Other Dentistry Commons^™

The Effective Dose Of Different Scanning Protocols Using The Sirona Galileos® Comfort Cbct Scanner, David R. Chambers

Electronic Thesis and Dissertation Repository

Introduction: Cone Beam CT imaging is prevalent in dentistry yet much is unknown with regard to how radiation dose to the patient varies between different CBCT scanners and imaging protocols. Scanner and protocol specific effective dose calculations will aid in optimizing individualized protocols for clinical applications.

Purpose: To determine the effective dose for a range of imaging protocols using the Sirona GALILEOS Comfort CBCT scanner.

Materials and Methods: Calibrated InLight nanoDot OSL dosimeters (Landauer, Glenwood, Ill) were placed at 26 select sites in the head and neck of a modified, human tissue-equivalent RANDO phantom. Effective dose was calculated using …

Barriers To Membership In The American Dental Hygienists’ Association In The State Of Georgia, Brandy Henderson

Electronic Theses and Dissertations

Professional associations must have a significant level of membership to be effective. Georgia membership is increasingly low; therefore, ADHA cannot represent dental hygienists’ interests. This study determined factors that caused dental hygienists to continue to forgo membership in the ADHA. Several theoretical views of professional membership were considered. The sample was acquired from an unbiased systematic sampling of 50% (3,270) of registered dental hygienists and a convenience sampling of ADHA nonmembers at 2 continuing education seminars in Georgia. Data collection procedures included an electronic cover letter, consent form, and survey via Survey Monkey or hard copies for seminars. Three hundred …

Osteonecrosis Of The Jaw In A Patient Taking Once-Yearly Infusion Of Zoledronic Acid For Osteopenia, Takako I. Tanaka, Charles D. Taylor

Departmental Papers (Dental)

Osteonecrosis of the jaw (ONJ) is an adverse effect of nitrogen-containing bisphosphonates. Advancing age, intravenous administration of zoledronic acid (ZOL), history of dento-alveolar surgery, and concomitant systemic diseases such as diabetes are known as risk factors for developing ONJ. However, despite numerous studies, the exact pathophysiology remains unclear and management strategies are largely anecdotal. Once-yearly intravenously administered 5 mg ZOL was approved by the US Food and Drug Administration in 2007 for the treatment of osteoporosis and its efficacy with 3 year-regimen had been recently been proven in preventing new clinical fracture. Although occurrences of ONJ have been reported to …

Loma Linda University Dentistry - Volume 24, Number 2, Loma Linda University School Of Dentistry, Samah Omar

Articulator (Dentistry Journal)

Contents:

10-13 | Transitions: Goodacre to Dailey
16 | Alumni Student Convention
22 | Resin Infiltration: A Serendipitous Benefit
34 | Commencement 2013: "The Only Times We Have"
39 | Robert Handysides, Associate Dean for Academic Affairs
42 | Pediatric Dentistry Turns Twenty
48 | Dr. Fred Berry Retires

Comparison Between Ceph Analysis On Lateral Cephs, Cbct Scans, And Mri Scans, Jeffrey W. Lam

Loma Linda University Electronic Theses, Dissertations & Projects

Introduction: Most current methods of obtaining images for orthodontic diagnosis and treatment planning involve the use of ionizing radiation. Given that patients often need records taken several times during treatment, an alternative should be found that does not involve ionizing radiation. Magnetic resonance imaging (MRI) exists as a possible alternative. Purpose: The purpose of this study is to compare cephalometric measurements obtained from lateral cephs, cone beam computed tomography (CBCT) scans, and MR scans. Methods: Lateral cephs, CBCTs, and MRIs were taken on 22 patients. 3 separate readers traced the images and the data was analyzed using Bland-Altman plots. Results: …

Comparison Of Digital And Cbct Synthesized Lateral Cephalograms, Da Lee

Loma Linda University Electronic Theses, Dissertations & Projects

Purpose: The purpose of this study was to compare the precision of lateral cephalometric Ricketts analysis measurements from NewTom 5G CBCT (NewTom) synthesized lateral cephalograms with Sirona Orthophos XG Plus (Sirona) digital lateral cephalograms. Materials & Methods: A Sirona digital lateral cephalogram and a NewTom synthesized lateral cephalogram of a phantom in the orthogonal and perspective projections were created. Metal washers in each plane of the phantom were measured in the vertical and horizontal dimensions and compared across the different imaging modalities. In Group 1, forty patients were randomly selected from the Loma Linda University Graduate Orthodontic Clinic who had …

Photos And Silhouettes In Evaluating The Need For Bsso Surgery In Adult Females, Jessicah L. Moretz

Loma Linda University Electronic Theses, Dissertations & Projects

Introduction: The objective of this study was to determine the anterior/posterior position of the mandible at which an orthodontist and oral surgeon would advise bilateral sagittal split osteotomy advancement or set back when evaluating adult female photos and silhouettes. Material & Methods: Fifty-one adult female profile photos and lateral cephalograms were collected. Subjects were selected who met three criteria: 1) ANB of 0-2, 2) balanced profile image, and 3) age greater than 18. The image and cephalometric tracing were morphed together to allow software simulation of mandibular prognathia and retrognathia in 2 mm increments. Orthodontists and oral surgeons evaluated morphed …

Effect Of Attending Doctor Changes On Orthodontic Treatment Times And Results, Emily Caskey Peppers

Loma Linda University Electronic Theses, Dissertations & Projects

Introduction: The objective of this study was to determine if there was any significant difference in treatment time or results due to varying levels of attending doctor coverage in the Loma Linda University (LLU) graduate orthodontics clinic. Methods and Materials: The main study group of 191 subjects was split into high, medium and low coverage groups by primary attending doctor coverage and then by original attending doctor coverage. Treatment times, treatment results, and other variables were evaluated for each of the groups. Treatment results were evaluated using UK Peer Assessment Rating (PAR) scores. A second study group (289 subjects) included …

Periodontal Health Of Anterior Teeth With Two Types Of Fixed Retainers, Andrew I. Corbett

Loma Linda University Electronic Theses, Dissertations & Projects

Introduction: Fixed retainers for anterior teeth have become a popular method for maintaining the position and function of teeth after orthodontic treatment. Various retainer designs, wire sizes and types have been used over the years. One problem with fixed retainers is that they complicate oral hygiene and therefore might negatively affect the periodontal tissues if left in place for long periods of time. Purpose: The purpose of this study is to compare the periodontal health of maxillary and mandibular anterior teeth retained with two different types of fixed retainers. Methods: Male and female subjects who had been in continuous orthodontic …

Secreted Phosphoprotein 24 Kd (Spp24) And Spp14 Affect Tgf-Β Induced Bone Formation Differently, Haijun Tian, Xiaoda Bi, Chen-Shuang Li, Ke-Wei Zhao, Elsa J. Brochmann, Scott R. Montgomery, Bayan Aghdasi, Deyu Chen, Michael D. Daubs, Jeffrey C. Wang, Samuel S. Murray

Departmental Papers (Dental)

Transforming growth factor-β (TGF-β) and bone morphogenetic proteins (BMPs) have opposing but complementary functions in directing bone growth, repair, and turnover. Both are found in the bone matrix. Proteins that bind to and affect the activity of these growth factors will determine the relative abundance of the growth factors and, therefore, regulate bone formation. Secreted phosphoprotein 24 kD (Spp24) is a bone matrix protein that has been demonstrated to bind to and affect the activity of BMPs. The arginine-rich carboxy terminus of Spp24 is proteolytically processed to produce three other predictable truncation products (Spp18.1, Spp16.0, and Spp14.5). In this work, …

Screening The Safety Net, Babette L. Southard Mrs

Electronic Theses and Dissertations

Safety net clinics across the country struggle with a lack of resources to tackle the needs presented. Screening programs set up for children and elderly have proven to be effective in triaging need, prioritizing care, and maximizing resources. These programs do not currently exist for working uninsured adults. Research was initiated to answer the question: Does the screening process improve patient care for the community clinic? During a 6-week pilot study a licensed dental hygienist performed 30 screenings in the community clinic setting. Findings were recorded and coded according to patient’s level of need identified. Pre- and posttest data for …

Allogeneic Mesenchymal Stem Cell Therapy For Bisphosphonate-Related Jaw Osteonecrosis In Swine, Yunsheng Li, Junji Xu, Lisha Mao, Yi Liu, Runtao Gao, Zongmei Zheng, Wanjun Chen, Anh Le, Songtao Shi, Songlin Wang

Departmental Papers (Dental)

Bisphosphonates (BPs), which are used to treat a variety of clinical disorders, have the side effect of jawbone necrosis. Currently, there is no reliable treatment for BP-related osteonecrosis of the jaw (BRONJ) due to a lack of understanding of its pathogenesis. To investigate the pathogenesis of BRONJ and observe the treatment effect of bone marrow mesenchymal stem cell (BMMSC) transplantation, we established a preclinical animal model of BRONJ in miniature pigs (minipigs). After treatment with zoledronic acid, the clinical and radiographic manifestations of BRONJ could be observed in minipigs after first premolar extraction. The biological and immunological properties of BMMSCs …

Bowman Birk Inhibitor Concentrate And Oral Leukoplakia: A Randomized Phase Iib Trial, William B. Armstrong, Thomas H. Taylor, Ann R. Kennedy, Raymond J. Melrose, Diana V. Messadi, Mai Gui, Anh D. Le, Marjorie Perloff, Francisco Civantos, William Jarrard Goodwin, Lori J. Wirth, Alexander Ross Kerr

Departmental Papers (Dental)

Oral premalignancy serves as an ideal model for study of chemopreventive agents. Although 13-cis-retinoic acid showed reversal of oral premalignancy, toxicity, and reversal of clinical response after cessation of therapy obviated its widespread use. A search for nontoxic agents with cancer preventive activity led us to evaluate Bowman Birk Inhibitor (BBI) formulated as BBI Concentrate (BBIC). We previously reported encouraging results in a phase IIa trial of BBIC in patients with oral leukoplakia with measurable clinical responses and favorable biomarker changes. On the basis of these results, we undertook a randomized, placebo controlled phase IIb trial with patients receiving BBIC …

Loma Linda University Dentistry - Volume 24, Number 1, Loma Linda University School Of Dentistry, Wu Zhang, Yiming Li

Articulator (Dentistry Journal)

Contents:

12 | Changing of the Guard
15 | Ron Forde: New Restoration Chair
16 | Technology Center Opens
18 | Biofilm Contamination
27 | Service is Our Calling
29 | ADA Customizes Workshop
36 | Dr. Lee and IADR Intersect

Loma Linda University Dentistry - Volume 23, Number 2, Loma Linda University School Of Dentistry, Mathew T. Kattadiyil, Charles J. Goodacre

Articulator (Dentistry Journal)

Contents:

9 | Gathering of Alumni 2012
14 | Joni Stephens Retires
16 | CAD/CAM Technology
26 | Student Research Awards
30 | Commencement Number 56
48 | Donor Appreciation
58 | Recently Departed

Fracture Susceptibility Of Worn Teeth, Amanda Keown, Mark Bush, James Lee, Chris Ford, Paul Constantino, Brian Lawn

Paul J. Constantino

An experimental simulation study is made to determine the effects of occlusal wear on the capacity of teeth to resist fracture. Tests are carried out on model dome structures, using glass shells to represent enamel and epoxy filler to represent dentin. The top of the domes are ground and polished to produce flat surfaces of prescribed depths relative to shell thickness. The worn surfaces are then loaded axially with a hard sphere, or a hard or soft flat indenter, to represent extremes of food contacts. The loads required to drive longitudinal cracks around the side walls of the enamel to …

Properties Of Tooth Enamel In Great Apes, Paul Constantino, Brian Lawn, James Lee, Peter Lucas, Dylan Morris, Tanya Smith

Paul J. Constantino

A comparative study has been made of human and great ape molar tooth enamel. Nanoindentation techniques are used to map profiles of elastic modulus and hardness across sections from the enamel–dentin junction to the outer tooth surface. The measured data profiles overlap between species, suggesting a degree of commonality in material properties. Using established deformation and fracture relations, critical loads to produce function-threatening damage in the enamel of each species are calculated for characteristic tooth sizes and enamel thicknesses. The results suggest that differences in load-bearing capacity of molar teeth in primates are less a function of underlying material properties …

Evaluation Of Apical, Coronal And Occlusal Form Diffrences With Conventional Orthodontic Treatment, Tamar Sardarian

Loma Linda University Electronic Theses, Dissertations & Projects

Introduction: Cone-beam computed tomography (CBCT) can be used to accurately identify dental landmarks in order to detect changes in dental arch forms. Purpose: The objective of this study was to determine how apical, coronal and occlusal arch forms change following orthodontic treatment with fixed appliances and to establish a base for future studies. Material and Methods: Maxillary and mandibular apical, coronal and occlusal landmarks of 27 subjects were selected on their respective CBCT images at two time points: pre-orthodontic treatment (T1) and post-orthodontic treatment (T2). Comparisons were made between the two time points to evaluate how each arch form changed …

Mechanical Evaluation Of Mandibular Defects Restored With Rhbmp-2: A Finite Element Model, Jelson Yalung

Loma Linda University Electronic Theses, Dissertations & Projects

Introduction: The utilization of recombinant human Bone Morphogenetic Protein-2 (rh- BMP2) to form new bone has been shown to be a promising alternative to autogenous bone grafts. Understanding the biomechanical properties of rhBMP-2 restored mandibular defects would provide useful knowledge in the future success of orthopedic and dental treatment in patients who have had restoration of mandibular defects with rhBMP-2. The aim of the study was to evaluate and compare the biomechanical characteristics of rhBMP-2 regenerated bone in mandibular defects using 2 different concentrations of rhBMP-2 with a given carrier in non-human primates Material and Methods: Critical-sized defects (approximately 2.5 …

Accuracy Of Ortho Insight 3d Digital Scanner In Mesial-Distal Tooth Measurements, Andrew A. Ferris

Loma Linda University Electronic Theses, Dissertations & Projects

Introduction: Digital scanners and software may be used to measure mesial-distal (MD) tooth width for orthodontic diagnosis and treatment planning. Although there have been many studies performed on different digital scanners, accuracy of mesial-distal tooth measurements using the Ortho Insight 3D scanner and its software (Motionview Software LLC) has not been reported. Purpose: The objective of this study was to determine if the MD tooth measurements from the digital models scanned by Ortho Insight 3D are accurate compared to the measurements taken directly from the teeth and models with a digital caliper. Material and Methods: Individual MD tooth measurements were …