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Biomedical subjects

M Spirgi

Publications and source records attributed to M Spirgi.

At least 19 recordsLinked to original sources

[Comparative clinical study of 3 technics of functional analysis of occlusion].

The object of our research is to compare clinically and objectively three articulators: -- the Dentatus, semiadjustable articulator which employs dynamico-static records -- the T.M.J., fully adjustable articulator which employs dynamico-cinematic stereographic endobuccal records -- the Denar, fully adjustable articulator which employs dynamico-cinematic pantographic extrabuccal records. We expressly avoided repeating the mechanical and mathematical analysis of the possibilities and limitations of the articulator and copying the previous researches which always imply quasi-perfection in the behaviour of the patient, in the manipulations of the dental surgeon and in the physical qualities of the articulator and materials used. Our comparative research claims to respect all the variables which occur in the carrying out of an actual case and which are inherent in the patient, the dental surgeon, the articulator and the materials used. In carrying out our research we followed two essential conditions: -- We decided to follow, first of all, a strictly clinical plan using successively the three articulators in the analysis of the occlusal function (carried out twice) for each of the six patients and comparing the results obtained for each articulator and for each patient. -- We decided, next, that this comparative research should be strictly objective. To this end, we did not set out to form an opinion, on the basis of clinical impressions, favourable or unfavourable to the different characteristics of the three articulators. We limited ourselves, on the contrary, to measuring, superposing and making a comparative analysis of the results obtained with the three articulators for the same analysis of the occlusal function.

Dental Arch

[Located hinge-axis or conventional hinge-axis?].

The purpose of this study is first, to evaluate the influence of locating the horizontal transverse axis of rotation of the mandible, both kinematically and conventionally, and second, to determine the influence of the thickness of the wax check-bite, as obtained in the centric relation, upon the functional analysis of the occlusion. The results show that the influence of any displacement of the horizontal transverse axis of rotation of the mandible is smaller, within a circle with a 6-mm radius, than that of the thickness of the wax check-bite obtained in the centric relation.

Dental Articulators

[Presentation of a universal face-bow].

A universal face bow is reported for transferring an arbitary or located hinge axis on most articulators. Its use is simple and safe due to the rigidity of the assemblies during every step of the transfer.

Dental Articulators

[A new modular semi-adaptable articulator].

A new semi-adjustable Arcon articulator is reported. It is an evolutive device that can be set with two different types of condylar housings. - A Type: adjustable condylar guidance, preadjusted Bennett angle at 13 degrees - B Type: adjustable condylar guidance, adjustable Bennett angle. It is possible to set on this B type fossa assembly another Bennett wing with an adjustable immediate side shift This device has a double lock in centric relation and may be set with an arbitrary or localized hinge axis.

Dental Articulators

[Temporomandibular joint, statistical study (comparative sagittal tomography) of the relationship between the surfaces of the glenoid cavity and the condyle and condylar displacement during maximal opening].

266 sagittal tomographs corresponding to the left and right temporo-mandibular joints of 133 patients were divided into 7 groups according to the absence or presence of functional disturbances or of organic lesions. The statistical analysis of the values obtained from a "triangular study" of the surface of the glenoid fossa and of the mandibular condyle showed the following: - the average surface area of the glenoid fossa does not significantly differ from one to the other of the 7 groups examined - the average surface of the mandibular condyle did not significantly vary between groups - in no group studied, except the F/P group (function disturbances/small displacement), was there any relationship between the surface of the glenoid fossa and that of the condyle. It can, however, be stated that the relationship between the surface of the glenoid fossa and the mandibular condyle would seem to play a role in the degree of displacement of the condyle during full opening of the mouth.

Humans

[The centric relation. IV. Variations in condylar positions according to the methods of measuring centric relation and to the patient's clinical type].

When recording and transferring centric relation onto an articulator errors can be minimized by proper use of dental materials. Remaining errors may be due to either the patient or the clinician. 3 recording techniques (Lucia, Dawson, Ramfjord) are being tested by 2 operators on 12 patients. In order to get a proper centric relation one must not rely upon a technique of taking it but rather on an adequate clinical evaluation of the TMJ at that moment. The role of inadequate intermaxillary relationship upon painful TMJ syndroms cannot be underestimate.

Adult

Panoramic radiography in the examination of edentulous patients.

A radiologic survey covering 4 years and using orthopantomography was made of 287 edentulous patients prior to denture construction. Orthopantomographs revealed 155 significant lesions in 41 per cent of the patients examined. Therefore, the use of panoramic radiography before any prosthetic procedure is undertaken seems justified. Surgery would be indicated where cysts (residual and follicular), visible root fragments, and sequestra are detected. In most situations, such as deeply imbedded impactions, localized sclerotic bone, or foreign bodies, surgery would not be justified for elderly patients because of the possible unfavorable aftereffects. When this decision is made, the patient should be informed of the possibility of future surgical and prosthetic procedures.

Alveolar Process

[The occlusal bite splint and its effect on the centric relation of the maximal opening and closing movement in cases of temporomandibular joint syndrome].

Nine patients presenting temporo-mandibular joint pain-dysfunction syndrome were treated with occlusal bite splints made of acrylic resin, which eliminated premature contacts and occlusal interferences. Results were obtained with an extra-oral apparatus, of personal conception, which allowed to amplify and register maximum opening and lateral deviation in the frontal plane. The study has shown that this treatment brings: - an elimination of pain and muscle spasms - an increase in maximum opening - a decrease in lateral deviation - a marked but partial decrease in articular noises.

Dental Occlusion, Centric

[Biological and psychological aspects of geriatric dentistry].

A normal adult becomes a normal old man when going through a whole process of physiologic involution called natural ageing, which does not spare the stomato-gnathic system. The authors first review the biological aspects of ageing as seen on the skin and facial contour, on dentition and teeth, on periodontium, oral mucosa, tongue, salivary glands, facial and masticatory muscles, facial skeleton and temporomandibular joints. They then follow with the psychological aspects of ageing, going necessarily beyond the limits of dental medicine. The authors finally discuss means to prevent that natural ageing becomes pathologic.

Aged

[Bite plates and occlusal splints].

Occlusal adjustments are often necessary in cases of masticatory muscle spasm, bruxism, traumatic occlusion and TMJ disturbancies. Before such occlusal adjustments are performed, the patient should either wear a bite plate or an occlusal splint which frees the occlusion for a certain time. The splint is fabricated on a semiadjustable articulator such as the Hanau H2-XPR which is also used for the functional analysis on the models prior to any adjustments. Advantages and disadvantages of different types of plates and occlusal splints are discussed. The authors conclude that an occlusal splint covering the entire dental arch, such freeing the occlusion, seems to be the most appropriate appliance available today.

Bruxism