Tibial bone harvesting under intravenous sedation: Morbidity and patient experiences.

Purpose: The aims of this study were to evaluate the complication rate, the recovery, and the experience in patients undergoing tibial bone harvesting under intravenous sedation.

Patients And Methods: This was a prospective study of 10 consecutive patients who underwent unilateral or bilateral sinus grafting with tibial bone grafts under intravenous sedation in a 3-month period in the oral and maxillofacial surgery outpatient clinic. All medications used perioperatively were recorded.

Evaluation of compressed air used in the dental operatory.

Background: The authors report the findings obtained when they quantitatively examined compressed air samples from air-water syringes located in different dental operatories at the Louisiana State University School of Dentistry fo r the presence of microbial contaminants.

Methods: Streams of air of 30 seconds' duration from air-water syringes were forced through sterile modified stainless steel membrane filter holders (Millipore, Millipore Corp., Bedford, Mass.

Clinical considerations in case selection for all-ceramic fixed partial dentures.

All-ceramic systems have been utilized for fixed partial dentures (FPDs) to replace a missing tooth since the early 1990s. Clinical studies that assess the long-term outcome of both anterior and posterior three-unit all-ceramic FPDs are required to determine whether they can serve as a viable treatment option for functional and aesthetic tooth replacement. This article discusses the evolution and development of all-ceramic systems for FPDs as well as the clinical and laboratory considerations for treating patients using these restorations.

Delivering a fixed restoration: a clinical rationale for creating a routine sequence.

The proper sequence of seating a restoration starts with the evaluation of the shade match. Clinical procedures then follow this sequence: adjustment of proximal contact points, assessment of fit, and occlusal adjustment. Attempts to alter this sequence may cause unnecessary occlusal adjustments and an end result of a hypooccluded restoration.

Effect of over- and underexposure on the sharpness of the image of a marker in computer-assisted dental implant tomography.

In dental implant tomography, a clinician typically makes several tomograms of cross-sectional and sagittal slices at and near the intended implantation site. The slice with the sharpest image of the metal marker is deemed to be the correct implantation site; the other slices with blurred images of the marker are those made either mesially or distally to the marker. However, if the images were over- or underexposed, the marker will be blurred on all the slices and a dentist may be wrongly accused of having placed a dental implant at an improper site with possible medico-legal ramifications.

Determination of subepithelial connective tissue graft thickness in the dog.

Purpose: In this study, we determined the tissue thickness of healed subepithelial connective tissue grafts, the type of tissue present after healing, and the percentage of shrinkage of subepithelial connective tissue grafts over time in the facial aspect of the canine maxilla.

Materials And Methods: Four dogs each received 2 single-thickness subepithelial connective tissue grafts, 2 double-thickness grafts, and 2 sham-operated sites in the facial aspect of the maxilla bilaterally. The subepithelial connective tissue graft was harvested from the palate and included the periosteum.

Cementoblastoma: an innocuous neoplasm? A clinicopathologic study of 44 cases and review of the literature with special emphasis on recurrence.

The clinicopathologic features of 44 cases of cementoblastoma were analyzed and compared with those of 74 cases from the literature with special emphasis on the clinical behavior, treatment, and recurrence rate of these relatively rare benign odontogenic neoplasms. The cases in the current series were accessioned at the Armed Forces Institute of Pathology, Washington, DC. Patient ages at diagnosis ranged from 8 years to 44 years, with a mean age of 20.

The semilunar flap technique for root coverage.

The semilunar flap technique may be considered as a simple, minimally invasive option for coronally repositioning the receded free gingival margin on the facial aspects of natural teeth and implants. Judicious case selection and careful application of the described procedure may enhance the final esthetic outcome using this approach. Work is currently in progress by the authors to provide long-term evidence-based results using this technique, with future considerations including the application of recent advances in microsurgical instrumentation to facilitate surgical tissue management.

Clinical considerations for enhancing the success of implant-supported restorations in the aesthetic zone with delayed implant placement.

Several factors (e.g., root configuration, periapical pathoses, periodontal disease, severe bone loss, patient accessibility) determine the timing of the implant placement.

Thirty-six month follow-up of 25 patients treated with combination anorganic bovine-derived hydroxyapatite matrix (ABM)/cell-binding peptide (P-15) bone replacement grafts in human infrabony defects. I. Clinical findings.

Background: Long-term evaluation of periodontal therapy is important for clinical decision making.

Methods: A synthetic cell-binding peptide (P-15) combined with anorganic bovine-derived hydroxyapatite bone matrix (ABM) was evaluated as a bone replacement graft in human periodontal osseous defects. Following initial preparation and reevaluation, flap surgery was performed.

Comparison of 3 bone substitutes in canine extraction sites.

Purpose: The purpose of this study was to evaluate the healing response with 3 different bone substitute materials in extraction sites in the dog.

Materials And Methods: Four dogs had their mandibular and maxillary premolars extracted atraumatically. The sites were immediately grafted with anorganic bovine bone (Bio-Oss, Osteohealth, Shirley, NY), Bone Source (Leibinger, Inc, Kalamazoo, MI), or Embarc (Lorenz Surgical, Jacksonville, FL), or left untreated as a control.

Clinical evaluation of acellular allograft dermis for the treatment of human gingival recession.

Background: Periodontal root coverage procedures to treat recession areas are indicated for unesthetic, exposed, and/or painful root surfaces. Many methods, most using autogenous soft tissue grafts, have been utilized, but with associated morbidity at the donor sites. An alternative donor material would reduce the morbidity and provide for sufficient available donor tissue.

The effect of amitriptyline on pain intensity and perception of stress in bruxers.

Purpose: The purpose of this clinical pilot study was to evaluate the effect of a tricyclic antidepressant, amitriptyline, on pain-intensity level and level of stress in bruxers.

Materials And Methods: In a randomized, double-blind, crossover experimental design, 10 subjects received active (amitriptyline 25 mg/night) and inactive (placebo 25 mg/night) medication, over a period of 4 weeks.

Results: The administration of amitriptyline for 4 weeks did not significantly (p >.

Psychosocial issues in women's oral health.

Oral health is a significant issue for women because of its association with overall health and quality of life. There is growing evidence that the casual factors and consequences of oral disease are not only physical, but are also social and psychologic. As the importance and implications of the psychosocial factors become better understood, a more comprehensive model for treatment is developing.

Ductal papillomas of salivary gland origin: A report of 19 cases and a review of the literature.

The term ductal papilloma is used to identify a group of 3 rare benign papillary salivary gland tumors known as inverted ductal papilloma, sialadenoma papilliferum, and intraductal papilloma. They represent adenomas with unique papillary features and arise from the salivary gland duct system. We describe the clinical and microscopic features of 19 new cases of ductal papillomas and combine them with 116 cases previously published in the English-language medical literature.