ABSTRACT
Fifty-seven porcelain samples were randomly subjected to a variety of topical fluorides for time intervals of 4 to 64 minutes. Half of each porcelain surface was masked to prevent contact with the fluoride. Measurements of roughness were made for the fluoride-treated and the untreated porcelain surfaces to evaluate the effect of the different fluoride preparations over time. The resulting surfaces were also examined using an SEM. Conclusions from this study include the following. Statistically significant differences in roughness were found among surfaces exposed to 1.23% acidulated phosphate fluoride gel, 8% stannous fluoride, and the control surfaces. There were no significant differences in roughness between the test and control surfaces with 0.05%, 0.2%, and 2% sodium fluoride solutions or 0.4% stannous fluoride gel. The dentist should be aware of the potentially deleterious effects of prescribing or administering a topical fluoride for patients with porcelain/metal restorations.
Subject(s)
Dental Porcelain , Fluorides, Topical , Acidulated Phosphate Fluoride , Humans , Microscopy, Electron, Scanning , Sodium Fluoride , Surface Properties , Time Factors , Tin FluoridesABSTRACT
At present, no man-made restorative can match the biologic acceptance of a hygienic natural tooth surface. Ideally, no restorative material would approach the gingival apparatus. However, as case demands often dictate violating this ideal, careful adherence to the principles discussed will minimize the damage to the periodontium. Ultimately, the response of the periodontal tissue will give the final approval or disapproval of any restorative procedure. The principles discussed must be considered at all phases of any restorative procedure. They must always be of primary concern.
Subject(s)
Crowns , Dental Porcelain , Periodontal Diseases/therapy , Animals , Crowns/adverse effects , Dental Impression Technique , Dental Plaque/etiology , Dental Polishing , Denture, Partial, Temporary , Dogs , Gingiva/anatomy & histology , Humans , Periodontal Diseases/etiology , Periodontal Diseases/prevention & control , Periodontium/anatomy & histology , Surface PropertiesABSTRACT
A majority of previous toothbrushing studies have examined proposed virtues of particular brushing techniques or the relative cleaning ability of various toothbrushes. A smaller number were concerned with their role in prevention of gingivitis. Whether toothbrushing could be therapeutic in naturally occurring gingivitis was tested in 40 teenagers aged 12 to 14 years. Groups from two public schools were examined for gingivitis and plaque. Students from both groups were given a soft multi-tufted toothbrush and nonfluoridated toothpaste to be used daily. Students at one school were given a single intensive oral hygiene session. All students were reexamined 42 days later and given a thorough prophylaxis. Final readings were obtained 84 days after baseline and the results analyzed statistically. Sign test analysis disclosed a significant (P less than .01) improvement in plaque and gingivitis scores for both groups. Wilcoxon tests of patient means revealed a significant improvement in plaque scores, whereas gingivitis means were more variable. Chi square analysis between groups showed that the groups receiving oral hygiene instructions had significantly better (P less than .01) plaque and gingivitis scores at session 2. Gingivitis differences were generally significant at session 3. Toothbrushing has a therapeutic effect on naturally occurring gingivitis, enhanced by oral hygiene instruction.
Subject(s)
Gingivitis/therapy , Toothbrushing , Adolescent , Child , Dental Plaque Index , Dentifrices/therapeutic use , Humans , Oral Hygiene , Periodontal Index , StudentsABSTRACT
The purpose of this study was to determine the effectiveness of waxed and unwaxed floss in plaque removal and on gingival health when used in a home oral hygiene program. Eighty patients, having previously received periodontal therapy, were divided into four similar groups, according to the S-OHI. Each group represented four different types of dental floss being tested: Butler waxed, Butler unwaxed, Johnson and Johnson waxed, and Johnson and Johnson unwaxed. After receiving a thorough prophylaxis, each patient received oral hygiene instruction with a video tape, and was given a toothbrush and a quantity of test floss. At 0, 28 and 56 day intervals, The patients were scored for plaque and gingivitis. The data were then analyzed statistically using analysis of variance. It was found that there was no statistical difference among the four different types of tested floss as far as their plaque removal ability or prevention of gingivitis is concerned.
Subject(s)
Dental Devices, Home Care , Dental Plaque/therapy , Gingivitis/prevention & control , Adult , Aged , Female , Health Education, Dental , Humans , Male , Middle Aged , Oral Hygiene , Time FactorsABSTRACT
Eighty patients, having received periodontal therapy previously, were divided into four groups, corresponding to one of four different types of dental floss being used. Seven to ten days after receiving a thorough prophylaxis, each patient had oral hygiene instruction by video tape, was given a toothbrush and a quantity of the test floss. At 0, 28 and 56 day intervals, the patients were scored for crevicular fluid flow and gingival bleeding. Data were analyzed statistically. Johnson and Johnson unwaxed dental floss was found to be slightly less effective in reducing gingival bleeding at the 56th day. It was also found that crevicular fluid flow was least with waxed floss use at the 56 day session. However, the range of variations was so minimal that no clinical significance could be ascribed to either finding. There were patients in each of the four floss groups with no fluid flow or bleeding during all three sessions.
