Dental implants in the predoctoral curriculum.
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Biomedical subjects
Publications and source records attributed to H M Landesman.
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The iatrosedative interview is an effective method of helping patients who are unable to adapt to dentures because of fear, anxiety, and depression. It creates an indispensable trusting relationship in the process of determining the factors responsible for the maladaptiveness and offers a solution to the problem.
The classification system of maladaptability presented in a previous paper was reviewed in the present one. Three major sources that significantly influence patient responses to tooth loss and subsequent dentures were discussed. They are parental influences, the symbolic significances of teeth, and current life circumstances. Each of the maladaptive categories is represented by these histories.
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Prosthodontics does not overlap with other specialties but is integrated with them. This essential difference between "overlap" and "integration" should be made abundantly clear. No one denies that most of the population's dental needs must be served by the general practitioner, and no specialist can be completely capable within even his or her own specialty. Nevertheless, the prosthodontist, as all specialists, must assume the role of treating patients who require unusual care. It is the prosthodontist who most frequently assumes the primary role in the management of patients who require complex, demanding restorative care, and it is the prosthodontist who has the most intimate understanding of the proper diagnosis, treatment planning, integration of therapy, patient management, and aftercare for these patients.
Loss and body image can result in anxiety, depression, or both and can affect a patient's adaptive capacity to accept edentulism and complete dentures. A specific classification system has been presented to identify responses by individuals who are made edentulous. Three types of maladaptive responses are considered as probable consequences of fear, anxiety, and depression associated with tooth loss and complete dentures. In maladaptive class 1, the patient adapts physically but is maladaptive psychologically; thus suffering some impairment of the quality of life. In maladaptive class 2, the so-called "difficult patient" is maladaptive physically and psychologically and keeps the doctor involved technically and emotionally for a protracted period of time. The maladaptive class 3 patient collapses with the loss of teeth. Physical and emotional maladaptibility is accompanied by much suffering and social withdrawal.
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The need and value to predict how dentists learn about new information after they graduate from dental school is important to educators. The results of a simple questionnaire designed to determine how dentists became aware of and later learned about the RBP has been presented. The authors believe that CDE should play a vital role in providing dentists with the awareness and knowledge of new dental technology.
The results of this study indicated that some new patterns are emerging in computer usage by dentists. The majority in this study reported utilizing micro- and minicomputers rather than commercial services. The increasing acceptance of personal computers and their decreasing costs will certainly contribute to increased utilization and the development of additional applications.
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The need and value to predict success and failure in treatment of denture patients are great. The psychological and emotional factors involved are just as important as if not more important than the oral and systemic findings. The value of a simple questionnaire for the edentulous and immediate denture patients has been presented. The authors believe that all schools should present advanced information on the psychological aspects of dental care.
Thirty-six patients were examined by two prosthodontistis after a mandibular vestibuloplasty with skin grafting to determine whether there was a significant improvement in these patients ability to tolerate their dentures. Previous published reports have been made only by oral surgeons. The results indicate that this procedure is a reliable treatment modality for patients who complain of looseness, poor masticatory function, and pain.
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