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At least 37 records · Page 2Linked to original sources
PubMed1977

Subjective reactions to major connector designs for removable partial dentures.

Simlated partial denture frameworks were fabricated for 12 dentists (subjects) who had intact dentitions and who had intact dentitions and who had had no previous experience in wearing partial dentures. The outline of the major connectors was modified during a 1 week interval. The data obtained from questionnaires brought about the following conclusions: 1. Preferences in maxillary major connector design were as follows: (1) broad posterior strap, (2) anteroposterior bar, (3) ring-type design, and (4) full palatal coverage. 2. The mandibular lingual bar was chosen over the lingual plate by a 3:1 ratio. 3. The natural palatal metal finish was perferred to the highly polished finish. 4. Metal borders parallel to tongue movement were better tolerated than those lying transverse. 5. Thickening of the posterior strap to permit its narrowing was not clinically feasible. 6. In general, patients adapted best to major connectors that covered the least amount of soft tissues.

Chromium↗
PubMed1978

A 2-year longitudinal study of overdenture patients. Part I: incidence and control of caries on overdenture abutments.

1. The development of caries on overdenture abutments is a significant problem. In the patients examined, a high incidence of caries was noted at each recall. While few teeth were lost due to caries (none by first recall, none by second recall, and four by third recall), many teeth can eventually deteriorate and be lost (Fig. 7). 2. Caries can develop in a short period of time as shown by the results of the initial examination (caries present 2 to 8 months after insertion of the overdenture). 3. Some patients seem to be caries susceptible, as shown by the recurrence of caries, notwithstanding caries removal from the overdenture teeth at each recall. For example, a large percentage of patients with caries at the 1-year recall also had caries at the 2-year recall. 4. Patients who were placed on fluoride solution and/or had teeth treated with silver nitrate had a significant decrease in caries when compared to those who received no treatment or were placed on a placebo. 5. Fluoride caused some irritation or burning sensation in tissues of several patients. This was relieved in several patients by a decrease in the frequency of application from daily to 2 to 3 times a week.

Adult↗
PubMed1978

Tissue response to overdenture therapy.

Patients who had received overdenture treatment provided with uniform standards were recalled and studied. Two examiners simultaneously and independently evaluated the tissue response using a variety of indices. Data comparisons were made between overlaid teeth and control teeth and between overlaid teeth as a function of time to assess any effects of the treatment. Patients who did not apply fluoride to retained tooth roots had a high incidence of caries. No other significant differences were noted between the health of overlaid teeth compared to control teeth. Patients demonstrated large variations in their ability to maintain low plaque levels and healthy tissues. Despite this, on a longitudinal basis over 2 years, patients were able to maintain plaque levels and gingival response at clinically acceptable standards.

Consumer Behavior↗
PubMed1979

Patient response to variations in denture technique. Part II: five-year cephalometric evaluation.

This study was designed to determine if differences in rates of residual alveolar bone loss could be found in patients wearing dentures made by a complex technique and a standard technique. Cephalometric radiographs were made for each of 64 patients at initial placement of the dentures and for all active patients at five yearly recall visits. These radiographs were measured to determine rates of mandibular bone loss, maxillary bone loss, loss of total face height, rotation of the mandible, and migration of the denture bases over the 5-year period. At the end of the study no statistically significant differences between the two groups of patients could be found. Examination of all participants in this study revealed rates of bone loss that were very similar to those reported by other investigators.

Alveolar Process↗
PubMed1979

Patient response to variations in denture technique. Part III: Five-year subjective evaluation.

Dentures were constructed for 64 patients by two different techniques. One technique, designated as "complex," involved more complicated procedures such as a true hinge axis location, balanced occlusion, dentures remounted on an articulator after processing with new interocclusal records, and occlusal corrections made on the articulator. The "standard" technique involved an arbitrary mounting of the maxillary cast on the articulator, arranging the occlusion with centric relation coincident with centric occlusion but without a balanced occlusion, and making occlusal corrections in the mouth. Subjective evaluations were made for each of the 64 patients at initial placement of the dentures and for all active patients at five yearly recall visits following placement. The evaluation method was designed to determine clinical differences between the dentures made by the two techniques. At the end of 5 years, the data obtained at five yearly recall visits were subjected to statistical testing. These tests were performed to determine if the technique by which the dentures were made had any effect on the performance of the dentures that could be detected clinically. The results of the test showed that there was no significant difference between dentures made using two denture techniques that could be detected by subjective means.

Alveolar Process↗
PubMed2026

Mealtime satisfaction in public nursing homes: Associations with sensory, foodservice, and dining-room environment factors.

Satisfaction with meals is commonly used to assess how meals are experienced in nursing homes (NH), although limited evidence compares breakfast, lunch, and dinner within a unified analytical framework. This study examined the sensory and contextual factors associated with satisfaction across meals in public NH. A cross-sectional observational study was conducted using structured interviews with 290 residents aged &#x2265;60 years (median 85 years; Q1-Q3: 81-88; 63.1% women) from 19 facilities in Galicia, Spain. Overall satisfaction and 12 factors related to sensory attributes of the food, foodservice characteristics, and dining-room environment were assessed using a 5-point Likert scale. Descriptive analyses used medians and quartiles, and group comparisons were performed using nonparametric tests. Three multivariable linear regression models, one per meal, were estimated including all factors simultaneously. In adjusted models, the largest standardized coefficients were observed for taste (lunch: &#x3b2;&#xa0;=&#xa0;0.366; P&#xa0;<&#xa0;0.001), food temperature at serving (dinner: &#x3b2;&#xa0;=&#xa0;0.319; P&#xa0;<&#xa0;0.001), and menu variety (breakfast: &#x3b2;&#xa0;=&#xa0;0.301; P&#xa0;<&#xa0;0.001). Taste, food temperature at serving, menu variety, and meal schedule showed statistically significant coefficients in all models. Overall satisfaction was lower at dinner (29.0%&#xa0;&#x2265;&#xa0;4) than at breakfast (34.8%) and lunch (34.5%) (P&#xa0;=&#xa0;0.003). Selected dining-room environment factors showed significant coefficients in meal-specific models. Mealtime satisfaction was mainly associated with sensory and contextual factors related to how meals are perceived. Lower satisfaction at dinner suggests this mealtime as a relevant context for understanding variations in meal perception in NH residents.

Humans↗
PubMed1975

Inhalational analgesia in labour: facemask or mouthpiece.

A mouthpiece offered as an alternative to a facemask increased the acceptance of inhalational analgesia during labour from 76% to 96% of 50 patients. 92% of those patients offered a choice of a mask or mouthpiece would use the same device in another labour compared with only 64% of those offered only a facemask.

Anesthesia, Inhalation↗
PubMed1975

Medicine and health: What connection?

In most countries resources for the health services are allocated, increasingly and often overwhelmingly, to hosptial-oriented medical care and drug-dependent therapy. The assumption that community health will thereby be improved remains questionable even in developed countries, and is insupportable in developing countries. Technical advances and specialisation in medical sciences are now counterproductive by pre-empting limited resources and obscuring basic needs. To re-establish proportionality, priority should be accorded to: (a) application of proven preventive procedures for hazards of high prevalence, including excessive population growth; (b) improvements in housing and sanitation; and (c) extension of primary care by medical and other staff specially trained in the early recognition and management of personal complaints and of family and community problems.

Community Health Services↗
PubMed1975

Patient's assessment of the result of surgery for peptic ulcer.

The assessment of the result of surgery for peptic ulcer is based on doctor-determined criteria. Failure to distinguish one operation as being better than another may be because these criteria do not include the patient's rating of outcome. A questionnaire based on patients' descriptions of the quality of result has been tested in 63 patients. Preliminary figures show that success in the opinion of the patient does not necessarily mean absence of symptoms, while failure is due more to psychosocial than physical factors. A logical step in the planning of controlled trials is preoperative control of admission to the trial.

Attitude↗