THE JOURNAL OF THE STOMATOLOGICAL SOCIETY,JAPAN

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This study revealed that the tendencies towards depression, neurosis, and psychosomatic disorders have effects on oral symptoms. The total number of subjects was 102. The subjects were divided into two groups using the SDS (Self-rating Depression Scale) : a control group of 66 subjects with an SDS value of less than 40, and a group of 36 subjects having depression tendencies with an SDS value of over 50. Most of the subjects in the depression tendency group showed symptoms of neurosis and psychosomatic disorders as well. The two groups were compared on the basis of their psychological characteristics, dosages of medicine taken, esthesis of mouth dryness, glossalgia, salivary flow rate, oral wettability, existence of dental cavities, and condition of the oral mucosa.
No xerostomia at the mucobuccal fold was observed in the depression tendency group. However, there was an evident decrease of the resting salivary flow rate and the wettability of proglossis. It is considered that such a decrease resulted in an increase in the symptoms derived from xerostomia or esthesis of mouth dryness. The number of conservable but untreated dental cavities in the depression tendency group was larger than that in the control group with a significant difference, suggesting that both oral self-care and dental care management tended to be inadequate in the depression tendency group.

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In 1995, the author reported the development of unique cementless total hip joints applying hydroxyapatite (HA) flame coating onto a porous titanium surface which is arc-sprayed with pure titanium material in argon gas at atmospheric pressure. The surface roughness of the porous layer was 360 μm Rmax, and the layer was more resistant to blast erosion than the conventional low pressure plasma-sprayed porous layers.
The thickness of the HA layer was between 20 and 40 microns considering the balance of bone conduction effect of HA and the risk of mechanical detachment of the layers from the porous titanium. Short-term animal tests showed excellent results. At that time a specific question was raised as to whether or not the coated HA layers would remain in the living bone for a long time.
The results obtained from observation of retrieved specimens show that the thickness of the HA coating layer is sufficient for new bone formation after implantation, and HA would be absorbed in the body within a few years, after contributing to the new bone formation.

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