Biomedical subjects
Publications and source records attributed to W D Gay.
A patient with a relatively minor yet common acquired maxillary defect was provided with three obturators of differing design. His subjective evaluations and the relative merits of the designs were discussed.
An investigation was designed and carried out to compare methyl acrylic resin processed by three methods--boiling, in the heat platen press, and a 9 hour, 75 degrees C cure. The material was cured in certain thicknesses in the heat platen press and by boiling without porosity. All samples cured for 9 hours at 75 degrees C had no porosity. The value of the heat platen press as a time-saving device and its applications in a maxillofacial laboratory were discussed.
A case report of adenoid cytic carcinoma of the palate is presented. The clinical manifestations, diagnostic criteria, surgical resection, and prosthetic reconstruction of the patient are discussed.
A technique has been described for fitting a removable partial denture framework to the master cast prior to adapting it in the mouth. Emphasis should be placed on maintaining the original contour of the framework throughout the procedure. The amount of metal removed should be only that necessary to seat the casting on the master cast without abrading the stone. When finishing the tooth-contacting surfaces on the casting, very light pressure should be used to burnish the rough surfaces, not reduce them. If these steps are accomplished carefully in the laboratory, the dentist should be able to fit the framework in the mouth in a minimum of time (Fig. 7).
This preliminary report has shown the following interesting points: (1) Measurements of tissue pressures beneath dentures are possible using the Sanborn 350 recorder. (2) Stable dentures produce high pressures on the supporting tissues and transmit these pressures from region to region, varying with how the patient uses the dentures. (3) Most often, an opposite large or negative pressure immediately followed the production of positive pressure at the same site beneath the denture. Thus, each movement actually traumatizes the tissue twice. (4) Nonmasticatory pressures produced under dentures are as great as or greater than masticatory pressures. (5) Wave forms for each biting maneuver or sound produced can be charted and are typical for each patient, probably representing denture movement. (6) Swallowing unassociated with eating or drinking produced very high positive and very low negative pressures, giving the greatest ranges of pressures recorded in this experiment. (7) Smoking (recorded in only one patient) also produced a great range of pressures. (8) Sticky foods such as cheddar cheese produced greater negative pressures than the other foods tested. (9) The one patient with natural teeth opposing his denture gave much more uniform and lower pressures than did the patients with complete dentures. (10) This method allows visualization of pressure movement under dentures. The effect of these continually occurring, nonmasticatory, induced pressure changes and pressure waves beneath the dentures may well be of greater significance than that of mastication.