Biomedical subjects

Randall D Mazurat

Publications and source records attributed to Randall D Mazurat.

3 recordsLinked to original sources

PubMed2003

Discuss before fabricating: communicating the realities of partial denture therapy. Part I: patient expectations.

During planning for treatment involving cast removable partial dentures (RPDs), it is important to remember that the 2 major reasons why patients seek this treatment are to improve esthetics and to improve mastication. Treatment that is considered unsuccessful may not necessarily represent poor execution of procedures, but rather may not have fulfilled the patient's expectations with regard to these 2 goals. Searches of the Cochrane Collaboration and MEDLINE databases were conducted to identify issues pertaining to patient compliance in wearing cast RPDs. Compliance was better when the patient's chief concern was replacement of anterior teeth. The success of RPDs for replacement of teeth missing from other areas depended on the patient's perception of the value of such replacement. Maximum masticatory efficiency is equivalent for people functioning from second premolar to second premolar and those wearing partial dentures. Many clinicians believe that the prescription of partial dentures which replace teeth missing distally to the second premolars represents overtreatment.

Denture, Partial, Removable↗

PubMed2003

Discuss before fabricating: communicating the realities of partial denture therapy. Part II: clinical outcomes.

The premise of this review is that patients' satisfaction (and hence compliance) with partial denture therapy may be better if they are more fully informed about the limitations of the prosthesis they are to receive. Neither the dentist nor the patient should assume that all of their respective expectations will be mutually understood and inherently met. By discussing patient-centred issues and predictable clinical outcomes, both dentist and patient will be better prepared to determine whether a removable prosthesis is appropriate. Searches of the Cochrane Collaboration and MEDLINE databases were conducted to identify issues pertaining to patient compliance in wearing cast removable partial dentures. In addition to the 2 most frequent patient concerns, esthetics and mastication, discussed in the first article of this series, additional aspects of concern to the dentist and the patient when considering a removable partial denture include overeruption, post-insertion care, comfort, longevity of the prosthesis, effect on speech and biologic consequences are discussed here.

Adaptation, Psychological↗

PubMed2003

Communicating complexity: using a diagnostic classification system for edentulous patients.

A significant number of edentulous patients with complex treatment needs are seen in private practice and faculties of dentistry. The American College of Prosthodontists has developed a classification system for complete edentulism that can be used to guide overall treatment planning and management of patients with complete dentures. The system focuses on specific diagnostic variables and uses a checklist format that can be applied rapidly and easily. Although there is currently little published data to indicate a direct relationship between classification and prognosis, the system can be applied by dental students and dental practitioners to determine the demographic characteristics of edentulous patients. For example, the system has been used by undergraduates in a dental school to determine the suitability of patients for treatment and to assign patients needing complex treatment to appropriate staff-student teams. Discussing the classification system with patients helps practitioners to communicate the complexity of treatment required and may aid in reconciling expectations with outcomes.

Communication↗