[Treatment of edentulous patients with adaptation problems. 3. Duplicating complete dentures].
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Biomedical subjects
Publications and source records attributed to H Landt.
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The simple treatment of dentures with bacteriostatic drugs withoug any additional treatment may result in a considerable improvement of inflamed mucosa on which a denture is resting. The question as to whether hygiene or other factors (e. g. trauma) are more important with regard to the etiology of denture stomatitis cannot be answered entirely by this study. Continuation of studies on the various causes of denture stomatitis and searching for improvements in its therapy by short and long-term investigations are recommended.
Oral ability to recognize forms and oral motor ability were examined in twenty children, aged 11 years, with normal occlusion. In the RF-test (recognition of form) the children identified the test pieces quicker but with a higher frequency of misidentification of the test pieces than a group of 17-year-old boys studied earlier. The effect of learning on the children was substantial with much quicker and greater certainty from one examination to another. Identification time and misidentification were positively correlated (individuals with long identification time also had a high frequency of errors). In the MA-test (oral motor ability) the children required a longer time to assemble the halves of the test pieces than did 17-year-old boys. A considerable effect of learning was found in the MA-test. The results of the RF-test and the MA-test varied independently of each other for which reason the two tests measure different components of oral ability.
In the introductory part of the present study considerable differences in registrations were found between three different experimenters when an oral form recognition test and an oral muscular-motor test was applied on ten subjects. In the following part recording differences between six other experimenters were evaluated. An intensive training programme was established and repeated twice with those six experimenters during a test period which twenty-eight subjects were tested with the same tests as mentioned above. The results show that in spite of the training programme, uniformity could not be obtained between experimenters. Registration deviations were (1) clearly found for the time results of identifying, (2) less distinctly for registration of subjective judgements of difficulty or for the times of putting together the halves of the test pieces in the test of muscular-motor ability and (3) not at all at the recording of test peice confusions at the oral form recognition test. It was found that the present forms of the training programme alone were not sufficient to gain uniformity between different experimenters but the suitability of prospective experimenters who are supposed to form a common group should be tested by an evaluation of test results found in a real test situation. Experimenters who are clearly deviating, should be replaced by other ones for the task who are more suitable inidividuals. The present study thus emphasizes the previously observed difficulties when clinical observations made by different persons are to be compared.
A study has been carried out to investigate possible between a group of dentulous young adults (average 22-5 years of age) and a group of dentulous elderly individuals (65-9 years), when attempting to recognize forms orally and to carry out tasks which demand a fine-coordination of the oral muscular apparatus. The results showed, that the older group had reduced ability for both forms of tests used in this study (RF-test for estimating the oral ability to recognize forms, and MA-test to estimate oral muscular ability). The reduced capacity of the older individuals to learn the requirements of the tests as compared with the younger ones, was especially obvious. Furthermore, individual differences in this respect were more obvious for the older than for the younger examinees. The suggestion is made that in further studies the number of trial-rounds may be reduced from three to two, certainly for older individuals and for both the RF- and the MA-test. Because of the obvious correlation between the results of the RF- and the MA-test among older individuals, it is concluded that both forms of tests may measure common or closely related factors, which are reflected by these tests.
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