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Biomedical subjects

S J Esposito

Publications and source records attributed to S J Esposito.

6 recordsLinked to original sources

Overdentures in partial anodontia: simple solutions for complex problems.

Congenital defects in children and adolescents can present complex and challenging dental problems, including arch discrepancies, palatal defects, and malposed or otherwise disrupted dentition. Traditional treatment is often time-consuming, expensive, and in extensive defects, frequently compromised at best. The overdenture prosthesis, often overlooked, is a relatively simple and expedient solution to many of these severe problems, and the prosthetic techniques are familiar and readily employed by dentists without specialized training. This article reviews the general principles employed in these techniques and offers examples of successful treatment for several of the more commonly occurring congenital dental defects.

Adolescent

A quick method for processing MDX-4-4210 silicone rubber.

An alternative method for processing MDX-4-4210 silicone elastomer that eliminates the recommended de-airing phase has been described. As a result, it is possible to have the processed prosthesis in hand in 30 minutes or less (in small prostheses). In addition, the use of a relatively large and costly vacuum machine is avoided. No clinical differences with respect to stability, strength, or duration between prostheses processed in this manner or the standard method have been noted.

Chemical Phenomena

Principles of surgical management of midfacial carcinoma.

A series of large, midfacial, squamous cell and basal cell carcinomas treated by the Departments of Otolaryngology and Dermatology (Cleveland Clinic Foundation) are reported. Most cases required total/partial resection of the external nose, upper lip, hard palate, nasal septum, and adjacent midfacial soft tissues. Emphasis is placed on the principles of preoperative and intraoperative management as it relates to intraoral prosthetic design and total margin control of the surgical specimen. The immediate and delayed reconstructive philosophy and techniques employed here are discussed in detail. Recurrence rates and free-to-disease survival times are also reviewed.

Basal Cell Carcinoma

Esthetics for denture patients.

Denture esthetics has been discussed in terms of the anatomic-physiologic and artistic phases. It is the responsibility of the dentist to apply the principles discussed in an effort to produce a natural appearing denture. Excessive dependence on auxiliary personnel in meeting the esthetic needs of the patient can only encourage the denturist movement and quick, low-cost denture clinics. Faced with this threat, we must not shirk our responsibilities.

Color