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  • 11
    Electronic Resource
    Electronic Resource
    Oxford, UK : Blackwell Publishing Ltd
    Journal of oral rehabilitation 24 (1997), S. 0 
    ISSN: 1365-2842
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Notes: summary A significant clinical consideration in the restoration of partial edentulism with implant and tooth-supported prostheses is whether implants and natural teeth abutments should be splinted, and if so, in what manner. This article presents a review of laboratory and clinical studies related to splinting. Stress analysis studies reveal high stress concentration around the implant neck when rigidly connected to teeth. This was not borne out in in vivo studies in short-span bridges. While stress absorbing elements have been advocated to redistribute and reduce stress concentration away from the implant neck where bone resorption is often seen, finite element analysis and photo-elastic studies demonstrate that such stress absorbing elements may be effective only when their resiliency is in the same order of magnitude as the periodontal ligament. Clinical studies reporting life table statistics in combined implant and tooth restorations do not show adverse effects of splinting teeth to implants. These studies, however, are mostly short-term reports oh survival with results that are as yet inconclusive. The issue of connecting with rigid or non-rigid connectors remains unresolved with a growing body of information favouring retrievable short-span rigid connection to non-mobile teeth. Root intrusion is a potential clinical hazard of non-rigid connection.
    Type of Medium: Electronic Resource
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  • 12
    Electronic Resource
    Electronic Resource
    Oxford, UK : Blackwell Publishing Ltd
    Journal of oral rehabilitation 24 (1997), S. 0 
    ISSN: 1365-2842
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Notes: summary In an attempt to draw the clinician's attention to the coronoid process site While evaluating the aetiology of the restriction of mandibular opening, four cases are illustrated. These cases represent a diversity of causes hampering the free rotational movement of the coronoid process in space during jaw function. Case 1 is an example of unilateral hyperplastic coronoid process and osteochondroma; case 2 shows unusually shaped short and divergent coronoid processes combined with a bucally displaced maxillary third molar on one side; cases 3 and 4 represent an anatomical variation of an extremely narrow vestibular space due to the close proximity of the medial aspect of the coronoid process to the distal molar. It is suggested that each clinical examination include the width of the buccal vestibular space while performing mandibular movements.
    Type of Medium: Electronic Resource
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  • 13
    Electronic Resource
    Electronic Resource
    Oxford, UK : Blackwell Science Ltd
    Journal of oral rehabilitation 31 (2004), S. 0 
    ISSN: 1365-2842
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Notes: summary  Chewing side preference is a factor that could effect prosthodontic treatment. The purpose of this study was to determine whether chewing side was another type of hemispheric lateralization comparable with footedness, handedness, eyedness and earedness. Chewing side preference was tested in 189 subjects of whom 84 were partially edentulous, 98 had a full compliment of dental units (81 included implant-supported restoration restoring the missing teeth and 17 with fully intact dentitions), and seven were fully edentulous, restored with complete dentures. Laterality tests were carried out for the first cycle of mastication, handedness, footedness, earedness and eyedness and patient questionnaire. Most patients preferred chewing on the right side (78ḃ3%) and were right sided. Chewing side preference correlated with other tested hemispherical lateralities. Missing teeth, occlusion type, lateral guidance, gender, implant-supported restorations and complete dentures do not affect the side preference for chewing. This presents a strong argument that chewing side preference is centrally controlled and provides food for thought regarding its significance in prosthodontics.
    Type of Medium: Electronic Resource
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  • 14
    Electronic Resource
    Electronic Resource
    Oxford UK : Blackwell Science Ltd
    Journal of oral rehabilitation 29 (2002), S. 0 
    ISSN: 1365-2842
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Notes: Variations in the bulk of wash in a putty-wash impression technique can result in dimensional changes proportional to the thickness of the wash material during setting. The purpose of the study was to determine the amount of wash necessary to achieve accurate stone models while using a two-step putty-wash impression technique with polyvinyl siloxane (PVS) impression material. A total of 45 impressions were made of a stainless steel master model, 15 impressions for each wash thickness (1, 2 and 3 mm). The model contained three full-crown abutment preparations, which were used as the positive control. Accuracy was assessed by measuring six dimensions (occlusogingival and interabutments) on stone dies poured from impressions of the master model. One-way analysis of variance (ANOVA) showed statistically significant differences amongst the three wash bulk groups, for all occlusogingival and interabutment measurements (P 〈 0·001). The overall discrepancies of the groups using wash thickness of 1 and 2 mm were smaller than the group with 3 mm wash thickness. Therefore, wash bulks of 1 and 2 mm were most accurate for fabricating stone dies, using PVS impression materials. This can be achieved by using the temporary crown to create the desired wash space in the preliminary putty impression. Wash thickness 〉 2 mm was inadequate to obtain accurate stone dies.
    Type of Medium: Electronic Resource
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  • 15
    Electronic Resource
    Electronic Resource
    Oxford, UK : Blackwell Science Ltd
    Journal of oral rehabilitation 25 (1998), S. 0 
    ISSN: 1365-2842
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Notes: While resting mandibular posture is continuously changing, repeatable relations of ‘physiologic rest position’ (PRP) and ‘clinical rest position’ (CRP) are described in the literature. The PRP is defined as a position of minimal muscle activity and CRP as a more closed clinical reference relation. Relaxed resting posture (RRP) is a repeatable postural range obtained by operator-induced relaxation techniques. This article reports on measurements of mandibular posture in a patient group following an increase in occlusal vertical dimension (OVD) with fixed restorations beyond CRP over 2 years. The relationship of CRP and RRP in the restored and a non-restored control group is compared. The relationship of RRP and corresponding masseteric EMG values to baseline minimal EMG levels is reported for both groups. Resting face height adapted to the increased OVD and remained consistent over 1 and 2 years. The RRP was greater and significantly different from CRP in both groups ( P = 0·0001). Results indicated that both CRP and RRP were postural ranges and not specific postural positions. The RRP occurred at minimum baseline EMG levels for both groups and appears to be consistent with physiologic rest position. The possibility of achieving minimal EMG levels at varying interocclusal rest space relations is discussed.
    Type of Medium: Electronic Resource
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  • 16
    Electronic Resource
    Electronic Resource
    Oxford, UK : Blackwell Publishing Ltd
    Journal of texture studies 28 (1997), S. 0 
    ISSN: 1745-4603
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Process Engineering, Biotechnology, Nutrition Technology
    Notes: Rheological characteristics of seven Feta cheeses with different textures and produced from ultrafiltered milk (UF-Feta cheeses) were evaluated by uniaxial compression and sensory texture analysis. The effect of uniaxial deformation rate (50–2500 mm/min) on four rheological parameters: Stress at fracture s̀f), Hencky strain at fracture (ɛf), deformability modulus (E) and work to fracture (Wf) was examined. Three Principal Components (PC) described 76, 16 and 4% respectively, of the variation in the uniaxial compression data set (4 parameters at 12 deformation rates). Statistically αf, E and Wf described the same type of information in the data set. Six sensory texture attributes of the UF-Feta cheeses were evaluated by a sensory texture panel: nonoral firmness, nonoral brittleness, nonoral spreadability, oral crumbliness, oral firmness and oral stickiness. One PC described 93% of the variation in the sensory texture data and grouped the sensory variables into two negatively correlated groups: nonoral firmness nonoral brittleness, oral firmness and oral crumbliness versus nonoral spreadability and oral stickiness. Correlations and Partial Least Squares regression (PLS) between instrumental and sensory texture variables showed that nonoral and oral firmness were the nonoral and oral sensory variables best predicted from instrumental measurements. αf, E and Wf were all able to predict nonoral and oral firmness. Of the instrumental parameters, αf generally gave the best correlation to nonoral firmness at all deformation rates. Above a deformation rate of 50 mm/min correlations between αf and nonoral firmness were almost independent of deformation rate, and at any deformation rate correlations between αf and oral firmness
    Type of Medium: Electronic Resource
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  • 17
    Electronic Resource
    Electronic Resource
    Springer
    International orthopaedics 19 (1995), S. 265-268 
    ISSN: 1432-5195
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Résumé Nous avons trouvé à l'analyse de la technique opératoire de l'arthroplastie du genou par la prothèse Whiteside Mark II que cette intervention consiste en une succession de 42 étapes distinctes. Certaines de ces étapes sont plus importantes que d'autres et jouent un rôle clé. Il n'existe pas dans la littérature de méthode permettant d'établir qu'une étape donnée d'une intervention joue un rôle clé dans cette intervention. Notre analyse a identifié quatre caractéristiques d'une étape clé: 1) l'opération ne peut être poursuivie sans cette étape; 2) la durée de l'étape clé est nettement plus longue que celle des autres étapes; 3) l'étape requiert des corrections nettement plus souvent que les autres étapes; et 4) ces corrections prennent nettement plus de temps que pour les autres étapes. Grâce à cette méthodologie rigoureuse, deux étapes ont montré les quatre caractéristiques requises et peuvent donc être appelées étapes clé. Ce sont le positionnement du guide de coupe fémorale et les coupes fémorales initiales. Nous croyons que cette méthodologie analytique peut s'appliquer à d'autres interventions chirurgicales afin de mieux comprendre le détail de leur complexité.
    Notes: Summary We have analyzed the operation of knee arthroplasty using the Whiteside Mark II prosthesis, and found that it could be broken down into 42 steps, some of which are more important than others and can be considered as critical. We have identified 4 criteria to evaluate a critical step: 1) it must be necessary to complete the procedure, 2) it must take a significantly longer time to perform than other steps, 3) it must be revised significantly more frequently than other steps and 4) it must take significantly longer to revise than other steps. Two steps have been found to which all 4 criteria applied, namely placement of the femoral cutting jig and the first femoral saw cuts.
    Type of Medium: Electronic Resource
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  • 18
    Electronic Resource
    Electronic Resource
    Springer
    Der Onkologe 5 (1999), S. 1054-1061 
    ISSN: 1433-0415
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Die Kompression des Rückenmarkes oder der Cauda equina ist eine gefürchtete Komplikation bei Krebspatienten. Sie läßt sich autoptisch bei etwa 5% aller Tumorpatienten nachweisen und ist aufgrund ihrer klinischen Problematik wie Parese der unteren Extremitäten oder Verlust der Blasen- und Mastdarmkontrolle ein akut zu behandelnder onkologischer Notfall.
    Type of Medium: Electronic Resource
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  • 19
    ISSN: 1433-0458
    Keywords: Schlüsselwörter Hörstörung ; Prävalenz ; Konnatale Hörstörungen ; Erworbene Hörstörungen ; Progredienz ; Infektionen ; Kinder ; Keywords Hearing loss ; Prevalence ; Connatal hearing loss ; Acquired hearing loss ; Progressive hearing loss ; Infections ; Children
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Abstract The results of international investigations on connatally acquired hearing loss are compared with the data of the German Registry on Childhood Hearing Loss (4058 cases). The connatal hearing disorders have shown a notable change in the last years regarding to aetiology and prevalence. In contrast to countries of the third world in developed nations the prevalence of permanent childhood hearing loss has been reduced down to 1 in 1.000 births. The results let assume a prevalence of approximately 1:1.200 births in Germany. For instance the number of rubella embryopathia decreased effectively. In contrast CMV infections and alcohol fetopathia are playing an increasing role. In the patients of the German Registry on Childhood Hearing Loss the percentage of certainly progressive hearing loss is 10.3 within the 4058 children with permanent hearing impairment. Diagnostic procedures first of all for the early diagnosis of CMV but also of toxoplasmosis are considerable because these infections may result in treatable hearing loss. Also consequent hearing tests are demanded in children with alcohol fetopathia.
    Notes: Zusammenfassung Im vorliegenden Beitrag werden die Daten internationaler Studien zu angeborenen erworbenen Hörstörungen mit den Ergebnissen aus 4058 Fällen im Deutschen Zentralregister für kindliche Hörstörungen (DZH) verglichen und ausgewertet. Die angeborenen Erkrankungen des Hörvermögens haben innerhalb der letzten Jahre bezüglich Ätiologie und Prävalenz einen deutlichen Wandel erlebt. Im Gegensatz zu Ländern der 3. Welt ist die Prävalenz permanenter kindlicher Hörstörungen in den westlichen Industrienationen auf ca. 1:1.000 gesunken. In Deutschland liegt die Prävalenz nach ersten Ergebnissen des DZH bei ca. 1,2:1.000. So ist beispielsweise der Anteil der Rötelnembryopathien stark zurückgegangen. Dagegen spielen heute die Zytomegalievirus-(CMV)-Infektion und die Alkoholfetopathie eine größere Rolle. Im Patientenkollektiv des DZH mit 4058 permanent hörgestörten Kindern beträgt der Anteil gesichert progredienter Verläufe 10,3%. Diagnostische Verfahren, vor allem zur Früherkennung von CMV und Toxoplasmose, gewinnen zunehmend an Bedeutung. Ebenso ist eine konsequente Hördiagnostik auch bei Kindern mit Alkoholfetopathie zu fordern.
    Type of Medium: Electronic Resource
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  • 20
    ISSN: 1433-0458
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Type of Medium: Electronic Resource
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