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Biomedical subjects

S I Silverman

Publications and source records attributed to S I Silverman.

At least 19 recordsLinked to original sources
PubMed1987

Differential diagnosis. Fixed or removable prosthesis.

These clinical cases demonstrate that the choice for fixed or removable prostheses is a complex decision. The factors to be evaluated include the patient's past dental history of treatment and self-care, the patient's state of health, the patient's psychologic motivation and personality profile, her or his economic status, and, finally, the dentist's skill and available consultative services. Ultimately, the patient must become a cotherapist and be given the opportunity to participate in the diagnosis, treatment planning, and after care. The cases presented here also demonstrate the use of short-term, immediate, interim provisional, and long-term definitive prostheses that may be used for fixed or removable prostheses. These choices require the dentist to make exquisite judgments about the users of fixed or removable prosthesis, especially if a patient is phobic about wearing removable prostheses. Fortunately, the state of the art in implant prostheses has advanced so favorably that the choices are now between fixed, removable, or implant prostheses.

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PubMed1985

Vertical dimension record: a three dimensional phenomenon. Part I.

This article presented data on 92 edentulous patients in the age group of 54 to 84 years. The data describe the changes in vertical dimension of rest observed under different clinical conditions associated with the treatment procedures for construction of complete dentures.

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PubMed1985

Vertical dimension record: a three dimensional phenomenon. Part II.

Face height and profile have two displacement dimensions that can be measured: the superior-inferior face height measurement, and the anterior-posterior displacement of the midsagittal profile measurement. The superior-inferior displacement is largely a function of movement of the lower lip and related mandibular structures. The anterior-posterior displacement is generally associated with movement of the upper lip, particularly the tubercle. The changes in one dimension are usually a function of change in the other dimension; that is, an increase in height may be associated with contraction of the dental arches; or conversely, reduction of vertical height may be associated with expansion of the dental arches.

Cephalometry↗
PubMed1976

The use of an intraoral training aid in the speech rehabilitation of laryngectomy patients.

This study was undertaken to determine whether the speech of poorly rated esophageal speakers could be improved with the aid of a structured palatal prosthesis. Palatograms testing certain speech sounds critical to the plosive-injection technique for air intake showed that improvement resulted after one week of wearing the training prosthesis. All subjects showed some improvement in speech after wearing the prosthesis for one week. Eight out of 10 subjects showed marked improvement in speech. It is suggested that a physiologically structured palatal prosthesis can assist some esophageal speakers to improve their speech.

Humans↗
PubMed1976

Self-image and its relation to denture acceptance.

A study was initiated to determine whether a relationship exists in geriatric patients between self-image and the extent of their denture acceptance. Three assessing instruments were employed, namely, a "Focused Interview," the embedded-figures test, and projective figure drawings. Scores obtained were compared with scores on the Denture-Acceptance Rating Scale. The research results derived from the data follow: 1. Comparison of the degree of denture acceptance with the scores on all three assessing instruments showed significant relationships. Therefore, the hypothesis under study was accepted. 2. The "Focused Interview" appeared particularly well suited to a geriatric population, because it was nonthreatening, provided a communication outlet, and can be readily employed by a practitioner. 3. The embedded-figures test and the projective figure drawings appeared less appropriate for this population because of factors such as psychomotor retardation, perceptual difficulties, and diminution of ego strength which accompany the aging process. 4. The men in this study appeared to accept dentures more readily than the women, manifested higher morale, and were more field-independent. 5. Employed subjects, as compared to unemployed, showed significantly greater denture acceptance, higher morale and self-image, and a greater degree of field-independence. These factors appeared related to greater flexibility of adaptation. 6. Socioeconomic factors appeared to be significantly and positively related to morale factors. 7. Complaints regarding dentures were largely of a physical nature. They appeared to relate primarily to difficulties with adjustment to the new artifact which represented an alteration of body image for the subjects. 8. The study provided corroborative evidence of the need for the dentist to make an initial assessment of those personality factors in his patients which might limit his ability to provide adequate dental services.

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