Authors:
A.A. Schuller, J.J.M. Bruers, B.A.F.M.van Dam, J.H.G. Poorterman, V.A.M. Gerardu, G.J. Truin
Source:
NTvT july 2009; 116: 347 - 353
Section:
Summary:
In 2007 a study was undertaken of the restorative care index of the teeth of children under the age of 18. The aim of this study was to gain insight into the factors associated with the restorative care index in children. Factors investigated were (post-) brushing, inspection frequency, sweets-consumption frequency, socio-economic status and treatment or lack thereof by a general practitioner or dentist who works in a clinic for child health care. This study made use of statistics assembled for an earlier study of children formerly covered by public health insurance in the municipality of The Hague and research carried out at child dental clinics. Socio-economic status and the level of oral care were correlated with dental quality. No patient-bound factors were significantly correlated with the level of care. There was however a positive correlation between the ‘type’ of dentist (family dentist or dentist associated with a clinic for child dental care) and the chance of curative treatment (in the case of developing caries).
Authors:
J.W. Blanken, R.M. Verdaasdonk
Source:
NTvT july 2009; 116: 355 - 360
Section:
Summary:
Since the late eighties pulsed infrared lasers like the Er:YAG and the Er,Cr:YSGG lasers are available for dentists. These lasers appear to have interesting applications in endodontics. It was demonstrated in vitro, with dyes, that a root canal can effectively be irrigated with them. Initially these lasers were recommended for preparation of enamel, dentin and bone and for surgery. The way that it worked in a root canal in combination with a liquid was, however, not clear. With a special high speed imaging technique the working mechanism of a pulsed infrared laser was studied, using a model of a root canal in a basin filled with either water or with a 5% NaOCl solution. The working mechanism can be attributed to the high stream of liquid, the turbulence and the cavity-effects, created by explosive vapour bubbles. These phenomena appear to make a major contribution to the cleansing and disinfecting of the root canal.
Authors:
J.S.C. Heijdra, J.S.J. Veerkamp
Source:
NTvT july 2009; 116: 362 - 366
Section:
Summary:
The aim of this study was to determine what the approach of Dutch dentists is in the treatment of children. Prevention, X-ray diagnostics and restorative care were compared in four consecutive age groups (< 6 years old, 6-8, 9-11, 12-17 years). After receiving the approval of the committee on medical ethics, the insurance claims of 4,550 dentists over a period of 3 consecutive years were studied. On the basis of the results it appeared that dentists who made use of X-rays for children younger than 6 provided 2.8 times more restorative care for those children than dentists who did not make use of X-rays. In the subsequent age groups, respectively 2.2, 2.0 and 1.6 times more restorative care was provided by dentists. The first group of dentists also made more X-rays in the subsequent age groups: 3,7, 3,4 en 1,9 times respectively. On the basis of these results it can be concluded that the use of X-rays for children younger than 6 is predictive for the quantity of care provided by dentists for the older groups of children.
Authors:
H. Kalsbeek
Source:
NTvT july 2009; 116: 371 - 374
Section:
Summary:
In recent years it has become more and more apparent that contract research not only has obvious advantages, but risks also. It has been found that occasionally investigators are pressed to modify the conclusions of their work if the conclusions conflict with the interests of the funding organisation. In other cases, the publication of results is obstructed or retarded. Not only commercial companies, but also governmental and other non-profit institutions are guilty of these practices. If research findings are not presented or are presented in an altered form, not only will science be obstructed, but also the entire society will suffer. The responsibility for preventing these practices not only falls with the investigators, but also with their research institutions and the funding organisations.
Authors:
M.H. Steenks
Source:
NTvT july 2009; 116: 376 - 381
Section:
Summary:
In every case of restorative care, dentists deal with reference positions of the mandible. For this purpose, the intercuspal position and the retruded contact position are the most often used reference positions. Concerning how precisely these clinically relevant positions could be determined, insufficient knowledge was available 25 years ago. There was also uncertainty concerning the causal role of the occlusion in cases of temporomandibular disorders. It was established that the reproducibility of the retruded contact position and other reference positions established by the dentist, did not differ from one another. The position of the patient had no influence on reproducibility, nor did the choice of bite registration material. The intercuspal position is the most reproducible reference position in all conditions tested. The opinion, widely held at the time, that a discrepancy between the reference positions would lead to temporomandibular disorders was addressed in the dissertation ´Reference Positions in the Mandible´.
Authors:
M.D. Vos, R.R.M. Bos, A. Vissink
Source:
NTvT july 2009; 116: 383 - 386
Section:
Summary:
Two patients were referred to a department of oral and maxillofacial surgery with a redness and swelling of the face which had suddenly developed together with a mild illness. The diagnosis of erysipelas was made clinically. This skin infection is generally caused by ß-haemolytic streptococci group-A. Treatment is generally in the first instance medicinal. The drugs of choice for treating erysipelas in the vast majority of cases are narrow-spectrum penicillins.