Dentistry Commons^™

Cephalometric Objectives For The Maxillary Central Incisor, John Mickey Damerell

Loma Linda University Electronic Theses, Dissertations & Projects

A cephalometric study was conducted to determine the ideal inclination of the maxillary central incisor for various facial patterns. Selected measurements were made on lateral headplate tracings of three samples: ideal, random and Class III malocclusions. Statistical analysis of data included means, standard deviations, simple correlations and stepwise regressions.

The Frankfort plane was found to be the most reliable reference plane when measuring the inclination of the maxillary central incisor. The maxillary central incisor inclination was found to be dependent upon the lower incisor position and inclination, chin position and the anterior cranial base inclination. A formula was produced to …

A Comparison Of A Step-By-Step Versus An All-In-One Approach In Teaching Plaque Control, Charles R. Woofter

Loma Linda University Electronic Theses, Dissertations & Projects

Using plaque scores as the measurement criterion, two different methods of teaching plaque control skills were tested. Based on initial plaque scores, 25 patients with periodontal disease were paired and divided into two groups: a "step-by-step" and "all-in-one" group. The subjects of both groups were given four one-half hour appointments of instruction. Members of the "step-by-step" group were taught in three successive appointments a horizontal scrub toothbrushing method, how to floss and how to use the Perio Aid. All members of the "all-in-one" group were taught how to use all three oral hygiene instruments at the first appointment. No additional …

Apical Closure Induction Using Bone Growth Factors And Mineral Trioxide Aggregate, Kenneth W. Tittle

Loma Linda University Electronic Theses, Dissertations & Projects

This study compared the ability of three different bone growth factor combinations with that of Ca(OH)₂ to stimulate apical closure as well as the effectiveness of Mineral Trioxide Aggregate (MTA) as an apical barrier. Fifty-six roots of second and fourth mandibular premolars of seven six- month old beagle dogs were used. Periradicular lesions were created over a four week period. The canals were cleaned and shaped and filled with Ca(OH)₂ for one week. They were then irrigated and received one of seven different treatments in a balanced design. Growth factors were placed in a carboxymethylcellulose carrier and delivered …

A Comparison Of Overbite Relapse To Age, Interincisal Angle And Lower Face Height In Class Ii Deepbite Cases, James E. Macalpine

Loma Linda University Electronic Theses, Dissertations & Projects

Patients with deep skeletal or dental bites before treatment have been noted to have a greater tendency towards relapsing to this deepbite following orthodontic treatment than do patients whose malocclusion showed a more ideal overbite relationship before treatment.

This study utilized patients selected from Rocky Mountain Data Systems for their deepbite trends. Three areas were compared to overbite relapse, 1) age, 2) interincisal angle 3) lower face height.

Results of this study indicate that overbite cases that have the most problems in retention were skeletal deepbites. This study also indicates that there was no disadvantage to early treatment, that the …

The Effects Of Topically Applied Citric Acid On Periodontally Diseased Root Surfaces, John S. Garrett

Loma Linda University Electronic Theses, Dissertations & Projects

The goal of reconstructive periodontal therapy is new connective tissue attachment to periodontally diseased root surfaces. Recently Register (1973) and Register and Burdick (1975) have reported accelerated reattachment and cementogenesis when citric acid was applied to surgically created root surface defects. There are apparently no reports in the literature regarding the effects of citric acid on periodontally diseased root surfaces. This study was designed to determine the effects of topically applied citric acid on periodontally diseased root surfaces using the scanning (SEM) and transmission (TEM) electron microscopes.

Twenty three human teeth, nineteen extracted because of periodontal disease and four bicuspids …

The Treatment Timing Of Dolicofacial, Retrognathic Facial Patterns, George B. Clarke Jr.

Loma Linda University Electronic Theses, Dissertations & Projects

The general consensus among orthodontists today is that the dolicofacial, retrognathic patient can present one of the most challenging problems for conventional orthodontic therapy. It is often stated that many of these patients will have more mandibular opening rotation during orthodontic treatment than the mesofacial or brachyfacial patient. This opening rotation is compounded when the use of cervical traction and Class 11 mechanics are incorporated into the treatment plan. Because of the problems involved with the treatment of these types of patients, it has been suggested in the literature that there may be an ideal age to start orthodontic therapy …

The Functional Stress Analysis Of Post Reinforcement, Robert V. Bravin

Loma Linda University Electronic Theses, Dissertations & Projects

Research was undertaken in order to functionally test the reinforcement capabilities of several commonly used, standard manufactured posts. One hundred and ten maxillary lateral incisors were mounted in plastic, reinforced with the posts at different levels, and then restored with standardized crowns. These teeth along with control groups, were then placed in a custom, mounting jig which properly positioned them for the stress testing. The forces required for fracturing these teeth were recorded and subsequently analyzed.

The statistical analysis of the experimental results demonstrated that posts do not reinforce teeth as supposed; they may, in fact, weaken them. Analysis also …

Evaluation Of A Precision Filing Test For Predicting Dental Technic Performance, Douglass Roberts

Loma Linda University Electronic Theses, Dissertations & Projects

A precision filing test involving the reduction of a steel cylinder to a perfect cube with the use of a hand file and bench vise was devised as a diagnostic tool for the early detection of freshman students having technic difficulties. The test was administered to 188 freshman dental students in three classes at Loma Linda University, School of Dentistry. Subjective and objective scores were then statistically compared with subsequent technic and clinic grades of the students. The simple linear correlations between the predictor test variable and criterion grades were statistically significant for one class and for the combined classes …

The Prediction Of Circumferential Tooth Measurements As An Aid In Orthodontic Banding, Roland D. W. Neufeld

Loma Linda University Electronic Theses, Dissertations & Projects

A correlation was established among the circumferential measurements of the teeth in a given individual. The maxillary central incisor was selected as the predictor tooth to predict the remaining teeth in the set. The circumferences of the teeth were predicted within + two band sizes 69% of the time. Agreement in prediction percentages was found using measurements taken intraorally.

Gingival Condition In Areas Of Minimal And Appreciable Widths Of Keratinized Gingiva, Myles C. Miyasato

Loma Linda University Electronic Theses, Dissertations & Projects

This investigation evaluated the gingival condition of areas with minimal (less than or equal to 1.0 millimeter) and appreciable (greater than or equal to 2.0 millimeters) widths of keratinized gingiva.

Sixteen dental, dental hygiene, and dental assisting students and dental faculty who had contralateral or unilateral areas of minimal and appreciable widths of keratinized gingiva on the mid-buccal surface of mandibular bicuspids were examined. Gingival exudate, plaque, gingival inflammation based on color change and/or swelling and bleeding on probing were evaluated. The results showed that all areas examined were plaque free. Three of 32 areas showed clinical gingival inflammation and …

Soft Tissue Profile Prediction: An Evaluation Of Methods, Roger H. Zierenberg Jr.

Loma Linda University Electronic Theses, Dissertations & Projects

Forty cases demonstrating at least 3 mm of lingual movement of the upper incisors were analyzed to determine the soft-tissue prediction accuracy of the Holdaway and the Ricketts methods. Initial analysis was performed by comparing predictions based on pre-treatment cephalometric tracings to post-treatment tracings. Lack of congruency was considered error and statistical analysis followed. The Ricketts method was shown to be superior for upper lip prediction on the combined 40 cases. Neither method proved superior in predicting the lower lip.

Further analysis involved segregating the cases according to individual functional lip abnormalities and again comparing the two methods for accuracy. …

Histology Of Apical Tissue : A Comparative Study Of Sargenti Formula, Short Vs. Overfill, James G. Schulze

Loma Linda University Electronic Theses, Dissertations & Projects

Four Stump-tail monkeys (Macaca spiciosa) were used for this study to analyze, on a cellular level, the apical tissue of teeth overfilled versus teeth filled short 1-3 mm. of the radiographic apex with the Sargenti formula. In each animal four incisors were filled short and four incisors were overfilled. A final sample size consisted of 28 teeth. The time periods ranged from 48 hours to 120 days. After analysis of the histology it can be stated that the teeth filled short showed no inflammation to moderate inflammation in the periapical tissues. In teeth overfilled there was a range from moderate …

Determination Of Lead Content In Apical Tissue Following Root Canal Obturation With Sargenti's Formula, G. Merle Hickok

Loma Linda University Electronic Theses, Dissertations & Projects

Four Stump-tail monkeys were used to help determine if the lead in Sargenti's formula diffuses out into the apical tissue while confined entirely within the root canal. In each animal two teeth were filled with Sargenti's formula 1-2 millimeters short of the radiographic apex, and two teeth were filled with gutta percha and Proco-Sol sealer for controls, making a total sample size of sixteen. The time ranged from 48 hours to 120 days. Lead analysis using the spectrophotometric method showed a higher lead content in the teeth filled with Sargenti's formula than with the gutta percha controls.

Growth Augmentation With Activators, John R. Sibley

Loma Linda University Electronic Theses, Dissertations & Projects

This research was performed to determine if bony changes could be effected by activator treatment and how stable this treatment is.

From a sample of twenty-seven cases with before activator treatment cephalometric radiographs. Rocky Mountain Data Systems provided growth projections, with and without edgewise treatment, for the period of time each patient was in treatment. These forecasts were compared to the post-treatment cephalograms to analyze the orthopedic effects of activator treatment with normal growth and with edgewise therapy.

Nine of the twenty-seven case treated sample responded to recall for post-treatment cephalograms and were analyzed for relapse.

It was apparent that …

The Uses Of Pins For Retention In Restorative Dentistry : An Independent Learning Program, Ali M. Asad

Loma Linda University Electronic Theses, Dissertations & Projects

Although pins have been used since the 1800's for retention of dental restorations, their widespread use had been limited because supporting techniques such as impression, die materials, better handpieces and drills have only been perfected in the last two decades.

The pin technique allows for greater retention of restorative materials which otherwise might require considerable reduction of sound tooth substance; this is particularly paramount when insufficient coronal tooth structure is present. Also, the placing of pins in divergent directions gives excellent retention. Pin-retained castings reduce the need for deep cavity preparation in some cases.

Pins are useful in stabilizing hypermobile …

An Analysis Of Blood Cortisol Levels In Oral Surgery Patients Under Various Levels Of Intravenous Medication, Fred L. Bunch

Loma Linda University Electronic Theses, Dissertations & Projects

This study was designed to objectively evaluate each pharmacological component of the Loma Linda intravenous sedation technique. The results were evaluated as a function of stress as measured by plasma cortisol levels.

The study was conducted on fifty patients in groups of ten. Blood samples were taken at set procedure intervals during dental extraction of third molar teeth. A component of the Loma Linda technique was deleted from each of the groups to ascertain its role in sedation and relief of stress.

Results show a trend toward reduction of plasma cortisol levels as the procedure progresses, indicating a measure of …

A Clinical Comparison Of The Effectiveness Of Two Intracanal Medicaments, Xp-7/Prednisolone And 1% Pcp/Prednisolone, In Reduction And Duration Of Post-Treatment Pain, Kenneth G. Whitnack

Loma Linda University Electronic Theses, Dissertations & Projects

This study was undertaken to determine which intracanal medication, 1% aqueous parachlorophenol with prednisolone or XP-7 with prednisolone was the most effective in reducing the severity and duration of post-treatment pain following initial, conventional endodontic therapy. The investigation was conducted by five endodontists in their private offices and utilized a double-blind technique.

The postoperative reactions of 343 patients were examined statistically. It was shown that there was no statistically significant difference in the reduction or duration of post-treatment pain with either drug. Other factors such as sex, age, location of tooth and presence of a radiographic lesion were statistically significant …

A Computerized Study Of The Behavior Of The Facial Axis During Treatment And Post-Retention, Gary Cornforth

Loma Linda University Electronic Theses, Dissertations & Projects

A computerized cephalometric study of mandibular rotation was made of one hundred and eight patients that were treated by Drs. Ricketts and Bench of Pacific Palisades, California. These treated cases are on file at Rocky Mountain Data Systems in Sherman Oaks, California. The Ricketts computerized cephalometric analysis was utilized with each case.

Chin behavior during treatment and post-retention has always been of considerable interest to the clinical orthodontist and it was therefore decided to divide the patients into four groups according to the behavior of the chin during treatment and post-retention. Group 1 consisted of those patients that experienced a …

Developing A Periodontal Screening Examination, Jeffrey R. Morgulis

Loma Linda University Electronic Theses, Dissertations & Projects

Periodontal disease is the primary cause of tooth loss in the adult, and therefore, early diagnosis of periodontal disease by the general practitioner is important in terms of prevention as well as treatment. The present study was designed to develop a periodontal screening examination which would fulfill the following requirements:

1. It should utilize precise and easily understood criteria.
2. It should take a short period of time.
3. It should enable the practitioner to accurately place patients into various disease categories.
4. It should enable the practitioner to easily and quickly relate these disease categories to treatment.

A "comprehensive" periodontal examination was performed …

The Effect Of Chlorhexidine Or Oxytetracycline Irrigation On The Subgingival Microbiota, George M. Whitehead

Loma Linda University Electronic Theses, Dissertations & Projects

Inflammation of the connective tissue adjacent to the periodontal pocket may depend on the continuous presence of bacteria. Following periodontal treatment, subgingival plaque accumulation may interfere with healing. The purpose of this study was to determine the effect of irrigation with chlorhexidine or oxytetracycline on the cultivable bacteria in standardized chronic periodontal pockets in dogs. Chronic periodontal pockets were irrigated with either 5 ml. of 2 percent chlorhexidine or 250 mg. of oxytetracycline in 5 ml. distilled water. The pockets were irrigated dally for two days and were sampled on the first, fourth, seventh, fourteeth, twenty-first, thirty-fifth and forty-second days …

A Cephalometric Study Of Post-Retention Relapse In Mandibular Expansion Of Cuspids And Molars, Randall J. Schuler

Loma Linda University Electronic Theses, Dissertations & Projects

The purpose of this research was to determine if the advancements of cephalometrics and the capacity of the computer to quantify skeletal relationships could help the orthodontist recognize those cases where arch length could be gained through buccal expansion with little risk of relapse. To determine the stability of orthodontic treatment changes, the mandibular arches of 72 patients were studied. The cases were treated by Drs. Bench and Ricketts and were selected on the basis that each case must include three complete sets of frontal and lateral headplates, before and after treatment, and a minimum of two years out of …

An Evaluation Of A Precipitation Hardened Stainless Steel Alloy As An Alternate To Chrome Cobalt Alloys For Orthodontic Purposes, Joseph M. Caruso

Loma Linda University Electronic Theses, Dissertations & Projects

The intent of this paper was to evaluate a precipitation hardenable stainless steel (Alloy I) as an alternate to chromium cobalt alloys (Alloy II) for orthodontic purposes.

After evaluating several heat treatments of alloy I it was determined that solution treatment produced a wire that was soft initially and had similar properties found with alloy II. After solution treatment of alloy I a 330 gram load was required to deform the wire 1.0 mm which proved to be similar to the 295 gram force required for alloy II for the same deformation and only an 11% increase in resistance of …

An Evaluation Of The Cytotoxicity Of Root Canal Filling Materials On Tissue Culture Cells In Vitro: Grossman's Sealer, N2 Permanent, Rickert's Sealer, And Cavit, Donald D. Antrim

Loma Linda University Electronic Theses, Dissertations & Projects

An in vitro study using radioactively-labeled tissue culture cells was conducted over a seven-month period on Grossman's sealer, Rickert's sealer, N₂ Permanent, and Cavit to determine the lasting and relative tissue toxicity of these materials.

From this study it was observed that all materials possess lasting tissue toxicity. When relative toxicity is considered, Grossman's is the most toxic, followed by N₂, Rickert's and Cavit in descending order of toxicity. Both Grossman's and N₂ would be considered highly toxic, with Rickert's displaying moderate toxicity. Cavit would be considered mild to moderate in toxicity.

The use of radioactively-labeled …

A Correlation Study Of Selected Teeth By Circumferential Measurement, Steven W. Campbell

Loma Linda University Electronic Theses, Dissertations & Projects

A correlation was established among the circumferences of teeth in a given set. This is the first step in constructing a band numbering system so that the fitting of one band (the predictor tooth) would give you the band sizes for the remaining teeth in the set. This would make possible improved efficiency for the orthodontist during band selection.

Individual sets of teeth from impressions of patients starting orthodontic treatment were measured by the use of the dentometer. The upper second bicuspid was chosen as the predictor tooth after the correlation matrices were computed.

It was concluded that 48% of …

A Post-Retention Study Of The Stability Of Lower Incisors Evaluated Cephalometrically, Robert W. Allen

Loma Linda University Electronic Theses, Dissertations & Projects

The purpose of this research was to determine if forward movement of the lower incisor in a horizontal plane during active treatment affected the post-retention stability. The post-active treatment position of the lower incisor in relation to APo plane, NB plane and mandibular plane was also studied to determine if it affected the post-retention stability.

To determine where the lower incisors were moved during treatment, the beginning cephalometric tracings were superimposed over the end of active treatment tracings on the Corpus Axis at Supra-Pogonion. The amount of change in the incisal edge was measured to the nearest millimeter on a …

The Development Of A Means Of Applying Extraoral Pressure To The Buccal Arch Positioner, David C. Hobson

Loma Linda University Electronic Theses, Dissertations & Projects

A problem common to all of the full-banded orthodontic techniques currently in use is the delivery of an optimum force to each tooth without disrupting the forces on other teeth. This problem becomes especially acute during finishing. It arises out of Newton's third law, which states that for every action, there is an equal and opposite reaction. Thus, in full-banded techniques, a force on one tooth gives rise to generally undesirable reactive forces on other teeth in its vicinity.

The theory behind the buccal arch positioner (BAP) is dissipation of the force on any one tooth over every other tooth …

Verrucous Carcinoma Of The Oral Cavity, Lane C. Thomsen

Loma Linda University Electronic Theses, Dissertations & Projects

This paper describes 39 cases of oral verrucous carcinoma. This study reports on 20 cases from the San Diego Tumor Group and 19 cases from the Oral Pathology Service which showed the characteristic features of verrucous carcinoma. Twenty three patients were men and 16 were women. In the majority of the cases the lesion was exophytic and had a papillary surface. The buccal mucosa and gingiva were the sites most frequently involved. The characteristic histologic pattern consisted of keratinized well-differentiated epithelium exhibiting irregular folds. In addition there was an inward projection of bulbous rete ridges. Surgical excision was the treatment …

Bone Regeneration Over Submerged Dental Roots In Dogs, Roger Lee Plata

Loma Linda University Electronic Theses, Dissertations & Projects

Nonendodontically treated roots were submerged 1.5 to 2.0 mm. below the alveolar crest in three dogs. Twelve roots were treated in this manner. Regeneration of alveolar bone can be seen in three weeks with complete bone coverage in five weeks. A complete lamina dura can be seen around the amputated roots.

Bone failed to regenerate over two of the twelve roots. In one case there was delayed healing due to the early loss of some sutures. A sinus tract developed connecting the oral environment with the contents of the pulp. This led to bone resorption and a necrotic pulp. In …

A Cephalometric Study Of Mandibulo-Facial Disostosis In Monozygotic Twins Using Computerized Methods, Lyn M. Lamberton

Loma Linda University Electronic Theses, Dissertations & Projects

An investigation using computerized cephalometrics has been conducted to consider the cephalometric factors responsible for the characteristic appearance evident in individuals afflicted with Mandibulo-Facial Dysostosis. A pair of Negro monozygotic affected twins were studied using the other 10 non-affected members of the family as a control to minimize the environmental and hereditary factors. The Rocky Mountain Data System was utilized to analyze the lateral and frontal cephalometric radiographs of each individual using Ricketts Analysis and the data were subjected to statistical tests to determine the factors contributory to the syndrome. Age and size were considered and adjustments were made to …

Heat Treatment Of Chrome Cobalt Alloy Orthodontic Wire, Galen M. Fillmore

Loma Linda University Electronic Theses, Dissertations & Projects

Chrome cobalt alloy orthodontic wire may be heat treated to increase spring performance and efficiency. This study was designed to quantify the effects that several heat treatment temperatures have upon the ability of .016" x .022" type 1 chrome cobalt wire to resist permanent deformation. In addition, the changes in resistance to permanent deformation due to heat treatment at 900° F were studied in .018" stainless steel wire and chrome cobalt wire of all four tempers.

When compared to untreated wire, .016" x .022" type 1 chrome cobalt wire exhibited a maximum increase of approximately 174 percent in resistance to …