Widespread oral and oropharyngeal mucosal oedema induced by ecstasy (MDMA): A case for concern

We describe an unusual adverse reaction that was probably caused by taking ecstasy: the patient developed widespread oral and oropharyngeal mucosal oedema, which was triggered after he had taken ecstasy and alcohol. The reaction to this could have been fatal.     

Art und Häufigkeit von Kieferfehlbildungen sowie Funktionsstörungen im Milchgebiß

Zusammenfassung Im Rahmen einer Reihenuntersuchung von 270 Kindergartenkindern konnte eine große Zahl von Kieferfehlbildungen und Zahnstellungsanomalien festgestellt werden. In diesem Zusammenhang zeigten sich klinisch auch Störungen der freien Unterkieferbewegungen und der Kiefergelenke, zahlreiche Habits sowie Störungen der Sprachartikulation. Aufgrund der Häufigkeit von Kieferfehlbildungen und Funktionsstörungen im Milchgebiß wird neben einer weiteren Intensivierung der Kariesprophylaxe auch die Forderung nach einer frühzeitigen Erfassung und Behandlung der funktionellen Störungen im Bereich der Okklusion, der freien Unterkieferbewegungen und der zahlreichen Parafunktionen erhoben.

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Summary A routine investigation of 270 pre-school children revealed a high incidence of malocclusion, frequently associated with clinically discovered disturbances of mandibular movement, temporomandibular joint functions, habits or defective speech articulation. The prevalence of malocclusion and of functional disturbances in the deciduous dentition demands not only for a more intensive prevention of dental caries but a careful attention to early functional disturbances in occlusion, in mandibular movement and other numerous functions.

     

Results of a 3-year oral hygiene programme, including amine fluoride products, in patients treated with fixed orthodontic appliances

This paper reports the results of a 3-year study on children treated with fixed orthodontic appliances. They were all regularly instructed in oral hygiene maintenance and used a standardized fluoride-free toothpaste during the course of the study. The patients were divided into three groups. Groups one and two, respectively, had a fluoride gel and fluoride fluid (Elmex amine fluoride products, GABA International Ltd, Basle, Switzerland) applied. Group three used only the toothpaste supplied, had oral hygiene instruction, but not topical applications. Caries increments were lowest and gingival health best in the two groups using amine fluorides, especially the gel group.     

Total Etch—The Rational Dentin Bonding Protocol

Phosphoric acid etching of dentin is critically reexamined in view of current adhesive resin development. Research and clinical experience both suggest that "total etch," the simultaneous etching of dentin and enamel, is a rational protocol with many modern adhesive resins.     

Behandlung von Kindern mit Lippen-Kiefer-Gaumen-Spalten-ein Beitrag zur psychosozialen Rehabilitation

Zusammenfassung Die Langzeittherapie der Kinder mit oralen Spaltfehlbildungen beginnt im Idealfall noch am Tage der Geburt und reicht regelmäßig in die Adoleszenz. Die Ergebnisse einer anonymen Befragung der Eltern von Kindern im Alter von bis zu sieben Jahren mit oralen Spaltfehlbildungen, die in orthopädischer Frühbehandlung stehen oder standen, werden berichtet. Die Fragen betreffen dasGeburtserleben, die ersteärztliche Aufklärung, unsereFrühbehandlung und die psychosoziale Eingliederung der Kinder. Der Vergleich der Angaben von Eltern der Kinder mit Lippen-Kiefer-Gaumen-Spalte mit Eltern, die ein Kind mit isolierter Gaumenspalte haben, legt nahe, daß anfangs die Schwere des objektiven medizinischen Befundes nicht mit der subjektiven Befindlichkeit der Eltern korreliert. Die Verlaufsbeobachtung läßt zusätzlich den Schluß zu, daß nur wenige Eltern durch die Spaltfehlbildung ihres Kindes keinen zusätzlichen psychischen Problemen ausgesetzt sind.

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Summary The long term treatment of cleft palate patients starts immediatly after birth and is persecuted orderly to adolescence. The results of anonymous survey of the opinion of parents of cleft palate children who undergo or underwent early treatment procedures, up to seven years of age, are presented. Questions concerned mother's or parent's experience of birth, first medical information, early orthopedic care and treatment, and psychosocial adjustment of the children as well. This study suggests that objective findings in children and subjective conditions of parents do not correlate in the beginning, as is to be seen in cleft palate versus cleft lip palate group. One other conclusion indicates the existence of a small quantity of parents able to accept their affected child without additional problems arising from the cleft.

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Auszugsweise vorgetragen auf der 63. Wissenschaftlichen Jahrestagung der Deutschen Gesellschaft für Kieferorthopädie, Heidelberg, 8. Juni 1990.     

Intracranial volume in children with craniosynostosis

The intracranial volume of 104 children with craniosynostosis was measured. Premature fusion of skull sutures is thought to deny the growing brain room to expand, but contrary to traditional teaching the intracranial volume of such children is often within normal limits.     

Delayed dental development in children with isolated cleft lip and palate

Although most cases of cleft lip and palate are free of other developmental defects, children with isolated cleft lip/palate are at enhanced risk of delayed growth and reduced final size. Three variables were assessed in the permanent dentition away from the cleft site: congenital absence by tooth type (which ranged from 0 to 7%) asymmetry in developmental staging (3 times more common in cleft lip/palate than in controls), and dental age (with a mean delay of 0.9 yr in cleft lip/palate relative to controls). The pervasive nature of these measures of reduced growth potential and developmental control, which were greatest in teeth forming during infancy, suggests that the cause of the compromised growth is the adverse early postnatal environment rather than conditions intrinsic to the individual.     

The edentulous mandible opposing maxillary natural teeth. Treatment considerations

Treatment of a patient who requires a mandibular complete prosthesis opposing a natural maxillary dentition presents a unique set of problems for the clinician. Proper prosthodontic care can not only result in a functional and comfortable prosthesis, but may reduce the rate of resorption of the remaining mandibular ridge.