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Biomedical subjects

Joseph J Massad

Publications and source records attributed to Joseph J Massad.

4 recordsLinked to original sources

Occlusal device for diagnostic evaluation of maxillomandibular relationships in edentulous patients: a clinical technique.

Identifying and recording appropriate occlusal vertical dimension (OVD) and centric relation positions during the treatment of edentulous patients is necessary for predictable and successful therapy. When alterations of existing conditions are indicated, it is beneficial for both the clinician and patient to evaluate the esthetics, phonetics, function, and comfort associated with planned changes in maxillomandibular relationships before fabricating new prostheses. A procedure used to modify existing unacceptable maxillomandibular relationships and clinically monitor the effects of these alterations prior to fabrication of definitive complete dentures is presented. Acceptance of the new OVD position by both the patient and dentist following an initial diagnostic phase is important to predictable and successful treatment.

Centric Relation↗

Relining extension-base removable partial dentures.

Modern prosthodontic therapy must continue to address the inevitable consequence of tooth loss--that is, alveolar process atrophy. The use of removable partial dentures (RPDs) to treat partial edentia must rely, in part, on support from the ever-deteriorating edentulous ridges. Extension-base RPDs are particularly affected as the tissue-base relationship changes over time after extraction of the natural teeth. This article reviews the concept of observed changes in the residual edentulous alveolar ridge and conventional procedures used to compensate for this bone loss. Finally, a practical procedure is presented which uses convenient and accurate materials that can be readily incorporated into the modern dental practice.

Aged↗

Removable prosthodontic therapy and xerostomia. Treatment considerations.

Successful management of complete and removable partial dentures is complicated by a reduction in saliva. Dental practitioners should be aware of the signs and symptoms of xerostomia, available diagnostic procedures, likely etiologies, expected sequelae, and appropriate therapeutic regimens. Effective evaluation and appropriate treatment will promote acceptable levels of comfort and function. Over-the-counter (Figure 12) and prescription medications may be needed to improve the clinical situation.

Adult↗