Osteoporosis and osseointegration of implants.

According to medical literature, osteoporosis and related bone pathologies are increasing in epidemic proportions. The exact etiology of the disease is unknown, but hormonal, dietary, and genetic factors all contribute to the related loss of bone density. In the disease process, bone loss occurs throughout the body. Research indicates that the mandible and maxilla are affected, and show oral manifestations. There is no scientific data to contraindicate the use of two-step osseointegrated implants in osteoporotic individuals. The purpose of this article is to review the literature regarding osteoporosis and its relationship to oral bone loss.

The effect of applicant age, job level, and accountability on perceptions of female job applicants.

We used simulated videotaped employment interviews to assess the effect of accountability on impressions of female job applicants. One hundred and twenty American undergraduates majoring in business and personnel related areas were informed that they would be participating in the pilot testing of a new employee placement technique. The age of the job applicant (25, 40, or 55 years), the position for which they were being considered (assistant director or director), and the degree to which subjects were made to feel accountable for their impressions of the applicant (low or high accountability) were manipulated, resulting in a 3 x 2 x 2 between-subjects design. The predicted interaction between accountability and applicant age applicant age was found on age-related adjective checklist items. Increasing the subjects' accountability produced more stereotypical impressions of all applicants, along with a tendency to attribute the applicant's behavior to dispositional factors.

Relationship of osteoporosis to excessive residual ridge resorption.

There are many systemic factors which contribute to alveolar bone loss and decreased ability to tolerate dental prostheses. Osteoporosis should be considered as a possibility. Observation of the high numbers of osteoporotic fractures in the geriatric population serves to illustrate the scope of this problem. The condition of osteoporosis results in bone loss in the maxillae and mandible as well as in other bones of the body. It is highly feasible that the disease makes a strong contribution to the deterioration of the dental health in the geriatric patient. The American diet is too low in calcium and too high in phosphorus. Added to the high incidence of lactose intolerance, it is difficult to control the mineral content of a patient's diet by simple modification of eating habits. Dietary supplementation is a convenient and inexpensive alternative. Rampant residual ridge resorption is a multifactorial problem. It is part of the responsibility of the dentist to consider all factors involved in this state. The dentist would serve the patient well by working in conjunction with the patient's physician in the diagnosis and treatment of osteoporotic states. The dentist has much to gain in the systemic treatment of the "impossible denture patient," for it is the dentist who must endure the frustrations of treating such a patient.

Heavy metal retention in tissues of cattle fed high cadmium sewage sludge.

A diet containing 11.5% (dry matter basis) of a moderately high Cd sewage sludge was fed to six Hereford steers for 106 days to simulate a high sludge intake from sludge-amended soils. At a mean live weight of 460 kg, the steers were slaughtered and liver, kidney, bone, muscle, lung, brain and spleen tissues were collected for heavy metal determinations; tissues were also collected at this time from six control steers fed the same diet with no sludge. The sludge-fed cattle consumed an average of 8.95 kg of diet dry matter/day and gained 1.13 kg/day. This feed intake was slightly higher, but the gain lower than that of control cattle. All gains were equal to those expected from intake of non-sludge diet components. This indicated that the sludge had approximately zero energy value and was acting as a dietary diluent. The sludge metal content (ppm, dry basis) was: Cd, 98; Hg, 18; Pb, 466; Cu, 1,733, and Zn, 1,733. Addition of sludge increased metal contents of the feedlot diet to 30 to 100 times that of the control. Retention of heavy metals in the total animal from sludge ingestion averaged .09%, .06% and .3% for Cd, Hg and Pb; no retention was noted from Cu and Zn. These low fractional retentions increased tissue Cd, Hg and Pb concentrations of liver and kidney tissues by five to 20-fold. Estimates of levels that would enter the human diet from average beef tissue consumption if all feedlot steers were fed sludge are presented for Cd, Hg and Pb. The data indicate that cattle are a moderately effective screen against the entry of these potentially toxic metals into the human diet.

The development of preschool children of heroin-addicted mothers: a controlled study.

Disturbances of growth and behavior in infants and toddlers of women addicted to heroin during pregnancy have been reported in uncontrolled studies. In this study, 3- to 6-year-old children of heroin-addicted mothers were compared to three other groups matched for age, race, sex, birth weight, and socioeconomic status. Heroin-exposed children weighed less and were shorter than those in the comparison groups; 14% had a head circumference below the third percentile. Heroin-exposed children were rated by parents as less well adjusted than control children and they differed significantly in perceptual measures and on subtests of the Illinois Test of Psycholinguistic Abilities and McCarthy Scales of Children's Abilities relating to the process of organization. These findings suggest that chronic intrauterine exposure to heroin may affect growth and behavior as well as perceptual and learning processes in preschool children.