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Biomedical subjects

Randy Toothaker

Publications and source records attributed to Randy Toothaker.

5 recordsLinked to original sources

Maximizing mandibular prosthesis stability utilizing linear occlusion, occlusal plane selection, and centric recording.

The stability of mandibular complete dentures may be improved by reducing the transverse forces on the denture base through linear (noninterceptive) occlusion, selecting an occlusal plane that reduces horizontal vectors of force at occlusal contact, and utilizing a central bearing intraoral gothic arch tracing to record jaw relations. This article is intended to acquaint the reader with one technique for providing stable complete denture prostheses using the aforementioned materials, devices, and procedures.

Centric Relation↗

Retrofitting an existing implant overdenture to a new and redesigned intraoral framework: a clinical report.

The esthetics and function of a tissue borne, implant retained overdenture are two of the most important factors that define a patient's acceptance of the prosthesis. In this clinical report, an existing implant overdenture, which was esthetically acceptable to the patient but which had no incorporated retentive components in the substructure framework, was retrofitted to a newly designed and fabricated implant framework. The added retentive components on the new framework increased the patient's overall masticatory function, reduced the frequency of dental visits, and allowed the patient to retain the original overdenture.

Dental Abutments↗

Shortened dental arch: a review of current treatment concepts.

It is generally assumed that dentition has ceased to be a predominant selection factor in the process of human evolution. With differentiation and reintegration of the human species, gross differences in the morphology and physiology of the stomatognathic system have become apparent. Variability and adaptation of this system have proven that deviations from what may be considered ideal are not pathologic but may, in fact, prove to be a range of normality in this general pattern of evolution. The treatment of patients according to inflexible postulates may be detrimental to the individual patient and the concept of a variable and patient-specific optimal dentition should be considered, especially in the context of the shortened dental arch.

Animals↗

A custom-fabricated device for chairside organization of multiple implant components.

Organizing multiple and varied implant components in preparation for providing treatment for a patient with a complex implant prosthesis can be a challenge to even the most experienced practitioner. The many implant abutment component options available, especially when different sizes and types of abutments will be used in 1 arch, can create confusion for both dentist and assistant, hindering chairside efficiency. This article describes the fabrication and use of a custom chairside implant components organizer.

Dental Abutments↗

Anterior dental extractions among Dinka and Nuer refugees in the United States: a case series.

Few U.S. adults today experience life without permanent anterior teeth and know little about how an incomplete anterior dentition affects adult well-being. Sudanese refugees, who had resettled in the U.S. and who had six mandibular anterior teeth ritually extracted during youth, provided an opportunity to examine the significance of the effect of this partial edentulism. The authors interviewed five adult refugees whose anterior dentition was restored using dental implants. Factors considered before and after restoration included incisal ability, food item recognition, food consumption patterns and related social factors. Before restoration of the anterior dentition, participants could not incise typical foods eaten in the U.S. and expressed embarrassment about their dental status, which limited smiling, speaking and social interaction. This case series offers insight into the bio-cultural importance of the anterior dentition for all populations living with a visible gap in the lower jaw.

Adult↗