Medicine and Health Sciences Commons^™

Etiology Of Noncarious Cervical Lesions, Caren M. Barnes

College of Dentistry: Faculty Publications

As the number of older adults in the United States continues to grow, this change in patient demographics will profoundly affect the practice of dental hygiene. Not only are there more older adults, but they are also retaining more of their natural teeth than ever before. The risk of alveolar bone loss; gingival recession, which can lead to exposed cervical and root areas of the teeth; and tooth wear all increase with age. The confluence of these factors raises the risk of noncarious cervical lesions (NCCLs).

The prevalence of NCCLs is growing, largely due to the rising numbers of older …

Shining A New Light On Selective Polishing, Caren M. Barnes

College of Dentistry: Faculty Publications

The era of selective polishing is over. Polishing is an integral procedure provided by dental hygienists. Patients look forward to the resultant smooth, clean feeling, and dental hygienists must ensure that all patients are polished according to their individual needs—ensuring the safety of their teeth and restorations.

The Evolution Of Prophy Paste, Caren M. Barnes

College of Dentistry: Faculty Publications

Dental hygienists have many products to choose from when deciding which prophy paste is best for each patient. To date, the evidence supporting prophy pastes formulated to remineralize enamel or eliminate dentinal hypersensitivity is somewhat unclear. Most of the research has been conducted in vitro among environments that do not accurately simulate clinical conditions. Additional clinical research performed in vivo is needed to provide the evidence base necessary for effective clinical decision making.

An In-Depth Look At Air Polishing, Caren M. Barnes

College of Dentistry: Faculty Publications

Air polishing has been available for four decades, however, the concept is based on a technology invented by Dr. Robert Black in 1945. Dr. Black invented the Air Dent, a device that used compressed air, water, and a highly abrasive powder to eliminate pain from cavity preparation, making anesthesia unnecessary. The Air Dent had numerous problems that could not be overcome, but Dr. Black never gave up on his idea. The technology he invented became the basis of air polishing and was first marketed in 1976. By the late 1970s, air polishing was readily available.

Air polishing represents the most …

Polishing Esthetic Restorative Materiai, Caren M. Barnes

College of Dentistry: Faculty Publications

When esthetic dental restorations are encountered during charting, they should be included in the treatment plan for the specific polishing procedures that are required. If the brand and type of esthetic restoration are known through the patient chart, the polishing procedures and products used should be those recommended by the manufacturer. If not possible, alternative polishing procedures should be used. A cleaning agent containing feldspar and rubber polishing cup can be used on all esthetic restorative materials with no chance of damage to the surface characterization.

The principles for polishing esthetic restorations are the same as for natural teeth. If …

Tgfβ3 Inhibits E-Cadherin Gene Expression In Palate Medial-Edge Epithelial Cells Through A Smad2-Smad4- Lef1 Transcription Complex, Ali Nawshad, Damian Medici, Chang-Chih Liu, Elizabeth D. Hay

College of Dentistry: Faculty Publications

Dissociation of medial-edge epithelium (MEE) during palate development is essential for mediating correct craniofacial morphogenesis. This phenomenon is initiated by TGFβ3 upon adherence of opposing palatal shelves, because loss of E-cadherin causes the MEE seam to break into small epithelial islands. To investigate the molecular mechanisms that cause this E-cadherin loss, we isolated and cultured murine embryonic primary MEE cells from adhered or non-adhered palates. Here, we provide the first evidence that lymphoid enhancer factor 1 (LEF1), when functionally activated by phosphorylated Smad2 (Smad2- P) and Smad4 (rather than β-catenin), binds with the promoter of the E-cadherin gene to repress …

Dental Hygiene Participation In Managing Incipient And Hidden Caries, Caren M. Barnes

College of Dentistry: Faculty Publications

The essence of dental hygiene practice includes the use of preventive and therapeutic methods for the promotion of good health and to prevent and control oral diseases. Dental hygienists actively promote the prevention of oral diseases through patient education that encourages self-care prevention of dental caries, supplemented by needs-related professional preventive services. Equally significant in the scope of dental hygiene practice are thorough oral examinations for disease detection. Although dental hygienists do not legally or definitively diagnose dental caries, they are responsible for detecting caries at all stages of the disease, recognizing caries risk factors, and planning management strategies. Because …

The Effects Of A Commercial Aluminum Airpolishing Powder On Dental Restorative Materials, William W. Johnson, Caren M. Barnes, David A. Covey, Mary P. Walker, Judith A. Ross

College of Dentistry: Faculty Publications

Introduction: JET-Fresh™ (Dentsply International, York, PA), a new airpolishing powder that contains aluminum trihydroxide as the abrasive agent, has been introduced for use with Prophy-Jet™ (Dentsply International).
Purpose: The aim of this study was to investigate the surface effects of aluminum trihydroxide airpolishing powder on a series of restorative materials.
Materials and Methods: A total of 6 Class V preparations with enamel margins were created on the buccal surface of extracted human molars. The preparations were restored with Type III gold, a high copper spherical alloy amalgam, porcelain, a lightactivated hybrid composite material, a light-activated microfilled composite material, and a …

The Formin-Homology-Domain-Containing Protein Fhod1 Enhances Cell Migration, Sreenivas Koka, Cheryl L. Neudauer, Xiaodong Li, Robert E. Lewis, James B. Mccarthy, Jennifer J. Westendorf

College of Dentistry: Faculty Publications

Formin-homology-domain-containing proteins interact with Rho-family GTPases and regulate actin cytoskeleton organization and gene transcription. FHOD1 is a member of this family, interacts with Rac1 and induces transcription from the serum response element. In this study, we examined the effects of FHOD1 expression on cytoskeletal organization and function in mammalian cells. FHOD1 proteins were stably expressed in WM35 melanoma cells and NIH-3T3 fibroblasts. Cells expressing full-length FHOD1 demonstrated an elongated phenotype compared with vector-transfected cells and cells expressing a truncated FHOD1 (1-421) that lacks the conserved FH1 and FH2 domains. Full-length FHOD1 co-localized with filamentous actin at cell peripheries. Cells transiently …

Dental Implant Drill Guide System, J. Bruce Bavitz

College of Dentistry: Faculty Publications

A method for imbedding a dental implant includes the initial step of casting a model of the patient's jaw and teeth in the vicinity of the implant site. A pilot hole is drilled in the implant site of the model, correlating to the ideal angle and location of the implant in the patient's jaw. A guide rod is provided for forming a guide hole in a stent, with a generally cylindrical shaft and a screw portion mounted at the lower end of the shaft. The screw portion is threaded into the pilot hole with the upper portion of the guide …

An In Vitro Evaluation Of Commercially Available Disposable Prophylaxis Angles, Caren M. Barnes, Lisa S. Fleming, Carl M. Russell

College of Dentistry: Faculty Publications

Although a number of manufacturers are marketing disposable prophylaxis angles, no literature exists regarding the mechanical efficacy and efficiency of these products. It was the purpose of this in vitro evaluation to compare and evaluate five brands of commercially available disposable prophylaxis angles for vibration, noise, heat rise, and torque. Random samples of each brand of disposable prophylaxis angle were utilized. Vibration was measured with a height gauge and running motor; noise was measured with a sound meter and heat rise was measured from 68°F on the head and body of the disposable prophylaxis angles, and torque required to destroy …

An In Vivo Comparison Of Commercially Available Disposable Prophylaxis Angles, Lisa S. Fleming, Caren M. Barnes, Carl M. Russell

College of Dentistry: Faculty Publications

A wide variety of disposable infection control products is being marketed including disposable prophylaxis angles. It was the purpose of this in vivo investigation to evaluate the clinical efficacy of five different brands of commercially available disposable prophylaxis angles. Utilizing a splitmouth design. 11 dental hygienists evaluated disposable prophylaxis angles while completing a routine oral prophylaxis. Fifty samples each of Brahler. Ash/Dentsply, Denticator. and Young Dental angles were compared to a control angle (Teledyne Getz). A questionnaire was completed by each operator following patient treatment (a total of 161 patients was treated). The questionnaire asked questions in which the four …

The Management Of Aerosols With Airpolishing Delivery Systems, Caren M. Barnes

College of Dentistry: Faculty Publications

In summary. aerosol production is inherent with airpolishers. as well as other dental equipment such as handpieces, ultrasonic scalers, and air/water syringes. By practicing prudent infection control techniques and utilizing proper operating techniques, the clinician can continue to enjoy the time-efficient and efficacious benefits of airpolishers, while ensuring a maximum protection from aerosols for the patient and the operator.

Effects Of An Air-Powder Polishing System On Orthodontically Bracketed And Banded Teeth, Caren M. Barnes, Carl M. Russell, Laurence R. Gerbo, Bobby R. Wells, David Barnes

College of Dentistry: Faculty Publications

Since the introduction of air-powder polishing systems in 1977, air-powder polishing has been shown to be an efficient and effective method for removal of stain and plaque. Air-powder polishing systems use air, water, and sodium bicarbonate to deliver a controlled stream that propels specially processed sodium bicarbonate particles to the tooth surface. It has been demonstrated that this increasingly popular technique requires less time and less physical exertion by the operator than polishing with a rubber cup and prophylaxis paste. In addition, no heat is generated with this type of system.

Studies of the air-powder polishing method have examined its …

Results Of A Head And Neck Examination: Evaluation Of A Tumor Of The Floor Of The Mouth, Caren M. Barnes, Kenneth W. Nelson, Gary H. Conover

College of Dentistry: Faculty Publications

This article reviews a solitary, well-defined tumor of the floor of the mouth. The tumor presented as a raised, elevated, sessile mass that was freely movable and soft to. the touch. The case illustrates the importance of performing a thorough head and neck examination, and formulating a differential diagnosis if any abnormality is detected. The clinical features, histopathology and responsibility of the dental hygienist in performing a thorough head and neck examination is reviewed.

Magnitude And Pattern Of Compensatory Growth In Rats After Cold Exposure, Marjorie Lee, P. C. Chu, H. C. Chan

College of Dentistry: Faculty Publications

It is a common observation that normal growth is affected or suppressed in young individuals by environmental adversities and physical disturbances. On the other hand, when health or favorable conditions are restored, the tempo of growth promptly accelerates as if the individual is trying to make up for the growth debt incurred. Tanner has referred to this increased growth rate after diseases or starvation as compensatory or 'catch-up' growth, a topic on which he has written eloquently and fully in a number of articles (1963a, b). He considers this compensatory growth as a 'self-stabilizing' or 'target-seeking' phenomenon in the regulatory …

The Development In Vitro And In Vivo Of Fusion Of The Palatal Processes Of Rat Embryos, Thomas Moriarty, Sam Weinstein, R. D. Gibson

College of Dentistry: Faculty Publications

The congenital anomaly of cleft palate can now be reproduced by a variety of teratogenetic agents in a number of laboratory animals (Kalter & Warkany, 1959). Through the use of the induced cleft palate numerous studies have been directed toward detecting the developmental mishaps which create this defect. The work of Fraser et al. (1957) suggested that various positional factors of the developing palatal and facial structures may be the underlying cause for failure of palatal closure in mouse embryos. Walker & Fraser (1956) observed elastic fibers among the palatal processes of mouse embryos which they suggested might impart a …