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Biomedical subjects

W R Cinotti

Publications and source records attributed to W R Cinotti.

At least 19 recordsLinked to original sources
PubMed1990

Hearing-damage risk and communication interference in dental practice.

The use of high-speed air-turbine handpieces, operated at 300,000 to 400,000 revolutions per minute, has led to concern over the possibility of noise-induced hearing loss. Sound levels were measured in clinical settings and in a pre-clinical laboratory for estimation of hearing-damage risk among dentists, and the extent of communication interference. Octave-band sound pressure levels were obtained with use of a Fast-Fourier-Transform analyzer and associated instrumentation. The results of this study indicate that the sound energy contribution of a typical dental practice is about 8% to 12% of the dentist's average 24-hour noise exposure. However, noise levels during dental procedures result in an articulation index of 0.21 to 0.37, corresponding to understanding of about 18% to 48% of nonsense syllables and 52% to 90% of sentences. It appears that hearing-damage risk is slight among dentists using modern equipment. However, further noise control in handpieces is necessary so that error-free communication during dental procedures can be ensured.

Dental High-Speed Equipment↗
PubMed1989

The geriatric patient: evaluation, treatment planning, affordable concepts.

The predicted growth of the geriatric population mandates the health professional to turn their attention to treatment modalities which are indicated for this particular cohort. The dentist must examine, evaluate and treatment plan these patients with a systematic approach. Guidelines are offered to expedite the care of the elderly both efficiently and cost effectively.

Aged↗
PubMed1989

The geriatric patient: removable partial denture design, protecting the dentition.

The population of the United States is aging rapidly. By the year 2000, approximately 36 million Americans will be 65 years of age or older. With respect to dentistry, the oral health status of older adults is improving. In addition to retaining more of their teeth, the demand for dental care is increasing amongst the geriatric population. Because total edentulousness is expected to decline in the future, a greater demand for removable and fixed partial dentures is anticipated. This paper serves as an outline for quick reference when treatment planning the replacement of teeth in the partially edentulous arch.

Aged↗
PubMed1989

The geriatric patient: controlling tooth contours, protecting the periodontium.

A significant number of geriatric patients are restored with the removable partial denture (RPD). Because the periodontal condition, as well as overall health, of this population is usually less than ideal, the recontouring of teeth prior to RPD construction must be executed precisely with special attention given to the biomechanics of RPD design. The philosophy and technique for the reshaping of abutment teeth is presented to clarify these procedures.

Aged↗
PubMed1989

The geriatric patient: one- or two-visit complete denture construction technique. Part 1.

The next two articles will discuss the construction of quality complete dentures in one- or two-patient appointments. Material and techniques are presented for controlling costs by reducing laboratory expenses and dentist chair time. A block unit of 12 to 14 attached flat plane acrylic teeth, light cured denture base materials and modified techniques which incorporate multiple procedures are introduced. The procedure will be divided into two segments and described in two articles. The initial article will carry the technique through the completion of the maxillo-mandibular relations and articulation for the casts. The second section, described in the second article, will encompass the set-up of the teeth, try-in of the set-up, processing of the dentures and insertion of the case.

Aged↗
PubMed1978

Impression technique for denture reconstruction.

The advent of tissue conditioning materials has made possible a new method for recording functional impressions for denture reconstruction using the patient's existing dentures as impression trays. The criteria by which the suitability of existing dentures for use in the technique are set out in detail. A particular feature of the method is the physiological recording of the post palatal seal area using Iowa wax and its incorporation into the entire maxillary impression. The advantages of the technique include the possibility of recording the tissues under physiological displacement resulting from normal function over a prolonged period rather than at the moment of final setting of conventional impression materials.

Dental Impression Technique↗
PubMedDate not supplied

Cervical strain and mandibular whiplash: effects upon the craniomandibular apparatus.

One of the most common injuries that can lead to a multitude of problems is cervical strain and mandibular whiplash resulting from a motor vehicle accident. Many individuals do not fully recover from such injuries, develop additional areas of pain and dysfunction weeks or months after the accident, and/or sustain major trauma that may require surgical intervention. Other than fractures or dislocations of cervical vertebrae, which are usually easily discerned from radiological analysis, two prime factors frequently lead to a prolongation of pain, a long rehabilitation course, and the development of problems at adjacent structures such as the craniomandibular region. These two factors are: 1) the lack of early comprehensive evaluation and referral for definitive therapeutic intervention, and 2) a minimal awareness of the relationship of upper quarter structures to one another. The purpose of this paper is to foster within the reader an appreciation of the interrelationship of the cervical and craniomandibular architectures as well as the significance of proper evaluation and treatment of cervical strain and mandibular whiplash injuries.

Humans↗
PubMedDate not supplied

Occlusal splint therapy in MPD and internal derangements of the TMJ.

Although occlusal splints are useful in the treatment of MPD and internal derangements, they must be used in a rational manner. Two basic appliances are employed in Phase I palliative therapy: a maxillary full coverage (MAR) and a mandibular orthopedic repositioning appliance (MORA). The MAR is used in MPD patients primarily to disengage the occlusion and reduce parafunctional activity. In many cases of internal derangement, protrusive mandibular repositioning is indicated. By using the MORA during the day and the MAR at night, the disadvantages of each appliance are minimized.

Humans↗
PubMedDate not supplied

Phase II rehabilitation of the temporomandibular joint dysfunction patient.

Treatment of pain and dysfunction of the craniomandibular apparatus commonly follows one of two courses, not necessarily independent of each other. In many patients, treatment involves both appliance and non-appliance modalities. A thorough and careful diagnostic evaluation of the patient will help the dentist to select the proper modality of treatment. Following successful Phase I therapy, the patient is now prepared for Phase II therapy, a more definitive treatment stage. The purpose of this article is to provide the reader with the rationale and principles underlying the stabilization and rehabilitation direction of Phase II therapy, emphasizing the prosthodontic and orthodontic perspectives.

Facial Pain↗