Charles L. Bolender

The Cornell Medical Index as a prognostic aid for complete denture patients

Abstract A population of 402 complete-denture patients has been evaluated. Postinsertion adjustments and the patient satisfaction score were measured against the patients Cornell Medical Index score. No correlation was established between postinsertion adjustments and CMI scores. A definite correlation was established, however, between increase in total CMI score above 25 and decrease in patient satisfaction. Further, a correlation was also established between a score of three to six on page 4 of the CMI and decreased patient satisfaction. There is evidence to support the value of education of complete-denture patients concerning the relationship of emotional problems and denture problems.

One-step border molding of complete denture impressions using a polyether impression material

A technique has been described which uses a polyether impression material for border molding of complete denture impressions. It has the following advantages: 1. There is simultaneous molding of all borders of either the maxillary or mandibular impression. 2. Border molding can be accomplished with one insertion of the tray. 3. Functional movements performed by the patient are used in border molding. 4. The technique is easily mastered.

Swinglock removable partial dentures: Where and when

The where and when of swinglock removable partial denture treatment planning have been presented, including indications, contraindications, and advantages. While the principles asserted in this article do not represent a panacea to partial denture design, the swinglock design concept does provide another treatment alternative for select difficult biomechanic situations.

Prosthodontic treatment of ectodermal dysplasia: A case report

Abstract Dental therapy as a phase in the treatment of ectodermal dysplasia is essential. The method of treatment of a patient with ectodermal dysplasia and associated oligodontia has been reported. As a result of prosthodontic therapy, the child has been improved esthetically, psychologically, and physiologically.

Designing swinglock partial dentures.

Abstract The basic design principles of swinglock removable partial dentures including (1) even stress distribution, (2) control of rotational forces, (3) absence of D-E hinges, (4) rests, and (5) placement of the labial retentive fingers have been discussed. Special instructions to swinglock removable partial denture patients and recommendations for maintenance of the swinglock removable partial denture have been emphasized.

Evaluation of treatment of inflammatory papillary hyperplasia of the palate.

Summary The results of this study indicated that the making of new dentures alone was not effective in eliminating inflammatory papillary hyperplasia. However, surgical removal of the lesion and the making of new dentures was effective in the eradication of the lesion.

Cephalometric evaluation of a labial vestibular extension procedure

Abstract Oriented lateral cephalometric roentgenograms proved to be satisfactory in the evaluation of the results of a new vestibular extension procedure used on 6 subjects. The surgical procedure involved repositioning of the mentalis and incisive muscles with fixation in the new position by sutures and a splint. This procedure obtained primary healing with little or no scar in the depth of the vestibule. Results after 6 months, with the lip in a relaxed position, showed an increased vestibular depth ranging from 4.5 to 12.1 mm., with a mean gain of 7.0 mm. The results with the lip in a functional position showed an increased depth ranging from 5.6 to 9.4 mm., with a mean gain of 7.1 mm. Thus, there was a significant increase in vestibular depth as a result of operation which was maintained over a 6-month period.

Laboratory management of Molloplast-B-lined dentures

A detailed description of the laboratory processing procedures for Molloplast-B-lined dentures that varies from those offered by the manufacturer has proved to be effective. The processing technique for Molloplast-B-lined dentures is very sensitive, consequently, no steps should be omitted. Because these procedures are time-consuming, the minimal time required is 3 full working days in the laboratory.

Development of a nursing-home dental program

Summary The nursing home of the future may have a dental operatory planned in its construction, although probably not very soon. The availability of good, functional, portable equipment is of great value to any program in a nursing home or similar institution. Dental training has traditionally overlooked the patient population in nursing homes, although this group is among the most likely to have dental needs. The pilot project at the University of Washington has promoted interest in the dental problems of elderly and debilitated persons. The students involved in this elective activity have received experience that cannot be duplicated in the dental school. Hopefully, these students will become leaders in their communities to promote dental care for nursing home patients.

The significance of vertical dimension in prosthetic dentistry

2. The condyle of the mandible consists of a rounded, elliptical, bony head with a neck which is usually tilted forward. The upper and anterior surface of the condyle in centric occlusion articulates with the posterior surface of the articular eminence. Articular cartilage covers the surface of this condyle. 3. The articular disc or meniscus is an oval structure which is a relatively thin plate of fibrocartilage. Its lower surface is concave and its upper surface is convex conforming to the shape of the structures it approximates. 4. The two synovial membranes or sacs are placed one above and one below the articular disc. The superior membrane, which is the larger and looser of the two, extends from the inferior of the mandibular fossa and articular eminence onto the superior surface of the disc. The inferior membrane passes from the inferior surface of the disc onto the neck of the condyle.