Search PubMedSearch

Biomedical subjects

H Tenma

Publications and source records attributed to H Tenma.

3 recordsLinked to original sources

A method for quantifying complete denture quality.

STATEMENT OF PROBLEM: Reproducible and quantitative clinical evaluation of complete denture prostheses is of great importance for preoperative diagnosis, treatment planning, and assessment of quality of denture treatment. PURPOSE: This study attempted (1) to clarify the degree of contribution each clinical factor made to the general assessment of experienced prosthodontists to complete denture prostheses, and (2) to develop a method for quantitative assessment of complete denture quality. METHODS: Sixteen clinical factors with a three-grade scale were used to evaluate complete denture prostheses in 320 patients. The general assessment of the dentures was conducted with a 10-point scale. The contribution of each grade of the 16 factors to the general assessment level was determined by a multiple regression analysis. RESULTS: Seven factors were highly correlated to the general assessment. On the basis of these significant contributions, a complete denture scoring method was established followed by the calculation of the category scores of these factors and conversion of the total sum of each category score to an integer number between 0 and 100. The resultant quantification score was closely correlated with the general assessment of the denture. CONCLUSION: An evaluation protocol used for scoring of complete dentures was developed based on the scientifically analyzed knowledge of experienced prosthodontists.

Aged

The effects of a stress-absorbing system involved in the superstructure supported by hydroxyapatite-coated implants in monkeys.

To evaluate the effects of a stress-absorbing superstructure on the interface of an integrated implant, the bone/hydroxyapatite-coated (HA-coated) implant interface was histologically and histomorphometrically analyzed using monkeys. A total of 12 HA-coated implants were placed in the edentulous mandible of three monkeys. Polyurethane elastomer was selected as the stress-absorbing material. A superstructure incorporating a stress-absorbing system was placed on six implants (stress-absorbed group) and a superstructure without such a system was set on the other six implants (non-stress-absorbed group). After 12 months, undecalcified ground sections were prepared and the bone/implant interface was analyzed. Clinically, all implants in both groups were immobile and mild inflammation around the peri-implant gingiva was seen. Histologically, direct bone contact was observed around all of the implants in both groups. However, histomorphometrically, the amount of bone around implants was greater in the stress-absorbed group. Bone was more highly apposed to the implant at the apical portion than at the axial portion. These different findings could be the result of stress-breaking against functional loading to the bony interface of these HA-coated implants.

Alloys