Faculty of Health Sciences

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How to set about a research project
(1986) Cleaton-Jones, P.
Cemento-enamel junction variability within the mouth
(1988) Grossman, E. S.; Hargreaves, J. A.
Writing a research report, dissertation or thesis
(1986) Cleaton-Jones, P.
Seal development and composition at amalgam-ceramic interfaces after NaCl and Na2S storage
(1987) Jodaikin, A.; Grossman, E. S.; Witcomb, M. J.
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 pattern
Marginal adaptation in composite resin restored dentine cavities Showing gross marginal leakage
(1986) Grossman, E. S.; Sparrius, O.
The aim of bonding composite resin restorations to the tooth is to ensure retention and also to prevent marginal leakage at the tooth restoration interface, a process which can lead to further caries. An in vitro marginal leakage study' of composite resins in combination wTEh acid' etching and dentine and enamel bonding agents highlighted the lower sealing potential of both enamel and dentine bonding agents to dentine (36%>seal) compared to enamel (79%>seal). Several studies 2-4 suggest that if the inner surface of the resin restoration appears as a well replicated negative impression of the adjacent tooth surface, bonding has been achieved. This study was undertaken to examine the appearance of the inner surface of resin restorations which showed gross marginal leakage in restored dentine cavities to determine the degree of marginal adaptation between the restoration and cavity surface.
Analyses of marginal seals in aged amalgam restorations using extraction replicas
(1984) Grossman, E. S.; Witcomb, M. J.; Jodaikin, A
Since dental amalgam does not bond chemically to tooth structure, a microcrevice is present at the amalgam/tooth interface of a freshly placed restoration. This gap is of sufficient width to allow fluids and microorganisms to pass along the cavity walls and thereby facilitating the recurrence of dental caries, which accounts for the majority of amalgam restoration replacements.
Seal development and composition at amalgam-ceramic interfaces after NaC1 and Na2S storage
(1987) Jodaikin, A; Grossman, ES; Witcomb, MJ
Chlorine and sulphur -.have been found in the marginal seal of some tooth-amalgam interfaces . Although the role of Cl in the sealing process is relatively well established the role of S remains more obscure. The purpose of the present study was to compare the sealing properties and elemental composition of the seal formed at the interface of amalgams placed in ceramic cavities and stored in either a 10% NaCl or 10% Na2S aqueous solution. This investigation undertaken in a simple controlled environment, devoid of complex oral influences, would clarify the role that these two elements play in the sealing process at amalgam-tooth interfaces within the mouth.
The effect of enamel etchants and a cleaning agent on cut dentine: an in vitro study
(1985) Sparrius, O.; Grossman, E. S.
Cavities 1,25 x 2,00mm were prepared in the cervical dentine of extracted human premolar teeth using a no. 577 tungsten carbide bur. The cavity depth was standardised at 1mm with the aid of a depth gauge fitted to the high speed airturbine. The cavities were hemisected with a low speed, water cooled, diamond disc saw, then cleaned with water and air. Thereafter the following solutions were applied to six cavities each as per manufacturers' instructions: Anhydron; Chemfill (Citric Acid); Enamelbond etchant and Scotchbond etchant gel. Once the cavities had been cleaned and dried, the specimens were prepared for scanning electron microscopy (SEM) and viewed at magnifications of x35, x200 and x2000. Cavity walls and floors were viewed separately and representative areas photographed. Similarly prepared unetched cavities served as a control.
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.

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