Columbia University School of Dental and Oral Surgery - Dental Columbian Yearbook (New York, NY)

Page 17 text:

HARRY A. YOUNG JOHN F. RALSTON D.D.S. D.D.S. Assistant Prof, of Dentistry Assistant Prof, of Dentistry d. j. w. Mclaughlin D.D.S. Assistant Prof, of D-l I c tfl HENRY JUNEMANN A.B., D.D.S. . -. Dentistrs GILBERT P. SMITH D.D.S. Assistant Prof, of Dentistry HAROLD S. WOODRUFF D.D.S. Instructor in De MORELL D. McKENZIE D.D.S. Instructor in Dentistry 4Tk NORMAN W. BOYD B.S.. D.D.S. Assistant in D 13

Page 16 text:

PROSTHETICS EARLE BANKS HOYT, D.D.S. Professor of Dentistry As in the other divisions of the School, the Pros- thetic Division attempts to teach and practice ideal dentistry. No other lost organ of the body can be replaced with a substitute having the efficiency of a replaced tooth or set of teeth. It is up to us as dentists to give to our patients the most efficient restorations possible. Only through consideration of all the problems of function, retention, comfort and esthetics can this be accomplished. In constructing full dentures, the first step is the talcing of the patient ' s history, special attention being paid to conditions of the oral cavity. A special out- line of procedure for this purpose has been very ade- quately prepared by the Division. The aid obtained therefrom in bringing the restoration to its ideal com- pletion is invaluable. Many technics have been developed for the con- struction of a full denture case. These vary in their mode of attack mainly on the problems of function and retention, the two greatest problems. After years of study and experience with many of these technics, the members of the Division have found one which in their opinion, best solves these problems — the House Technic. Here, by means of a special articu- lator, all the movements of the patient ' s jaw can be quite accurately duplicated. No longer is there the fear of the finished denture not fitting or of it kicking loose when the patient goes through the normal move- ments of the jaw. The excellent results obtained with a House case are well worth the additional time and energy. Unfortunately, due to the fact that the technic has not received enough space in the dental journals, it has not yet reached the profession at large. In the field of Crown and Bridge, the Division is undoubtedly considered by many, extreme in its pro- cedure; and at first glance this might appear so. But after careful consideration, its procedure can truly be called conservative. For it is the inlay abutment, fallaciously called conservative, which in the long run breaks down more often than the full or J4 crown. The crown, on the other hand, while involving more tooth structure proves its conservatism by outlasting the latter. This is explained on the basis that the greater the marginal area the greater the chance of recurrent decay. Can this be called radical if it insures health? The careful pre-operative consideration of all fac- tors involved in the construction of a bridge is another reason why so few patients are ever troubled with one made in our infirmary. It is this type of true conservatism which underlies the teaching of Crown and Bridge at Columbia. 12

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DANIEL E. ZISKIN, D.D.S. Associate Professor of Dentistry ORAL DIAGNOSIS Since 1927-28, Columbia has been a leader in teach- ing oral diagnosis and treatment planning. It was at that time that a course in Oral Diagnosis was instituted. In 1929 students were first allowed to take an active part in the Oral Diagnosis clinic. Columbia was one Of the first and few schools to do this. A good course in oral diagnosis and treatment plan- ning is the basis upon which the young dental graduate should build his practice. This is what the course in oral diagnosis tries to instill in its students. First and foremost, the means of diagnosing oral disease are taught. With this is given the rationale which neces- sarily lies behind logical diagnosis. Following the trend of modern up-to-date dentistry, oral manifestations of systemic diseases are emphasized. Before attempting to cure or remedy any oral or dental lesion the dental student is taught to look for the cause of the lesion. The effect of systemic disorders upon the organs of Ihe oral cavity are becoming better known and should be considered before making a final diagnosis. Treatment planning calls upon the dentist to exert all his care and skill in drawing together the facts in any given case and formulating a plan of treatment which will give the patient the best possible dental health service. A logical system of treatment planning is presented which meets both the demands and re- quirements of each patient. In this planning the patient ' s welfare is considered as far into the future as possible; stop-gap measures are not condoned. The young dentist will stand or fall with his success in treatment plannjng and hence the Columbia graduate should be well-prepared. HAROLD J. LEONARD D.D.S. Professor of Dentistry SOLOMON N. ROSENSTEIN B.S., D.D.S. Assistant Prof, of Dentistry LEWIS R. STOWE D.D.S. Associate Prof, of Dentistrv HENRY J. POWELL U.S., D.D.S. Assistant in Dentistry JESSE L. LEFCOURT 6.S.. D.D.S. Clinical Assistant 11