Dentistry Commons^™

Managing Complications Of Radiation Therapy In Head And Neck Cancer Patients: Part Ii. Management Of Radiation-Induced Caries, W. L. Chai, W.C. Ngeow, R. Ramli, R. A. Rahman

Wei Cheong Ngeow

Head and neck cancer is becoming a more recognizable pathology to the general population and dentists. The modes of treatment include surgery and/or radiation therapy. Where possible, pretreatment dental assessment shall be provided for these patients before they undergo radiation therapy. There are occasions, however, whereby head and neck cancer patients are not prepared optimally for radiation therapy. Because of this, they succumb to complicated oral complications after radiation therapy. The management of xerostomia has been reviewed in Part I of this series. In this article, the management of dental caries, a sequalae of xerostomia following radiation therapy is reviewed. …

Managing Complications Of Radiation Therapy In Head And Neck Cancer Patients: Part I. Management Of Xerostomia, W.C. Ngeow, W. L. Chai, R. A. Rahman, R. Ramli

Wei Cheong Ngeow

Head and neck cancer is becoming a more recognizable pathology to the general population and dentists. The modes of treatment include surgery and/or radiation therapy. Where possible, pretreatment dental assessment shall be provided for these patients before they receive radiation therapy. There are occasions, however, whereby head and neck cancer patients are not prepared optimally for radiation therapy. Because of this, they succumb to complicated oral adverse effects after radiation therapy. Part I of this series reviews the management of xerostomia. The management of the effect of xerostomia to the dentition/oral cavity is discussed in Part II. © 2006 Elsevier. …

Managing Complications Of Radiation Therapy In Head And Neck Cancer Patients: Part V. Management Of Mucositis, W.C. Ngeow, W. L. Chai, R. A. Rahman, R. Ramli

Wei Cheong Ngeow

Head and neck cancer is becoming a more recognizable pathology to the general population and dentists. The modes of treatment include surgery and/or radiation therapy. Where possible, pretreatment dental assessment shall be provided for these patients before they undergo radiation therapy. There are occasions, however, whereby head and neck cancer patients are not prepared optimally for radiation therapy. Because of this, they succumb to complicated oral adverse effects after radiation therapy. The second last part of this series reviews and discusses the management of complication that commonly occur to the oral mucosa, i.e. mucositis. © 2006 Elsevier. All rights reserved.

Managing Complications Of Radiation Therapy In Head And Neck Cancer Patients: Part Vi. Management Of Opportunistic Infections, W.C. Ngeow, W. L. Chai, R. Ramli, R. A. Rahman

Wei Cheong Ngeow

Head and neck cancer is becoming a more recognizable pathology to the general population and dentists. The modes of treatment include surgery and/or radiation therapy. Where possible, pretreatment dental assessment shall be provided for these patients before they undergo radiation therapy. There are occasions, however, whereby head and neck cancer patients are not prepared optimally for radiation therapy. Because of this, they succumb to complicated oral adverse effects after radiation therapy. The last part of this series reviews the opportunistic infections that can occur to the perioral structure. Their management is briefly discussed. © 2006 Elsevier. All rights reserved.

Managing Complications Of Radiation Therapy In Head And Neck Cancer Patients: Part Iv. Management Of Osteoradionecrosis, R. Ramli, W.C. Ngeow, R. A. Rahman, W. L. Chai

Wei Cheong Ngeow

Head and neck cancer is becoming a more recognizable pathology to the general population and dentists. The modes of treatment include surgery and/or radiation therapy. Pretreatment dental assessment should be provided for these patients before they undergo radiation therapy. There are occasions, however, whereby head and neck cancer patients are not prepared optimally and, as a result, they succumb to complicated oral adverse effects after radiation therapy. Osteoradionecrosis (ORN) is a severe debilitating condition that impairs healing due to reduction in vascularity and osteocyte population in the affected bone. This article reviews methods of treatment used to treat ORN such …

Transient Loss Of Power Of Accommodation In 1 Eye Following Inferior Alveolar Nerve Block: Report Of 2 Cases, W.C. Ngeow, C. K. Shim, W. L. Chai

Wei Cheong Ngeow

Unintended intravascular injection from inferior alveolar nerve blocks can result in frustrating distant complications affecting such structures as the middle ear and eyes. Possible complications affecting the eyes include blurring of vision, diplopia, mydriasis, palpebral ptosis and amaurosis ( temporary or permanent). In this article, we present a complication that has been reported only rarely. Two patients developed transient loss of power of accommodation of the eye resulting in blurred vision after routine inferior alveolar nerve blocks on the ipsilateral side. Clear vision returned within 10 - 15 minutes after completion of the blocks. The possible explanation for this phenomenon …

Managing Complications Of Radiation Therapy In Head And Neck Cancer Patients: Part Iii. Provision Of Dentures, R. A. Rahman, W.C. Ngeow, W. L. Chai, R. Ramli

Wei Cheong Ngeow

Head and neck cancer is becoming a more recognizable pathology to the general population and dentists. The modes of treatment include surgery and/or radiation therapy. Pretreatment dental assessment should be provided for these patients before they undergo radiation therapy. There are occasions, however, whereby head and neck cancer patients are not prepared optimally and, as a result, they succumb to complicated oral adverse effects after radiation therapy. The management of radiation-induced caries, a sequelae of xerostomia has been reviewed in Part II of this series. In this article, the management of difficulty with dentures, another sequelae of xerostomia following radiation …

A Continued Investigation Of Craniofacial Growth In Infant Heart Transplant Recipients Receiving Cyclosporine, Gabriel Enriquez

Loma Linda University Electronic Theses, Dissertations & Projects

Since the mid 1980’s, Cyclosporine has proved to be an effective immunosuppressive drug and now has a widespread application in organ transplantation. Several studies, however, have implicated cyclosporine as adversely affecting craniofacial growth in the pediatric population. ^16,18 The purpose of this follow-up study was to continue to evaluate the possible untoward effects of long-term use of cyclosporine on craniofacial growth in a group of infant heart transplantation recipients by re-evaluating as many subjects as possible from the original study and evaluating new subjects. A pediatric group (N=13) was composed of six Caucasian subjects (4 male and 2 female, ages …

Resorbable Barrier Effect In Sinus Graft Using Anorganic Bone, Kyung-Soo Choi

Loma Linda University Electronic Theses, Dissertations & Projects

The effect of a resorbable membrane on new bone formation in human maxillary sinus augmentation using anorganic bovine material is unclear at the present time. As a pilot study, six patients who required bilateral maxillary sinus augmentations for endoessous dental implant treatment were grafted with anorganic bovine bone material. All six patients had a resorbable collagen membrane placed over the graft material on only one side for the sinus augmentation. At the time of implant placement, a minimum of 8 months following sinus graft healing, a biopsy was made of each side to permit histomorphometric analysis.

Similar amounts of new …

Implant Success In Distracted Bone Versus Autogenous Bone-Grafted Sites, Jeffrey Allan Elo

Loma Linda University Electronic Theses, Dissertations & Projects

Endosseous implants are the treatment of choice for restoring function and reconstructing edentulous areas of the maxilla and mandible. Alveolar defects can be reconstructed by either distraction osteogenesis or autogenous bone grafting. After alveolar reconstruction, endosseous implants are used to support and retain the prosthesis for restoration of form and function. We retrospectively analyzed the success rates of endosseous implant placement in distracted versus autogenous bone graft reconstruction sites in our patient population at Loma Linda University Medical Center, Department of Oral and Maxillofacial Surgery. 82 consecutive patients requiring alveolar augmentation prior to implant placement were evaluated. All patients were …

Bone Morphogenic Protein Induced Repair Of The Premaxillary Cleft, Rick J. Rawson

Loma Linda University Electronic Theses, Dissertations & Projects

The purpose of this study is to evaluate the bony augmentation of premaxillary clefts in humans using recombinant bone morphogenic protein (rhBMP-2) in a collagen sponge carrier. 12 patients with unilateral cleft alveolar ridges were evaluated pre- and 4 months postoperatively. 10 patients were repaired with rhBMP-2 while two others were grafted with anterior iliac crest particulate marrow cancellous bone (PMCB). Computed tomographic studies were used to evaluate preoperative alveolar cleft volumes, postoperative bone bridge volumes, and pre/post operative volume ratios.

A pre/post operative volume ratio for patients repaired with rhBMP-2 ranged from 24.1% to 90.6% with a mean of …

Mineralized Bone Allograft In Maxillary Sinuses Histology And Histomorphometry, Sammy Stefan Noumbissi

Loma Linda University Electronic Theses, Dissertations & Projects

Background: Demineralized freeze-dried bone allografts (DFDBA) and deproteinized bovine bone xenografts (DMBBX) have been used for sinus augmentation for many years with varying results, but very little has been reported on the clinical efficacy or the histological analysis of mineralized solvent dehydrated bone allografts (MSDBA) as sinus graft materials. This study histologically and histomorphometrically evaluated an MSDBA material called PUROS to augment atrophic human maxillary sinuses.

Materials & Methods: Seven partially and completely edentulous patients requiring unilateral (n=4) or bilateral (n=3) sinus grafts prior to implant placement were selected for this study. Test grafts consisted of MSDBA, and control …

Disposable Carrier For Retrograde Fillings, W.C. Ngeow, W. L. Chai

Wei Cheong Ngeow

Commercially available retrograde filling carriers are delicate and easily damaged by pressure. In addition, they are difficult to clean and keep free from blockage. This report describes a simple and easy technique for transforming a standard disposable hypodermic syringe and needle into a disposable carrier for retrograde fillings. © 2006 Asian Association of Oral and Maxillofacial Surgeons.

Effect Of Mouthrinses On Surface Microhardness Of Selected Dental Composites, Noor Hayaty Abu Kasim Abu Kasim N.H.

Noor Hayaty Abu Kasim Abu Kasim N.H.

Objective: To compare the surface microhardness of composites(Spectrum®TPH, Filtek™Z350, Ceram•X mono and Ceram•X duo-enamel shade) before and after immersion in alcohol containing mouthrinses (Listerine), alcohol-free mouthrinses (Oral-B) and experimental herbal mouthrinses based on plant extract (mouthrinses X, Y and Z). Methods: 60 disc-shaped specimens of approximately 10mm x 2mm were perpared from various composites using perspex split mould and was cured for 40 seconds. The irradiated surface was polished using Sof-Lex pop-on polishing discs. The specimens were randomly divided to 6 groups. Microhardness was recorded before immersion (control group) using a load of 200g for 15 seconds using Vickers microhardness …

Shear Bond Strength Of Orthodontic Adhesives On Different Tooth Types: An In Vitro Study, Noor Hayaty Abu Kasim Abu Kasim N.H.

Noor Hayaty Abu Kasim Abu Kasim N.H.

Introduction: Owing to the variety of materials and methods employed, comparison of the results and findings from bonding studies is difficult. Until recently, several types of teeth have been used in published research papers as a substrate in orthodontic bonding research including bovine incisors, fresh and rebonded human premolars. Objectives: The purpose of this study was to compare the shear bond strength of an adhesive bonded to different tooth surfaces (human premolar, bovine incisor and rebonded human premolar). Methods: Two groups of thirty premolar teeth and one group of bovine incisors had brackets attached in a standardized manner using Transbond …

Multiple Intelligences And Academic Performance Among Malaysian Undergraduate Dental Students, Noor Hayaty Abu Kasim Abu Kasim N.H.

Noor Hayaty Abu Kasim Abu Kasim N.H.

Objectives: To identify the nature of multiple intelligences among dental students and investigate the relationship between these intelligences and performance in the various skill areas of dentistry. Methods: Sixty-one final year dental students at the Faculty of Dentistry, University of Malaya in Malaysia were administered a Multiple Intelligence Inventory [(MII), David Larear, 1991)] after their final written examinations. MII comprised 80 4-point likert items assessing eight types of multiple intelligences: Verbal/Linguistic, Visual Spatial, Logical Mathematical, Musical Rhythmic, Intra Personal, Body Kinesthetic, Inter Personal and Naturalist. These intelligences were correlated with six academic performance scores: Amalgam Class II, Composite, Crown & …

Investigating Examiner Consistency In Criterion-Based Assessment Using Rasch Measurement, Noor Hayaty Abu Kasim Abu Kasim N.H.

Noor Hayaty Abu Kasim Abu Kasim N.H.

In the implementation of criterion-based assessment some disparities in the interpretation of the assessment criteria have been observed.Therefore it is essential that a standardization exercise be carried out to ensure equitable and fair assessment. Objectives: The purpose of the study was to evaluate inter-examiner variability and examiners' internal consistency in applying a criterion-based assessment. Method: The subjects consisted of 9 full-time staff of the Department of Conservative Dentistry, University of Malaya, 4 part-time staff and 2 postgraduate students. One buccally-approached and one palatally-approached Class III cavity preparation were assessed according to a set of criteria developed by the department. Both …