I. Kenneth Adisman

The use of denture adhesive as an aid to denture treatment

Denture adhesives are used by more than five million denture wearers in the United States. All dentists strive to achieve stable, retentive, and comfortable dentures that do not require the use of denture adhesives. However, dentists may prescribe and use denture adhesives as a legitimate therapeutic and effective procedure in denture treatment and in denture aftercare, when indicated. Denture patients should use denture adhesive on the advice of their dentists and should be instructed in its proper use and cautioned against misuse.

An injection impression technique for palatal defects

A master cast suitable for fabricating a retentive flexible base using any of the materials and techniques previously mentioned is provided. The flexible extension fits snugly into the defect laterally and extends above the remnants of the soft palate posteriorly and into the nasal floor anteriorly on either side of the remnants of the nasal septum (Fig. 9). The use of a thin flexible extension such as Molloplast will provide a good chemical bond to the acrylic resin of the denture base, allows for easy cleaning, and will maintain flexibility for several years. Prostheses constructed with this technique are retained well. The technique described will provide increased mechanical retention of prostheses for defects of the palate by engaging undercuts around the borders of the defect with a flexible material. The impression is made by injecting an elastic impression material with a syringe through a hole prepared in the palate of the impression tray. This technique may not always be required, but is recommended where a retention problem is anticipated and there is difficulty in obtaining a satisfactory flow of the impression material to the appropriate undercut. A correct impression can be secured the first time, overcoming further discomfort and inconvenience to the patient.

Education in maxillofacial prosthetics.

Abstract The introduction of maxillofacial prosthetics to the dental student requires qualified teachers. Advanced programs should be developed for educating the necessary teachers and specialists. One-year postgraduate programs and straight internship programs should be affiliated and coordinated with other advanced programs or expanded into two- or three-year programs. If this cannot be accomplished, such one-year programs should be dissolved. Whenever possible, the maxillofacial educational program should be distributed over three years. Such programs should incorporate a comprehensive program in prosthodontics. Guidelines for such programs should be developed by the American Academy of Maxillofacial Prosthetics. An advanced prosthodontic program should be designed to educate dentists in depth in the most recent preventive and treatment measures in maxillofacial prosthetics. 8 Maxillofacial prosthetics is a combination of the biologic, physiologic, social, and clinical disciplines, and their application to special patient care. It is essential for the student to have a thorough understanding, not only of his own profession and specialty, but also of the interrelationship of the general medical and social problems affecting his patients. An advanced program in maxillofacial prosthetics should emphasize a combination of reasoning powers, good judgment, and technical skill in the treatment of the special type of patient. 9

Surgical prosthesis for reconstructive mandibular surgery

Abstract The construction of a surgical prosthesis for a patient undergoing a bone graft for a section of the mandible has been described. The restorations used for the stabilization of the new segment of bone incorporated those features necessary for mandibular immobilization during the healing period, and for the restoration of mastication, deglutition, and occlusal harmony.

What a prosthodontist should know

lhis report is based on the results of a Workshop which was part of the proceedings of the Academy of Denture Prosthetics Annual Meeting in New Orleans, La., held on May 15, 1968. The background papers presented include: “Knowledge and Skills a Dentist Should Possess to Practice Prosthodontics” by Dr. S. Howard Payne; “Postdoctoral Education in Prosthodontics” by Dr. John Sharry; “Knowledge and Skills That Should be Included in a Graduate Prosthodontic Program” by Dr. Carl 0. Boucher; “The Role of the Prosthodontist in a Hospital” by Dr. I. Kenneth Adisman; and “Knowledge and Skills a Candidate Should Possess to Appear Before the American Board of Prosthodontics” by Dr. Heinz 0. Beck.*** Conclusions based on a statistical analysis of responses to questions presented to the participants of this Workshop will also be included in this report. The magnitude of the information accumulated required disciplined editing and condensation and is reported with awareness of the importance it will have on the future direction of graduate prosthodontic education. The specialty of prosthodontics represents a broad spectrum of services and responsibilities to a varied patient population with medical, surgical, dental, behavioral, and biologic defects. The scope of prosthodontics has expanded from the narrow confines of complete and removable partial denture services to include the provision of fixed partial dentures and maxillofacial prosthetics. The demands of an increasing and longlived population for a higher standard of prosthodontic service and the need for more dentists, more colleges of dentistry, more hospitals, more dental services and dental health programs, more teachers of prosthetic dentistry, more and better