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Biomedical subjects

J Michman

Publications and source records attributed to J Michman.

3 recordsLinked to original sources

Oral rehabilitation of adult class II, division 1 malocclusion complicated by collapse of posterior occlusion.

The complications and limitations in rehabilitating an adult woman with class II, division 1 malocclusion and posterior occlusal collapse is described with special consideration given to the aspects of time, the patient's personality and socio-economic situation. Fixed restorations were chosen for optimum function, comfort and to enhance the patient's emotional security. The importance of an individual treatment approach is stressed.

Behavior

Postinsertion changes in complete dentures.

The influence of denture changes, occurring during a period of use ranging from one to 15 years, was studied in a group of 35 complete denture subjects. Clinical and electromyographic data were collected. N0 correlation was found between denture serviceability on the one hand and masticatory performance and muscular coordination during chewing of test food on the other. However, a significant correlation was found between a subject's satisfaction and his masticatory performance, as well as his muscular coordination during chewing of test food. It appears that, as soon as the time-linked and insidious imperfections of complete dentures are compensated for by feedback-controlled neuromuscular adaptation, the subject's adjusted pattern of function does not affect his performance and comfort and consequently his satisfaction. Despite the obvious differences among the respective subjects, the number of masticatory strokes in the same individual was rather constant. Obviously, a subject's satisfaction may easily camouflage lack of denture fit, including its potential concomitant pathologic sequelae. Therefore, periodic examinations and adequate corrections are essential to successful complete denture treatment.

Adult

Tooth survival in a multicultural group of aged in Israel.

Survival of natural dentition was studied in a multicultural group of 826 elderly people living in sheltered conditions in three old-age homes. It was found that the ratio of dentate subjects decreased progressively with age. The proportion of dentate men was significantly higher than that of women. The ratio of dentate subjects among the immigrants from Afro-Asian countries was significantly higher than among the European group. As the number of denture wearers among the elderly of European origin greatly exceeded that of Afro-Asian extraction, the assumption was made that the more advanced cultural background of the Europeans motivated them to take more advantage of dental services and as a result they had more teeth extracted due to preprosthodontic preparations. The mandibular teeth showed a higher survival rate than the maxillary. Most remaining dental units (teeth and roots) were found in the front region in both jaws, with definite persistance of canines and a clear tendency towards diminishing numbers of posterior tooth types. Studies on tooth survival may provide useful information for assessing needs and planning services for the aged in modern society and may contribute to better understanding of prosthodontic problems encountered in practice.

Africa