Transfer of the pharyngeal portion of the speech aid prosthesis.
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Biomedical subjects
Publications and source records attributed to N G Schaaf.
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A multidisciplinary approach to the rehabilitation of four glossectomy patients has been presented. Points emphasized were the anatomic defects, their effect on the three oral functions of mastication, deglutition, and speech, and the various prosthetic modifications found most effective to restore the impaired oral functions.
A survey was conducted to evaluate patient reactions to facial prostheses that were provided to 143 patients in the past 7 years at Roswell Park Memorial Institute. Of the 76 patients who responded, 38 patients were wearing their prostheses and 38 patients were not wearing their prostheses. Reasons cited by the patients for not using their prosthesis included lack of retention, additional surgery, discomfort, and irritation. Most of the prostheses were prepared in silicone rubber with color characterization accomplished by the tattooing method. More than 69% of the prostheses were remade within a year because of rapid changes in the defect, prosthesis material, or prosthesis color. The study revealed the need for improvement in materials, adhesive techniques, and the psychological orientation of the patient. This project was conducted at a teaching and research institute. No fees for the patients were required. Therefore our data might differ from that collected from a private practice or clinic.
A philosophy and technique for the preparation of removable silicone rubber obturators on complete dentures have been presented. Either of two methods for construction is used depending on whether the defect is large or small. Advantages of the silicone rubber obturator-denture combination were elaborated.
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The prosthodontic reconstruction of the patient who has had a partial mandibulectomy is a formidable challenge. A realistic view of the positive and negative factors must be maintained so that unrealistic promises are not made by the prosthodontist and no unfulfilled hopes are left for the patient. Because of the instability of the mandibular denture, the patient's relaxed central position is used as the jaw relationship for setting posterior teeth with flat occlusal surfaces to allow for lateral freedom of mandibular movements.
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