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[Application of the thermoelastic stress imaging method to prosthodontics. (2) Basic study of the stress field of artificial molar teeth, in which the existence of saliva was considered].

A basic study was conducted utilizing a thermoelastic stress imaging method for stress analysis of model of simplified artificial molars based on an interocclusal contact relationship. This involved examining the effect of artificial saliva application on a stress field in a situation where occlusal pressure was applied in a dynamic sliding movement. As a result, the following conclusions were obtained. 1. The thermoelastic stress imaging method allowed the stress field to be determined artificial saliva application at distributed load due to plane contact in dynamic sliding movement. 2. Compared with the case of non-saliva application, in a squaremodel having a sliding movement and to which artificial saliva was applied, the pattern of the high compressive stress area was found to be a circle or an ellipsoid. This showed a slight dispersion trend at 10 degrees, with the contact plane as the boundary, and the dispersion of stress concentration began to become clearer at 20; stress concentration on the contact plane tended to disappear at 30 degrees, and sliding was conspicuous and determination impossible at 45 degrees. 3. Results showed that 10 degrees was a transition angle at which a different aspect was shown, representing a trend in a stress field pattern change accompanying an increase in the facet bevel angle when artificial saliva was applied. 4. From the results of stress analysis using the square-shape sliding movement model to which artificial saliva was applied, 10 degrees to 20 degrees of facet bevel of artificial molars was considered preferable in consideration of the presence of saliva.

Bite Force↗

Tooth positions in the natural and complete artificial dentitions, with special reference to the incisor teeth: an interactive on-line computer analysis.

A comparison of tooth positions and soft tissue profiles was made between samples of edentulous patients recently provided with new complete dentures, and dentate subjects. The dentures were marked with lead foil on the most prominent incisor teeth and labial surfaces of the flanges. Lateral skull radiographs were made with the jaws in centric relation. The dentate subjects were recorded with the teeth held in centric occlusion. Discrete soft and hard tissue landmarks were identified and recorded using an interactive on-line computer system, enabling linear and angular measurements to be made. A mathematical comparison was produced employing a series of independent t-tests. Composite computer tracings were also produced. Important differences were found between the two groups, in which the influence of the upper lip length, mandibular resorption, and selected overbite were identified as factors determining artificial tooth position.

Adult↗

Nasal width as a guide for the selection of maxillary complete denture anterior teeth in four racial groups.

PURPOSE: Selecting artificial teeth for edentulous patients is difficult when pre-extraction records are not available. Various guidelines have been suggested for determining the width of the maxillary anterior denture teeth. This study was undertaken to evaluate the use of the nasal width as a guide for the selection of proper width maxillary anterior denture teeth in four racial groups of the Brazilian population. MATERIALS AND METHODS: One hundred and sixty subjects (40 Whites, 40 Mulattos, 40 Blacks, and 40 Asians) were selected. Using a sliding caliper, the nasal width and the intercanine distance were measured. The Pearson product-moment correlation coefficient was used to determine the relationship between the above measurements. A prediction was made of the percentage of subjects of the White, Mulatto, Black, and Asian populations in which the selection error due to the clinical application of the method of the nasal width would be within 0 to 2 mm, within 2 to 4 mm, and greater than 4 mm. RESULTS: The four racial groups showed a weak correlation between the intercanine distance and the nasal width. In 39.7% of the White, 55.7% of the Mulatto, 81.9% of the Black, and 48.2% of the Asian populations, errors greater than 4 mm would be present with the use of the nasal width. CONCLUSIONS: The correlation found between the intercanine distance and the nasal width was not high enough to be used as a predictive factor. The relationship between natural tooth width and artificial tooth width as predicted by the nasal width showed that the nasal width method is not accurate for all the studied groups.

Adolescent↗

The effect of posterior tooth form on the chewing cycle in the frontal plane.

The present study found that the closing angle 2 mm from intercuspal position was independent of artificial posterior tooth forms for the eight subjects who wore remote overdentures. This closing angle may be dependent on occlusal morphology in dentulous subjects. The difference could be related to the amount of proprioceptive input available from mechanoreceptors in the periodontal ligament. In edentulous subjects other parameters of chewing cycles may be dependent on posterior tooth forms. The studies cited, as well as the present one, have not provided adequate information regarding posterior tooth form, patient preferences, and masticatory function. More research is needed with larger numbers of subjects, one set of denture bases with interchangeable posterior segments, and double-blind examiners. Then dentists should be better equipped to solve and treat their patients' problems.

Adult↗

The split denture: a new technique for artificial saliva reservoirs in mandibular dentures.

Xerostomia is a relatively common complaint that can make the wearing of dentures very uncomfortable for affected individuals. To help overcome this problem, a number of techniques have been proposed for incorporating reservoirs, containing salivary substitutes, into dentures. These have had varying degrees of success. This paper presents a case of a patient suffering from xerostomia who was successfully treated with a new form of reservoir denture. This new split-denture technique resulted in a reservoir denture that provided good lubrication of the oral tissues, was easily cleaned by the wearer and was produced from routine denture materials. Details of its design, construction and other potential applications are also presented.

Acrylic Resins↗