– A total of 106 molars with occlusal caries were sealed with an autopolymerizing scalant. Samples of the carious dentin were obtained 1, 3, 7, 14 and 28 d, and 2, 4, 6, and 12 months after sealant placement. The samples were cultured on enriched nonselective medium, a streptococcal medium, a Streptococcus mutans medium, and a medium for acidogenic microorganisms. The bacterial counts, were compared with control samples obtained from nonsealed occlusal carious lesions, half of which had acid conditioner applied to the occlusal surface for 1 min prior to sampling. The mean total viable counts decreased by approximately 99.9% during the 1‐year study period, from 925.1 × 104 CFU/mg of sample to 0.9 × 104 CPU/mg of sample. Statistically, there was a very strong linear relationship (P < 0.001) between the reduction in bacterial counts and time. A similar reduction was observed for the total streptococcal count and the S. mutans count. The etching procedure itself reduced the number of cultivable organisms by about 75%. Sealant material that was polymerized directly in culture media did not result in any inhibition of bacterial growth. Although slight fluctuations in the relative proportion of the microflora were observed at the different sampling intervals, there were no significant changes in the relative distribution of bacterial types with time.
A 10-year longitudinal report of case of an institutionalized autistic male dental patient is described. Interpretation of the data in the clinical and medical charts during this period points to possible clues to facilitating treatment for autistic individuals. One potentially important finding is the apparent inverse relationship that was found between level of sedation and patient cooperation. The impact of the specific medical diagnosis on the comprehensive care for these patients is also addressed.
Two groups of children, ages 12 to 15, rinsed daily for 28 mo with aqueous fluoride solutions, one group using 0.05% sodium fluoride (NaF) and the other group using 0.1% stannous fluoride (SnF2). The SnF2 group had less plaque accumulation after four mo, but no difference was apparent at 16 and 28 mo. Gingivitis was less severe in the SnF2 group throughout the study, although the difference did not reach statistical significance. The 0.1% SnF2 solution, used daily as a mouthrinse, inhibits plaque formation, although this inhibitory effect is not apparent after 16 mo of rinsing.
Thirty-three preformed plastic laminate veneers were placed in maxillary anterior teeth of twenty-one subjects. The indications for veneer placement were intrinsic staining of large conventional composite restorations or discolouration caused by previous endodontic therapy. The veneer restorations were evaluated clinically over a 6-month period for retention, colour match, surface texture, marginal integrity and gingival response. Twenty-nine restorations were available for evaluation at 6 months. Three restorations exhibited bonding failure during the study period, giving an overall retention rate of about 91%. Deep brown discolouration in two teeth could not be adequately matched with the opaquer and shader pastes supplied with the kit. Only one patient exhibited any change in veneer surface texture during the study period. Slight, but clinically inconsequential deterioration of marginal integrity was also noted in several restorations. The gingival response to the veneer restorations was uniformly excellent. It was concluded that restoration with preformed veneers, using the enamel reduction and heat adaptation techniques, provided an aesthetic, conservative and functional alternative to fixed prosthodontic therapy in selected cases.
In the fall of 1975, 1,915 children in grades K through eight began a school-based program of supervised weekly rinsing with 0.2 percent aqueous solution of sodium fluoride in an unfluoridated community in the Finger Lakes area of upstate New York. At baseline and annually thereafter, a random sample of children in grades K through 11 received clinical dental caries examinations. The prevalence of dental caries by grade at each of the follow-up dental examinations was compared to the grade-specific prevalence of dental caries at baseline. Overall, there was a decline of 57.8 percent in prevalence of caries in permanent teeth after seven years of rinsing. Among children in grades K through five, there was a decline of 35.4 percent in the prevalence of caries in primary teeth during the same time period. Tenth and eleventh grade children, after not rinsing for one and two years, respectively, continued to show the same trend toward lower caries prevalence as active rinsers. Caries prevalence among seventh and eighth graders after seven years of rinsing was not significantly different from caries prevalence among seventh and eighth grade lifetime residents of a nearby fluoridated community. A decline in the prevalence of caries in primary teeth among kindergartners prior to rinsing suggests that factors in addition to the mouthrinse program may have contributed to the decline in caries prevalence.
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