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P N Sellen

Publications and source records attributed to P N Sellen.

5 recordsLinked to original sources

The selection of anterior teeth appropriate for the age and sex of the individual. How variable are dental staff in their choice?

As part of the development of a guide to aid the undergraduate in the selection of artificial teeth, the aim of this study was to investigate the variability in choice of dental staff to select teeth appropriate to the age and sex of the individual with the aid of a series of three-dimensional guides. Four three-dimensional guides were produced for use in the study. Fifty dentists were asked to complete a questionnaire designed to assess the variability in selection of anterior teeth appropriate for the age and sex of an individual. From this study it can be concluded that there was little consistency in the selection of the shade, mould and arrangement of anterior teeth appropriate for the age and sex of the individual by qualified dental staff. The development and implementation of an aesthetic proforma to guide dental staff, dental undergraduates and patients through the process of choosing tooth mould, shade and arrangement based on age and sex may be helpful.

Adult↗

An assessment of the ability of dental undergraduates to choose artificial teeth which are appropriate for the age and sex of the denture wearer: a pilot study.

One of the main objectives in selecting and arranging artificial teeth is to produce prostheses which defy detection. With an appropriate degree of clinical experience and expertise it should be a relatively straightforward procedure to select a suitable artificial tooth mould. However, for the relatively inexperienced dental undergraduate it can be a challenging process. The aim of this study was to assess the ability of dental undergraduates to select artificial teeth which are appropriate for the age and sex of the denture wearer. One hundred and fifty dental undergraduates aged 18-35 were asked to complete a questionnaire to assess their attitudes towards artificial tooth selection and asked to correctly identify six artificial tooth arrangements according to age and sex. The results showed that a large percentage of dental undergraduates at Bristol experience difficulty in selecting artificial teeth which are appropriate for the age and sex of the denture wearer. There is a need for improved training and guidance on artificial tooth selection and arrangement.

Adolescent↗

Computer-generated study of the correlation between tooth, face, arch forms, and palatal contour.

STATEMENT OF PROBLEM: Several factors have been suggested as aids for artificial tooth selection. Numerous methods have been devised for the evaluation of reliable esthetic factors in determining artificial tooth form. There is no universally accepted single esthetic factor that can be used reliably to aid artificial tooth selection. PURPOSE: This article describes a new method incorporating a computer program to analyze four esthetic factors: form of the face, arch form, palatal contour, tooth shape, and to determine whether there was correlation between tooth, face, and arch forms and palatal contour. MATERIAL AND METHOD: Impressions were made of the maxillary dentition of 50 dentate undergraduate dental students with irreversible hydrocolloid impression material and casts formed. A standardized photographic procedure was used to record portrait slides of each subject's face and of maxillary dental arches and central incisors made from dental casts. A comprehensive computer program was developed to correlate esthetic factors by superimposition. RESULTS: Superimposing outline form between face, tooth, and arch showed that for tooth to face form nearly half the comparisons were dissimilar and only 22% corresponded. This is the lowest level of correspondence in this group. Highest correspondence (28%) occurred between arch to face form, followed by arch to tooth form (24%). Arch to tooth showed the lowest level of dissimilarity (32%). For correlation among the four factors across the sample group based on a comparison of classifications in each subject, men tended to dominate tapering classes, whereas women dominated square and ovoid classes. CONCLUSION: Correspondence of outline forms through superimposition revealed an insignificant correlation between face, tooth, and arch forms. Although this method applies high technology, it does not improve the accuracy of determining shape and size of teeth in an edentulous patient. The cost and complexity of the method of measurement may also make it impractical for common application.

Adult↗

Methods used to select artificial anterior teeth for the edentulous patient: a historical overview.

PURPOSE: Selecting artificial teeth for a denture is complex when there are no remaining natural teeth and no pre-extraction records. The aim of this paper is to review the methods used to select artificial anterior teeth for the endentulous individual. MATERIALS AND METHODS: The review takes account of the majority of papers published during the last 100 years and is organized according to the methods used for determining artificial tooth form. RESULTS: Several factors have been proposed as aids for artificial tooth selection, and numerous methods have been devised for the evaluation of reliable esthetic factors in determining artificial tooth form. CONCLUSION: To date, no universally reliable method of determining tooth form has been found. The Williams classification (1914) is the most universally accepted method of determining anterior tooth form.

Denture Design↗