[Complete denture retention. New techniques].
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Biomedical subjects
Publications and source records attributed to E Pessina.
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The coronoid-maxillary space defines the distal maxillary rims, and it is usually tightened during mouth opening. It has been reported that its adequate filling or its overfilling is helpful in prosthesis retention. There are two types of individual anatomical variations, that can affect the size of this space. In fact, the coronoid process can be vertical or lateral. In the first case, the coronoid-maxillary space is reduced in oral opening, therefore the prosthesis edge must be thin. In the latter case, the space increases or does not vary during mouth opening, therefore the prosthesis must be thicker in order to obtain its adequate retention.
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The Authors have tried to underline the characteristics and limits of T-Scan so as to provide an aid for the reliable usage of the instrument and avoid possible erroneous interpretations of the given data.
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In this work the authors wanted to stress the importance of the occlusal analysis in the sphere of the dental clinic test considering the different methods. Moreover the characteristics of a new system computed for the remark of the occlusal contacts have been analysed with greater detail, debating advantages, limits and clinics applications.
The Authors take into consideration the complex and troublesome subject of instrumental radiological analysis applicable as a diagnostic aid in TMJ pathology. They therefore analyse, starting from their own experiences and after revising the pertaining literature, the pros and cons of the several radiological methodologies, both traditional and recently discovered as CAT and nuclear magnetic resonance. They do not only underline the possibilities and limits of the above mentioned methodologies, but ever define precisely how instrumental diagnostic techniques cannot, individually or variously combined, provide a complete diagnostic and aetiological view of the pathologies of TMJ without clinic information.
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The problem of surgical infections is discussed, special attention being paid to the commonest bacterial agents, particularly those extremely serious forms induced by gram negative and anaerobic microorganisms. After an introduction regarding isolation methods and respective therapeutic programmes, attention is turned to the case of a young woman observed after an operation for perforated appendicular abscess later complicated by stercoraceous peritonitis. After initial antibiotic treatment, which was without effect, an association comprising Clindamycin, penicillin and gentamycin was employed. In just a few days this led complete remission of symptoms.