An update on clasp design for removable partial dentures.
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Biomedical subjects
Publications and source records attributed to E W Antos.
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Eleven patients who were treated with maxillary or mandibular overdentures or both were recalled at 6-month intervals and studied for a period of 2 years. A periodontist evaluated the periodontal health status of the abutment teeth at initial placement of the overdenture and at all subsequent recalls using standardized periodontal indices. Statistical comparisons of the data from initial examination to the 2-year recall were made to assess the periodontal health status of roots supporting overdentures. Periodic, regular recall of patients treated with overdentures is one of the most important factors in the maintenance of the integrity of the root stumps and attachment apparatus, particularly since the roots supporting mandibular overdentures are at greater risk periodontally than those supporting maxillary overdentures. Measurements of pocket depth and width of attached gingivae seem to be the most definitive criteria to determine the status of the attachment apparatus in overdenture patients. With frequent recall, overdentures appear to be a successful method of treatment.
Eleven patients wearing mandibular swinglock bilateral distal extension removable partial dentures opposing maxillary complete dentures were studied for a period up to 2 years. They had moderate to advanced periodontal disease with retrograde mobility patterns. Periodontal therapy, as well as treatment of dental carious lesions, was completed before fabrication of the prosthesis. Recordings of the gingival status, pocket depth, plaque score, tooth mobility, and dental caries were made at the time of the placement of the prosthesis and thereafter at 6-month intervals. Final results were obtained at the end of 2 years in six patients (group A) and at 1 1/2 years in five patients (group B). Our findings show that both groups had a statistically significant increase in gingival inflammation. However, no differences in degree of inflammation were observed between the two groups with regard to the status of gingival tissues that were covered and uncovered by the components of the swinglock removable partial denture. Also, no statistically significant differences in pocket depths and plaque scores were found between the time of placement of the swinglock removable partial denture and the final recall visit. Of the 61 abutment teeth, 85.2% had no significant change in mobility, 11.5% showed a substantial decrease in mobility, and 3.3% showed a considerable increase in mobility. The patients were able to successfully wear the swinglock removable partial denture without clinically significant changes in the supporting structures of the abutment teeth. This report is part of an ongoing study to determine the efficacy of swinglock removable partial dentures.
There are many common problems associated with the use of conventional clasp removable partial dentures. An alternative modality in many instances is the swing-lock removable partial denture. Its advantages, disadvantages, indications, and contraindications are discussed. The procedures of fabrication, placement, and adjustments are described.