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Biomedical subjects

T Church

Publications and source records attributed to T Church.

22 records · Page 2Linked to original sources

The parameterization of predictive value for multisite screening.

In the design of a medical screening program, it is standard practice to employ the parameters of sensitivity and specificity of the test, together with the population disease prevalence, in order to obtain the predictive values of the test. Multiphasic screening, i.e. the use of two or more tests on the same occasion to screen for more than a single disease, has stimulated the need for a formulation of the joint predictive value of these tests employed in combination. In this communication a parameterization of joint predictive value is presented in the context of multisite cancer screening. The resulting parameters are related to the separate disease prevalences, as well as to the sensitivities and specificities of the separate tests, under the assumption of statistical independence among cancer screens.

Humans↗

Repair of porcelain/metal restoration with resin bonded overcasting.

Porcelain occasionally fractures from ceramometal fixed partial dentures following final cementation. Repair of these porcelain fractures can be a challenging task. When the problem occurs on anterior teeth, it is especially difficult because the repair must not only be durable, but esthetically pleasing as well. Although composite resins can be used for some repairs, it is often difficult to match the color and texture to the surrounding intact porcelain. In addition, the bonding between the resin and porcelain is susceptible to margin leakage, which may ultimately cause an esthetic failure. Techniques involving a cemented porcelain-fused-to-metal overcasting have often been successful in restoring the fixed partial denture to form and function. Although the esthetic result of a porcelain/metal overcasting can be quite successful, retention of the overcasting is sometimes poor. The compromised retention and resistance form is due to lack of interproximal walls on the underlying fractured unit. To improve the retention of the overcasting, the following technique of tin plating the overcasting and fractured unit prior to cementing with a composite resin cement is presented.

Dental Bonding↗