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Chetwynd E, Demirci J. The Gap Between Breastfeeding Research and the Clinical Needs of Lactation Support Providers. J Hum Lact 2024; 40:195-196. [PMID: 38606762 DOI: 10.1177/08903344241235166] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 04/13/2024]
Affiliation(s)
- Ellen Chetwynd
- School of Medicine, Department of Family Medicine University of North Carolina, Chapel Hill, NC, USA
| | - Jill Demirci
- Department of Health Promotion and Development, School of Nursing, University of Pittsburgh, Pittsburgh, PA, USA
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Anderson J, Prabhu P, Graham ME. Ankyloglossie (frein lingual anormalement court) chez le nourrisson. CMAJ 2024; 196:E170-E171. [PMID: 38346778 PMCID: PMC10861261 DOI: 10.1503/cmaj.230151-f] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/15/2024] Open
Affiliation(s)
- Josdalyne Anderson
- Département de médecine de familiale (Anderson), Faculté de médecine, Université d'Ottawa; L'Hôpital d'Ottawa, Campus Civic (Anderson), Ottawa, Ont.; Maple Kidz Clinic (Prabhu), Vaughan (Ontario); Département de pédiatrie (Prabhu), Faculté de médecine Temerty, Université de Toronto, Toronto, Ont.; Département d'otorhinolaryngologie (Graham), École de médecine et de dentisterie Schulich, Université Western; London Health Sciences Centre (Graham), London, Ont
| | - Pooja Prabhu
- Département de médecine de familiale (Anderson), Faculté de médecine, Université d'Ottawa; L'Hôpital d'Ottawa, Campus Civic (Anderson), Ottawa, Ont.; Maple Kidz Clinic (Prabhu), Vaughan (Ontario); Département de pédiatrie (Prabhu), Faculté de médecine Temerty, Université de Toronto, Toronto, Ont.; Département d'otorhinolaryngologie (Graham), École de médecine et de dentisterie Schulich, Université Western; London Health Sciences Centre (Graham), London, Ont
| | - M Elise Graham
- Département de médecine de familiale (Anderson), Faculté de médecine, Université d'Ottawa; L'Hôpital d'Ottawa, Campus Civic (Anderson), Ottawa, Ont.; Maple Kidz Clinic (Prabhu), Vaughan (Ontario); Département de pédiatrie (Prabhu), Faculté de médecine Temerty, Université de Toronto, Toronto, Ont.; Département d'otorhinolaryngologie (Graham), École de médecine et de dentisterie Schulich, Université Western; London Health Sciences Centre (Graham), London, Ont.
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Agarwal R, Eddis-Finbow M, Tam J, Broatch J, Bussey KJ. New Validated Tool to Diagnose Breastfeeding Dysfunction. J Hum Lact 2024; 40:120-131. [PMID: 38037896 DOI: 10.1177/08903344231209306] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/02/2023]
Abstract
BACKGROUND Breastfeeding behaviors and experiences exist on a continuum. What differentiates normal from dysfunctional is defined by frequency and severity. No current validated tool addresses the subjective experience of dyads with a predictive score that can be followed over time. RESEARCH AIM To create and validate a self-report tool to assess breastfeeding and evaluate its ability to predict risk of breastfeeding dysfunction. METHODS This study used a cross-sectional design to determine the validity of a novel instrument to assess breastfeeding dysfunction. We gave the initial questionnaire to 2085 breastfeeding dyads. We assessed content validity by comparison with other tools. We used exploratory factor analysis with varimax rotation for concept identification and Cronbach's alpha for internal consistency. We employed logistic regression to assess the tool's ability to differentiate between normal breastfeeding and breastfeeding dysfunction. RESULTS Factor analysis mapped 17 questions to four concepts to create a score (FLIP; flow, latch, injury [to the nipple], and post-feed behavior). Internal consistency and reliability of the scores in these concepts were acceptable (Cronbach's alpha ≥ 0.087 for all measures). A logistic regression model that controlled for infant age, with a breastfeeding dysfunction risk classification threshold of 60%, yielded a correct classification of 88.7%, with 93.1% sensitivity, 64.6% specificity, and a 6.5% false positive rate. CONCLUSIONS The FLIP score was determined to be a valid and reliable instrument for quantifying the severity of breastfeeding dysfunction in children under 1 year old. Further studies will assess its usefulness in the management of breastfeeding dysfunction.
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Affiliation(s)
| | | | - Jodie Tam
- University of Arizona, Tucson, AZ, USA
| | | | - Kimberly J Bussey
- University of Arizona, Tucson, AZ, USA
- Midwestern University, Glendale, AZ, USA
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Abba M, Abramson A, Roitblat Y, Vaiman M. Topographic Positions of the Wharton's Duct Orifice in Children. J Oral Maxillofac Surg 2022; 80:1996-2002. [PMID: 36207007 DOI: 10.1016/j.joms.2022.09.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/17/2022] [Revised: 09/04/2022] [Accepted: 09/05/2022] [Indexed: 11/17/2022]
Abstract
PURPOSE Sialoendoscopic, orthodontic, and surgical interventions within the floor of the mouth require precise knowledge of the topography of the Wharton's duct orifices which is still lacking for the pediatric population. We aimed to establish a normative database for the topography of these orifices in children. METHODS The prospective cross-sectional analytic study was performed during January to December 2021. The distances between the mandible gonions and each orifice and the lingual frenulum were defined as primary outcome variables. The secondary outcome variables were the inter-position of the orifices and their location against the base of the tongue and the mandibular alveolar ridge. The segments of the cohort were classified by sex and age groups (4 to 7, 8 to 14, 15 to 17 years old) as the primary predictor variables. The data were evaluated by a 3-way ANOVA for analysis of selected distances with the level of significance at P ≤ .05. The correlation analysis between sex and locations of the orifices was performed using χ2 criterion (95% confidence interval) and r ≥ 0.60 was counted as a strong correlation. RESULTS The study involved 3,000 healthy children from 4 to 17 years of age. The orifices were symmetrical (89.3%), frenulum-independent (78.0%) openings that were usually located in the middle part of the floor of the mouth. The distance between the orifices varied from 0 mm in the frenulum-attached cases to 4.6 ± 1.8 mm for 4 to 7 years old, 7.6 ± 1.9 mm for 8 to 14 years old, and 9.1 ± 2.6 mm for 15 to 17 years old individuals. The orifices were attached to the frenulum (5.7%), were frenulum-related (16.3%), and frenulum-independent (78.0%). The sagittal asymmetry of the orifices was noted in 10.7%, and in 1.6% the lateral asymmetry was detected. No statistically significant sex-related differences were noted. CONCLUSION In the pediatric population, the Wharton's duct orifices are usually symmetrical frenulum-independent openings that are located in the middle part of the floor of the mouth. The distance between the orifices normatively varies according to sex and age. The size of the mandible does not influence the positions of the orifices. The position of the duct orifices must be established prior to submandibular sialoendoscopy, orthodontic interventions, frenotomy, and other oral surgeries.
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Affiliation(s)
- Michael Abba
- Attending Oral and Maxillofacial surgeon, Department of Oral and Maxillofacial Surgery, Barzilai Medical Center, Ashkelon, Israel.
| | - Alex Abramson
- Head, Oral and Maxillofacial Unit, Department of Oral and Maxillofacial Surgery, Barzilai Medical Center, Ashkelon, Israel
| | - Yulia Roitblat
- Research Fellow, Science Research Department, Alexander Muss High School in Israel (AMHSI) affiliated with Alexander Muss Institute for Israel Education (AMIIE), Hod HaSharon, Israel; Multidisciplinary Social Sciences, Bar Ilan University, Ramat-Gan, Israel
| | - Michael Vaiman
- Professor, Department of Otolaryngology-Head and Neck Surgery, Shamir (Assaf Harofeh) Medical Center, Zerifin, Affiliated with the Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
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Batista CLC, Pereira ALP. Does neonatal ankyloglossia interfere in the growth of infants during the first 6 months of life? A case series nested in a cohort study. J Med Case Rep 2022; 16:394. [PMID: 36307818 PMCID: PMC9617444 DOI: 10.1186/s13256-022-03578-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/10/2021] [Accepted: 08/19/2022] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Ankyloglossia is commonly reported as one of the major causes of breastfeeding difficulty. There is a lack of research on infant growth and latching performance with clinical measures. CASES PRESENTATION We describe a series of eight clinical cases (three female and five male infants) in a specialized breastfeeding center in a tertiary hospital in Northeast Brazil. The mothers were of mixed race and ranged from 13 to 41 years of age. Ankyloglossia was diagnosed within the first 48 hours after delivery. We measured the standards of growth, the mothers' perception of breastfeeding, and a pain indicator, and performed an assessment of breastfeeding. The regularity of breastfeeding was maintained despite the early diagnosis of ankyloglossia. Growth indicators were not affected in the sixth month in any of the babies, with only one measuring below expectations in the third month, with no impact on general health. CONCLUSIONS In the cases reported in this paper, the infants overcame the initial difficulties in breastfeeding and maintained their normal growth course in the first 6 months of life.
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Affiliation(s)
- Christyann Lima Campos Batista
- Human Milk Bank, University Hospital, Federal University of Maranhão, Rua Silva Jardim, 215, São Luís, Maranhão, CEP: 65020-560, Brazil.
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González Garrido MDP, Garcia-Munoz C, Rodríguez-Huguet M, Martin-Vega FJ, Gonzalez-Medina G, Vinolo-Gil MJ. Effectiveness of Myofunctional Therapy in Ankyloglossia: A Systematic Review. Int J Environ Res Public Health 2022; 19:12347. [PMID: 36231647 PMCID: PMC9566693 DOI: 10.3390/ijerph191912347] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 08/16/2022] [Revised: 09/16/2022] [Accepted: 09/17/2022] [Indexed: 06/16/2023]
Abstract
Ankyloglossia is a pathology of the tongue in which the frenulum appears anchored to the floor of the mouth. The treatment of choice for this pathology is frenectomy, but myofunctional therapy is emerging in recent years as a complement to surgical intervention. This systematic review aims to synthesize the scientific evidence and assess its quality regarding the use of myofunctional therapy in ankyloglossia. The Cochrane Central Register of Controlled Trials, Physiotherapy Evidence Database, Pubmed, Web of Science and Scopus were searched. Study quality was determined using the PEDro scale, STROBE statement and single-case experimental design scale. Eleven studies were selected. Based on the studies included in this review, surgery is more effective than myofunctional therapy, although better results are achieved if both are combined. Improvements have been found in maternal pain, weight gain of babies, duration of breastfeeding, tongue mobility, strength and endurance, sleep apnea, mouth breathing and snoring, quality of life, clenching teeth, myofascial tension, pain after surgery and speech sound production. These findings must be taken with caution because of the small number of articles and their quality. Future clinical trials using larger sample sizes and with higher methodological quality are needed.
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Affiliation(s)
| | | | - Manuel Rodríguez-Huguet
- Department of Nursing and Physiotherapy, University of Cadiz, 11003 Cadiz, Spain
- Rehabilitation Clinical Management Unit, Interlevels-Intercenters Hospital Puerta del Mar, Hospital Puerto Real, Cadiz Bay-La Janda Health District, 11006 Cadiz, Spain
| | | | - Gloria Gonzalez-Medina
- Department of Nursing and Physiotherapy, University of Cadiz, 11003 Cadiz, Spain
- Biomedical Research and Innovation Institute of Cadiz (INiBICA), Research Unit, Puerta del Mar University Hospital, University of Cadiz, 11003 Cadiz, Spain
- CTS-986 Physical Therapy and Health (FISA), University Institute of Research in Social Sustainable Development (INDESS), 11003 Cadiz, Spain
| | - Maria Jesus Vinolo-Gil
- Department of Nursing and Physiotherapy, University of Cadiz, 11003 Cadiz, Spain
- Rehabilitation Clinical Management Unit, Interlevels-Intercenters Hospital Puerta del Mar, Hospital Puerto Real, Cadiz Bay-La Janda Health District, 11006 Cadiz, Spain
- Biomedical Research and Innovation Institute of Cadiz (INiBICA), Research Unit, Puerta del Mar University Hospital, University of Cadiz, 11003 Cadiz, Spain
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Tran J, Hill RR. Breastfeeding Experiences and Changes in Feeding Plans Among Parents of Infants Diagnosed With Tongue-Tie. Nurs Womens Health 2022; 26:21-29. [PMID: 35032466 DOI: 10.1016/j.nwh.2021.11.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/05/2021] [Revised: 08/12/2021] [Accepted: 11/18/2021] [Indexed: 11/15/2022]
Abstract
OBJECTIVE To explore parents' plans for infant feeding before birth and their perceptions of feeding success in light of tongue-tie diagnosis for their infants. DESIGN A qualitative descriptive study design using content and thematic analysis was used. SETTING A dental office in Massachusetts with parent-neonate dyads undergoing infant frenotomy procedures. PARTICIPANTS Twenty-five parents between the ages of 27 and 40 years with infants from 1 week to 28.6 weeks of age were surveyed. MEASUREMENT Data were collected in an electronic survey using the Research Electronic Data Capture (REDCap) data capture tool. RESULTS Content analysis of the data from surveys showed themes that correspond to parents' plans for feeding before birth and the ways in which feeding plans or goals may have changed based on the presence of infant tongue-tie. Themes were categorized into three main categories: feeding plans and breastfeeding goals before birth, the parent's experience with breastfeeding an infant with tongue-tie, and how plans or goals changed because of perceived challenges with tongue-tie. CONCLUSION Findings suggest that there are challenges feeding infants with tongue-tie and that feeding plans may change as a result of those challenges. Implications for further research and practice include exploring how these perceptions and challenges affect the maternal role, success for individuals wishing to breastfeed, and parental self-confidence.
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Abstract
Ankyloglossia, commonly called "tongue-tie," has been increasingly diagnosed in the breast-feeding infant, with growing numbers of surgical interventions in the last 2 decades. As more practitioners have become involved in the diagnosis and treatment, there has not been a consensus on terminology and indications for intervention. In 2020, the American Academy of Otolaryngology - Head and Neck Surgery Foundation reviewed the bodies of lactation, dental, pediatric, and otolaryngology literature to seek professional consensus and note areas requiring more definitive evidence. This article highlights the findings for the general pediatrician seeking to support breast-feeding dyads. [Pediatr Ann. 2021;50(8):e310-e312.].
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Merbold KH, Buchanan GD, Gamieldien MY. Tongue-tied: a case of magnetic balls constricting the lingual frenum. Quintessence Int 2020; 51:152-154. [PMID: 31942575 DOI: 10.3290/j.qi.a43867] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
The health risks associated with aspiration and ingestion of foreign bodies in children are well known. The increased availability of magnetic toys have added to these risks. A 7-year-old girl presented at the Department of Maxillofacial and Oral Surgery at the University of Pretoria Oral and Dental Hospital with a complaint of pain under the tongue. Examination revealed that magnetic balls had been lodged on either side of the lingual frenum. The patient experienced pain and was unable to dislodge the magnets. This case report documents patient presentation and management and concludes with a brief discussion of potential complications associated with the oral intake of magnets. Though multiple cases documenting the complications associated with ingestion of magnets have been reported, reports of primary oral complications are scant. This case contributes to existing evidence for the dangers associated with high strength magnets used as toys by children.
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Mahmood B, Trolle W, Hounsgaard ML, Kirchmann M. [Treatment for tongue-tie]. Ugeskr Laeger 2019; 181:V10180717. [PMID: 31036153] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/09/2023]
Abstract
Ankyloglossia, or tongue-tie, is a congenital malformation, in which a short, lingual frenulum or a tight genioglossus muscle restricts tongue movement. In newborns, the reported prevalence is 2-11%. However, only 18% of newborns, in whom clinical findings suggest ankyloglossia, develop symptoms. Several randomised clinical trials report a significant reduction in maternal nipple pain after frenotomy. Frenotomy is a low-procedure surgery, but the benefits are sparsely documented. Parents should be presented with risk and benefits, before a frenotomy is offered.
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Abstract
During the last decade, increasing awareness of breastfeeding and its health benefits has not been reflected in the provision of lingual frenotomy in neonates with tongue-tie. This could be because of inconsistencies in our understanding of the importance and treatment of ankyloglossia. In this review, we discuss the current clinical guidance on diagnosis and management, and the future of such a service in the early postpartum period.
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Affiliation(s)
- K Ganesan
- Southend University Hospital NHS Foundation Trust, Prittlewell Chase, Westcliff-on-Sea, Essex; Leeds University.
| | - S Girgis
- Guy's and St Thomas' NHS Foundation Trust, Great Maze Pond, London.
| | - S Mitchell
- Southend University Hospital NHS Foundation Trust, Prittlewell Chase, Westcliff-on-Sea, Essex
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McGoldrick R, Solari D, Hogan M, Corrigan I, Cutting A, Shadbolt B, Todd DA. Tongue-tie in the newborn: Follow-up in the first 6 months. Breastfeed Rev 2016; 24:33-40. [PMID: 29211420] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Abstract
BACKGROUND Over the last decade, a number of studies have demonstrated that early division of tongue-tie (TT) is associated with significant feeding benefits to both mother and baby. Notwithstanding, it remains a controversial procedure. We examined the breastfeeding outcomes of a cohort of babies at 1-2 weeks (follow-up 1) and 3-5 months (follow-up 2), post-TT division. METHODS We undertook a cohort study on all mother/baby dyads who had a TT divided at Canberra Hospital between 1 July 2013 and 30 June 2014. We contacted the mothers of both follow-up groups by telephone, focusing on breastfeeding and maternal pain. RESULTS Follow-up 1 consisted of 116/182 (63.7%) of mothers in the study; contacted at 12.4+-7.8 days post-division. Of these, 107/116 (92.2%) were still breastfeeding, with 11/15 (73.3%) of the mothers who had ceased breastfeeding before division having re-established it at the time of follow-up (p < 0.00l). Additionally, 90/101 (89.1%) valid responses reported decreased nipple pain following TT division. Follow-up 2 consisted of 112/182 (61.5%) of all mothers in the study; contacted at 3.7+-1.8 months of age. Of these, 86/112 (76.8%) were still breastfeeding, with 11/15 (73.3%) of mothers who had ceased breastfeeding before division having re-established it at follow-up (p < 0.001). CONCLUSION A divided TT was associated with benefits at both periods of follow-up. There was (i) an increase in overall breastfeeding rates and (ii) a decrease in maternal pain.
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Abstract
The case of sublingual ulceration associated with erupted primary mandibular incisors in a 1-year-old child is presented. Sublingual ulceration is termed as Riga-Fede disease if the patient is less than 2 years old. Generally, the treatment methods for Riga-Fede's disease are discing and extraction of the traumatised teeth. Here, the child was treated with photo-polymerised composite resin coverage of the incisal edges of erupted mandibular incisors. The photo-polymerised resin coverage proved to help in the rapid healing of the ulcerations.
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Affiliation(s)
- Yash Bafna
- SAIMS Dental College & Research Centre, Indore, India
| | | | - Madhulika Bafna
- Department of Orthodontics, SAIMS Dental College & Research Centre, Indore, India
| | - Prathibha Anand Nayak
- Department of Periodontics, Mahatma Gandhi Dental College & Hospital, Jaipur, Rajasthan, India
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Stroud R. Tongue piercing. Br Dent J 2002; 193:3. [PMID: 12171200] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/26/2023]
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Arvidsson A, Stirling C, Sennerby L, Wennerberg A. Reactions in the oral mucous membrane after exposure to Carisolv--combined results from a clinical screening test in humans and an experimental study in rats. Gerodontology 2001; 18:109-13. [PMID: 11794736 DOI: 10.1111/j.1741-2358.2001.00109.x] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
OBJECTIVE To evaluate reactions in the oral mucosa after direct contact with Carisolv. SETTING The Faculty of Odontology in Göteborg, Sweden. SUBJECTS 34 healthy persons for a clinical screening test and 35 Sprague Dawley rats for a histological study. DESIGN Mixed Carisolv or 0.5 % NaOCl were soaked in paper and applied to either side of the medial frenula of the lower lip of 34 persons. The solutions were left on the oral mucosa for three minutes. Inspection was made and photographs were taken immediately after exposure and also after 1 hour, 24 hours, and 72 hours. Mixed Carisolv was applied in a similar manner as described above to 35 adult Sprague Dawley rats. The animals were killed and biopsies were taken immediately after Carisolv exposure and also after 1 hour, 24 hours, and 48 hours. The biopsies were sectioned and prepared for histomorphometrical evaluation in light microscopy where cells were counted on regions from the epithelium layer deeper into the mucous membrane. RESULTS Some adverse reactions were detected on the oral mucosa of humans up to 24 hours after Carisolv exposure for 3 minutes. The detected inflammatory reactions were slight and no patient felt any discomfort. The results of the histological study on rat did not show any statistically significant increase of the number of cells at any time after Carisolv exposure. CONCLUSIONS If the oral mucosa gets in direct contact with Carisolv for 3 minutes no or only a weak inflammatory response may be expected.
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Affiliation(s)
- A Arvidsson
- Department of Biomaterials/Handicap Research, Institute of Surgical Sciences, Göteborg University, Sweden.
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Huang L, Shanker YG, Dubauskaite J, Zheng JZ, Yan W, Rosenzweig S, Spielman AI, Max M, Margolskee RF. Ggamma13 colocalizes with gustducin in taste receptor cells and mediates IP3 responses to bitter denatonium. Nat Neurosci 1999; 2:1055-62. [PMID: 10570481 DOI: 10.1038/15981] [Citation(s) in RCA: 246] [Impact Index Per Article: 9.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Abstract
Gustducin is a transducin-like G protein selectively expressed in taste receptor cells. The alpha subunit of gustducin (alpha-gustducin) is critical for transduction of responses to bitter or sweet compounds. We identified a G-protein gamma subunit (Ggamma13) that colocalized with alpha-gustducin in taste receptor cells. Of 19 alpha-gustducin/Ggamma13-positive taste receptor cells profiled, all expressed the G protein beta3 subunit (Gbeta3); approximately 80% also expressed Gbeta1. Gustducin heterotrimers (alpha-gustducin/Gbeta1/Ggamma13) were activated by taste cell membranes plus bitter denatonium. Antibodies against Ggamma13 blocked the denatonium-induced increase of inositol trisphosphate (IP3) in taste tissue. We conclude that gustducin heterotrimers transduce responses to bitter and sweet compounds via alpha-gustducin's regulation of phosphodiesterase (PDE) and Gbetagamma's activation of phospholipase C (PLC).
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Affiliation(s)
- L Huang
- Howard Hughes Medical Institute, Mount Sinai School of Medicine of New York University, Box 1677, One Gustave L. Levy Place, New York, New York 10029, USA
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Strassburg M. [Oral manifestations of systemic diseases from the dentist's point of view]. Dtsch Zahnarztl Z 1977; 32:648-57. [PMID: 269061] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/14/2022]
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Abstract
A case of lingual ectopia of the thyroid gland in an adult patient is presented. The management by total excision and autotransplantation of the thyroid is described with a brief review of literature.
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Dougrty HL. Intraoral soft tissue problems in orthodontic practice. J Am Dent Assoc 1971; 82:841-51. [PMID: 5278784 DOI: 10.14219/jada.archive.1971.0160] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/14/2023]
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González Vono B, De Freitas MI. [Is there a relationship between diastema and frenum?]. Fauchard 1970; 1:422-4. [PMID: 5281933] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/14/2023]
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Mathis H. [Ankyloglossum inferius]. Osterr Z Stomatol 1966; 63:442-4. [PMID: 5234239] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/14/2023]
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Bhaskar SN, Jacoway JR. Pyogenic granuloma--clinical features, incidence, histology, and result of treatment: report of 242 cases. J Oral Surg 1966; 24:391-8. [PMID: 5220911] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/14/2023]
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