[25 years of district dental clinic in Schwerin].
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Biomedical subjects
Publications and source records attributed to G Knak.
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A high level of qualification is the most important factor for the increase of common labour capacity. The pregraduate and graduate education of the dentist in GDR is regulated according to present and future need. Actually the accent must be put on postgraduate teaching of dentists.
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Regarding ergonomic principles of work the new dental unit "Ergostar 90 S" was tested during a period of four weeks to estimate its efficiency. In all technical aspects it fulfills international standards. Recommendations for improvement of some ergonomic details are given.
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With regard to the planning of treatment capacities in prosthetic dentistry the authors try to find a practicable classification for partially dentulous arches. They make explanations on the classifications, which are known yet. The combination of the EICHNER and KENNEDY classifications as well as an own modification of the KENNEDY system seem to be the best methods for morbidity analysis in this moment.
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The difficulties encountered in the prosthetic treatment of cleft patients depend on the kind and the extent of the malformation. Modern oral surgical and orthodontic techniques offer better prerequisites than former methods. All must be done to preserve the endangered teeth as long as possible. The insertion of bridge prostheses is indicated if the defects are corrected by surgical procedures and if there is no marked pseudoprognathism.
In cleft patients it is especially recommendable to combine the cast partial prosthesis with the direct blocking of the teeth. Direct blocking by crown blocks, bridge prostheses, connecting bars and telescopes should include, as far as possible, all teeth. Apart from indirect blocking, the one piececast prosthesis permits to keep free the periodontium to the greatest possible extent and to protrude the teeth in the anterior region.
Whereas the prosthetic treatment of an edentulous cleft patient with timely closure of the cleft promises to yield good results, the rehabilitation of an edentulous cleft patient with open cleft makes special demands on the prosthetist. Separate impressions for the denture and the obturator have proved a success at the Rostock University Clinic. On the basis of personal experience and results from re-examinations, the authors emphasize the value of regular ambulatory supervision.
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