Medicine and Health Sciences Commons^™

Quality Of Postoperative Pain Management After Midfacial Fracture Repair: An Outcome-Oriented Study, Gregor F. Raschke, Andre Peisker, Ulrich M. Rieger, Gabriel Djedovic, Arndt Guentsch, Oliver Schaefer, Eric Venth, Marta Gomez-Dammeier, Winfried Meissner

School of Dentistry Faculty Research and Publications

Objectives

There is a lack of literature regarding the procedure-specific quality of acute postoperative pain management after midfacial fracture repair. The purpose of the presented prospective clinical study was to evaluate postoperative pain management after surgical repair of midfacial fractures.

Materials and methods

Eighty-five adults were evaluated on the first postoperative day following midfacial repair using the questionnaire of the Quality Improvement in Postoperative Pain Management (QUIPS) project. The main outcome measures were patients’ characteristics and clinical- and patient-reported outcome parameters.

Results

Overall, pain on the first postoperative day was moderate. A significant correlation between process and outcome parameters could …

Histological And Immunohistochemical Evaluation Of Biphasic Calcium Phosphate And A Mineral Trioxide Aggregate For Bone Healing In Rat Calvaria, Luis Gustavo Régio De Carvalho Silva, Sung Hyun Kim, Sônia Mara Luczyszyn, Allan Giovanini, Luis Eduardo Almeida, Vinícius Augusto Tramontina

School of Dentistry Faculty Research and Publications

This work focused on the process of bone repair of defects in standardized calvaria of Wistar rats treated with biphasic calcium phosphate (BCP), mineral trioxide aggregate (MTA), or a combination of the two. Eighty Wistar rats were divided into four treatment groups and were examined at 2 and 8 weeks. A surgical defect was created in the calvaria using a 6-mm diameter trephine drill. The cavity was treated with BCP, MTA, or BCP + MTA; untreated rats with clot formation served as controls. Samples were evaluated histologically and by immunohistochemical staining for areas of new osteoid tissue and new bone …

Surface Modification Of Biodegradable Porous Mg Bone Scaffold Using Polycaprolactone/Bioactive Glass Composite, Mostafa Yazdimamaghani, Mehdi Razavi, Daryoosh Vashaee, Lobat Tayebi

School of Dentistry Faculty Research and Publications

A reduction in the degradation rate of magnesium (Mg) and its alloys is in high demand to enable these materials to be used in orthopedic applications. For this purpose, in this paper, a biocompatible polymeric layer reinforced with a bioactive ceramic made of polycaprolactone (PCL) and bioactive glass (BG) was applied on the surface of Mg scaffolds using dip-coating technique under low vacuum. The results indicated that the PCL-BG coated Mg scaffolds exhibited noticeably enhanced bioactivity compared to the uncoated scaffold. Moreover, the mechanical integrity of the Mg scaffolds was improved using the PCL-BG coating on the surface. The stable …

In Vivo Assessments Of Bioabsorbable Az91 Magnesium Implants Coated With Nanostructured Fluoridated Hydroxyapatite By Mao/Epd Technique For Biomedical Applications, Mehdi Razavi, Mohammadhossein Fathi, Omid Savabi, Daryoosh Vashaee, Lobat Tayebi

School of Dentistry Faculty Research and Publications

Although magnesium (Mg) is a unique biodegradable metal which possesses mechanical property similar to that of the natural bone and can be an attractive material to be used as orthopedic implants, its quick corrosion rate restricts its actual clinical applications. To control its rapid degradation, we have modified the surface of magnesium implant using fluoridated hydroxyapatite (FHA: Ca₁₀(PO₄)₆OH_{2 − x}F_x) through the combined micro-arc oxidation (MAO) and electrophoretic deposition (EPD) techniques, which was presented in our previous paper. In this article, the biocompatibility examinations were conducted on the coated AZ91 …

There Are More Than 1.3 Million Emergency Department Visits And Charges Of $1 Billion Annually Due To Nontraumatic Dental Conditions In The United States, Christopher Okunseri

School of Dentistry Faculty Research and Publications

No abstract provided.

Immunohistochemical Expression Of Matrix Metalloprotease-2 And Matrix Metalloprotease-9 In The Disks Of Patients With Temporomandibular Joint Dysfunction, Luis Eduardo Almeida, Karina Caporal, Viviane Ambros, Marina Azevedo, Lucia Noronha, Rosy Leonardi, Paula C. Trevilatto

School of Dentistry Faculty Research and Publications

Purpose

Matrix metalloproteases (MMPs) are tissue-remodeling enzymes that function during the remodeling process, such as in immune-inflammatory diseases. Metalloprotease-2 (MMP-2) and metalloprotease-9 (MMP-9) are gelatinases that degrade several types of extracellular matrix collagen. It is hypothesized that in temporomandibular joint (TMJ) dysfunction, MMP-2 and MMP-9 expression levels may be elevated. Therefore, the objective of this study is to determine the association of MMP-2 and MMP-9 expression with temporomandibular joint dysfunction using an immunohistochemical approach to evaluate the joint disk.

Material and Methods

A total of 45 human temporomandibular joint samples were collected, with 36 samples in the test group (patients …

Adamts-4 And Adamts-5 Expression In Human Temporomandibular Joint Discs With Internal Derangement, Correlates With Degeneration, Rosalia Leonardi, Salvatore Crimi, Luis Eduardo Almeida, Giuseppe Pannone, Giuseppe Musumeci, Sergio Castorina, Mugurel Constantin Rusu, Carla Loreto

School of Dentistry Faculty Research and Publications

Temporomandibular joint (TMJ) internal derangement (ID) is one of the most common form of temporomandibular disorders. There is evidence showing the increased expression of matrix metalloproteinases (MMPs) in the cells from degenerated TMJ disc. ADAMTS are a large family of metalloproteases which are responsible for proteoglycans degradation. The present study aimed to evaluate ADAMTS-4 and ADAMTS-5 immunohistochemical expression in human TMJ discs from patients affected by ID, and to find out if there is any correlation with the degree of histopathological changes. Eighteen temporomandibular displaced disc specimens and sixteen TMJ disc control were used for the present study. Specimens were …

Erupted Complex Odontoma Mimicking A Mandibular Second Molar, Luis Eduardo Almeida, M. O. Andrade, M. A. De Oliveira Filho, Paula C. Trevilatto, Andrea Doetzer

School of Dentistry Faculty Research and Publications

Complex odontoma (CO) is considered one of the most common odontogenic lesions, composed by a miscellaneous of dental tissue such as enamel, dentin, pulp and sometimes cementum. They may interfere with the eruption of an associated tooth, being more prevalent in the posterior mandible. CO has been rarely reported as erupted, being considered an intraosseous lesion. This is a case report of a 17-year-old male with a benign fibro-osseous lesion consistent with CO that was located at the left second molar region, above the crown of the impacted mandibular second molar tooth. The lesion was surgically removed, and the tooth …

Investigation Of Force Decay In Aesthetic, Fibre-Reinforced Composite Orthodontic Archwires, Jacob E. Spendlove, David W. Berzins, Jessica E. Pruszynski, Richard W. Ballard

School of Dentistry Faculty Research and Publications

Background/Objectives: Because polymer-based materials typically exhibit viscoelastic properties, the objective was to determine if commercially available, aesthetic, fibre-reinforced composite archwires maintain continuous forces without undergoing force decay when deflected continuously.

Materials/Methods: Quasi force decay was evaluated by comparing three-point bending profiles of nickel–titanium (NiTi) and fibre-reinforced composite archwires (BioMers) prior to and after 30 days of continuous deflection of either 1 or 2mm. Paired t-tests or non-parametric signed rank tests were used to statistically compare pre- and post-deflection bending forces. A control group consisting of wires not subject to the 30-day constant deflection was tested to check whether the initial …

Morphologic Outcome Of Bimaxillary Surgery–An Anthropometric Appraisal, Gregor F. Raschke, Ulrich M. Rieger, Andre Peisker, Gabriel Djedovic, Marta Gomez-Dammeier, Arndt Guentsch, Oliver Schaefer, Stefan Schultze-Mosgau

School of Dentistry Faculty Research and Publications

Objectives: To adequately perform orthognathic surgery procedures, it is from basic interest to understand the morphologic changes caused by orthognathic surgery. Anthropometric analyses of standardized frontal view and profile photographs could help to investigate and understand such changes. Study Design: We present a pre- to postoperative evaluation of orthognathic surgery results based on anthropometric indices described by Farkas and cephalometric measurements. 30 Class III patients undergoing maxillary advancement by Le Fort I Osteotomy and mandibular setback by bilateral sagittal split osteotomy were evaluated. Preoperative as well as three and nine months postoperative lateral cephalograms as well as standardized frontal view …

Effect Of Additives On Mineral Trioxide Aggregate Setting Reaction Product Formation, Angela M. Zapf, Sharath C.V. Chedella, David W. Berzins

School of Dentistry Faculty Research and Publications

Introduction

Mineral trioxide aggregate (MTA) sets via hydration of calcium silicates to yield calcium silicate hydrates and calcium hydroxide (Ca[OH]₂). However, a drawback of MTA is its long setting time. Therefore, many additives have been suggested to reduce the setting time. The effect those additives have on setting reaction product formation has been ignored. The objective was to examine the effect additives have on MTA's setting time and setting reaction using differential scanning calorimetry (DSC).

Methods

MTA powder was prepared with distilled water (control), phosphate buffered saline, 5% calcium chloride (CaCl₂), 3% sodium hypochlorite (NaOCl), or …

Developing Student, Family, And School Constructs From Nlts2 Data, Karrie A. Shogren, Mauricio Garnier-Villarreal

School of Dentistry Faculty Research and Publications

The purpose of this study was to use data from the National Longitudinal Transition Study–2 (NLTS2) to (a) conceptually identify and empirically establish student, family, and school constructs; (b) explore the degree to which the constructs can be measured equivalently across disability groups; and (c) examine latent differences (means, variances, and correlations) in the constructs across disability groups. Conceptual analysis of NLTS2 individual survey items yielded 21 student, family, and school constructs, and 16 were empirically supported. Partial strong metric invariance was established across disability groups, and in the latent space, a complex pattern of mean and variance differences across …