Search PubMed⌕ Search

SEARCH · Search PubMed

Results for “Prosthesis Fitting”

Search indexed PubMed citations on genomics, clinical trials, systematic reviews and public health. Explore titles, authors and supplied subject terms, then open the PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 523 records · Page 29Linked to original sources
PubMedDate not supplied

Inaccurate fit of implant superstructures. Part 1: Stresses generated on the superstructure relative to the size of fit discrepancy.

This laboratory study used a photoelastic-coating technique to investigate the relationship between the magnitude and location of discrepancies of fit and the amount and distribution of surface stresses on an implant superstructure. For the test superstructure involving four abutments and a single fit discrepancy, maximum surface stress was found over the intermediate abutment, regardless of the location of the fit error. The results show a positive relationship between the size of the fit discrepancy and the magnitude of stress on the superstructure for gaps of up to 104 micrometers at an end abutment and 55 micrometers at an intermediate abutment, when the gold screws were tightened at 10-Ncm torque.

Dental Abutments↗
PubMed1996

An evaluation of the fit of porcelain inlays.

The effect of die spacer usage and three different porcelain build up techniques on inlay fit were investigated by impression wash methods and image analysis of sectioned replicas. All inlays were produced on machined cavities. Data from the impression wash technique indicated a mean misfit value of just over 100 microns. Image analysis showed a smaller mean misfit of 40-60 microns. In general, the use of die spacer resulted in a poorer fit and there were no significant differences between methods of porcelain application detected by either method.

Analysis of Variance↗
PubMed2006

Limb deficiency and prosthetic management. 3. Complex limb deficiency.

UNLABELLED: This self-directed learning module highlights rehabilitation and prosthetic issues associated with complex limb deficiencies. It is part of the chapter on acquired limb deficiencies in the Self-Directed Physiatric Education Program for practitioners and trainees in physical medicine and rehabilitation. This article discusses rehabilitation and prosthetic management of patients with amputations for complex limb deficiencies secondary to trauma. Mechanisms of injury, prosthetic issues, prosthetic components, and potential problems in prosthetic fitting will be discussed. OVERALL ARTICLE OBJECTIVE: To evaluate common problems associated with complex limb deficiency.

Adult↗
PubMed2003

Prosthetic socket fit comfort score.

PURPOSE: To validate a simple numerical scale to record the socket comfort of an artificial limb. METHOD: This study has adapted the numerical rating scale for pain (Downie et al.(1)) to form a 11 point scale to record the socket comfort score (SCS). Patients were asked to rate the comfort of their socket on a 0 - 10 scale where 0 and 10 represented the most uncomfortable and the most comfortable socket imaginable. Ratings of clinical evidence of poor fit were recorded independently by the physician and the prosthetist. Patients gave new numerical ratings of comfort after any necessary intervention to the socket. Repeatability, criterion related validity, sensitivity to change and use in clinical practice was studied on 44 consecutive patients in the prosthetic rehabilitation clinic. RESULTS: The study showed the reported SCS was consistent and reliable, high correlations being found between three scores obtained from patients by independent recorders. A strong relationship existed between the reported SCS and clinical evidence of poor fit judged by the physician and by the prosthetists' ratings. Significant positive changes in SCS were found after intervention to improve the fit. CONCLUSION: SCS has shown repeatability, criterion related validity and sensitivity to change. It has clinical utility and wider use is recommended.

Adult↗
PubMed1994

Contact lenses in the geriatric patient.

Contact lenses in the elderly patient are often prescribed for visual correction and/or corneal rehabilitation. The success of contact lenses in the geriatric patient is often limited by such factors as abnormal adnexal physiology, decreased manual dexterity, high degrees of refractive error, and low vision. Assessment of these factors prior to contact lens fitting can greatly increase the success of these unique contact lens applications. Indications and contraindications for contact lenses in the elderly, the need for special lens handling and care by family members, and available specialty lenses will be discussed.

Aged↗
PubMed1998

[Voice rehabilitation after total laryngectomy. Voice prostheses or esophageal replacement voice?].

BACKGROUND: During the last years tracheoesophageal fistula has a well established role and in several units is now the principal means of speech rehabilitation following laryngectomy. The purpose of this study is to present the long term results after using the Provox voice prosthesis and to compare the phonetic results obtained with this means of speech rehabilitation with esophageal speech. PATIENTS, METHODS, AND RESULTS: During the last 7 years, 265 laryngectomy patients were trained in our Department in an effort to develop esophageal speech. One hundred and twelve of them developed comprehensive speech of various quality. In another group consisting of 35 patients, a Provox low-resistance, self-retaining prosthesis was fitted. Twenty-nine of them developed a very good voice. Ten patients of each group were tested in order to estimate the quality of voice of the two methods. Three measurements were obtained from each patient: the maximal intensity, the maximal phonation time, and the number of syllables with one breath. CONCLUSION: All the results confirmed the better quality of the tracheo-esophageal speech. The main two advantages of the prosthesis are the effortless speech due to the low resistance of the valve and the simple maintenance by the patient. The most important disadvantage is the cost and the need to occlude the stoma during phonation. Conclusively each method of speech rehabilitation should be selected individually according to the needs, desire, and abilities of every patient.

Adult↗
PubMed2001

Threshold-based fitting methods for non-linear (WDRC) hearing instruments--comparison of acoustic characteristics.

Six threshold-based prescriptive methods for non-linear hearing instruments were compared for a standard audiogram and three simulated listening situations. Six hearing aids were programmed according to the manufacturers' recommended initial fittings for the specified audiogram. Coupler gain measurements were then made with speech-like signals, and loudness and speech intelligibility index (SII) were calculated. Large differences between estimated insertion gain-frequency responses were seen. These differences resulted in large differences in calculated loudness, whereas the SII calculations showed only small differences between the fitting methods. For two of the methods, DSL[i/o] and FIG6. a comparison between the original prescriptions and the hearing aid manufacturers' implementations of the prescriptions was made. The results showed large differences between prescribed and implemented gain.

Auditory Threshold↗
PubMed1999

Within-patient longitudinal speech reception measures with continuous interleaved sampling processors for ineraid implanted subjects.

OBJECTIVE: To assess within-subject changes in speech reception over time in a group of Ineraid subjects fitted with continuous interleaved sampling (CIS) wearable processors fabricated in Geneva. To compare asymptotic performance between CIS and Ineraid processors for the same subjects. DESIGN: Twelve patients, all users of the 4-channel Ineraid cochlear implant system for several years and with no previous experience of CIS processors in daily life, were equipped with Geneva Wearable Processors programmed to implement a high-rate CIS sound processing strategy using four to six channels. Their speech reception performance with CIS processors was monitored over a period of 1 yr with consonant and vowel identification tests. For comparison, speech reception performance also was measured with Ineraid processors before switching to CIS and after 6 mo of non-use of Ineraid processors. RESULTS: At fitting, CIS processors produced significantly better consonant identification but no better vowel identification. Subsequently, consonant and vowel scores with CIS processors improved progressively to asymptote after 6 mo of daily use. At 6 mo and beyond, performance with CIS processors was significantly superior to that obtained with Ineraid processors on both consonant and vowel identification tests. Control tests made with Ineraid processors after 6 mo of non-use of the device yielded results that were indistinguishable from those obtained before the study. CONCLUSIONS: The full potential of the CIS strategy is not revealed at fitting. Accumulation of daily experience provides significant improvements, asymptotic performance being reached after about 4 to 6 mo of use. All Ineraid users might greatly benefit from CIS processors.

Adult↗
PubMedDate not supplied

Audiometric evaluation of bilaterally fitted bone-anchored hearing aids.

Bilateral fittings of bone-anchored hearing aids (BAHA) were evaluated in 25 patients with at least 3 months experience with using two BAHAs. For all patients, air conduction hearing aids were contraindicated due to either recurrent otorrhoea or otitis externa (19 cases) or to congenital aural atresia (six cases). Candidacy for bilateral fitting was primarily based on symmetry of bone conduction thresholds. For all patients, measurements comprised sound localisation, speech recognition in quiet and in noise. In addition, in a subgroup of nine patients, release from masking for pure-tone stimuli in noise with interaural phase differences (binaural masking level difference. BMLD) was measured. The percentage of correct localisation judgments with 500-Hz and 2-kHz noise bursts increased significantly (p<0.01) from 22.2 per cent and 24.3 per cent for unilateral fittings to 41.8 per cent and 45.3 per cent for bilateral fittings, respectively. With unilateral fittings sound localisation judgments appeared to be strongly biased to the ipsilateral BAHA side. whereas with bilateral fittings, judgments were far more symmetrical. The speech reception threshold for sentences in quiet was significantly (p<0.01) better for the bilateral fittings compared to the unilateral fittings: 37.5 dBA versus 41.7 dBA. Speech recognition in noise was measured with the speech signal presented in front of the listener and a 65-dBA masking noise at either +90 degrees or -90 degrees azimuth. For noise presented at the ipsilateral side of the first fitted BAHA, the signal-to-noise ratio was significantly reduced (p<0.01) from -0.7 dB for the unilateral fitting to -4.0 dB for the bilateral fitting. The speech reception threshold in noise was not significantly different (p>0.05) for unilateral and bilateral fittings when the noise was presented at the contralateral side of the first fitted BAHA. The results for the six patients with congenital atresia are comparable with those for the other patients. So, directional hearing and speech recognition in noise improve significantly with a second BAHA. The BMLD measurements showed a significant (p<0.01) release from masking of 6.1, 6.0 and 6.6 dB for 125-Hz, 250-Hz and 500-Hz stimuli, respectively. The BMLD effect of 4.1 dB at 1,000 Hz was not significant at the 5 per cent level. The positive results with the bilateral fittings in quiet can be ascribed to increased stimulus levels due to diotic summation of signals from either side. The results for localisation, speech recognition in noise and BMLD measurements indicate that bilaterally fitted BAHAs do indeed (to some extent) result in binaural hearing.

Adolescent↗
PubMed1997

Video otoscopy in audiologic practice.

Recent advances in endoscopic optics and miniature video camera technology have made video otoscopy (VO) accessible to audiologists in a practical way. Seven categories of VO applications are presented with clinical examples: (1) general examination of the earcanal and tympanic membrane, (2) physician communication/telemedicine, (3) hearing instrument selection and fitting applications, (4) patient education, (5) scope of practice reinforcement, (6) knowledge base/skill growth, and (7) cerumen management.

Adult↗
PubMedDate not supplied

Determining the vertical and horizontal positioning of multifocal and progressive lenses.

The key to success with any ophthalmic spectacle prescription is not only the accurate determination of the refractive prescription, but the proper selection and fitting of the ophthalmic frame and lenses. Proper selection and fitting are especially important with bifocals, trifocals, or progressive lenses, which present many variables other than inaccurate interpupillary distance measurement that can lead to patient dissatisfaction. This article discusses fitting procedures for patients with new or existing multifocals. It reviews how to determine proper multifocal segment heights; and calculate distant decentration, inset, and total inset measurements; and it addresses issues involving variations in frame size and patient temperament.

Eyeglasses↗
PubMed1997

Effect of complete denture renewal on oral health--a survey of 42 patients.

The effect of complete denture renewal on oral health was evaluated both subjectively and clinically at follow-up 30 months (range 19-36 months) after completion of treatment in 42 edentulous patients (31 women and 11 men, aged 34-76 years) treated by dental students during 1989-1992. Ninety per cent of the patients were satisfied with the new appearance of their dentures and 71% with the way they functioned. When comparing the base data and results from follow-up it seems that general health and medication, anatomical circumstances, salivary flow rates and denture wearing habits in edentulous subjects do not change significantly over a few years. The main effects of denture renewal are seen in patient satisfaction, and clinically in the improved condition of oral mucosa and better fit and acceptable occlusion of dentures.

Adult↗
PubMedDate not supplied

Development and early testing of a simple subcutaneous counterpulsation device.

The intra-aortic balloon pump has been widely and successfully used as a treatment for cardiac dysfunction, but it only has short-term applications. To overcome this limitation, a superficial counterpulsation device (CPD) is being developed to provide extended counterpulsation support to promote myocardial recovery. The CPD is a valveless, monoport, pneumatically driven, 40-ml sac that is intended to be implanted in a pacemaker-type pocket in the subclavian fossa. The sac is designed to fill in systole and empty during diastole through an outflow graft anastomosed to the subclavian artery. A feasibility study was conducted to investigate acute hemodynamic responses to the CPD in eight calves with diminished cardiac function. The CPD augmented aortic diastolic pressure, reduced left ventricular peak systolic and aortic ejection pressures by up to 18%, and increased diastolic coronary flow by up to 21% and stroke volume by up to 12%. A cadaver fit study demonstrated that the human subclavian artery is a reasonable anastomosis site to consider and that the 40-ml CPD needs to be reduced in size to provide a better anatomical fit. The clinical attractiveness of this approach is that it may provide extended support through a subcutaneous surgical procedure.

Animals↗
PubMed1994

Passive fit of implant-retained prosthetic superstructures improved by electric discharge machining.

PURPOSE: An absolutely passive fit at the interface with the superstructure and the abutment cylinders is needed for implant longevity. In this study, a method of cast framework correction using electric discharge machining (EDM) was evaluated. MATERIALS AND METHODS: An original research model incorporating strain gages was devised to measure the fit of implant superstructures in three dimensions as cast and to compare this relationship with the fit following framework machining with EDM. RESULTS: Visually, the fit of the frameworks was excellent, and the results of ANOVA demonstrated that the mean fit of the frameworks significantly improved (P > .04) after machining with EDM. CONCLUSIONS: The EDM process offers a rapid, accurate, and simple technique to correct for casting inaccuracies in the fabrication of hybrid implant prostheses.

Analysis of Variance↗
PubMedDate not supplied

Marginal fit of alumina-and zirconia-based fixed partial dentures produced by a CAD/CAM system.

Clinical long-term success of all-ceramic dental restorations can be significantly influenced by marginal discrepancies. As a result, this in vitro study evaluated the marginal fit of alumina- and zirconia-based fixed partial dentures (FPDs) machined by the Precident DCS system. Different master steel models of three-, four- and five-unit posterior FPDs with an 0.8 mm chamfer preparation were produced. FPDs made of DC-Zirkon and In-Ceram Zirconia core ceramics were machined by the Precident DCS system. The marginal fit of the milled frameworks placed on the master steel models was determined by a replica technique using a light-body silicone to fill the discrepancies between crown and tooth and a heavy-body material to stabilize the light-body impression material. The impressions were poured into an epoxy resin material and each model was cross-sectioned with a low speed diamond saw to better visualize marginal discrepancies. The marginal fit of the FPDs was evaluated by scanning electron microscopy. The measurements of the marginal fit exhibited mean marginal discrepancies in a range between 60.5 and 74.0 microm, mean marginal gaps in a range from 42.9 to 46.3 microm, mean vertical discrepancies in a range from 20.9 to 48.0 microm and mean horizontal discrepancies in the range of 42.0 to 58.8 microm. Statistical data analysis was performed using the non-parametric test of Kruskal-Wallis and Mann-Whitney. The analysis revealed no significant differences (p>0.05) between the mean marginal gaps and vertical and horizontal discrepancies. However, for some FPDs the mean values of the marginal discrepancies were significantly different (p < or =0.05). The wide range of the measured values may be attributed to the complex geometrical design of long span FPDs and difficulties regarding the milling process of brittle ceramic materials. Based on the selection of 100 microm as the limit of clinical acceptability, the results of this study can conclude that the level of marginal fit for alumina- and zirconia-based FPDs achieved with the Precident DCS system meet the clinical requirements.

Aluminum Oxide↗
PubMed1997

[Current criteria and methods of hearing aids fitting].

The contemporary criteria of hearing aids fitting were presented. The several hearing aids selection procedures such as POGO, Berger, NAL etc. were described in details. They are based generally on audiometric hearing threshold measurements. Some of the main differences have been also discussed.

Deafness↗
PubMed2006

[Compensation for presbyopia using contact lenses].

Contact lens fitting for presbyotic patients needs more than simple fitting shill; patients need additional psychological support. The wearer has to accept optical quality reduction due to the multifocality of the lens design. In general, the technical fitting of presbyotic contact lenses is comparable to monofocal systems. They work with the same rules of performance. The difference lies in the principles of correction by the lens itself. Simple presbyotic systems use uncorrected optical aberration to widen depth perception. These lenses are suitable for young presbyopes, up to a need of 1 diopter plus power for near vision. Uncorrected aspherical designs have a multifocal effect which can be used for presbyotic lenses. There are contact lenses on the market with simultaneous imaging, which is based on concentric rings around the near or distance centre. Another principles are based on segmented reading portions in the lower part of the lens, also called alternating systems. These very few design variations are the basis for the various specific models which are sold on the market today. The results of the fitting can never be foreseen as subjective and psychological aspects of the wearer overlay the objective results. Thus, the fitter needs experience and patient understanding, combined with fundamental knowledge of the specific lens type used.

Contact Lenses↗
PubMed1999

Noise analysis of real-life listening situations for maximal speech audibility in hearing aid fitting.

This study attempts to prescribe hearing aid characteristics for one listening environment selected by an individual hearing aid user in order to provide better speech intelligibility than standard insertion gain prescriptions. The procedure is based on acoustic analyses of noise recorded by the user. The main purpose is to show the feasibility of the measurement and analysis procedure as a tool to investigate the consequences of the noise characteristics of everyday hearing aid use. The Speech Intelligibility Index (SII) is used as a criterion to optimize the insertion gain frequency response of the hearing aid. The results indicate that realistic background noise information is essential to achieve the best possible speech audibility. Maximizing the SII required higher insertion gain above 5000 Hz than assumed in conventional fitting procedures. Different insertion gain frequency responses are required for different listening conditions. The measurement procedure could identify acoustic listening conditions where hearing instruments would probably give no benefit.

Aged↗