Can Alcohol Intake from Mouthwash be Measured in Epidemiological
Studies? Development and Validation of Mouthwash Use
Questionnaire with Particular Attention to Measuring Alcohol
Intake from Mouthwash
Tanja Wirth, Michal M. Kawecki, Janice Reeve, Claudia
Cunningham, Iain Bovaird, Tatiana V. Macfarlane
Objectives: The purpose of this study was to develop and validate the mouthwash use
questionnaire to determine the lifetime exposure to alcohol from mouthwash and
verify that it was suitable for use in general population.
Material and Methods: Data were available from three consecutive studies, all collecting
information on mouthwash use. In addition, supermarkets and online stores
were screened for the brands of mouthwash they sold. Alcohol content of
mouthwash was identified from various sources, including laboratory
measurements. Alcohol-containing mouthwash use was converted to glasses of wine
equivalent.
Results: Mouthwash was used by 62% of the participants, and the main benefits
reported were refreshment of bad breath (75%), elimination of bacteria (68%) and
reduction of plaque formation (47%). Majority mouthwashes used by the
participants contained alcohol (61%). Life-time exposure from alcohol in
mouthwash was relatively small for most of the study participants: 79% had
rinsed for less than one year with alcohol equivalent of one glass of wine per
day. There was substantial agreement in mouthwash reporting between different
occasions (Kappa > 0.62).
Conclusions: The questionnaire can be used to investigate mouthwash use in the
general population and to measure alcohol intake from mouthwash.
Objectives: To evaluate the amount and nature of adult facial trauma in Aberdeen,
Scotland’s third largest city, that requires referral to Aberdeen Royal
Infirmary oral and maxillofacial surgery department by the Emergency Department
and Grampian’s telemedicine service over a six month period.
Material and Methods: A retrospective audit using oral and maxillofacial surgery trauma clinic
and theatre records to identify Emergency Department (ED) notes for those
patients presenting with facial trauma. ED notes were examined to extract
demographic data on each patient as well as information on the nature and
outcomes of the facial trauma. This data was compared with previously published
national and international statistics.
Results: 137 patients were identified with a mean age of 33.7 years with a
standard deviation of 16.7. 83.2% of facial trauma victims were male and 62% of
facial injuries were caused by alleged assault. Only 1 patient was referred to
Aberdeen Royal Infirmary by telemedicine.
Conclusions: Aberdeen has a high number of injuries caused by interpersonal violence.
Telemedicine is an underused resource in the referral and review of facial
trauma at Aberdeen Royal Infirmary.
Objectives: There is alarming rise in number of people with diabetes mellitus over
these years. If glucose in saliva is linked to glucose in blood it can be used
to detect diabetes mellitus at an early stage. The present study is undertaken
with the aim to assess the correlation of salivary glucose level with blood
glucose level in people with diabetes mellitus.
Material and Methods: For investigations, 2 sets of samples of people with diabetes and the
age and sex matched non-diabetic subjects were recruited. The salivary glucose
was analyzed in unstimulated whole saliva samples using glucose oxidase method.
Pearson’s correlation coefficient test was applied to assess the correlation
between salivary glucose level and blood glucose level.
Results: The significant (P < 0.05) positive correlation of salivary glucose
level and fasting blood glucose level was observed in people with
uncontrolled diabetes in both the sets of samples.
Conclusions: Although study suggests some potential for saliva as a marker in
monitoring of diabetes mellitus, there are many aspects that need clarification
before we reach to a conclusion.
Objectives: The aim of this study was to assess the clinical outcomes achieved with
Computer-Assisted Design/Computer-Assisted Manufacturing implant
abutments in the anterior maxilla.
Material and Methods: Nineteen patients with a mean age of 41 (range form 26 to 63) years,
treated with 21 single tooth implants and 21 Computer-Assisted
Design/Computer-Assisted Manufacturing (CAD/CAM) abutments in the anterior
maxillary region were included in this study. The patients followed 4 criteria
of inclusion: (1) had a single-tooth implant in the anterior maxilla, (2) had a
CAD/CAM abutment, (3) had a contralateral natural tooth, (4) the implant was
restored and in function for at least 6 months up to 2 years. Cases without
contact point were excluded. Presence/absence of the interproximal papilla,
inter tooth-implant distance (ITD) and distance from the base of the contact
point to dental crest bone of adjacent tooth (CPB) were accessed.
Results: Forty interproximal spaces were evaluated, with an average mesial CPB of
5.65 (SD 1.65) mm and distal CPB of 4.65 (SD 1.98) mm. An average mesial ITD of
2.49 (SD 0.69) mm and an average distal ITD of 1.89 (SD 0.63) mm were achieved.
Papilla was present in all the interproximal spaces accessed.
Conclusions: The restoration of dental implants using CAD/CAM abutments is a
predictable treatment with improved aesthetic results. These type of abutments
seem to help maintaining a regular papillary filling although the variations of
the implant positioning or the restoration teeth relation.
Background: Acute myeloblastic leukaemia is a malignant bone marrow neoplasm of
myeloid precursors of white blood cells. Due to its high morbidity rate, early
diagnosis and appropriate medical therapy is essential.
Methods: The article highlights normal blood alterations like anaemia,
thrombocytopenia, leukocytosis and advanced diagnostic aids like flow
cytometry, special staining as a diagnostic modality as well as for
prognostic information in acute leukaemia, particularly as a tool for
assigning lineage and facilitating further pathologic classification
which may be helpful in influencing treatment strategies.
Results: On clinical examination the case presented with features of inflammatory
gingival enlargement with presence of local deposits and calculus. Routine blood
examination anaemia, thrombocytopenia, leukocytosis with haemoglobin 5.6 gm% and
total leukocyte count of 1,12,000 / cu mm suggestive of leukaemia.
Myeloperoxidase and leukocyte nonspecific esterase (NSE) special stain were used
which showed presence of myeloblasts in the peripheral smear suggestive of acute
myelocytic leukaemia. Flow cytometry were done which further helped in
interpretation of these cells which showed to be strongly positive for CD45,
CD13, CD14, and anti HLADR and moderately positive for CD4, CD34 and Anti MPO
confirming to be case of AML-M4 with 57.73% gating.
Conclusions: Fact that gingival alterations are sometimes the first manifestations of
the disease implies that dental professionals must be sufficiently familiarized
with the clinical manifestations of systemic diseases. The timely referral by
the general dentist for a suspicious lesion provided an early diagnosis and
early intervention reducing the patient morbidity.
Background: A simple technique was presented in this clinical report for orientation
of a bone anchored auricular prosthesis.
Methods: The proposed technique includes drawing the intact ear on a transparent
celluloid paper or radiographic film and flipping it to the opposite side and
relating it to the fixed anatomical features on the face of patient.
Results: The drawing, by this way provides a simple and easy way to duplicate
and transfer the exact size and position of the intact ear to the defect side.
Conclusions: This technique provides a simple, safe, inexpensive and time saving yet,
an accurate and effective surgical template that orients the craniofacial
implants to the confines of the definitive auricular prosthesis. It is indicated
for restoration of single missing external ear either in aplasia, injuries and
total resection.