School of Oral Health Sciences
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Item How to set about a research project(1986) Cleaton-Jones, P.Item Writing a research report, dissertation or thesis(1986) Cleaton-Jones, P.Item Social class and dental caries in 11-12-year-old South African schoolchildren(1989) Cleaton-Jones, P.; Hargreaves, J. A.; Williams, S. D. L.; et al.The objective of this study was to examine effects of social class on dental caries in five African populations. Definitions of social class that could be used for the different ethnic groups are outlined. A total of 1 154 children from rural black, urban black, urban Indian, urban coloured and urban white groups were clinically examined and classified into social class by parental occupations. Within group comparisons showed no statistically significant differences in DMFT or DMFS scores by social class. Comparison of the urban white children to a similar group in South Wales showed slightly lower caries in South African children of similar social class. The complexity of the different ethnic groups in South Africa, in respect of social classification, is difficult to assess for comparison with social systems in developed countries. It is recommended that an appropriate social classification be developed for South Africa ’s developed/developing population mixture. Also as we enter the 1990’s sound baseline caries data need to be collected for longitudinal evaluation of changes in the disease patternItem Depth and area of dental erosions, and dental caries, in bulimic women(Sage Pub, 1989) Jones, R. R. H.; Cleaton-Jones, P.Dental caries and the severity (depth) and area of erosions of tooth substance were studied in 11 bulimic subjects and 22 matched controls. Erosions were seen in 69% of the bulimics' teeth and in only 7% of the controls' (p less than 0.001). Depth of penetration was greater in the bulimics, extending even into the pulp, and the area of erosion was also larger. Scores for dental caries were higher in bulimics (mean DMFS 27.9, median 36) than in controls (mean DMFS 19.1, median 13.5), although the difference was not statistically significant. This study suggests that when erosions are present on the lingual surfaces of maxillary anterior teeth, as well as on the buccal surfaces of maxillary canines, premolars, and maxillary incisors, a diagnosis of bulimia is likely. Patients with these signs should be referred for medical help.Item Zinc oxide-eugenol and calcium hydroxide pulpectomies in baboon primary molars: histological responses(2004) Cleaton-Jones, P.; Duggal, M.; Parak, R.; et alAIM: To compare histological responses to zinc oxide-eugenol (ZOE) and calcium hydroxide (CH) pulpectomies in primary molar teeth with inflamed pulps. STUDY DESIGN:This was an experimental study in 17 juvenile baboons (Papio ursinus). METHODS: Pulpitis was induced with fresh human carious dentine or Streptococcus mutans placed into occlusal cavities in 78 primary molars; after 14 days a pulpectomy was performed on the same primary molars with the two root fillings randomly allocated. The root canal openings were then covered with IRM and the cavity filled with amalgam. After 90 days specimens were harvested and examined under the light microscope with the examiner blind to the treatment. RESULTS:Reaction frequencies in the ZOE-treated versus CH-treated teeth were: no recognisable pulp 89% and 82%, internal root resorption 0% and 1%, external root resorption 11% and 24%, presence of bacteria 5% and 18%, periapical abscesses 24% and 52%. STATISTICS:Fisher's exact probability test showed a statistically significant higher prevalence of periapical abscesses in the CH-treated group (P=0.03, relative risk 2.2). CONCLUSIONS: ZOE pulpectomy is preferred to CH for the treatment of infected pulps in primary molarsItem Ferric sulphate and formocresol pulpotomies in baboon primary molars: histological responses(2002) Cleaton-Jones, P.; Duggal, M.; Parak, R.; Et alAim: To compare pulpal reactions to ferric sulphate and formocresol pulpotomies in primary molar teeth with inflamed pulps. Study design: An experimental study in 15 juvenile baboons (Papio ursinus). Materials and methods: Pulpitis was induced with fresh human carious dentine or Streptococcus mutans placed into occlusal cavities in 57 primary molars; after 14 days a pulpotomy was performed on the same primary molars with the two pulp medicaments randomly allocated; the pulp was covered with IRM and the cavity filled with amalgam. After 90 days specimens were harvested and examined under the light microscope with the examiner blind to the treatment. Results: Reaction frequencies in the ferric sulphate-treated and formocresol-treated teeth were: recognisable pulp 52% and 50%, dentine bridges 16% and 12%, internal root resorption 12% and 4%, external resorption 28% and 31%, bacteria 12% and 23%, peri-apical abscesses 32% and 38%. Statistics: Fisher’s exact probability test showed no statistically significant differences between reaction frequencies in the two treatment groups. Conclusion: A pulpotomy in a primary tooth may be clinically successful in the presence of adverse histological reactions.Item Hard tissue barrier formation in pulpotomized monkey teeth capped with cyanoacrylate or calcium hydroxide for 10 and 60 minutes(1987) Cvek, M.; Granath, L.; Cleaton-Jones, P.; Et alMonkey incisor teeth were pulpotomized in groups of 10. After physiological hemostasis, the pulps of group I were covered with isobutyl cyanoacrylate, and those of groups II and III with calcium hydroxide for 10 and 60 minutes, respectively, whereafter this compound was washed away and the wound surfaces covered with Teflon. In group IV, calcium hydroxide was used as a positive control, and Teflon as a negative control in group V. The animals were killed after 12 weeks and the teeth removed in tissue blocks. The material was processed and evaluated histologically with respect to location and continuity of a hard tissue barrier, type of newly formed hard tissue, state of the pulp, and presence of stainable bacteria in the coronal cavity. Seven of nine teeth in group I showed a hard tissue barrier. The corresponding figure for group II was eight out of 10 teeth. All teeth in groups III and IV had a barrier. The incidence of a continuous barrier increased from group I through group IV, as did the incidence of its location below the level of the original wound surface. The condition of the pulp was related to the presence of bacteria and the continuity of the barrier to the presence of inflammation. There was no bridging in group V. The results support the theory that a low-grade irritation is responsible for the formation of a hard tissue barrier in exposed pulps.Item Temperature variations around periodontal pathological lesions(1987) Volchansky, A.; Cleaton-Jones, P.Item Social class, parents' education and dental caries in 3- to 5-year-old children(1990) Chosack, A.; Cleaton-Jones, P.; Matejka, J.; et alThe caries prevalence of 1273-, 4- and 5-y-old white children was determined with mirror and probe under natural light at mother and child clinics. The social class of the family, the educational level of the mother and that of the father were determined from a questionnaire filled in by the accompanying adult at the time of examination. Both social class and parent's education had a statistically significant influence on the caries prevalence: those in the lower social classes and with parents without tertiary education had a much higher prevalence of cariesItem Epidemiological profile of graduates of the Wits Dental Faculty 1927 - 1995(1996) Cleaton-Jones, P.; Volchansky, A.; Copland, L.The Wits dental school was first proposed in 1921 but had no premises until a private dental clinic was taken over in 1924 by the University, the same year that the Bachelor of Dental Surgery regulations were agreed to. In 1925 the first dental students registered and a year later, in 1926, the first seven lecturers in dental surgery were appointed. Since the first two graduates in 1927, 1916 dentists have graduated from the school as have 63 oral hygienists. Of the dentists 116 are female and 127 are black, Chinese, coloured or Indian. Regarding postgraduate qualifications, 346 have been awarded by the University on behalf of the dental school. This paper describes patterns in numbers of graduates, proportions registered in South Africa and contrasts registered South African dental school graduates with registered graduates from outside the country. It is clear that the Wits dental school has made a major contribution to South African society.