Contributing factors of mandibular deformation during mouth opening

2000 ◽  
Vol 28 (8) ◽  
pp. 583-588 ◽  
Author(s):  
D.C Chen ◽  
Y.L Lai ◽  
L.Y Chi ◽  
S.Y Lee
Keyword(s):  
Mouth Opening ◽  
Contributing Factors ◽  
Mandibular Deformation

scholarly journals Elastic deformation of the mandibular jaw revisited—a clinical comparison between digital and conventional impressions using a reference

2021 ◽  
Author(s):  
Alexander Schmidt ◽  
Leona Klussmann ◽  
Maximiliane A. Schlenz ◽  
Bernd Wöstmann
Keyword(s):  
Statistical Analysis ◽  
Elastic Deformation ◽  
Clinical Relevance ◽  
Mouth Opening ◽  
Reference Structure ◽  
Intraoral Scanner ◽  
Digital Impressions ◽  
Normal Vectors ◽  
Mandibular Deformation ◽  
Conventional Impression

Abstract Objectives Due to the partly strongly differing results in the literature, the aim of the present study was to investigate a possible deformation of the mandible during mouth opening using an intraoral scanner (IOS) and a conventional impression for comparison with a reference aid. Materials and methods Four steel spheres were reversibly luted in the mandibular (n = 50) with a metallic reference aid at maximum mouth opening (MMO). Two digital impressions (Trios3), at MMO and at slightly mouth opening SMO and a conventional impression (Impregum), were taken as the measuring accuracy of the reference structure was already known. Difference between MMO-SMO for digital impressions and deviations between digital and conventional (SMO) were calculated. Furthermore, the angle between the normal vectors of two constructed planes was measured. Statistical analysis was performed with SPSS25. Results Deviations for linear distances ranged from −1 ± 3 μm up to 17 ± 78 μm (digital impressions, MMO-SMO), from 19 ± 16 μm up to 132 ± 90 μm (digital impressions, SMO), and from 28 ± 17 μm up to 60 ± 52 μm (conventional impressions, SMO). There were no significant differences for digital impressions (MMO-SMO), and there were significant differences between the conventional and digital impressions at SMO. Conclusions Based on the results of the present study, no mandibular deformation could be detected during mouth opening with regard to the digital impressions. The results were rather within the measuring tolerance of the intraoral scanner. Clinical relevance Based on the present study, no deformation of the mandibular during mouth opening could be observed at the level previously assumed. Therewith related, dental techniques related to a possible mandibular deformation therefore should be reconsidered.

scholarly journals Gender Differences in Clinical Characteristics of Korean Temporomandibular Disorder Patients

2021 ◽  
Vol 11 (8) ◽  
pp. 3583
Author(s):  
Jung-Hwan Jo ◽  
Jin-Woo Chung
Keyword(s):  
Gender Differences ◽  
Pain Intensity ◽  
Clinical Symptoms ◽  
Temporomandibular Disorder ◽  
Mouth Opening ◽  
Signs And Symptoms ◽  
Pain Scale ◽  
Psychological Status ◽  
Radiographic Examination ◽  
Contributing Factors

The aims of this study were to investigate the gender differences in signs and symptoms of Korean Temporomandibular Disorder (TMD) patients based on Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD) and psychosocial characteristics. A total of 1052 patients with TMD were evaluated with a questionnaire for medical history, clinical symptoms, and contributing factors, clinical examination based on RDC/TMD, and radiographic examination. RDC/TMD axis II and Symptom Checklist-90-Revision (SCL-90-R) were administered to evaluate pain-related disability level and psychological status of patients. The prevalence of TMD was higher in women than men, and the women were older than the men. The women showed higher prevalence of myogenous pain, mixed pain, disc displacement without reduction, osteoarthritis, headache, subjective insomnia, pain intensity, number of positive muscle palpation, and the high disability group in the grade chronic pain scale. Gender was associated with the number of positive muscle palpation and maximum mouth opening. Pain intensity was not associated with gender, but with number of systemic comorbidities. Subjective symptoms, and clinical and psychological characteristics of patients with TMD showed gender differences. To achieve understanding of patient and increase of success rate of treatment of TMD, gender should be considered in patient evaluations and treatment approaches.

scholarly journals Difficult Intubation: An Analysis of 2000 Incident Reports

1993 ◽  
Vol 21 (5) ◽  
pp. 602-607 ◽  
Author(s):  
J. A. Williamson ◽  
R. K. Webb ◽  
S. Szekely ◽  
E. R. N. Gillies ◽  
A. V. Dreosti
Keyword(s):  
Endotracheal Intubation ◽  
Difficult Intubation ◽  
Teaching And Learning ◽  
Mouth Opening ◽  
Preoperative Assessment ◽  
Working Hours ◽  
Contributing Factors ◽  
Preoperative Prediction ◽  
Assessment Techniques ◽  
Oesophageal Intubation

The first 2000 incidents reported to the Australian Incident Monitoring Study were analysed with respect to the incidence and circumstances of problems with endotracheal intubation; 85 (4%) indicated difficulties with intubation. One third of these were emergency cases, one third involved an initially unassisted trainee and one fifth were outside normal working hours. Failure to predict a difficult intubation was reported in one third of the cases, with another quarter presenting serious difficulty despite preoperative prediction. Difficulties with ventilation were experienced in 1 in 7 of the 85 reports; there was one cardiac arrest, but no death. Endotracheal intubation was not achieved in one fifth of the cases. The commonest complications reported amongst the 85 incidents were oesophageal intubation (18 cases), arterial desaturation (15 cases), and reflux of gastric contents (7 cases). Emergency trans-tracheal airways were required in 5 cases. Obesity, limited neck mobility and mouth opening, and inadequate assistance together accounted for two thirds of all the contributing factors. The most successful intubation aid in this series was a gum elastic bougie. A capnograph contributed to management in 28% and a pulse oximeter in 12% of the cases in which they were used. The most serious desaturations were associated with accidental oesophageal intubation. These data suggest a lack of reliable preoperative assessment techniques and skills for the prediction of difficult intubations. They also suggest the need for a greater emphasis on ensuring that the necessary equipment is available, and on teaching and learning drills for difficult intubation and any associated difficulty with ventilation.

scholarly journals 158 Oral Submucous Fibrosis in A 2-Year-Old Girl Due to Chewing BIDI Stubs

2021 ◽  
Vol 108 (Supplement_2) ◽  
Author(s):  
D S Sahni ◽  
D Desai ◽  
G Prasad ◽  
S Ramsaha
Keyword(s):  
Oral Submucous Fibrosis ◽  
Mouth Opening ◽  
Symptomatic Improvement ◽  
Aetiological Factor ◽  
Contributing Factors ◽  
Oral Ulcers ◽  
History Of ◽  
Submucous Fibrosis ◽  
Background History

Abstract A 2-year-old girl, complaining of a gradual increase in the restriction of the mouth opening for 3 months, was referred to the Otolaryngologists based on background history of recurrent oral ulcers. The local examination showed the presence of oral ulcers on the cheek in addition to abnormal oral mucosa which appeared blanched, opaque and fibrotic. This was clinically diagnosed as Oral Submucous Fibrosis, owing to classical presentation and the lack of systemic features. A detailed social and family history revealed that the father of the child used to smoke BIDI, a traditional form of nonfiltered cigarette. The child used to play with the burnt stubs and keep them in her mouth, chewing them for long durations. This was assumed to be the aetiological factor behind the development of the pathology, in absence of any other contributing factors. The patient was treated conservatively, and symptomatic improvement was noted on follow-up. This is the youngest reported patient with OSMF, and this case history brought an unusual aetiological factor to the fore.

The Influence of Language Context on Repetitive Speech Use in Children With Autism Spectrum Disorder

2020 ◽  
Vol 29 (1) ◽  
pp. 327-334 ◽  
Author(s):  
Allison Gladfelter ◽  
Cassidy VanZuiden
Keyword(s):  
Autism Spectrum Disorder ◽  
Autism Spectrum ◽  
Individual Characteristics ◽  
Receptive Vocabulary ◽  
Spectrum Disorder ◽  
School Age Children ◽  
Social Responsiveness ◽  
Contributing Factors ◽  
Children With Asd ◽  
Language Context

Purpose Although repetitive speech is a hallmark characteristic of autism spectrum disorder (ASD), the contributing factors that influence repetitive speech use remain unknown. The purpose of this exploratory study was to determine if the language context impacts the amount and type of repetitive speech produced by children with ASD. Method As part of a broader word-learning study, 11 school-age children with ASD participated in two different language contexts: storytelling and play. Previously collected language samples were transcribed and coded for four types of repetitive speech: immediate echolalia, delayed echolalia, verbal stereotypy, and vocal stereotypy. The rates and proportions of repetitive speech were compared across the two language contexts using Wilcoxon signed-ranks tests. Individual characteristics were further explored using Spearman correlations. Results The children produced lower rates of repetitive speech during the storytelling context than the play-based context. Only immediate echolalia differed between the two contexts based on rate and approached significance based on proportion, with more immediate echolalia produced in the play-based context than in the storytelling context. There were no significant correlations between repetitive speech and measures of social responsiveness, expressive or receptive vocabulary, or nonverbal intelligence. Conclusions The children with ASD produced less immediate echolalia in the storytelling context than in the play-based context. Immediate echolalia use was not related to social skills, vocabulary, or nonverbal IQ scores. These findings offer valuable insights into better understanding repetitive speech use in children with ASD.

1118: The Incidence and Duration of Postoperative Ileus in Patients Undergoing Radical Cystectomy. A Multivariate Analysis of Contributing Factors

2005 ◽  
Vol 173 (4S) ◽  
pp. 303-303
Author(s):  
Diana Wiessner ◽  
Rainer J. Litz ◽  
Axel R. Heller ◽  
Mitko Georgiev ◽  
Oliver W. Hakenberg ◽  
...  
Keyword(s):  
Multivariate Analysis ◽  
Radical Cystectomy ◽  
Postoperative Ileus ◽  
Contributing Factors

Blood Pressure and Contributing Factors in Inhabitants of Estonia: 15-year Trends

2003 ◽  
Vol 12 (2) ◽  
pp. 1-1
Author(s):  
JELENA ABINA ◽  
OLGA VOLOZH ◽  
ELEONORA SOLODKAYA ◽  
MERILEID SAAVA
Keyword(s):  
Blood Pressure ◽  
Contributing Factors

Efficacy of Crisis Intervention

Crisis ◽  
1999 ◽  
Vol 20 (2) ◽  
pp. 78-85 ◽  
Author(s):  
Thomas Reisch ◽  
Petra Schlatter ◽  
Wolfgang Tschacher
Keyword(s):  
Crisis Intervention ◽  
Intervention Program ◽  
Suicide Ideation ◽  
Indirect Evidence ◽  
Well Being ◽  
Term Therapy ◽  
Contributing Factors ◽  
Step Therapy ◽  
Long Term Therapy ◽  
The Impact

This study assesses the efficacy of the treatment approach implemented in the Bern Crisis Intervention Program, where particular emphasis is placed on the remediation of suicide ideation and suicidal behavior, and depression, fear, and phobia are generally considered to be contributing factors. Four questionnaires addressing psychopathology, emotional well-being, social anxiety, and personality were administered prior to and after the treatment of 51 patients over a period of 2 to 3 weeks. The reduction of symptoms contributing to suicidal ideation and behavior was interpreted as indirect evidence of an antisuicidal effect of the program. Significant improvements were found in the psychopathology ratings, with depression and anxiety showing the largest reductions. The impact on personality and social phobia, however, was only moderate, and on average patients still exhibited symptoms after attending the program. This residual symptomatology points to the necessity of introducing a two-step therapy approach of intensive intervention targeted at the precipitating causes of the crisis, augmented by long-term therapy to treat underlying problems.

Differences in Suicidal Thoughts and Behaviors Among Three Racial Groups

Crisis ◽  
2020 ◽  
Vol 41 (3) ◽  
pp. 172-178
Author(s):  
Brooke A. Ammerman ◽  
Martha K. Fahlgren ◽  
Kristen M. Sorgi ◽  
Michael S. McCloskey
Keyword(s):  
Suicide Attempts ◽  
Health Concern ◽  
Future Research ◽  
Racial Groups ◽  
Contributing Factors ◽  
Suicidal Thoughts ◽  
Final Sample ◽  
And Behaviors ◽  
Assessment Procedures ◽  
Suicidal Thoughts And Behaviors

Abstract. Background: Despite being a major public health concern, it is unclear how suicidal thoughts and behaviors differentially impact separate racial groups. Aims: The aim of the current study was to examine the occurrence of nonlethal suicide events, in addition to suicide attempt characteristics and factors contributing to suicide attempts. Method: A final sample of 7,094 undergraduates from a large northeastern university, identifying as members of three racial groups (White [67.30%], Black [17.30%], and Asian [15.40%]), completed online questionnaires. Results: White participants reported increased likelihood of endorsing lifetime suicidal ideation and plan, whereas Black participants reported decreased likelihood of these events; no differences were found in rates of lifetime suicide attempts. Black participants' suicidal behavior may involve greater ambivalence of intent. A higher proportion of Asian participants endorsed interpersonal factors as contributing to their suicide attempts, whereas a greater percentage of White participants reported internal contributing factors. Limitations: Findings are limited by the sample size and assessment of lifetime suicidal thoughts and behaviors. Conclusion: The findings present a more nuanced look at attitudes and actions related to suicidal thoughts and behaviors that may inform future research and risk assessment procedures.

Suicide after Deployment in UN Peacekeeping Missions—A Danish Pilot Study

Crisis ◽  
2002 ◽  
Vol 23 (2) ◽  
pp. 55-58 ◽  
Author(s):  
J. Hansen-Schwartz ◽  
G. Jessen ◽  
K. Andersen ◽  
H.O. Jørgensen
Keyword(s):  
Pilot Study ◽  
Future Research ◽  
Prevention Strategies ◽  
Contributing Factors ◽  
Un Peacekeeping ◽  
Peacekeeping Missions

Summary: This pilot study looks at the frequency of suicide among Danish soldiers who took part in the UN mandated forces (UNMF) during the 1990's. In a contingent of nearly 4000 Danish UN soldiers four suicides were documented, two of whom committed suicide less than one month before deployment and two who committed suicide within a year after discharge from mission. Contributing factors, prevention strategies, and implications for future research are discussed.

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