unrestored surface had elastic separators fitted interproximally. Contralateral (unrestored) control surfaces were also separated. Impressions (light body polyvinylsiloxane) of the separated surfaces were taken 3-6 days later. Interproximal impressions (28 paired; seven unpaired) were examined by binocular microscope and scan | 10666967 | [
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Iatrogenic damage to approximal surfaces in contact with Class II restorations. | ning electron microscope (SEM) for iatrogenic damage; attrition and cavitation due to caries.49-60% of surfaces adjacent to Class II restorations had been iatrogenically damaged. The most frequent types of damage were vertical grooves (26%); extensive damage (17%); indentations (6%) and scratches (6%). Damage was more frequent in maxillary teeth (61%) than mandibular teeth (25%); in permanent teeth (60%) more than deciduous teeth (20%). Qualified dentists produced more iatrogenic damage (64%) than undergrad | 10666967 | [
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Iatrogenic damage to approximal surfaces in contact with Class II restorations. | uate students (23%).The frequency of iatrogenic damage to approximal surfaces following Class II preparations was 49%; and possibly as much as 60% when questionably damaged surfaces were included. Protection of the adjacent enamel is of paramount importance during Class II cavity preparation. | 10666967 | [
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A five-year clinical evaluation of Class II composite resin restorations. | To study the clinical efficacy of posterior composite resin restorations placed in general practice after five years.Two commercial composite resin systems were used. Three general practitioners placed the restorations at a Public Dental Health Service Office. The patients were not selected specifically for this study. Class II cavities were restored with Superlux Molar and P-50 APC composite systems on an alternate basis. At baseline; 63 restorations were placed in molars and premolars in 45 patients. For | 10666968 | [
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A five-year clinical evaluation of Class II composite resin restorations. | primary caries; generally a conservative cavity design was used (n = 23); while replacements of amalgams resulted in the larger conventional Class II design (n = 40). The restorations were assessed using a modified USPHS criteria. Wear measurements were determined by the Leinfelder method. Photographs and bite-wing radiographs were taken to supplement the clinical evaluation of colour match; marginal adaptation and recurrent caries. Saliva sampling was performed to determine the rate of secretion and the le | 10666968 | [
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A five-year clinical evaluation of Class II composite resin restorations. | vel of mutans streptococci and lactobacilli.At the five-year review 51 restorations were available for examination; of which nine restorations were rated clinically unacceptable. Including the failed restorations (n = 7); at the three-year review; a total of 16 restorations had failed (27.6%) over a five-year period. The most common reasons for failure were recurrent caries (n = 7) and marginal defects (n = 4). The mean wear of Superlux Molar was 167 microns and of P-50 APC 158 microns. Eight of the 11 pati | 10666968 | [
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A five-year clinical evaluation of Class II composite resin restorations. | ents with failed restorations due to caries and marginal defects had high counts of mutans streptococci at baseline.The failures in the present group of patients did not specifically relate to material; tooth type or cavity design. However; it is suggested that patient factors such as caries activity should be monitored and managed. | 10666968 | [
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Three-year clinical evaluation of a polyacid-modified resin composite in minimally invasive occlusal cavities. | The aim of this study was to evaluate the 3-year clinical performance of one polyacid-modified resin composite material (PMRC). Dyract; in minimally invasive occlusal cavities and its neighbouring fissures.One hundred and sixteen restorations of the material investigated were placed by a single operator in a group of selected children under controlled conditions. Isolation of the restorations was accomplished with the use of cotton rolls and aspiration. Using modified US Public Health Service (USPHS) codes | 10666969 | [
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Three-year clinical evaluation of a polyacid-modified resin composite in minimally invasive occlusal cavities. | and criteria; the restorations were reviewed clinically within 1 week of placement (baseline); and thereafter at 6 months; 1; 2 and 3 years.After 3 years; marginal discolouration was present in 8.6% of the restorations. The marginal adaptation was rated as partly sealed (Oscar-Alpha) in 107 (92.2) of the restorations. Five restorations had lost their sealant components; while four restorations were partly sealed with explorer-catch after 3 years. Although wear of the restorations was considerable; restorati | 10666969 | [
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Three-year clinical evaluation of a polyacid-modified resin composite in minimally invasive occlusal cavities. | ons rated as 'partly sealed' had at least two-thirds of their sealant components fully retained. Recurrent caries was associated with four (3.4%) restorations.In this clinical study; the retention rate of the tested PMRC material was good; although a marked occlusal wear was evident. The marginal adaptation of the PMRC at the enamel site would probably have been better by the use of enamel-etching. Provided the marginal adaptation and wear resistance of the material is further improved; clinical use of PMRC | 10666969 | [
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Three-year clinical evaluation of a polyacid-modified resin composite in minimally invasive occlusal cavities. | s in minimally invasive occlusal cavities can be advocated. | 10666969 | [
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Clinical evaluation and microstructural analysis of a direct placement gallium restorative alloy. | The objective of this study was to assess the clinical performance of a direct placement gallium alloy sealed with an established dentine adhesive system. In addition; microanalysis of a few gallium restorations that failed in clinical service was performed. Clinical factors such as pulpal sensitivity; fracture of the restoration and of the tooth; marginal deterioration; and tarnish were assessed.Sixty-five restorations of Galloy and 62 of Tytin (49 and 51 Class II restorations; respectively) were placed ac | 10666970 | [
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Clinical evaluation and microstructural analysis of a direct placement gallium restorative alloy. | cording to a predetermined scheme for randomisation in 37 patients by two operators using rubber dam isolation. For the Galloy restorations; the enamel and dentine were etched; and then sealed with PAAMA 2 dentine adhesive according to the manufacturer's instructions. After carving; PAAMA 2 was applied to the Galloy and light-cured. Cavity preparations for Tytin received no adhesive sealer. All restorations were polished at least 24 h post-operatively. Microstructural analysis of retrieved fragments of fail | 10666970 | [
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Clinical evaluation and microstructural analysis of a direct placement gallium restorative alloy. | ed restorations was conducted using electron probe microanalysis.At 1 year; only one Tytin restoration was found to have failed due to an isthmus fracture. The remaining restorations of Tytin were intact with no reported sensitivity. Of the 65 Galloy restorations placed; 28 had to be removed; including restorations in teeth; which were symptomatic; non-vital and/or fractured; and teeth with fractured restorations. Tarnish was present on many of the Galloy restorations. Retrieved fragments of failed Galloy r | 10666970 | [
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Clinical evaluation and microstructural analysis of a direct placement gallium restorative alloy. | estorations exhibited a dark surface at the pulpal wall interface and small cracks were observed in that surface. Internal cracks and extensive corrosion was observed using the microprobe. Gallium oxides and chlorides were identified as the predominant corrosion products.The gallium alloy; Galloy; sealed with PAAMA 2 dentine adhesive system demonstrated a high clinical failure rate. | 10666970 | [
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Accuracy of estimation of dental treatment need in special care patients. | To assess the ability of carers and dental professionals to estimate treatment need in a group of children and adults with special needs.A retrospective study of a series of 103 special needs patients who had received restorative dental treatment under general anaesthetic was undertaken. The initial reason for attendance and the time lapse between first symptoms and decision to consult were established. The parent or carer was asked to estimate treatment need and to assess the degree of discomfort suffered | 10666971 | [
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Accuracy of estimation of dental treatment need in special care patients. | by the patient. The dentist evaluated treatment need by means of a pre-operative treatment plan. These results were compared to actual treatment performed.Treatment need was severely underestimated by both carer and dentist. The degree of advanced pathology found in the population would suggest that pain suffered was also underestimated.Access of patients with special needs to dental care may be limited by the ability of their carers to evaluate their oral condition and/or by the persons inability to expres | 10666971 | [
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Accuracy of estimation of dental treatment need in special care patients. | s their pain or discomfort. | 10666971 | [
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Usage of denture adhesives. | There have been few reports in the dental literature on the number of denture wearers who regularly use denture adhesive. The objectives of this study were to see what the incidence of usage of denture adhesive was by a surveyed edentulous population; to determine the degree of success of its usage and the reasons for its current use or nonuse.In this study; 146 patients attending the Adelaide Dental Hospital for denture treatment were surveyed regarding their usage of denture adhesive; using a prepared que | 10666972 | [
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Usage of denture adhesives. | stionnaire. The surveyed group was divided into three categories--those who had never tried denture adhesive; those who had tried denture adhesive but no longer used it; and those who currently used denture adhesive.In the survey; there were 52 males (35.6%) and 94 females (64.4%) and 96 (65.7%) were over 60 years of age. Of these 78 patients (54.9%) had worn their dentures for 10 years or more; and 26 (17.8%) for 20 years or more. A total of 98 patients (67.1%) had never tried denture adhesive: 48 patients | 10666972 | [
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Usage of denture adhesives. | (32.9%) had tried denture adhesive but only 10 (6.9%) currently used it. Various reasons for trying denture adhesive and for its continued use or nonuse were given.In this study; 52% of patients surveyed saw no need for the use of denture adhesive as they managed their dentures well; 20.5% of patients did not know that denture adhesives existed; and 32.9% had tried denture adhesive but only 6.9% continued to use it on a regular basis. | 10666972 | [
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A new imaging technique for measuring the surface strains applied to dentine. | To investigate possible variation in directional material properties of dentine in relationship to tubule orientation using a new optical imaging technique.The optical imaging technique records photometrically a grid pattern formed by using a transmission electron microscope grid as a template on the polished surface of the dentine. The grid pattern is silhouetted onto the sample surface using standard techniques. Compression (c) and diametral compression (dc) tests were undertaken using a servo hydraulic t | 10666973 | [
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A new imaging technique for measuring the surface strains applied to dentine. | esting machine (MTS model 810) acting on rectangular blocks of dentine with dimensions 1.5 x 1.0 x 1.0 mm (for c) and cylindrical samples with dimensions 2.1 mm in diameter and 1-1.5 mm thick (for dc); respectively. The samples were cut using a diamond wheel and miniature lathe and the cut surfaces polished. Images due to a changing load profile were captured and stored as digitised files on a computer for later analysis. The precision is mainly determined by the pixel resolution of the charged-coupled devi | 10666973 | [
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A new imaging technique for measuring the surface strains applied to dentine. | ce camera.Preliminary results show the value of elastic modulus of dentine (10.4 +/- 2.9 GPa) to be similar to those previously reported in the literature. Very small localised strains at the surface of a sample can be observed qualitatively and measured quantitatively by reference to the line spacing (approximately 85 microns). Maximum strength varied with tubule orientation and (compressive/tensile) stress.Very small samples of dentine may be investigated for strain in more than one direction using the im | 10666973 | [
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A new imaging technique for measuring the surface strains applied to dentine. | aging technique described. These results may be more appropriate for finding relative directional change rather than obtaining the elastic properties of the dentine. | 10666973 | [
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Periventricular white matter hyperintensities on MRI: correlation with neuropathologic findings. | Periventricular white matter hyperintensities on postmortem magnetic resonance imaging (MRI) and myelin-stained frontal and parietal histologic sections were evaluated independently in 12 cases. There was a strong relationship between the extent of white matter hyperintensities on MRI and the extent of gross and microscopic changes seen in the white matter of myelin-stained sections; particularly in the frontal lobe. In this material; the extent of myelin rarefaction correlated with a 0- to 8-point white ma | 10666976 | [
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Effects of pH and concentration of citric, malic and lactic acids on enamel, in vitro. | Dental erosion associated with soft drink consumption probably results from the contained dietary acids in the formulations. The pH value of any formulation is an important variable in acid erosion but not necessarily the only important factor. The aim of this study was to measure enamel erosion by citric; malic and lactic acids at pH values and acid concentrations representative of a range found in soft drink formulations and to determine the effect of adding calcium to citric acid.Flat ground enamel sampl | 10666974 | [
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Effects of pH and concentration of citric, malic and lactic acids on enamel, in vitro. | es were prepared from unerupted human third molar teeth. Groups of five specimens were placed in citric; malic and lactic acid solutions of different pH and acid concentration for three by 10 min exposures at 35 degrees C. Enamel loss was measured by profilometry. Enamel specimens were also exposed to citric acid solutions containing calcium at different pH values and at the same pH with different concentrations of calcium.Numerical data and contour plots for each acid showed a similar pattern for increasin | 10666974 | [
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Effects of pH and concentration of citric, malic and lactic acids on enamel, in vitro. | g erosion with decreasing pH and increasing acid concentration and vice versa for decreasing erosion. Increasing the concentration of calcium in a fixed pH citric acid solution resulted in decreased erosion. This effect was most marked at higher pH.This study has shown that under highly controlled conditions the erosion of enamel by solutions of dietary acids is influenced by the interplay of pH; acid concentration and presence of calcium. These variables and in particular the concentration of calcium could | 10666974 | [
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Color-coded duplex ultrasonography of the origin of the vertebral artery: normal values of flow velocities. | The introduction of color-coded duplex ultrasonography has improved the ease of performing ultrasound investigations of the vertebral arteries. So far; normal values of flow velocities have been reported only for the intertransverse region of the vertebral artery (V2 segments). Atherosclerotic disease at the origin of the vertebral arteries (V0 segment) is frequent and is one of the risk factors for vertebrobasilar ischemic disease. Normal values of flow velocities of the vertebral artery origin are needed | 10666977 | [
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Color-coded duplex ultrasonography of the origin of the vertebral artery: normal values of flow velocities. | to assess pathologic findings; such as vertebral artery origin stenosis or dissection. The aim of this study was to describe the normal flow velocities of vertebral artery origin (V0 segment) and the pre- (V1 segment) and intertransverse (V2 segment) part in 50 age-matched neurologic patients (mean age 54) without ischemic cerebral disease. The V0 segment could be visualized in 46 persons (92%) on the right side and in 43 (86%) on the left. The peak systolic blood velocity ranged from 30 to 100 cm/s (mean 6 | 10666977 | [
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Color-coded duplex ultrasonography of the origin of the vertebral artery: normal values of flow velocities. | 3.6 +/- 17.5 cm/s); and end-diastolic blood velocity ranged from 10 to 35 cm/s (mean 16.1 +/- 5.1 cm/s). Analysis of side-to-side differences showed no significant differences of flow velocities in all subjects. It is concluded that color duplex ultrasonography is a feasible method to insonate the origin of the vertebral artery; and that nomogram data could be established. It is suggested that color-coded duplex ultrasonography of the vertebral artery origin should be performed in all patients with clinical | 10666977 | [
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Color-coded duplex ultrasonography of the origin of the vertebral artery: normal values of flow velocities. | symptoms or signs of vertebrobasilar ischemic disease. Nevertheless; further studies are needed to determine the normal and pathologic values of flow velocities of the vertebral artery origin and their reproducibility. | 10666977 | [
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Accuracy and criteria for localizing arterial occlusion with transcranial Doppler. | The authors determined transcranial Doppler (TCD) accuracy for the proximal internal carotid artery (ICA); distal ICA; proximal middle cerebral artery (MCA); distal MCA; anterior cerebral artery (ACA); posterior cerebral artery (PCA); terminal vertebral artery (tVA); and basilar artery (BA) occlusion in cerebral ischemia patients. Detailed diagnostic criteria were prospectively applied for TCD interpretation independent of angiographic findings. Of 320 consecutive patients referred to the neurosonology serv | 10666975 | [
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Accuracy and criteria for localizing arterial occlusion with transcranial Doppler. | ice with symptoms of cerebral ischemia; 190 (59%) patients also underwent angiography (MRA or DSA). 48 of those 190 patients had angiographic occlusion and 12 of those 48 patients had involvement of multiple vessels. Median time from TCD until angiography was performed was 1 hour (41 patients had angiography before TCD). TCD showed 40 true positive; 8 false negative; 8 false positive; and 134 true negative studies with sensitivity 83.0%; specificity 94.4%; positive predictive value 83.0%; negative predictiv | 10666975 | [
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