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Browsing by Author "Jones, James E. (James Earl), 1950-"
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Item Analysis of orthodontic treatment by pediatric dentists and general practitioners in Indiana(1986) Koroluk, Lorne D.; Avery, David R.; Hennon, David Kent, 1933-; Jones, James E. (James Earl), 1950-; Barton, Paul; Kasle, Myron J.Orthodontic treatment being provided by pediatric dentists and general practitioners in Indiana was investigated. A two page questionnaire constructed by the investigator was used to gather the data. The study sample consisted of 571 dentists. All 71 Indiana pediatric dentists primarily in private practice were surveyed. General practitioners (500) were chosen on the basis of age, year of graduation from dental school, geographic location and size of community in which they practiced. Seventy-eight percent of the questionnaires were returned; of this total, 93 percent of the pediatric dentists and 77 percent of the general practitioners responded. The study showed that currently in Indiana 62 percent of the pediatric dentists and 17.9 percent of the general practitioners surveyed provided comprehensive orthodontic treatment. These results are much higher than results of previous surveys of pediatric dentists and general practitioners. The study also found that pediatric dentists provide significantly more comprehensive orthodontic treatment and spend significantly more time providing orthodontic treatment than do general practitioners. Age of practitioner was found not to significantly affect the percentage of time spent providing orthodontic treatment, the orthodontic conditions treated or the type of appliances and techniques used. Population of the community in which the practice was located did have a significant effect. Practitioners in communities of over 100,000 provided significantly less comprehensive orthodontic treatment. Practitioners who practiced in communities of 5,000-25,000 spent significantly more time providing orthodontic services. Sixty-three percent of the practitioners surveyed had taken some type of continuing education course in orthodontics. An overwhelming majority of practitioners (over 90 percent) stated that their undergraduate orthodontic training in dental school inadequately prepared them for private practice. The majority of pediatric dentists (78 percent) also stated that their postgraduate education instruction in orthodontics was inadequate.Item Computer-assisted analysis of dental crowding and its relationship to tooth size, arch dimension, and arch form in the mixed dentition, utilizing the Apple II personal computer(1987) Kamp, Anthony A.; Avery, David R.; Shanks, James C.; Hennon, David Kent, 1933-; Barton, Paul; Jones, James E. (James Earl), 1950-The programs developed in this study are examples of how a personal computer can aid the delivery of dental care. The versatility of the computer depends on the availability of a variety of programs specifically developed for dentistry, without which computers will have little impact on treatment. Moyers' analysis adapted for the Apple II and its research modification are computer programs developed specifically for dentistry. Accurately predicting the mesiodistal widths of the unerupted permanent canines and premolars in the mixed dentition can lead to orthodontic treatment that is optimally timed, with desirable facial and dental results. The stage of the mixed dentition constitutes the most intricate period in the development of the occlusion; any small anomaly occurring in this stage can pose complicated problems for the permanent dentition, requiring a more extensive and expensive mechanotherapy. Malocclusion is a developmental problem. Analysis of dental crowding and its relationship to tooth size and arch dimensions yielded the following results for the maxillary and mandibular arches: 1. Statistically different values for tooth size were noted between crowded and noncrowded groups, with crowded individuals having larger teeth. 2. Arch perimeter and arch depth were significantly smaller in crowded groups than noncrowded groups. 3. No significant differences were noted between crowded and noncrowded groups in arch width or symmetry. 4. Significant differences were demonstrated in the eccentricity value of an ellipse for crowded and noncrowded cases. This study suggests that dental crowding is associated with both small dental arches and large teeth. Therefore, greater consideration may be given to those treatment techniques which increase dental arch width, length, and perimeter. This is especially relevant in younger patients whose dentitions are in the deciduous and mixed stages of development. Further investigation into the relationship of dental crowding and arch shape with a larger sample might be productive. The eccentricity of a curve should be used to evaluate pre and post orthodontic treatment. Modifications to the basic computer program could include prediction values for Black Americans, cephalometric value interpretation, and the Bolton and Ponts analysis as a comprehensive diagnostic computer package.Item Effectiveness of the palatal orthopedic appliance in treatment of the unilateral cleft lip and palate patient(1988) Robbins, Gregory A.; Avery, David R.; Jones, James E. (James Earl), 1950-; Bryson, Carolyn; Johnson, Bruce E.Obturator therapy has been proposed for many years as an aid in maxillary orthopedics for the complete unilateral cleft lip and palate infant. The obturator appliance had the added benefit of providing a false palate against which the infant can suckle. This has aided in the feeding of these infants to assure adequate nutrition with the least effort for parent and child. The current study assessed three aspects of obturator therapy at James Whitcomb Riley Hospital for Children, Indianapolis, Indiana. Parental evaluations of the obturator proved to be very positive. Almost all parents (96%) rated it as beneficial and would recommend its use to other parents with cleft lip and palate infants. Weight gain analysis over the first nine months of life demonstrated that these infants were only slightly below the average for birth weight. At three and nine months of age, a number (69% and 56% respectively) had maintained their original weight percentile rankings or had just dropped into the next lower category. Thus, many of the infants were able to achieve adequate nutrition, a problem noted by many authors when obturator therapy was not used. It should be emphasized that each infant underwent either one or two major surgical procedures during this time period. Arch symmetry assessments at one, four and ten months showed a gradual reduction in lateral posterior crossbite, canine crossbite, and anterior crossbite tendency. Although the arches still showed some collapse at the end of ten months of age, the pattern was much better than at initial presentation with values much closer to normal. Improvements in arch symmetry was expected as the maxilla grew. From the results of this study, obturator therapy appears to be beneficial in maxillary orthopedics by helping to maintain adequate weight gain and gain parental acceptance.Item Informed consent: A comparative study of attitudes among pediatric dentists and trial attorneys in Indiana(1988) Buccino, Michael A.; Avery, David R.; Karlson, Henry C.; Jones, James E. (James Earl), 1950-; Johnson, Bruce E.; Gillman, Jeffrey B.; Vash, Bruce W.Malpractice litigation is on the increase and a lack of informed consent is more frequently becoming primary and secondary causes of action. A study was designed to compare and analyze the viewpoints of Indiana pediatric dentists and trial attorneys concerning the doctrine of informed consent. The ultimate goal was to share the information with both groups and raise the level of awareness of the doctrine among pediatric dentists. A three-page questionnaire dealing with the doctrine of informed consent was mailed to 85 pediatric dentists and 350 trial attorneys practicing in Indiana. The response rate for pediatric dentists was 70.6 percent and the response rate for trial attorneys was 61.4 percent. Overall, most pediatric dentists and trial attorneys were moderately familiar with the doctrine of informed consent. However, trial attorneys do not feel that pediatric dentists conform to the doctrine, while pediatric dentists perceive that they do conform. Pediatric dentists and trial attorneys recommend that informed consent be obtained orally and then documented on an informed consent form. Both professional groups agree that obtaining informed consent is necessary in the practice of pediatric dentistry. Unfortunately, pediatric dentists and trial attorneys do not f eel that predoctoral dental school education or specialty training prepares the pediatric dentist to obtain an informed consent. Not surprisingly, both groups feel that pediatric dentists are more concerned with obtaining informed consent today than they were in the past. Most pediatric dentists are obtaining informed consent in less than five minutes. However, pediatric dentists feel that the time spent obtaining informed consent has either remained the same (55.9 percent) or increased (44.1 percent); trial attorneys feel that this trend has increased (81.5 percent). Overall, pediatric dentists and trial attorneys disagree on whether parental consent is required for specific patient types. Moreover, the two groups agree on the type of consent necessary. For 20 dental procedures (54 percent) and disagree on 17 dental procedures (46 percent). Finally, most trial attorneys and pediatric dentists feel that conforming to the doctrine of informed consent reduces or eliminates future malpractice litigation.Item The relationship between visual motor integration and oral hygiene in children(1984) Preisch, James William; Jones, James E. (James Earl), 1950-; Smith, Ernest; Englander, Meryl E.; Barton, Paul; Klein, Arthur Irving, 1922-2004This investigation examined the relationship between oral hygiene scores and visual motor integration scores (developmental age) in five- to eleven-year-old children. A total of 128 subjects were given the Beery test of visual motor integration to determine their developmental age. A pre- and post-brushing plaque score was obtained as a measure of each subject's oral hygiene ability. Statistical analysis of the data revealed that chronological age was not a statistically significant predictor of oral hygiene ability, while developmental age as determined by the Beery test was found to be a statistically significant predictor of oral hygiene ability (p < .006).