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Biomedical subjects

P M Lloyd

Publications and source records attributed to P M Lloyd.

At least 19 recordsLinked to original sources
PubMed2000

A comparison of the effects of two burs on endodontic access in all-ceramic high lucite crowns.

OBJECTIVE: The purpose of this study was to examine and compare the effects of diamond and tungsten carbide burs with respect to the preparation of access through all-ceramic crowns. STUDY DESIGN: Thirty extracted maxillary premolars were restored with all-ceramic crowns. Each specimen was assigned to one of two groups: (1) access opening prepared with a round diamond bur; (2) access opening prepared with a carbide fissure bur. Access preparations were scanned by means of scanning electron microscopy; observed were defects categorized as edge chipping, microcracks, and fractures. RESULTS: Edge chipping around the access was universal. Significant chipping (x > or = 0.1 m) was seen in 43% of access peripheries. Eleven percent of the crowns fractured. chi(2) analysis (P <.05) demonstrated no statistical difference between the bur groups. Results of a t test revealed no statistical difference in edge chipping between the two bur types. CONCLUSIONS: All-ceramic crowns bonded to extracted maxillary premolars may experience edge chipping, microcracks, and fractures at equal rates whether access is prepared with a round medium coarse diamond bur or a tungsten carbide fissure bur.

Bicuspid↗
PubMed1998

They're out there.

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Career Choice↗
PubMed1996

Complete-denture therapy for the geriatric patient.

Denture therapy for the geriatric patient will be in high demand for the decades ahead. An older adult's medical, functional, and psychological status should be considered in each phase of complete-denture treatment. Patient satisfaction is dependent on how well the dentist has restored facial appearance and rehabilitated chewing efficiency.

Aged↗
PubMed1994

Fixed prosthodontics and esthetic considerations for the older adult.

A new generation of older adults, who are more educated, health-conscious, and economically independent than their predecessors is bringing a fresh perspective and poses unique opportunities and challenges to fixed prosthodontics. Subtle differences in technique, attention to detail, and innovative application of materials and procedures are the main ingredients of successful fixed prosthodontic care for seniors. The goals of fixed prosthodontics for the older adult are fundamentally different from those for a younger population. A practice that enhances the integrity of residual tooth structure while simultaneously creating an environment less prone to dental disease and disability should be emphasized.

Aged↗
PubMed1993

The philosophies of dowel diameter preparation: a literature review.

This article reviewed the literature regarding the diameter of dowels and identified three distinct philosophies of dowel space preparation. One group advocated the narrowest diameter for fabrication of a dowel to a desired length. Another recommended a dowel space with an apical diameter equal to one third of the narrowest dimension of the root at the terminus of the dowel. A third group advised that at least 1 mm of sound dentin should surround the entire surface of the dowel. A combination of the one third and 1 mm minimal philosophies yielded a practical guideline for dowel space preparation, particularly in aged teeth. Requiring a definite amount of tooth structure surrounding the dowel, while adhering to the one third proportion, indicated upper limits on both the diameter and length of the dowel. These calculated limits served as convenient starting points in selecting a specific style of dowel and assisted in determining whether additional measures are warranted to enhance dowel retention.

Dental Pulp Cavity↗
PubMed1992

Fixed prosthodontics in the elderly population. Life expectancy of fixed restorations, failures, and retreatment methods.

The restorative needs of older dental patients challenge the ingenuity, anatomic knowledge, artistic skills, occlusal philosophies, and material knowledge of the clinician. Achieving the most secure foundation while simultaneously eliminating imperfections and incorporating a design that promotes good oral hygiene and a natural and attractive appearance are significant contributors to a patient's welfare. The treatment decision regarding fixed prosthodontics for elderly patients requires the balancing of two opposing arguments: 1. In patients who are older, and who are perhaps medically or physically compromised, and, in addition, who may be on a limited budget (or perceived limited budget), it is important to fabricate dental prostheses that are as good as possible to minimize the likelihood that the prosthesis will need to be remade in the future when the patient is likely to be even more compromised financially, medically, or physically, and also to minimize the stress on the patient of accommodating to something that is less than an optimal dental solution. 2. Patients in this age group often anticipate financial strain in the future, perhaps realistically in view of the increasing percent of older adults who are institutionalized (5% of persons 65 years old or older, 20% of persons 80 years old or older). Also, many are reluctant to invest large amounts of money in their teeth when they are already quite elderly and realize they may not live long enough to make the investment "worthwhile." Educating the patient regarding average life expectancy is sometimes helpful, but the experience of many clinical dentists is that many elderly persons either do not believe the numbers, require greater certainty in their "investments," or do not place as high a value on their dental health as they do other aspects of their lives (in a context in which there are more needs than resources to pay for them). Finally, many older adults, contrary to the popular bumper sticker, are trying to preserve as many resources for their children and grandchildren as possible. The final decision should be made with sensitivity to the overall needs of the patient, and with the assistance of a well-informed patient or other responsible party.

Aged↗