Reviews and abstracts 107

increase in four of five survey areas. Both CHC and Medicaid programs made important
contributions to increased dental care. Among persons who saw a dentist during the year
in these areas, 25 percent reported CHC as their usual source of dental care and 46 percent
reported that their dental care costs in the year were borne by Medicaid. In spite of recent
increases, however, the average annual dental visit rate was only 1 percent in the five
areas, compared to 1.6 percent nationally, which is 60 percent higher. Much of the
increased dental care was limited to taking care of existing dental problems while preven-
tive dental care was neglected.
The continued gaps in dental use rates between national and low-income areas show
that the provision of increased financial and dental resources increased utilization only to a
limited extent in the low-income areas and was limited to taking care of existing dental
problems while neglecting preventive dental care. Unless more preventive dental care is
practiced, dental care in low-income areas will remain far below the national average.
J. A. Salzmann

Progeniebehandlung mit Gebiiformen (Treatment of Prognathism With

Removable Appliances)
H. P. Bimler
Fortschr. Kieferorthop. 40: 422-484

Class III malocclusions can develop from anterior cross-bites in the deciduous or early
mixed dentition into gross anomalies in the permanent dentition. The final clinical picture
depends primarily on discrepancies in the facial skeletal structure. They can be attributed
either to malrelations of normally developed facial components of heterogenic origin or to
systemic growth disturbances, such as microrhinic, microtic, or leptoid dysplasia. The
so-called true Class III cases can be anatomically defined as leptoid or pandysplastic. In
Germany two thirds of all anterior cross-bites belong to the skeletal and dental Class I and
the rest to Class III, including those cases with cleft palates or other severe facial syn-
dromes. The Class I group can receive early interceptive treatment, but those in the Class
III group, especially the cases which develop an open anterior bite, have the poorest
prognosis. Others can be guided into an acceptable compromise result by long years of
treatment and retention. The functional appliances of the C type (Bimler) have proved to
be an effective and economic approach to interceptive Class III treatment and retention.
J. A. Salzmann

Atypical Odontalgia: A Report of Twenty Cases

Ralph I. Brooke
Oral Surg. 49: 196-199, March, 1980

Pain in normal teeth may be induced by very cold food, such as ice cream, which can
cause pain in the lower incisors. Cold air encountered upon leaving a warm building may
cause dental pain in some persons. Sensitive dentin or sensitive cementum may be the
cause of pain brought on by touching or brushing the teeth. The findings in twenty-two
cases of a condition that causes pain in the teeth and gingivae are presented. Two cases are