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2.
Christopher J. Holmgren Esmonde F. Corbet L. P. Lim 《Community dentistry and oral epidemiology》1994,22(5):396-402
Abstract The aim of this study was to describe the periodontal conditions in 372 35–44-yr-old and 537 noninstitutionalized 65–74-yr-old Hong Kong Chinese who were examined clinically for loss of attachment, recession, probing depth, calculus, and bleeding after probing. Community Periodontal Index (CPI) data and treatment need indications were compiled from index teeth or their substitutes. The prevalence of loss of attachment varied considerably in both cohorts according to the definition of the threshold (≥6, ≥9, and ≥12 mm, respectively). The mean numbers of teeth with loss of attachment at the ≥6-mm threshold and at higher thresholds were small. In both age cohorts, about one-fifth of subjects had probing depths ≥6-mm, while al the ≥9-mm threshold only 2–3% were so affected. Although recession was an important component of loss of attachment in the younger cohort, in the older cohort the prevalence and extent of recession were greater than for probing depths at thresholds ≥4 mm. All subjects had one or more teeth with calculus, bleeding, or both, most teeth being so affected. Eighty-four of the 537 65–74-yr-old subjects were excluded either because of edentulousness or because extractions indicated for the remaining teeth would have rendered the subjects edentulous. The distribution of subjects according to their highest CPI score was remarkably similar for the two cohorts. No subjects in either age group were assessed as “healthy” (CPI code 0) or had “bleeding only” (code 1) as their highest score. While most subjects scored CPI code 2 or 3 us their highest score, only 17% of the younger and 15% of the older cohort scored Community Periodontal Index of Treatment Needs (CPITN) code 4. Differences in the mean number of sextants affected by CPI codes between the two cohorts were mainly due to a greater number of excluded sextants in the older cohort. CPI findings for 35–44-yr-olds differed little from those reported in 1984. 相似文献
3.
Carlos Heitor Cunha Moreira Fabricio Batistin Zanatta Raquel Antoniazzi Priscila Ceolin Meneguetti Cassiano Kuchenbecker R?sing 《Journal of applied oral science : revista FOB》2007,15(5):437-441
When dealing with patients with periodontal disease of variable severities, dentists must often choose between treating and restoring the involved tooth or indicating its extraction. Different criteria have been adopted in this decision-making process. The purpose of this study was to evaluate the criteria adopted by dentists to indicate the extraction of teeth with periodontitis. Dentists were interviewed at their private practices in three cities of the state of Rio Grande do Sul, Brazil. The evaluated criteria included severity of attachment loss, tooth mobility, furcation involvement, prosthetic planning, periodontal-endodontic lesion, possible systemic involvement due to the presence of periodontitis, referral to a periodontist for evaluation, radiographic bone loss greater than 50%, presence of extensive caries, socio-economic and cultural status of the patient, among others. The most often adopted criteria to indicate the extraction of periodontally affected teeth were the presence of mobility (37.5%), severity of attachment loss (24.3%) and radiographic bone loss greater than 50% (21.2%). The results of the present study demonstrated the difficulties faced by dentists to indicate the extraction of teeth with severe attachment loss, in addition to the establishment of an adequate prognosis. Aspects associated with the past disease were still the most often reported to indicate the extraction of teeth for periodontal reasons. 相似文献
4.
H. Oka T. Yamamoto T. Kawazoe K. Saratani Y. Hikida 《Medical & biological engineering & computing》1988,26(3):260-266
A new impact response method using a fracture of a pencil-lead to produce an excitation pulse is proposed. Impact excitations
(rectangular pulse, triangular pulse and half-sine pulse) are strictly given in physical and mathematical definitions and
complete solutions to the impact excitations are provided for Noyes' model of the human tooth. When a relatively long triangular
pulse is applied to Noyes' model, which can express the physical characteristic of periodontal tissues, a sinusoidal damped
vibration of a single degree-of-freedom model is approximately obtained. The acceleration response is characterised by the
physical parameters (T, δ and Ao) and mechanical elements (m1, c1 and k) of which a single degree-of-freedom model is composed. By means of this method, the values of the parameters and elements
in the cases of healthy maxillary, healthy mandibular and pathological mandibular incisors are obtained. The single degree-of-freedom
model can express the high-frequency spectra of Noyes' model. The pathological tooth is characterised by a longer damped time
constant and a larger acceleration maximum. This impact response method can effectively be applied to clinical diagnosis in
view of the physical parameters and mechanical elements which have been derived. 相似文献
5.
Hirano H Ezura Y Ishiyama N Yamaguchi M Nasu I Yoshida H Suzuki T Hosoi T Emi M 《Journal of human genetics》2003,48(6):288-292
Natural tooth loss represents a major medical issue within the elderly population, since it impairs masticatory function critical
for oral intake of essential nutrition. Contribution of genetic factors has been implicated in the determination of natural
tooth loss; degree of reduction in number of natural teeth remaining intact (NTI) varies among individuals; thus, heterogeneity
in NTI might reflect genetic variation within the population. One candidate gene, the matrix Gla protein gene (MGP), has been implicated in the pathogenesis of bone loss through a repression of bone/tooth formation. We have investigated
a possible association between the CA repeat polymorphism at the human MGP gene locus and the NTI in 458 elderly Japanese women. In 916 chromosomes tested, ten alleles of the polymorphic nucleotide
repeat were observed (designated A1–A10), among which five alleles were regarded as major alleles to be tested for the association.
Twenty-seven women who possessed an A6 allele (164 bp) had significantly higher NTI than the remaining participants (n=431), who did not carry an allele of that size (mean: 10.0 teeth vs 5.6 teeth; P=0.007, Mann-Whitney test). An eight-year longitudinal follow-up study of NTI suggested that the genetic variations at the MGP locus did not affect the rate of tooth loss in the elderly period. These results suggest that genetic variation at the MGP gene locus is associated with some determinants for tooth loss in elderly women. 相似文献
6.
Quantitative ultrastructure of synapses on functionally identified primary afferent neurons in the cat trigeminal mesencephalic nucleus 总被引:4,自引:0,他引:4
Honma S Moritani M Zhang LF Lu LQ Yoshida A Appenteng K Shigenaga Y 《Experimental brain research. Experimentelle Hirnforschung. Expérimentation cérébrale》2001,137(2):150-162
Though a number of studies have reported the presence of synapses on neurons in the trigeminal mesencephalic nucleus (Vmes), there have been no quantitative studies of either the density of innervation, or the ultrastructure, of the synapses on single, physiologically identified neurons in this nucleus. In this study we recorded from single neurons in the Vmes, identified them as being either muscle spindle afferents (MS) or periodontal ligament mechanoreceptor afferents (PL), and then labeled the neurons by intra-axonal injection of horseradish peroxidase (HRP). The material was first processed to reveal the HRP activity, following which ultrathin sections through the labeled somata were cut and examined under the electron microscope. Complete serial reconstructions were made through the soma of one MS neuron and one PL neuron, and the contacts on the neurons reconstructed. Boutons were found on the soma, spines, appendages and the axon hillock and the initial segment of the axon. The numbers of boutons terminating on the two neurons were 198 (PL) and 424 (MS), giving a packing density of 4.4 and 10.7 boutons respectively (i.e., number of boutons/100 micron 2 of the postsynaptic membrane). Boutons could be separated into two types on the basis of their vesicles: those containing clear, round vesicles (i.e., S-type) and those containing a mixture of round, oval and flattened vesicles (P-type). Ninety-five (PL neuron) and 99% (MS neuron) of terminals on the two neurons were P-type. All the S-type boutons and 80% of the P-type boutons formed asymmetric synaptic contacts while 10% of the P-type boutons made symmetric contacts. Quantitative measurements of the P-type boutons on the labeled neurons, in which the data of MS and PL neurons were pooled, revealed that bouton volume was highly correlated with bouton surface area, active zone number, total active zone area, vesicle number, and mitochondrial volume. However, comparing the quantitative measurements of the P-type boutons with those of previously reported vibrissa afferent terminals and their associated axon terminals revealed that all the parameters were smaller for the P-type boutons (on Vmes neurons) than those of the vibrissa afferent terminals but similar to those of axon terminals presynaptic to the vibrissa afferents. Taken together, our results emphasize the wide scope for synaptic interactions in the Vmes and suggest that it may be more fruitful to view the Vmes as an integrating center. 相似文献
7.
The significance of somatosensory stimulations to the human foot in the control of postural reflexes 总被引:1,自引:0,他引:1
G. Wu Jin-Hsien Chiang 《Experimental brain research. Experimentelle Hirnforschung. Expérimentation cérébrale》1997,114(1):163-169
The purpose of this study was to investigate the possible pathways in the somatosensory system that relate to the postural
reflexes in the leg muscles during a sudden, toes-up platform rotation. The inputs to the cutaneous mechanoreceptors in the
sole of the foot as well as to the joint receptors in the ankle joint were modulated by standing on different supporting surfaces
and by immobilizing the ankle joints; and three leg muscle responses (characterized by short latency, medium latency, and
long latency) to the platform movement were recorded in 15 healthy young subjects. It was found that: (1) the short latency
was not affected by the changes in either plantar pressure or ankle joint movement; (2) the medium latency was regulated by
the plantar pressures under the foot, as sensed by the cutaneous mechanoreceptors in the sole of the foot, and by the ankle
joint movement, as perceived by the joint receptors in the ankle joint; (3) the long latency was also related to the ankle
joint movement, but this relation seems to be modulated by the plantar pressures under the foot; and (4) both medium and long
latencies were well correlated with the time derivative of the pressure difference between the forefoot and the rear foot
regions (r=0.7), as well as with the static pressure in the antagonist foot region (r>0.6).
Received: 12 January 1996 / Accepted: 30 September 1996 相似文献
8.
B. N. Gupta 《Pflügers Archiv : European journal of physiology》1977,367(3):271-275
Summary In the attempt to explain the difference in discharge pattern of atrial endings, 131 endings were localized by punctate stimulation, 44 were type A, 77 type B and 10 of an intermediate type. All were located on the dorsal wall of the atria with none on the ventral wall or in the appendage. On the right side, 74% of type A were located in the atria and 63% of type B in or near the veins. On the left side, 67% of type A and 94% of type B were located in or near the veins. Thus, there appeared to be some difference in the location of type A and type B endings on the right side, but on the left side both types of endings were for the most part confined to the venous region. Further, on both right and left sides, these endings were present both in the central part of the atria and in or adjacent to veins. This leads to the suggestion that the difference in discharge patterns is not caused by the location but may be due to some other reasons, e. g. difference of arrangement in the atrial wall with respect to the contractile elements. 相似文献
9.
T. Morimoto T. Inoue Y. Masuda T. Nagashima 《Experimental brain research. Experimentelle Hirnforschung. Expérimentation cérébrale》1989,76(2):424-440
Summary The role of oral and facial sensory receptors in the control of masticatory muscle activities was assessed from the effect of acute deafferentiation on cortically induced rhythmic jaw movements (CRJMs) in anesthetized rabbits. When a thin polyurethane-foam strip (1.5, 2.5 or 3.5 mm thick) was placed between opposing molars during CRJMs, masseteric activities were facilitated in association with an increase in the medial excursion of the mandible during the power phase. The effects varied with the pattern of CRJMs, and the rate of facilitation was greater for small circular movements than for the crescent-shaped movements. Furthermore, the response of the masseter muscle was greater in the anterior half of the muscle, where muscle spindles are most dense, than in its posterior half. It was also demonstrated that the response increased with an increase in the thickness of the test strip. In contrast, the activities of the jaw-opening muscle were not affected significantly. The duration of masseteric bursts increased during application of the test strip and the chewing rhythm tended to slow down. However, the latter effect was not significant. After locally anesthetizing the maxillary and inferior alveolar nerves, the facultative responses of the masseter muscle to the test strip was greatly reduced but not completely abolished. Lesioning of the mesencephalic trigeminal nucleus (Mes V) where the primary ganglion cells of muscle spindle afferents from jaw-closing muscles and some periodontal afferents are located, also reduced the facilitative effects. Similar results were obtained in the animals with the kainic acid injections into the Mes V 1 week before electrical lesioning of this nucleus. In these animals the effects of electrical lesioning of the Mes V could be attributed to the loss of muscle receptor afferents since the neurons in the vicinity of the Mes V were destroyed and replaced by glial cells, whereas the Mes V neurons are resistant to kainic acid. When electrical lesioning of the Mes V and sectioning of the maxillary and inferior alveolar nerves were combined in animals with a kainic acid injection into the Mes V, the response of the masseter muscle to application of the strip was almost completely abolished. From these findings, we conclude that both periodontal receptors and muscle spindles are primarily responsible for the facilitation of jaw-closing muscle activities. Furthermore, it is suggested that the transcortical loop may not be the only path producing this facilitation since similar effects were induced in animals with ablation of the cortical masticatory area (CMA), when the test strip was placed between the molars during rhythmic jaw movements induced by pyramidal tract stimulation. 相似文献
10.
Stephen E. Rill Mark Hallett Lisa M. McShane 《Experimental brain research. Experimentelle Hirnforschung. Expérimentation cérébrale》1997,113(1):33-47
A coordinated triggering task requiring use of kinesthetic information was employed to assess the timing of use of kinesthetic
information in normal subjects and patients with cerebellar dysfunction. Passive movements of varying velocity were imposed
in the flexor direction about the metacarpophalangeal joint of the right index finger. Subjects attempted to depress a switch
with their left thumb when the index finger moved, past a specified angle that was learned during a training session. The
velocities ranged from 10°/s to 88°/s in 2°/s increments. After 200 trials, subjects were then instructed instead to react
as quickly as possible (reaction-time task) to the onset of movement for an additional 200 trials. For the same movements,
the timing of onset of responses of muscle spindle afferents and cutaneous mechanoreceptors was determined by recording the
responses of these afferents using microneurography. For slow velocities, patients were able to perform similarly to normals
but at faster velocities patients triggered too late compared with normals. Patients required more time to use kinesthetic
information than did normal subjects. An estimate of kinesthetic processing was not longer in patients. The chief explanation
for the prolonged time required to use kinesthetic information in patients was that their reaction times were prolonged by
93 ms. In addition, the movement time was also prolonged, but this accounted for only 23 ms. Impaired motor performance in
tasks requiring the use of kinesthetic information in cerebellar patients can be explained largely by their prolonged reaction
times. Muscle spindle afferents responded on average much sooner than cutaneous mechanoreceptors. Because of the limited time
available to perfomr the kinesthetic triggering task, the role for cutaneous mechanoreceptors, to provide singals for on-line
coordination of movement appears limited compared with muscle spindle afferents. 相似文献