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At least 271 records · Page 15Linked to original sources
PubMed1998

The significance of major connectors and denture base mucosal contacts on the functional strain patterns of maxillary removable partial dentures.

The purpose of this study was to investigate the biomechanical significance of major connectors and base mucosal contacts on the mechanical behaviour of maxillary removable partial dentures in vivo. Six subjects wearing maxillary dentures retained by conical crowns were selected for the study. Reflective photoelasticity and strain gauges were used to monitor the development of strain/stress during functional loading. Loading tests were performed initially with a denture design including a palatal major connector and denture bases and then repeated after removal of the major connectors and denture base alveolar muccosa contacts. The palatal major connector and the denture bases mucosal contacts contribute significantly to the rigidity and stability of removable partial dentures retained by conical crowns.

Aged↗
PubMed1979

The measurement of forces transmitted to abutment teeth of removable partial dentures.

Despite the limited number of patients in the study, the following conclusions may be made regarding the magnitude and direction of forces transmitted to abutment teeth of extension-base removable partial dentures. 1. A technique was presented for using strain gauges to determine the magnitude and direction of forces transmitted to abutment teeth of removable partial dentures. 2. There are variations in force magnitude with a patient and between patients from chewing cycle to chewing cycle. 3. The transmitted forces vary when different removable partial denture designs are used. 4. Improving adaptation of the extension bases to the residual ridge is an excellent means for providing maximum support, increasing patient comfort, and decreasing forces to abutment teeth. 5. Extension bases apply mesially directed forces to abutment teeth during mastication. 6. Further research is needed to elucidate the effects of the various philosophies of removable partial denture design.

Alveolar Process↗
PubMed1989

[Inference engines of expert systems for designing removable partial dentures].

The expert system for designing removable partial dentures has a great potentiality for clinical and educational use. The system sorts out several solutions for clinical problems with the aid of logic and data bases stored in the memory bank. The most important part of this system is the inference engine. Production system and frame system are often used as the inference engine. The purpose of this report was to compare different types of inference engine in practical situations. Following conclusion were obtained. 1) Since each type of inference engine has its own advantages and disadvantages, one has to select most suitable one for the purpose of the system. 2) One must select the inference engine type which will help potential user's understanding.

Denture Design↗
PubMed1991

[Rationale for fabrication of combination dentures].

The complexity of this type of restoration comes from the numerous clinical and laboratory steps required. Achievement of these prosthodontic restoration is based on a careful clinical examination, models mounted on an articulator, in centered relation and adequate vertical dimension. The models allow the surveyor examination, the teeth set up and/or wax up. Duplication of the teeth set up in acrylic will reduce the number of patient's appointments, and thus, the potential errors will be minimized. This acrylic teeth set up (A.T.S.) will allow: to keep the decided occlusal relationships; to visualize the teeth grinding to be made; to guide the tooth preparation; to take the abutment impression, in occlusion. Therefore: the final model; the vertical dimension; occlusal relationship; the aesthetic; and, the removable partial denture design will be available for the dental technician. Furthermore, in close to full denture cases (class I and large class IV), the A.T.S. can be used to take the impression, to achieve the framework, and to transfer the occlusal registration.

Dental Impression Technique↗
PubMed1979

I-bar: myth and countermyth.

An attempt has been made to stress the importance of removable partial denture design totality and to clarify the relationship of other major components to I-bar retainer usage. As outlined in this article, I-bar retainer usage is only one part of a given, comprehensive design philosophy. Its successful use has been shown to be as much based on proper application as upon appropriate, defensible design. There is no realistic concept of a simple I-bar partial denture just as there has never been one "technique" that serves as a panacea for all treatment situations.

Dental Abutments↗
PubMed1993

Partial denture prosthodontic procedures employed by practising graduates of the University of the Witwatersrand, Johannesburg.

This study sought answers to the following two questions related to the teaching of partial denture prosthodontics in the Department of Prosthetic Dentistry at the University of the Witwatersrand, Johannesburg (Wits). Firstly, do practising graduates from Wits assiduously apply, or do they perhaps ignore, the concepts, principles, and practices taught to them at undergraduate level? Secondly, is there any merit in providing additional tutorials on partial denture prosthodontics to undergraduate students at Wits? A questionnaire was mailed to dentists who had graduated at Wits between 1979 and 1986. This sample of 302 subjects was divided into two groups: Group I--those who had graduated between 1979 and 1982; Group II--those who had graduated between 1983 and 1986 and had received additional tutorials on partial denture design. The results suggest that a wide gap exists between faculty beliefs about partial denture design and fabrication and the methods used in general dental practice. Moreover, additional tutorials had some effect on the attitudes and practices of the respondents.

Dentists↗
PubMedDate not supplied

[The use of bar attachment in removable dentures].

The results of treatment of 230 patients with dentition defects are presented. Plate, arch, and removable bridge dentures were used fixed with a special clammer suggested by the authors. The follow-up has shown good functional and esthetic characteristics of the suggested denture designs.

Adult↗
PubMed2003

The effect of occlusal rest size and shape on yield strength.

STATEMENT OF PROBLEM: Occlusal rests, essential for conventional removable partial dentures, may fracture and cause failure of the prosthesis. It is unknown whether alterations in the size or shape of occlusal rests might improve their performance. PURPOSE: In this in vitro study, 3-dimensional finite element analysis was used to evaluate the effects of occlusal rest size and shape on yield strength. MATERIAL AND METHODS: An occlusal rest and a minor connector as part of a clasp assembly were modeled for 3-dimensional finite element analysis with 3 variations of width (2.0, 3.0, and 4.0 mm), thickness (0.7, 1.0, and 1.5 mm) and length (2.0, 3.0, and 4.0 mm). A concentrated vertical load of 100 N was applied at the most protruded point of the occlusal rest base. Maximal principal stress and yield strength were calculated. In addition, the following parameters were altered: radius of curvature at the inner connection (r), thickness of the minor connector (m), inclination of horizontal axis of occlusal rest (i), and thickness at the most protruded point (t). RESULTS: Yield strength increased with increased width (183% to 242% from 2.0 to 4.0 mm) and thickness (141% to 230% from 0.7 to 1.5 mm). Alterations in length had a lesser effect on yield strength (120% to 178% from 4.0 to 2.0 mm). All other parameters except thickness at the most protruded point (t) affected yield strength. CONCLUSION: The results of this in vitro study suggest basic principles for optimizing the size and shape of occlusal rests. In general, increased width and thickness are desirable, whereas overrounded or sharp line angles and excessive rest inclination should be avoided. These principles may be useful in removable partial denture design.

Computer Simulation↗
PubMed1987

Periodontal disease in partial denture wearers--a biological index.

Studies on the adverse effects of partial dentures on the remaining tissues require both a yardstick of measurement to record the level of oral disease, and the use of controls, preferably within the same patient. A method was devised for pooling the individual values related to the level of periodontal disease on abutment and control teeth in partial dentitions. The difference in these combined values was expressed as the Biological Price. This value provided a useful means of evaluating partial denture designs and patient features, in attempting to assess the major contributing factors responsible for the Biological Price levied by the denture. Whilst wearing an acrylic partial denture at night adds to the price paid by the remaining tissues, the mechanical features of the partial denture, and the overall features of the patient and his remaining dentition appear to be insignificant in determining the Biological Price.

Adolescent↗
PubMed1995

Restoration of posterior edentulous areas when space precludes conventional treatment: a case report.

Interarch space is sometimes severely restricted, precluding the use of a conventional removable partial denture design. The treatment of a patient with bilateral posterior edentulous spaces and insufficient interarch space is described. A modified removable partial denture with metal bases and metal pontics covered with facial veneers of tooth-colored resin was used to provide a functional and esthetic restoration.

Dental Occlusion, Traumatic↗
PubMed1995

Removable partial denture with a lateral rotational path of insertion.

A removable partial denture with a lateral path of insertion is useful when unsightly facial clasps are objectional to the patient. Rounded rest seat preparations allow extensions of the minor connector to rotate laterally into embrasure undercuts, providing retention. Guiding planes on the contralateral side ensure a different path of withdrawal from the retentive elements. A Kennedy Class IV arch with a long edentulous span is used to illustrate the denture design.

Dental Clasps↗
PubMed1993

Maxillary distal-extension removable partial denture abutments with reduced periodontal support.

An in vitro study that used photoelastic models compared stress distribution characteristics of three maxillary, bilateral, distal-extension removable partial denture designs when the abutments were subjected to a progressive loss of periodontal support. One design used I-bar retention, a second design used a semiprecision, spring-loaded plunger attachment, and a third design used the ERA attachment. Both attachment designs were tested with and without splinted abutments. The ERA design was also tested with and without supporting rests and included light and heavy retention elements. Periodontal support loss up to 35%, a 60/40 crown-to-root ratio, resulted in increased stress concentrations. The ERA design with supporting rests, light retention elements, and splinted abutments compared very favorably with the I-bar retained design on nonsplinted abutments.

Alveolar Bone Loss↗