颞下颌关节骨关节病X线诊断价值评价

作者通过对８４侧颞下颌关节老年尸体标本标准位体层片和薛氏位片Ｘ线检查结果与标本肉眼观骨，软骨病变结果进行比较分析，发现：（１）Ｘ线病变检出率与肉眼观病变程度有关；病变程度及预测阳性率与病变范围指数呈负相关关系；这一结果说明，骨关节病变范围愈大，Ｘ线检查的敏感度愈高，预测阴性率愈高，预测阴性率愈率，即对骨病变的阳性符合率愈高，漏诊率愈低；同时表明，骨关节病变范围愈大，Ｘ线检查特异度愈低，预测阳性率愈     

颞颌关节紊乱综合征患者颞颌关节X线骨质改变观察

目的：探讨颞颌关节紊乱综合征患者颞凳关节骨质改变特征及意义。方法：拍摄７９２例颞颌关节紊乱综合征患者（男３３０例,女４６２例）的双侧颞颌关节Ｘ线片。其中拍摄薛氏位片者２１０例４２０侧,拍侧位体层Ｘ线片者２２３例４４６侧,薛氏位片和侧位体层Ｘ线片均拍摄者３５９例７１８例。Ｘ线诊断结果由门诊医生和放射科医生共同阅片得出。结果：（１）骨质改变检出率,１１３８侧薛氏位片显示髁突（该片颞骨关节面观察不满意）     

颞下颌关节结构紊乱的解剖学及病理学观察

为研究颞下颌关节结构紊乱和骨关节病的关系，作者对８４侧老年尸体关节标本进行了解剖学及病理学的观察，认为：①颞下颌关节结构紊乱和骨关节病之间关系密切，但并不一定存在着必然的因果关系，二者均可首先发生或相伴发生；②临床上表现为病程迁延并发生明显盘变形的结构紊乱病例，其病理实质应确认为退行性关节病改变。本研究结果不同意国外某些学者的骨关节病和关节结构紊乱为两种不同病理实体的观点。作者还对关节盘双板区前部纤维化问题和关节盘旋转移位问题进行了讨论。     

颞下颌关节骨关节病动物模型的建立及组织病理学观察

目的 建立稳定的颞下颌关节骨关节病动物模型。方法 通过外科手术切除部分关节盘的方法，在成年兔上建立较为稳定的颞下颌关节骨关节病动物模型；分别于术后第15天、1个月、2个月、3个月、4个月、5个月和6个月将实验兔处死，取实验侧髁突组织进行组织病理学观察；1％甲苯胺蓝染色，观察病变髁突组织中蛋白多糖的分布范围与水平变化。结果 本研究中的颞下颌关节骨关节病模型从组织病理学上先后观察到了关节盘损伤后早期关节软骨的应激性修复增殖，中期软骨基质渐进性损耗，后期软骨基质损耗丧失、纤维组织修复覆盖及骨赘形成等软骨退行性变过程。甲苯胺蓝染色显示，病变早期肥大增厚的软骨组织中蛋白多糖含量降低，且分布不均匀；病变晚期的髁突较深层软骨组织中仍可见有蛋白多糖的合成与分布。结论 本研究所建立的颞下颌关节骨关节病动物模型能较好地模拟骨关节病的组织病理学变化过程，且具有结果稳定、可重复性好的优点。     

颞下凳关节结构紊乱的解剖学及病理学观察

为研究颞下颌关节结构紊乱和骨关节病的关系，作者对８４例老年尸体关节标本进行了解剖学及病理学的观察，认为：①颞下颌关节结构紊乱和骨关节病之间关系密切，但并不一定存在着必然的因果关系，二者均可首先发生或相伴发生；②临床上表现为病程迁延并发生明显盘变形的结构紊乱病例，其病理实质应确认为退行性关节病改变。本研究结果不同意国外某些学者的骨关节病和关节结构紊乱为两种不同病理实体的观点。作者还对关节盘双板区前部     

颞下颌关节骨关节病X线解剖及病理学研究

颞下颌关节骨关节病Ｘ线解剖及病理学研究北京医科大学口腔医学院孙莉，马绪臣，邹兆菊综述颞下颌关节骨关节病是口腔科临床上颇为常见的一种疾病，多年来一直为众多学者所重视［１～１１］。不同作者报导颞下颌关节骨关节病（ＴＭＪＯＡ）的发生率差异较大。Ｂｌａｃｋｗ...     

透明质酸钠对兔颞下颌关节骨病的作用

目的通过制动兔的颞下颌关节,制造骨关节病动物模型,采用组织病理学和组织化学方法研究透明质酸钠对制动的颞下颌关节的作用。方法普通家兔18只,分为2个实验组和1个对照组。实验组动物颞下颌关节制动后,左侧关节腔内注射0.06ml透明质酸钠,右侧关节腔内注射同等量的生理盐水,分别观察2周和4周后处死,完整取出双侧颞下颌关节(TMJ)作组织学及组织化学染色,评价关节软骨的改变及软骨中糖胺多糖含量的变化。结果与注射透明质酸钠的左侧关节相比,注射生理盐水的右侧TMJ出现了明显的退行性骨关节病的改变,两者具有显著性差异(P<0.01)。结论透明质酸钠对制动后TMJ的退行性变可起到明显的抑制作用。     

颞下颌关节疾病

透明质酸钠与曲安奈得治疗颞下颌关节滑膜炎的对比观察;成人下颌偏斜患者颞下颌关节对称性研究;下颌髁突不明原因吸收的诊治;颞下颌关节骨关节病发展过程中诱导型一氧化氮合酶在其软骨组织内的表达和意义;S-甲基异硫脲治疗颞下颌关节骨关节病的动物实验研究;     

软骨下骨改变与骨关节病

骨关节病是一种对人体健康和生活影响较大的疾病,其病因和病理机制尚不清楚.近年来,骨关节病患者软骨下骨的改变备受重视.下面就颞下颌关节骨关节病软骨下骨改变与颞下颌关节骨关节病的关系,软骨下骨改变病理机制的研究进展作一综述.     

兔颞下颌关节盘移位与骨关节病关系的评价

目的评价颞下颌关节盘移位与骨关节病的关系。方法通过手术方法将２５只大耳白兔的颞下颌关节盘前移，术后１、２、４、８、１２周进行组织病理学检查。结果１１侧手术关节为部分关节盘前移位，８侧为完全性关节盘前移位，６侧为关节盘穿孔。部分关节盘前移位出现早期退行性改变和后期生理性改建，完全性关节盘前移位和关节盘穿孔出现退行性改变和严重的骨关节病。结论颞下颌关节盘前移位的程度与骨关节病有关，关节盘前移位越明显，越易出现骨关节病     

Book Reviews

Book reviewed in this article:
HANDBOOK OF LOCAL ANAESTHESIA, by S. F. Malamed.
ENDODONTIC PRACTICE, by Louis I. Grossman.
PRINCIPLES OF PATHOLOGY FOR DENTAL STUDENTS, by J. B. Walter, Margaret C. Hamilton, and M. S. Israel.
COMPLETE HANDBOOK FOR DENTAL AUXILIARIES, by C. A. Reap, Jr.
TOOTH SURFACE INTERACTIONS AND PREVENTIVE DENTISTRY, edited by G. Rolla, T. Sonju, and G. Embery.
CLINICAL ORAL PEDIATRICS, edited by G. E. White.
FUNDAMENTALS OF FIXED PROSTHODONTICS, by H. T. Shillingburg Jr, S. Hobo, and L. D. Whitsett.
RESTORATIVE TECHNIQUES FOR INDIVIDUAL TEETH, Masson Monographs in Dentistry 2, edited by L. Baum.
OCCLUSION IN CLINICAL PRACTICE, Dental Practitioner Handbook No. 30, by H. Thomson.
EPILEPSY AND THE ORAL MANIFESTATIONS OF PHENYTOIN THERAPY, by T. M. Hassell
LOCAL ANAESTHESIA IN DENTISTRY, by G. L. Howe, and F. I. H. Whitehead.
METALS FORUM, Volume 3, Number 4, 1980, assembled by J. J. Stobo.
McCRACKEN'S REMOVABLE PARTIAL PROSTHODONTICS, by D. Henderson, and V. L. Steffel.
DENTAL PUBLIC HEALTH AND COMMUNITY DENTISTRY, edited by A. Jong.
TEXTBOOK OF OPERATIVE DENTISTRY, by L. Baum, R. W. Phillips, and M. R. Lund.
A MANUAL OF PAEDODONTICS, by R. J. Andlaw and W. P. Rock.
ORAL SURGERY IN DENTAL PRACTICE, by E. Kruger, and P. Worthington.
NUTRITION IN PREVENTIVE DENTISTRY: SCIENCE AND PRACTICE, edited by A. E. Nizel.
REGIONAL ANAESTHESIA OF THE ORAL CAVITY, by J. T. Jastak, and J. A. Yageila.
DENTAL RADIOLOGY, by A. H. Wuehrmann, and L. R. Manson-Hing.     

Book Reviews

Edited by Bill Kimball and Steven Seltzer. Seltzer Institute Publishing, Harvard, MA.
Bernard G. N. Smith, BDS, PhD, MSc, MRD, FDSRCEng, FDSRCSEdin, Third Edition. Mosby, St. Louis, MO.
Edited by Carl E. Misch. Mosby, Inc, St. Louis, MO.     

Book Reviews

Book reviewed in this article:
CLINICAL PHARMACOLOGY IN DENTAL PRACTICE, edited by Sam V. Holroyd.
ORAL DIAGNOSIS, by D. A. Kerr, M. M. Ash, and H. D. Millard.
THE YEAR BOOK OF DENTISTRY 1978, edited by M. L. Hale, S. P. Hazcn, R. E. Moyers, D. F. Redig, M. B. O. Robinson, S. I. Silverman.
RADIOLOGY FOR DENTAL AUXILIARIES, by Herbert H. Frommer.
WHO STUDY OF DENTAL CARIES ETIOLOGY IN PAPUA NEW GUINEA, WHO Offset Publication No. 40, by R. G. Schainschula, B. L. Adkins, D. E. Barmes, G. Charlton, and B. G. Davey.
DEVELOPMENT, FUNCTION AND EVOLUTION OF TEETH, edited by P. M. Butler, and K. A. Joysey.
FLUORIDES AND DENTAL FLUOROSIS, by Howard M. Myers.
SELF ASSESSMENT MANUAL. PART I. ORAL SURGERY AND PATHOLOGY, by B. Cohen, D. Mason, and D. Poswillo.
DICTIONARY OF ABBREVIATIONS IN MEDICINE AND THE HEALTH SCIENCES, by Harold K. Hughes.
MANUAL OF CLINICAL PERIODONTICS, edited by H. L. Ward, and M. Simring. St. Louis
CONSCIOUS SEDATION IN DENTAL PRACTICE, by C. Richard Bennett. St Louis
BEHAVIOURAL SCIENCE AND DENTAL PRACTICE, by Samuel F. Dworkin, Thomas P. Ference, and Donald B. Giddon.     

BOOK REVIEWS

California Dental Association, the Task Force on Quality Evaluation. Quality evaluation for dental care; guidelines for the assessment of clinical quality and professional performance.
U. S. Department of Health, Education, and Welfare, Public Health Service, Center for Disease Control, Bureau of State Services, Dental Disease Prevention Activity, Atlanta, Georgia.
U. S. Department of Health, Education and Welfare, Public Health Service, Health Resources Administration, Bureau of Health Manpower, Division of Dentistry. Dentist and dental auxiliary graduates… by state and individual institution.
American Water Works Association. Water fluoridation principles and practices, Denver, the Association, (1977). vii + 79 p. Paperback.
Environmental Protection Agency, Office of Water Programs, Water Supply Programs Division. Fluoridation engineering manual, by Bellack, Ervin EPA Publ. No. EP2.8:F67. Washington, D. C., Government Printing Office, 1972.viii + 94 p. Paperback.     

Book reviews

Book reviewed in this article:
GUIDE TO ANTIBIOTIC USE IN DENTAL PRACTICE, edited by Michael G. Newman and Anthony D. Goodman.
INLAYS, CROWNS AND BRIDGES, by Colin R. Cowell, Ivan Curson, George F. Kantorowicz, and David S. Shovelton (edited by George F. Kantorowicz).
THE 1985 YEAR BOOK OF DENTISTRY, edited by D. Walter Cohen, with Barry H. Hendler, Ronald Johnson, Ronald E. Jordan, Robert E. Moyes, Hamilton B. G. Robinson, and Sidney I. Silverman.
COMPREHENSIVE DENTAL HYGIENE CARE, by Irene R. Woodall, Bonnie R. Dafoe, Nancy Stutsman Young, Leslie Weed-Fonner, and Samuel L. Yankell.     

Book reviews

Book reviewed in this article:
Oral Diagnosis, by D. A. Kerr, M. M. Ash, Jr., H. D. Millard.
Fundamentals of General Anæsthesia for Students, by John Adriani. Oxford, 1959, Blackwell Scientific Publications.
The Dentition of the Growing Child, by Coenraad F. A. Moorees. Cambridge, Massaschusetts, 1959, Harvard University Press.
The Year Book of Dentistry (1958–1959 Series). Chicago, 1959, The Year Book Publishers Incorporated. Our copy by courtesy of W. Ramsay Surgical (N.S.W.) Pty. Ltd.
Your Child's Teeth. A Guide for Parents, by Edgar S. Bacon. London, 1959, William Heinemann, Medical Books Ltd.
Partial Dentures, by John Osborne and G. A. Lammie. Oxford, 2nd edition, 1959, Blackwell Scientific Publications.     

BOOK REVIEWS

Metropolitan Health Planning Corporation. A plan to improve the dental health of Cuyahoga, Geauga, Lake, Lorain, and Medina Counties. Cleveland, The Corporation, 1977.
Malamed, S. F., ed. Handbook of medical emergencies in the dental office. Saint Louis, Mosby.
Evan, R. G., and Williamson, M. F. Extending Canadian health insurance: options for pharmacare and denticare. Toronto.
O'Neill, Margaret T., and Read, W. A. eds. Program in geriatric dentistry: resource and curriculum guide for behavioral and social science aspects. Seattle, University Washington.
Shortell, S. M., and Richardson, W. C. Health program evaluation. St. Louis, Mosby, 1978. 143 p.     

BOOK REVIEWS

Book reviewed in this article:
Bernier, J. L., and Muhler, J. C, eds. Improving dental practice through preventive measures.
White, G. E. Dental caries. A multifactorial disease
Evans, R. C, et al. Children's dental health project: report to the Minister of Health, British Columbia and the President, College of Dental Surgeons, British Columbia.
Mico, Paul R. and Ross, Helen S. Health education and behavioral science. Oakland, Calif.
VanZoost, Brenda, ed. Psychological readings for the dental profession     

Immediate loading of hydroxyapatite-coated implants in the maxillary premolar area: three-year results of a pilot study

STATEMENT OF THE PROBLEM: Although immediate loading of implants in the edentulous mandible has been described in the literature, there is limited information regarding immediate loading of single implants. PURPOSE: This prospective clinical study evaluated the clinical parameters of immediately loaded single-threaded hydroxyapatite-coated (HA) root form implants. MATERIAL AND METHODS: Ten human subjects were included in this report. In all situations, a screw-retained provisional acrylic resin crown was placed in the maxillary premolar area immediately after implant surgery. Definitive screw-retained metal-ceramic prostheses were placed 6 months after surgery. Standardized periapical radiographs were made before implant surgery, immediately after surgery, and 1, 3, 6, 12, and 36 months after implant surgery. Mobility (measured with the Perio-Test), distance from implant platform to the gingival crevice, distance from the implant platform to the depth of the sulcus, peri-implant probing depth, and bleeding on probing index were recorded at 3, 6, 12, and 36 months after implant placement. For clinical measurements, a 5-mm healing abutment was placed. RESULTS: All implants appeared clinically osseointegrated. Standardized radiographs demonstrated mean marginal bone loss of 0.6, 0.7, 0.8, 0.9, and 1.0 mm at 1, 3, 6, 12, and 36 months after implant surgery, respectively. Mean implant mobility was -3.3 at the day of surgery and -3.8, -3.4, -3.6, and -4.2 at 3, 6, 12, and 36 months, respectively. The distance from implant platform to the gingival crevice was 2.8, 2.4, 2.4, and 3.1 mm at 3, 6, 12, and 36 months, respectively. The distance from the implant platform to the depth of the sulcus was 0.8, 0.9, 0.9, and 1.1 mm at 3, 6, 12, and 36 months, respectively. The peri-implant probing depth was 3.6, 3.3, 3.2, and 4.3 mm at 3, 6, 12, and 36 months, respectively. The bleeding on probing index was 0.4, 0.4, 0.4, and 0.1 at 3, 6, 12, and 36 months, respectively. CONCLUSION: The results of this prospective pilot study provide initial evidence that single root form implants may be immediately loaded when placed at the maxillary premolar area.     

Book Reviews

Book reviewed in this article:
TOOTHACHE AND OROFACIAL PAIN, by J. M. Mum-ford.
INTRODUCING WHO. Geneva, World Health Organization, 1976.
PROSTHODONTIC TREATMENT FOR EDENTULOUS PATIENTS, by C. O. Boucher. J. C. Hickey, and G. A. Zarb.
A COLOUR ATLAS OF HISTOLOGY, by M. B. L. Craigmyle.
ORTHODONTIC DIAGNOSIS. Dental Practitioner Handbook No. 4, by W. J. B. Houston.
WALTHER'S ORTHODONTIC NOTES, revised by W. J. B. Houston.
DENTAL IDENTIFICATION AND FORENSIC ODONTOLOGY, by W. Harvey and 15 contributors.
COMMUNICATION IN THE DENTAL OFFICE. A PROGRAMMED MANUAL FOR THE DENTAL PROFESSIONAL, by R. E. Froelich, F. M. Bishop, and S. F. Dworkin.
MASTICATION. PROCEEDINGS OF A SYMPOSIUM ON THE CLINICAL ASPECTS OF MASTICATION. MEDICAL SCHOOL, BRISTOL, 14–16 APRIL, 1975, edited by D. J. Anderson and B. Matthews.
ESSENTIALS OF CLINICAL DENTAL ASSISTING, by J. E. Chasteen.
THE USE OF ADHESIVES IN DENTISTRY, by M. G. Buonocore.
ENDODONTIC THERAPY, edited by Franklin S. Weine, with five contributing authors.