Plastic bread-bag clips in the gastrointestinal tract: report of 5 cases and review of the literature.
Plastic bread-bag clips have been identified as a cause of local perforation or obstruction at many sites in the gastrointestinal tract. This study is the largest case series yet reported, consisting of 3 cases presenting as small-bowel perforation, 1 case in which the clip was found incidentally in the small bowel at laparotomy during vascular surgery and 1 case in which the clip was found incidentally in the small bowel at autopsy. In all cases there was no radiographic evidence to suggest a foreign body in the gastrointestinal tract. People older than 60 years of age who have either partial or full dentures seem to be particularly at risk for the accidental ingestion of these devices. If accidentally ingested, plastic bread-bag clips represent a significant health hazard. As the population ages, small-bowel perforation secondary to ingestion of such clips may occur with increasing frequency. The authors recommend elimination or redesign of the clips, to prevent their being swallowed and becoming impacted in the small bowel or to allow them to be identified in the gastrointestinal tract by conventional radiography. (+info)
Oral health of patients scheduled for elective abdominal aortic correction with prosthesis.
OBJECTIVE: to evaluate the frequency of potential oral foci of infection in patients scheduled for elective abdominal aortic surgery. DESIGN: prospective clinical study. MATERIALS: oral health and dentures of 50 patients (33 males and 17 females, mean age 65 years) were examined before aortic surgery. CHIEF OUTCOME MEASURES: radiographic and clinical examination with special emphasis on identifying acute and chronic oral and ontogenic conditions which may contribute to aortic prosthesis infection. RESULTS: eighty-two per cent of the patients had some oral infection foci. The mean number of remaining teeth in the cohort was 9.3, and 21% of these were potential infectious foci (62% in the patients). Twenty-six per cent of the patients suffered from oral Candida infection. Seventy-four per cent of the patients had total or partial dentures, 45% of which were ill-fitting and needed repair. CONCLUSIONS: oral infectious foci occur frequently in patients needing aortic surgery. Untreated foci may contribute to aortic prosthesis infection. Preoperative oral evaluation and elimination of intraoral infection is recommended for patients scheduled for abdominal aortic repair. (+info)
Adverse reactions triggered by dental local anesthetics: a clinical survey.
One hundred and seventy-nine patients completed a questionnaire focusing on adverse reactions to dental local anesthetics as manifested by 16 signs and symptoms. Twenty-six percent of the participants reported having at least 1 adverse reaction. It was found that most of the adverse reactions occurred within the first 2 hours following the injection of local anesthetics. Pallor, palpitations, diaphoresis, and dizziness were the most common adverse reactions reported in the study. The results pointed to a significant relationship between anxiety, gender, injection technique, and procedure with a higher incidence of adverse reactions. (+info)
Integrating posterior crowns with partial dentures.
This article outlines those considerations which are important in integrating posterior crowns with partial dentures. Planning the support and retention of the denture prior to crown construction will enhance patient treatment. Modification of the crown preparation to incorporate rest seats, retentive areas, guide planes and a planned path of insertion may be necessary. (+info)
Wearing behaviors of a hybrid composite resin for crown and bridge.
The wearing behaviors of a hybrid composite resin for crown and bridge (ES) were examined using a two-body impacting-sliding wear test with a porcelain (PO), Au-Ag-Pd alloy (PD), direct restorative composite resin (CR) and tooth enamel (TO). Although PO was the hardest of all, it showed the largest wear together with ES in the combination of ES-PO, which was probably initiated from the superficial destruction by their impact. The wear in ES-PD was the second largest. It was noted in this combination that the surface of ES was partially contaminated by scraped thin layers of PD to a degree distinguished by the naked eye. The mutual wears of the components were relatively low in the combination of ES with CR, TO or ES itself. It is suggested from these findings that the hybrid composite resin may be useful as an alternative to porcelain for posterior crown and bridge unless it opposes porcelain or alloys. (+info)
Tooth brush abrasion of paint-on resins for shade modification of crown and bridge resins.
The purpose of this study was to evaluate the surface roughness and resistance to toothbrush abrasion of three experimental paint-on composite resins developed for the shade modification of crown and bridge resins. The paint-on resins had less filler volume fraction than restorative composites or the crown and bridge resins and consequently were of low viscosity. The maximum surface roughness (Rmax) and the maximum depth loss by abrasion for the paint-on resins following 40,000 cycles of brushing ranged from 2.45 to 4.07 microm and 8.63 to 13.67 microm, respectively. Rmax values were 37.7-67.5% lower than that for the crown and bridge resin subjected to the same test. Wear depth was 19.9-49.4% lower than for the crown and bridge resin. These results suggest that the paint-on resins are expected to have adequate resistance to toothbrush abrasion and may therefore be suitable for clinical use. (+info)
Optical properties of paint-on resins for shade modification of crown and bridge resins--light transmittance characteristics--.
The purpose of this study was to examine the light transmittance characteristics of the paint-on resins for shade modification. Three shades of paint-on resin, one crown and bridge resin, and human enamel were used. Specimens with four different thicknesses (75-150 microm) were prepared. The light transmittances including its wavelength distribution and diffusion characteristics were measured. The color values and the color differences among thicknesses of specimens were also determined. The light transmittance values of the paint-on resins ranged from 60.3% to 88.3% at 100 microm thickness, which were lower or nearly equal in comparison with the crown and bridge resin and enamel. Although differences in the wavelength distribution of transmittance among materials were found at lower wavelengths, all materials showed similar diffusion characteristics. The thin layer of paint-on resin effectively changed the color of restorative resin. The paint-on resin may be an effective material for the modification of the color appearance matching required. (+info)
Prosthodontic rehabilitation in Papillon-Lefevre syndrome: a case report.
Papillon-Lefevre syndrome is a rare recessive genetic disorder. The clinical manifestations include palmar-plantar hyperkeratosis with precocious rapidly progressive periodontal disease that results in premature exfoliation of primary and permanent dentitions. Patients are often edentulous at an early age. Here is the report of prosthodontic rehabilitation of a case of Papillon-Lefevre syndrome in a 6-year-old child. (+info)