The effect of locally delivered controlled-release doxycycline or scaling and root planing on periodontal maintenance patients over 9 months.

BACKGROUND: This research report evaluates clinical changes resulting from local delivery of doxycycline hyclate (DH) or traditional scaling and root planing (SRP) in a group of patients undergoing supportive periodontal therapy (SPT). METHODS: In all, 141 patients received either DH (67) or SRP (74) treatment in sites > or =5 mm on one-half of their dentition at baseline and month 4. RESULTS: Clinical results were determined at month 9. Baseline mean probing depth recordings were similar between the two groups (DH = 5.9 mm; SRP = 5.9 mm). Mean month 9 results showed similar clinical results for attachment level gain (DH 0.7 mm; SRP 0.8 mm) and probing depth reduction (DH 1.3 mm; SRP 1.1 mm). Percentage of sites showing > or =2 mm attachment level gain at month 9 was 24.7% in the DH group and 21.2% in the SRP group. Thirty-nine percent (39%) of DH sites and 38% of SRP sites showed > or =2 mm probing depth reduction. When treated sides of the dentition were compared to untreated sides, DH showed a difference in disease activity (> or =2 mm attachment loss) from 19.3% (untreated) to 7.2% (treated); and SRP from 14.3% (untreated) to 8.1% (treated). CONCLUSIONS: Results show that both DH without concomitant mechanical instrumentation and SRP were equally effective as SPT in this patient group over the 9-month study period.

Shot noise in gravitational-wave detectors with Fabry-Perot arms.

Shot-noise-limited sensitivity is calculated for gravitational-wave interferometers with Fabry-Perot arms, similar to those being installed at the Laser Interferometer Gravitational-Wave Observatory (LIGO) and the Italian-French Laser Interferometer Collaboration (VIRGO) facility. This calculation includes the effect of nonstationary shot noise that is due to phase modulation of the light. The resulting formula is experimentally verified by a test interferometer with suspended mirrors in the 40-m arms.

Two multi-center studies evaluating locally delivered doxycycline hyclate, placebo control, oral hygiene, and scaling and root planing in the treatment of periodontitis.

BACKGROUND: The clinical efficacy and safety of doxycycline hyclate (8.5% w/w) delivered subgingivally in a biodegradable polymer (DH) was compared to placebo control (VC), oral hygiene (OH), and scaling and root planing (SRP) in 2 multi-center studies. METHODS: Each study entered 411 patients who demonstrated moderate to severe periodontitis. Patients had 2 or more quadrants each with a minimum of 4 qualifying pockets > or =5 mm that bled on probing. At least 2 of the pockets were > or =7 mm. Treatment with DH, VC, OH, or SRP was provided at baseline and again at month 4. Clinical parameters were recorded monthly. RESULTS: DH and SRP resulted in nearly identical clinical changes over time in both studies. Mean 9 month clinical attachment level gain (ALG) was 0.8 mm for the DH group and 0.7 mm for the SRP group in Study 1, and 0.8 mm (DH) and 0.9 mm (SRP) in Study 2. Mean probing depth (PD) reduction was 1.1 mm for the DH group and 0.9 mm for the SRP group in Study 1 and 1.3 mm for both groups in Study 2. Frequency distributions showed an ALG > or =2 mm in 29% of DH sites versus 27% of SRP sites in Study 1 and 31% of DH sites versus 34% of SRP sites in Study 2. PD reductions > or =2 mm were seen in 32% of DH sites versus 31% of SRP sites in Study 1 and 41% of DH sites versus 43% of SRP sites in Study 2. Comparisons between DH, VC, and OH treatment groups showed DH treatment to be statistically superior to VC and OH. Safety data demonstrated a benign safety profile with use of the DH product. CONCLUSIONS: Results of this trial demonstrate that treatment of periodontitis with subgingivally delivered doxycycline in a biodegradable polymer is equally effective as scaling and root planing and superior in effect to placebo control and oral hygiene in reducing the clinical signs of adult periodontitis over a 9-month period. This represents positive changes resulting from the use of subgingivally applied doxycycline as scaling and root planing was not limited regarding time of the procedure or use of local anesthesia.

Interpreting vital sign profiles for maximizing patient safety during dental visits.

Concerns about local anesthetics and dental treatment stress are still prevalent in today's medical and dental communities. The authors conducted 24-hour monitoring of heart rate and blood pressure for 23 patients undergoing two root planing procedures and a single periodontal surgical procedure. Chronobiologic analysis of circadian blood pressure and heart rate rhythms revealed that neither epinephrine vasoconstrictor in anesthetics nor increased invasiveness of the procedure resulted in statistically significant deviations from regular, individualized blood pressure rhythms. For surgical appointments, time of day had the greatest effect on cardiovascular variables, with the greatest elevations in blood pressure seen for surgery at 8 a.m. and the largest blood pressure decreases seen for surgery at 2 p.m.

Demonstration of a power-recycled Michelson interferometer with Fabry-Perot arms by frontal modulation.

Large-scale gravitational-wave detectors currently under construction such as the LIGO detectors use multiplemirror resonant optical systems containing several surfaces at which the relative phase of interfering light beams must be controlled. We describe a tabletop experiment that demonstrates a scheme for extracting signals in such an interferometer corresponding to deviations from perfect interference.

Measured limits to contamination of optical surfaces by elastomers in vacuum.

We have monitored the reflectivity of mirrors that were exposed to a fluoroelastomer (3M-Fluorel 2176) and a room-temperature vulcanizing silicone rubber (RTV-615) in vacuum. The 95% confidence limit on the decrease of mirror reflectivities was less than 0.35 ppm/week for Fluorel and <0.29 ppm/week for RTV-615.

LIGO: The Laser Interferometer Gravitational-Wave Observatory.

The goal of the Laser Interferometer Gravitational-Wave Observatory (LIGO) Project is to detect and study astrophysical gravitational waves and use data from them for research in physics and astronomy. LIGO will support studies concerning the nature and nonlinear dynamics of gravity, the structures of black holes, and the equation of state of nuclear matter. It will also measure the masses, birth rates, collisions, and distributions of black holes and neutron stars in the universe and probe the cores of supernovae and the very early universe. The technology for LIGO has been developed during the past 20 years. Construction will begin in 1992, and under the present schedule, LIGO's gravitational-wave searches will begin in 1998.

Episodic factitious gingival injury secondary to topical anesthesia. A case report.

The contribution of topical anesthesia to the incidence of severe factitious gingival injury in an adult patient is reported. A brief review of the literature is also presented.

Scanning electron microscopic examination of ultrasonic and effervescent methods of surface contaminant removal from complete dentures.

Dentures were examined by scanning electron microscopy to evaluate removal of surface contaminants such as plaque, calculus, microflora, and cigarette smoke. Ten complete dentures were obtained during patient appointments and prepared for SEM examination. Samples from 10 control surfaces, 10 surfaces cleaned with effervescent cleansers, and 10 surfaces ultrasonically cleaned were photographed at x5000. One photograph of each sample was evaluated in random order by five judges for a total of 150 observations. Photographs were compared with one of a clean denture sample. Statistical analysis of the results validated the superiority of the ultrasonic method for cleaning dentures.