Postoperative temporomandibular dysfunction in patients with fractures of the zygomatic complex: a prospective follow-up study.

The aim of this prospective follow-up study was to clarify the incidence and characteristics of dysfunction of the temporomandibular joint (TMJ) in patients treated surgically for fractures of the zygomatic complex. Patients were evaluated on presentation and six months after injury to assess the function of the masticatory system using the Helkimo index, which incorporates two complementary subindices: the subjective symptomatic (anamnestic) index (Ai) and the objective clinical dysfunction index (Di). Forty-five patients (12 women and 33 men, mean (range) age 44 (21-83)years) completed the study. Six patients developed subjective symptoms of dysfunction of the TMJ during follow-up, in four of whom they were severe. Clinical findings were noted in 38 patients but without significant association with subjective symptoms. Dysfunction of the TMJ is common six months after surgical treatment of a fracture of the zygomatic complex, and patients with such fractures should be evaluated for temporomandibular dysfunction during follow-up and referred for treatment when necessary.

Oral health care in children with haemophilia in Helsinki, Finland.

BACKGROUND: The bleeding tendency and fear of bleeds may have a negative effect on preventive dental care of patients with haemophilia both at home and at dental appointments. AIM: To describe the clinical practice of dental care in children with haemophilia in Helsinki, Finland. METHODS: This study evaluated retrospectively the medical records of 28 paediatric patients with haemophilia (aged 5.3-17.4 years) from dental visits during 2009-2010. Decayed, missing and filled teeth in the primary (dmft) and permanent dentition (DMFT), Community Periodontal Index (CPI), signs of developmental dental defects in enamel and the number of preventive and restorative procedures were gathered. Dmft + DMFT scores were compared with those of 17,079 non-haemophiliac boys. The Mann-Whitney U-test was used to compare the data between the groups of different severity of haemophilia. RESULTS: The median number of dental visits per patient was three (range 1-11). Twenty-two patients (79 %) had dmft + DMFT-scores within the 95 % reference range for age. None of the children had a CPI >2. Twelve (43 %) patients had developmental enamel defects. Half had received restorative dental care and three out of four preventive procedures. CONCLUSIONS: Dental care during hospital visits in children with haemophilia may enhance confidence in the preventive dental care and help minimise bleeding during dental procedures.

Electrochemical titrations of thiosulfate, sulfite, dichromate and permanganate using dual microband electrodes.

Applications of titration using dual gold microband electrodes in generator-collector mode are presented. The main advantage is that the method dispenses with the need for accurate volume measurements and reagent preparation: rather than balancing of molar amounts, the fluxes of analyte and titrant are balanced instead. The titrant is generated electrochemically and the end-point is detected amperometrically by the appearance of a current due to the presence of the titrant at the other band. The aim is to show the versatility and capability of the method that employs disposable mass-produced electrodes and uses pulsed motion of the electrode before a measurement to renew the boundary conditions. The titration of ascorbic acid (vitamin C) with ferricyanide, which has been a model system, was extended to the determination of thiosulfate and sulfite with iodine and the determination of dichromate and permanganate with iron(II). The accuracy, limited by the present fabrication reproducibility of the disposable electrodes, is +/- 10%. The results demonstrate that the method is effective even with a very simple set-up, and the actual time needed for common titrations is significantly decreased. These examples demonstrate a comprehensive basis for further development and applications, including standard titrations in industry.

Potentiometric titrations using dual microband electrodes.

We present a novel method of analysis using potentiometric end-point detection and dual microband electrodes in generator-collector mode. The titrant is electrogenerated using either a constant current or a current that increases linearly with time, and the fluxes of reactive material rather than molar amounts are balanced. The advantage of the ramp current system over the constant current method is that all of the information needed for a full titration curve and a proper analysis can be obtained during a single scan. The method was applied to the determination of vitamin C with ferricyanide and to the determination of thiosulfate and sulfite with iodine using gold microband electrodes. As a new type of analysis, a potentiometric titration that uses dissolving silver microband electrodes in order to generate the titrant is demonstrated. The system was applied to the detection of chloride, iodide, thiosulfate and cyanide. The accuracy of the analysis is +/-10%, limited mainly by the present screen-printing process, and the method is well adapted for measurements on the millimolar scale.