Reproducing former esthetic qualities in new dentures.
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Biomedical subjects
Publications and source records attributed to A P Stephens.
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A survey was sent to every dental school in the contiguous United States and Puerto Rico to solicit answers to 15 questions concerning various aspects of the prosthodontic education of the dental student. It was found that student clinical experiences differed significantly among the regions in terms of the total number of prosthodontic patients treated per student. Fees also differed significantly among the regions. No comment was made on the possible effects of denturism on either the type of patient or the number of removable prosthodontic patients available for treatment by dental students. Concerning the difficulty in securing the various types of patients, all categories were mentioned as being somewhat in short supply, although the greatest shortage was complete denture patients. There was no universally recognized solution to the shortage of patients, although lowering of fees and substitution of requirements were mentioned most frequently. Pertaining to the presence or absence of a strict requirement system, the vast majority of schools reported use of at least some type of requirement system, though not necessarily a strict one.
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This study tried to determine whether a relationship exists between the degree of alveolar resorption of the edentulous mandible and the degree of osteoporosis, as expressed by the metacarpal index. Eighty patients were examined. Each had a radiograph of the left hand to show the second metacarpal, and a standard pan-oral radiograph. A morphological measurement of the metacarpal bone, which is a good indication of the mineral content of the skeleton, was made on each hand radiograph. Alveolar resorption was estimated on the pan-oral radiograph by taking the original height of the alveolar process as being three times the distance from the inferior border of the madible to the inferior edge of the mental foramen. The regression analysis revealed no relationship between osteoporosis, as measured by the metacarpal index, and the amount of alveolar bone resorption.
A study was made of current educational methods and prosthetic technology used in the accredited dental technology education programs in the United States. Some of the results have been compared with the findings of a similar study in Britain and several differences have been noted. The results of this study and of the British one refer to accredited educational programs and do not necessarily reflect the procedures used in dental practice or in commercial dental laboratories.
This survey has documented the current role of dental technicians in dental schools in the United States. This role is still rather minor, but it is significant. Some suggestions for improving the situation have been made. A further survey of this kind should be made again in 3-5 years, at which time a comparison with this survey may reveal a developing pattern and some better clues to the future.
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