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Biomedical subjects

I M Finger

Publications and source records attributed to I M Finger.

At least 19 recordsLinked to original sources

Using two surgical protocols to restore the edentulous patient with implant-supported overdentures.

Long-term success rates are reported for dental implant systems using both the two-stage and one-stage surgical protocols. Although the one-stage offers several advantages, prudent diagnosis is a key factor for selecting the appropriate surgical protocol. This article will review the relevant literature for both protocols and will illustrate their use in patient treatment.

Dental Implantation, Endosseous↗

Management of temporomandibular disorders in a restorative practice.

Various disorders related to the masticatory muscles or to the temporomandibular joints may be encountered in a restorative dental practice. Most of them can be managed by the restorative dentist whose primary interest may not lie in the area of temporomandibular disorders. The term temporomandibular disorders is used in this discussion to denote the group of diseases of the masticatory system that involves primarily the temporomandibular joints, the masticatory muscles, and the occlusion of the teeth. The learning objective of this article is to describe temporomandibular disorders encountered in general practice. Managing these disorders in the general practice of restorative dentistry is not difficult and adds to the comfort of the patient and possibly to the success of the restorations.

Diagnosis, Differential↗

Spark erosion implant-supported overdentures: clinical and laboratory techniques.

Overdentures can be utilized effectively in treatment plans involving implants. Usually soft tissue support is necessary, which requires a conventional denture base. Implant-supported overdentures do not require conventional denture base extension unless necessitated by functional or esthetic considerations. With fixed-detachable hybrid dentures, flanges can often interfere with home care procedures. Spark erosion overdentures meet the requirements for esthetics, phonetics, retention, and support and also allow accessibility for proper patient oral hygiene. This article reviews the advantages and disadvantages of the spark erosion overdenture and provides guidelines for the fabrication of this type of prosthesis.

Dental Implants↗

Tissue-supported implant overdentures.

Overdenture techniques can be modified for use with implants. Generally the implants, which replace the tooth roots, can be placed in a position to permit optimum retention and stability as well as enhancing esthetics. Bony undercuts, which at times are present with the retention of tooth roots, are not a problem when using implants. Various retentive schemes are available to retain the prosthesis and can be matched to the individual needs of patients in regard to retention, stability, and the ability to insert and remove prostheses. Two implants can adequately support an overdenture. The superstructure must be designed to enable the patient to maintain a healthy oral environment. The patient must understand and be able to perform required oral hygiene procedures. The use of overdentures over implants affords the dentist another option in meeting the needs of the patients.

Dental Clasps↗

Hydroxyapatite-coated implants in maxillofacial prosthetics.

The use of implants provides a secure, comfortable, and emotionally satisfactory attachment of the patient to the prosthesis. It is anticipated that patients who are willing to undergo placement of implants would have a greater commitment to continued use of their prostheses. Clearly, there is a greater affinity between a patient and his or her prosthesis when the attachment is an intimate one. The use of implants, then, could reverse functional deficiencies and raise the quality of the patient's post-disease life.

Denture Design↗

Impression making, sculpting, and coloring of orbital prostheses.

The replacement of any anatomic structure by artificial means remains a challenge. This is particularly true in the facial area. The replacement must be one which blends with the adjacent tissues as well as replaces the missing structures. Careful planning and meticulous attention to detail in fabrication of a prosthesis can enable the maxillofacial prosthodontist to make a major contribution in the rehabilitation of the patient with an orbital defect.

Eye, Artificial↗

The Integral Implant System: prosthetic considerations.

Patients who are totally edentulous and who have been doomed to discomfort, pain, and dysfunction because of the inability to use complete dentures have been rehabilitated using various implant systems. Implants should only be considered after exhaustive medical history taking and diagnostic wax-ups. A variety of prosthetic techniques can be employed to restore various forms of edentulism. The Integral Implant System has proven to be a highly successful foundation to restore the patient to optimum function.

Dental Implantation, Endosseous↗

Use of the integral implant for overdenture stabilization.

This paper describes the surgical and restorative use of the Integral endosseous implant for overdenture stabilization with different types of retentive attachments. The clinical experiences of 90 overdenture patients with follow-up to 56 months postrestoration are discussed. With proper patient work-up, failure and morbidity has remained low.

Alveolar Ridge Augmentation↗

Dental implants: a survey of patients' attitudes.

This study measured the psychologic attitudes of patients to implant prostheses and compared their status before and after therapy. Questionnaires were mailed to 95 patients with implants placed and restored at a university dental school. The implants had been in position for an average of 2.2 years. The patients had previously worn removable complete or partial dentures. Different questions addressed eating, speaking, relationships, employment, social life, esthetics, maintenance, and overall dental health. Sixty-one questionnaires were returned (64%). Satisfaction with the implant prosthesis was significantly greater than for the denture (p less than 0.0001). Responses to individual questions indicated that confidence was improved (88%), implants were worth the trouble (97%), the procedure would be worth repeating (89%), and overall dental health was improved (98%). This survey suggests that patients' attitudes toward their dental health improve significantly after treatment with implant prostheses.

Adult↗

Loaded hydroxylapatite-coated and grit-blasted titanium implants in dogs.

This study evaluated the response of canine mandibular bone to loaded hydroxylapatite-coated (HAC) and grit-blasted titanium (GT) endosseous dental implants. Four dogs were partially edentulated in the maxilla and mandible. Two implants supporting freestanding prostheses were placed in each quadrant. Following 1 and 10 months of loading, the implants were evaluated. Soft-tissue pocket depths were not statistically different between the HAC and GT implants. Crestal bone loss was not significantly different between the two implants. However, the HAC implants had a statistically significant greater amount of bone apposed to their axial and apical surfaces compared to the GT implants.

Alloys↗

Provisional restorations in maxillofacial prosthetics.

A variety of provisional prostheses for the maxillofacial prosthetic patient have been described. Each patient is different, and the prosthesis chosen will vary with the severity and type of defect acquired by that patient. Psychological, functional, and physiologic factors are prime in the immediate treatment of such patients.

Adult↗

Integral implant-prosthodontic considerations.

Components of the Integral implant system, prosthodontic methods, and uses for the implant system have been described. The system is most effective in the restoration of edentulous areas of the maxillary and mandibular arches.

Dental Abutments↗