[Methods of evaluating vertical dimension].
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Biomedical subjects
Publications and source records attributed to V Burlui.
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The investigation of 2087 patients with partially extended, subtotal and total edentations who presented to the Clinic of Dental Gnathoprosthetics of Iaşi made possible the assessment of the role and importance of prosthetic saddle in the physiognomic restoration in such patients. By applying the modern clinical and technical methods of designing and making the gnathoprosthetic apparatus, the physiognomy of dento-alveolar arches according to actual exigencies and observing the dento-facial harmony can be achieved.
The gnathoprosthetic treatment in emergency is now a compulsory step in solving the esthetic problems raised by the affections of stomatognathic system (coronary lesions, edentation) localised in visible areas of dental arches. Nowadays, the state of stress induced by these affections can be relieved by an immediate and highly physiognomic treatment, a method at hand being the Scutan mask. Excellent technic results can be obtained by using conformators obtained by thermoplasticizing and vacuumating, in current use in our clinic.
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Dental chromatic space has been the topic for many studies and most of all indicated that dental structures are very versatile from the colour point of view, therefore a proper shade selection is difficult to made. Our study made a comparison between the shades of dental structures of men and women of different ages, the measurements being done in three regions: incisal, middle and cervical. We used a spectrophotometer Spectra-Flash 600 and the PC programme Data-Master version 2.3 for both chromatic determinations and the statistical evaluations. The study proved that there are no major differences between the dental shades of men and women; meanwhile chrome increases with age and from incisal to cervical regions. Also, value increases from incisal to cervical region.
The connective restoration of dental arches still raises physignomic problems. The less visible in the context of individual's facial architecture the more esthetic the prosthetic artifice is. Based on the statistic data of the Iaşi Clinic of Dental Prosthetics the results of the gnathoprosthetic treatment performed in the years 1987 and 1988 in 1,751 patients were evaluated. The efficiency was estimated by the quantitative relation between the various types of prostheses used in restoring the integrity of frontal arch.
The program is very useful by its rapidity, reliability and releasing the dentist from calculating the multiple variants of some clinico-biological indices. The computer-assisted gnatho-prosthetic diagnosis also makes possible a more adequate therapeutical plan.
The authors present the forms the psychic discomfort may take during the prosthetic treatment and the importance of their diagnosis. This paper is the result of the investigations carried out in the Office of psychognathoprosthetics of the Clinic of Dental Prosthetics of Iaşi and synthesizes the results obtained by the prepsychiatric examination of 180 patients.
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Within the informatics strategy of the clinic of dental prosthetics we suggested, among other things, a computer-assisted clinical gnathoprosthetic examination, a careful and complete examination being the first medical act when the patient presents to a physician. The information collected during the patient's examination (essential data on affections of the stomatognathic system) were systematized in a data base. Since this data base is organized according to the methodology of a complete and complex clinical and paraclinical examination, the possibility of involuntarily omitting certain information is excluded.
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The investigation of a series of patients following a treatment at the Clinic of Gnathoprosthetics of Iaşi made possible an evaluation of their general emotional state in relation with their dental problems. According to the obtained results, the emotional discomfort induced by the numerous specific and unspecific gnathoprosthetic factors was avoided by means proper to each category of patients.