Dominik Hofer

The effect of periodontal therapy on the survival rate and incidence of complications of multirooted teeth with furcation involvement after an observation period of at least 5 years: a systematic review

OBJECTIVE To systematically review the survival rate and incidence of complications of furcation-involved multirooted teeth following periodontal therapy after at least 5 years. MATERIAL AND METHODS Electronic and manual searches were performed up to and including January 2008. Publication selection, data extraction and validity assessment were performed independently by three reviewers. RESULTS Twenty-two publications met the inclusion criteria. Because of the heterogeneity of the data, a meta-analysis could not be performed. The survival rate of molars treated non-surgically was >90% after 5-9 years. The corresponding values for the different surgical procedures were: Surgical therapy: 43.1% to 96%, observation period: 5-53 years. Tunnelling procedures: 42.9% to 92.9%, observation period: 5-8 years. Surgical resective procedures including amputation(s) and hemisections: 62% to 100%, observation period: 5-13 years. Guided tissue regeneration (GTR): 83.3% to 100%, observation period: 5-12 years. The most frequent complications included caries in the furcation area after tunnelling procedures and root fractures after root-resective procedures. CONCLUSIONS Good long-term survival rates (up to 100%) of multirooted teeth with furcation involvement were obtained following various therapeutic approaches. Initial furcation involvement (Degree I) could be successfully managed by non-surgical mechanical debridement. Vertical root fractures and endodontic failures were the most frequent complications observed following resective procedures.

Causes and consequences of past and projected Scandinavian summer temperatures, 500-2100 AD.

Tree rings dominate millennium-long temperature reconstructions and many records originate from Scandinavia, an area for which the relative roles of external forcing and internal variation on climatic changes are, however, not yet fully understood. Here we compile 1,179 series of maximum latewood density measurements from 25 conifer sites in northern Scandinavia, establish a suite of 36 subset chronologies, and analyse their climate signal. A new reconstruction for the 1483–2006 period correlates at 0.80 with June–August temperatures back to 1860. Summer cooling during the early 17th century and peak warming in the 1930s translate into a decadal amplitude of 2.9°C, which agrees with existing Scandinavian tree-ring proxies. Climate model simulations reveal similar amounts of mid to low frequency variability, suggesting that internal ocean-atmosphere feedbacks likely influenced Scandinavian temperatures more than external forcing. Projected 21st century warming under the SRES A2 scenario would, however, exceed the reconstructed temperature envelope of the past 1,500 years.

Simulated winter circulation types in the North Atlantic and European region for preindustrial and glacial conditions

[1] Winter circulation types under preindustrial and glacial conditions are investigated and used to quantify their impact on precipitation. The analysis is based on daily mean sea level pressure fields of a highly resolved atmospheric general circulation model and focuses on the North Atlantic and European region. We find that glacial circulation types are dominated by patterns with an east-west pressure gradient, which clearly differs from the predominantly zonal patterns for the recent past. This is also evident in the frequency of occurrence of circulation types when projecting preindustrial circulation types onto the glacial simulations. The elevation of the Laurentide ice sheet is identified as a major cause for these differences. In areas of strong precipitation signals in glacial times, the changes in the frequencies of occurrence of the circulation types explain up to 60% of the total difference between preindustrial and glacial simulations.

The freshwater balance of polar regions in transient simulations from 1500 to 2100 AD using a comprehensive coupled climate model

The ocean and sea ice in both polar regions are important reservoirs of freshwater within the climate system. While the response of these reservoirs to future climate change has been studied intensively, the sensitivity of the polar freshwater balance to natural forcing variations during preindustrial times has received less attention. Using an ensemble of transient simulations from 1500 to 2100 AD we put present-day and future states of the polar freshwater balance in the context of low frequency variability of the past five centuries. This is done by focusing on different multi-decadal periods of characteristic external forcing. In the Arctic, freshwater is shifted from the ocean to sea ice during the Maunder Minimum while the total amount of freshwater within the Arctic domain remains unchanged. In contrast, the subsequent Dalton Minimum does not leave an imprint on the slow-reacting reservoirs of the ocean and sea ice, but triggers a drop in the import of freshwater through the atmosphere. During the twentieth and twenty-first century the build-up of freshwater in the Arctic Ocean leads to a strengthening of the liquid export. The Arctic freshwater balance is shifted towards being a large source of freshwater to the North Atlantic ocean. The Antarctic freshwater cycle, on the other hand, appears to be insensitive to preindustrial variations in external forcing. In line with the rising temperature during the industrial era the freshwater budget becomes increasingly unbalanced and strengthens the high latitude’s Southern Ocean as a source of liquid freshwater to lower latitude oceans.