Medicine and Health Sciences Commons^™

Racial And Ethnic Disparities In Nontraumatic Dental-Condition Visits To Emergency Departments And Physician Offices In The Wisconsin Medicaid Program, Christopher Okunseri, Nicholas M. Pajewski, David C. Brousseau, Sandy Tomany-Korman, Andrew Snyder, Glenn Flores

School of Dentistry Faculty Research and Publications

Background

Nontraumatic dental condition (NTDC) visits occur in emergency departments (EDs) and physician offices (POs), but little is known about factors associated with NTDC visit rates to EDs and POs.

Methods

The authors analyzed all Medicaid dental claims in Wisconsin from 2001 through 2003 to examine factors associated with NTDC visits to EDs and POs. They performed bivariate and multivariable analyses. The independent variables they examined included race/ethnicity, age, sex, dental health professional shortage area (DHPSA) designation and urban influence code for county of residence.

Results

The authors evaluated 956,774 NTDC visits made during 1,718,006 person-years; 4.3 percent of visits …

Altering Occlusal Vertical Dimension Provisionally With Base Metal Onlays: A Clinical Report, Soni Prasad, Jennifer Kuracina, Edward A. Monaco, Jr.

School of Dentistry Faculty Research and Publications

This article presents a method for altering occlusal vertical dimension (OVD) to restore dentitions with limited restorative space due to loss of tooth structure. A provisional increase in OVD is achieved using predominately base metal onlays, which offer advantages over conventional techniques. The onlays are resistant to wear, may be bonded well to nonrestored and restored tooth surfaces with resin cements, and provide a fairly reversible method of increasing OVD. A patient situation is presented which demonstrates the use of provisional base metal onlays in complete mouth rehabilitation.

Unusual Ectopic Eruption Of A Permanent Central Incisor Following An Intrusion Injury To The Primary Tooth, Ebru Canoglu, Cenk Ahmet Akcan, Erdinç Baharoglu, H. Cem Güngör, Zafer C. Cehreli

School of Dentistry Faculty Research and Publications

Intrusive luxation of primary teeth carries a high risk of damage to underlying permanent tooth germs. Ectopic eruption of permanent incisors is an unusual outcome of traumatic injury to their predecessors. In this case report, we describe the multidisciplinary management of the consequences of a primary tooth intrusion that led to severe ectopic eruption of the permanent left central incisor in a horizontal position at the level of the labial sulcus.

A Technique For Duplicating A Fixed Complete Denture, Soni Prasad, Edward A. Monaco, Jr.

School of Dentistry Faculty Research and Publications

The fixed implant prosthesis often requires repair due to fracture and/or wear of acrylic resin teeth. Repair of such a prosthesis, although simple, requires retaining the prosthesis to be revised in the laboratory. In order to reveneer the implant prosthesis, a provisional restoration should be fabricated for the patient that provides similar function and esthetics. This article presents a technique for duplicating the existing fixed implant-supported prosthesis prior to repair/reveneer, thus providing a smooth transition from the provisional to the definitive prosthesis.

Effect Of Phosphate Group Addition On The Properties Of Denture Base Resins, Gaurav Puri, David W. Berzins, Virendra B. Dhuru, Periathamby A. Raj, Sameer K. Rambhia, Gunjan Dhir, Andrew R. Dentino

School of Dentistry Faculty Research and Publications

Statement of problem

Acrylic resins are prone to microbial adherence, especially by Candida albicans. Surface-charged resins alter the ionic interaction between the denture resin and Candida hyphae, and these resins are being developed as a means to reduce microbial colonization on the denture surface.

Purpose

The purpose of this study was to investigate the physical and mechanical properties of phosphate-containing polymethyl methacrylate resins for their suitability as a denture material.

Material and methods

Using PMMA with cross-linker (Lucitone 199) as a control, 4 experimental groups containing various levels of phosphate with and without cross-linker were generated. The properties examined …

The Dilemma Of The Open Gingival Embrasure Between Maxillary Central Incisors, Orlando Motohiro Tanaka, Bruno D'Aurea Furquim, Renata Correa Pascotto, Gerson Luiz Ulema Ribeiro, Jose A. Bosio, Hirushi Maruo

School of Dentistry Faculty Research and Publications

Aim: The aim of this report is to present the etiology, diagnosis, and treatment planning strategy in the presence of an open gingival embrasure between the maxillary central incisors.

Background: The open gingival embrasure or “black triangle” is a visible triangular space in the cervical region of the maxillary incisors. It appears when the gingival papilla does not completely fill in the interdental space. The space may occur due to: (1) disease or surgery with periodontal attachment loss resulting in gingival recession; (2) severely malaligned maxillary incisors; (3) divergent roots; or (4) triangular-shaped crowns associated with or without periodontal problems …

Quantification Of The Individual Characteristics Of The Human Dentition: Methodology, L Thomas Johnson, Daniel D. Blinka, Peggy Jean Van Scotter-Asbach, Thomas W. Radmer

School of Dentistry Faculty Research and Publications

This study provides a method for comparing six individual human dentition characteristics using the standard measuring tool in Adobe Photoshop CS2 as compared to measuring individual characteristics with an automated software program under development at Marquette University, which has been adapted for bitemark analysis. The algorithm identifies color-specific pixels and automatically calculates the measurements.

Polymerization Efficiency Of Glass-Ionomer And Resin Adhesives Under Molar Bands, Daniel John Rejman, Theodore Eliades, T. Gerard Bradley, George Eliades

School of Dentistry Faculty Research and Publications

Objective: To determine the degree of cure of a light-cured resin-modified glass ionomer (RMGI) under molar bands compared with a light-cured resin and a dual-cured resin.

Materials and Methods: The 3 cements used were Fuji Ortho LC, Eagle Spectrum resin, and Variolink II dual-cure. Each sample was indirectly light cured for 20 seconds (10 seconds occlusally, 10 seconds cervically) under sections of molar bands, and the degree of cure was evaluated with micro-MIR FTIR spectroscopy.

Results: The RMGI exhibited a significantly higher mean degree of cure (55.31%) than both of the resins (Eagle 19.23%; Variolink II, 25.42%), which did not …

Socio-Demographics Of Adult Orthodontic Visits In The United States, Joseph Whitesides, Nicholas M. Pajewski, T. Gerard Bradley, Anthony Iacopino, Christopher Okunseri

School of Dentistry Faculty Research and Publications

Introduction: Population-based studies in orthodontics have focused on differences between normative and perceived needs. However, information from national data on the prevalence of orthodontic visits and their associated factors in adults in the United States is scarce. We examined the demographic profile of likely adult users of orthodontic services and whether there is racial and ethnic disparity in orthodontic visits. Methods: We analyzed data from the Medical Expenditure Panel Survey, 2000-2004. Results: Overall, about 1% of the population reported an orthodontic visit. Subjects who made a general dental visit during the current year were significantly more likely to also have …

Histologic And Histomorphometric Analysis Of Posterior Region Of The Human Temporomandibular Disc, Luis Eduardo Almeida, Carla S. Baioni, Ana Paula C. Martins, Sergio Roberto P. Line, Lucia Noronha, Paula C. Trevilatto, Antonio Adilson S. De Lima, Marco Antonio De Oliveira Filho, Sergio Aparecido Ignacio

School of Dentistry Faculty Research and Publications

Objective

The aim of this study was to analyze histologic and histomorphometric features of the articular disc in groups with and without disc displacement.

Study design

A sample of 39 temporomandibular joints TMJs (31 case specimens, 8 control specimens) from 28 patients (mean age 31.2 years) were recruited for this study. The patients were considered to be affected and treated surgically with disc repositioning when presenting painful clinical signs of disc displacement after unsuccessful nonsurgical treatment for at least 6 months. Of the control patients, 4 presented condyle fracture which required opening to be reduced for treatment, and 4 displayed …

Activation Of Extracellular-Signal Regulated Kinase (Erk1/2) By Fluid Shear Is Ca2+- And Atp-Dependent In Mc3t3-E1 Osteoblasts, Dawei Liu, Damian C. Genetos, Ying Shao, Derik J. Geist, Jiliang Li, Hua Zhe Ke, Charles H. Turner, Randall L. Duncan

School of Dentistry Faculty Research and Publications

To determine the role of Ca²⁺ signaling in activation of the Mitogen-Activated Protein Kinase (MAPK) pathway, we subjected MC3T3-E1 pre-osteoblastic cells to inhibitors of Ca²⁺ signaling during application of fluid shear stress (FSS). FSS only activated ERK1/2, rapidly inducing phosphorylation within 5 min of the onset of shear. Phosphorylation of ERK1/2 (pERK1/2) was significantly reduced when Ca_i²⁺ was chelated with BAPTA or when Ca²⁺ was removed from the flow media. Inhibition of both the L-type voltage-sensitive Ca²⁺ channel and the mechanosensitive cation-selective channel blocked FSS-induced pERK1/2. Inhibition of phospholipase C with U73122 significantly reduced …

Bond Strength Of An Amorphous Calcium Phosphate–Containing Orthodontic Adhesive, Jeff A. Foster, David W. Berzins, T. Gerard Bradley

School of Dentistry Faculty Research and Publications

Objective: To determine whether an amorphous calcium phosphate (ACP)-containing adhesive has an acceptable level of shear bond strength to be used as an orthodontic adhesive.

Materials and Methods: Sixty extracted premolars were randomly divided into three groups for orthodontic bonding. Group 1 used a composite resin adhesive (Transbond XT), group 2 was bonded with an ACP-containing adhesive (Aegis Ortho), and group 3 used a resin-modified glass ionomer (Fuji Ortho LC). All bonded teeth were stored in distilled water at 37°C for 40 ± 2 hours prior to debonding. Shear bond strength and adhesive remnant index (ARI) were recorded for each …

Hierarchical Cluster Analysis Of Myoepithelial/Basal Cell Markers In Adenoid Cystic Carcinoma And Polymorphous Low-Grade Adenocarcinoma, Manju L. Prasad, Catalin C. Barbacioru, Yeshwant B. Rawal, Omar Husein, Ping Wen

School of Dentistry Faculty Research and Publications

Distinguishing adenoid cystic carcinoma from polymorphous low-grade adenocarcinoma of the salivary glands is important for their management. We studied the expression of several myoepithelial and basal/stem cell markers (smooth muscle actin, calponin, smooth muscle myosin heavy chain, metallothionein, maspin, and p63) by immunohistochemistry in 23 adenoid cystic carcinoma and 24 polymorphous low-grade adenocarcinoma, to identify the most useful marker or combination of markers that may help their diagnoses. The results were analyzed using hierarchical cluster analysis and χ² test for trend. We noted diffuse expression of smooth muscle actin in 20 adenoid cystic carcinoma vs one polymorphous low-grade adenocarcinoma …

Hmong Adults Self-Rated Oral Health: A Pilot Study, Christopher Okunseri, Marcie Yang, Cesar Gonzalez, Warren Lemay, Anthony Iacopino

School of Dentistry Faculty Research and Publications

Since 1975, the Hmong refugee population in the U.S. has increased over 200%. However, little is known about their dental needs or self-rated oral health (SROH). The study aims were to: (1) describe the SROH, self-rated general health (SRGH), and use of dental/physician services; and (2) identify the factors associated with SROH among Hmong adults. A cross-sectional study design with locating sampling methodology was used. Oral health questionnaire was administered to assess SROH and SRGH, past dental and physician visits, and language preference. One hundred twenty adults aged 18–50+ were recruited and 118 had useable information. Of these, 49% rated …

Novel Molecules For Intra-Oral Delivery Of Antimicrobials To Prevent And Treat Oral Infectious Diseases, Periathamby A. Raj, Latha Rajkumar, Andrew R. Dentino

School of Dentistry Faculty Research and Publications

New molecules were designed for efficient intra-oral delivery of antimicrobials to prevent and treat oral infection. The salivary statherin fragment, which has high affinity for the tooth enamel, was used as a carrier peptide. This was linked through the side chain of the N-terminal residue to the C-terminus of a defensin-like 12-residue peptide to generate two bifunctional hybrid molecules, one with an ester linkage and the other with an anhydride bond between the carrier and the antimicrobial components. They were examined for their affinity to a HAP (hydroxyapatite) surface. The extent of the antimicrobial release in human whole saliva was …

Presenca De Dentes Permanentes Irrompidos Em Escolares Da Regiao Metropolitana De Porto Alegre, Karine Squeff, Guilherme Pessoa Cerveira, Luciane Quadrado Closs, Jose A. Bosio

School of Dentistry Faculty Research and Publications

Foi realizada uma pesquisa de campo em duas escolas da rede pública estadual de Porto Alegre, com a finalidade de verificar a presença de dentes permanentes irrompidos em crianças com faixa etária entre seis a dez anos. Foram examinadas 327 crianças, considerando as variáveis de idade, sexo e raça. Não foi observada diferença significativa para a época de erupção para as variáveis de raça e sexo. Foi observado que aos seis anos de idade uma porcentagem maior de incisivos inferiores (78,7%) irrompeu antes que os primeiros molares inferiores (75,9%), assim como a erupção na arcada inferior antecedeu a da arcada …