Intraoral cytomegalovirus lesion and HIV-associated periodontitis in a patient with acquired immunodeficiency syndrome.

Exposure to cytomegalovirus (CMV) is common in persons infected with the human immunodeficiency virus. Autopsy studies have documented the presence of CMV in multiple organs, but CMV is seldom indicated as the causative agent in specific diseases. Few reports have described localized CMV infection in the oral cavity. This may be due to the occult histopathologic appearance during oral mucosal CMV infections and to a lack of awareness of CMV infection as a potential etiologic agent in nonspecific oral ulcerations and other oral disease entities. This report describes an intraoral ulceration with documented presence of a localized CMV infection in association with human immunodeficiency virus-associated periodontitis in a patient with acquired immunodeficiency syndrome. A causative relationship between these two entities, however, cannot be established or excluded.

A technique to investigate the three-dimensional kinesiology of the human temporomandibular joint.

Previous kinesiological studies of the temporomandibular joint (TMJ) were based on the motion of only one or two selected points on the mandible (such as the lower central incisor, the mandibular condyle). In the present study, a technique was developed to measure, analyze, and describe the full three-dimensional kinematic characteristics of the TMJ during any mandibular activity. The technique was based on determination of the relative position between the mandible and the temporal bone from measurement of the location of points on light-weight frames rigidly attached through splints to the maxillary and mandibular teeth. An optoelectric kinematic data acquisition system has been used to record the location of these points. The results of the study indicate the following major advantages of this technique over previously reported kinesiological methods: (1) the technique provides a full description of the motion of the mandible with respect to the temporal bone, including all the six degrees of freedom associated with this motion; (2) the description of motion in terms of joint parameters enhances interpretation of the data by clinicians; (3) the motion of any point of interest on the mandible can be easily derived from the data and; (4) the system provides only negligible interference with the natural jaw motion of the subject. It does not require head fixation, does not alter or interfere with the natural occlusion, and its light weight causes only minimal (and negligible) loading of the mandible.