Biomedical subjects
Publications and source records attributed to J E House.
Because of the vast numbers of potential symptoms and causes, a systematic method is needed to assess patient complaints about fit, esthetics, and feel of complete dentures, permitting the dentist to establish planned corrective procedures. One system is the SOAP method of problem-oriented record notations that defines a systematic way of dealing clinically with patient problems.
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The periodontal disease variables manifested in the individuals with partial dentures were more severe, which suggests that the contribution of denture status is significant. Age, while related to increased bone loss, did not appear to be of significance. Common sense suggests that poor oral hygiene in persons wearing removable partial dentures also is a contributing factor.
In this study, which is the first of its kind, it has been shown that overdenture patients, when compared to complete denture patients, while chewing a test food for a constant number of strokes, expended an equivalent amount of muscle effort, chewed more slowly and efficiently, and evidenced significantly better masticatory performance by producing an increased volume of fine test food particles. These findings provide a sound justification for the extra effort required to retain some natural teeth to provide overdenture services to patients. The fact that patients can masticate food more efficiently with overdentures than with complete dentures justifies the increased cost and time involved in their construction. The longitudinal effects that overdentures have on the basic physiopathologic processed involved in the progression of ridge resorption and the advantages of maintaining periodontal proprioception also should be studied.
Since the personal physician is likely to see the elderly patient far more often than the dentist does, he may be the first to spot signs of ill-fitting dentures, poor chewing ability, drug effects on the mouth, leukoplakia, and other oral problems described here.
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Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.