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Comparison of vertical movement occurring during loading of distal-extension removable partial denture bases made by three impression techniques.

Although the altered-cast impression technique attains stability and controlled tissue support for distal-extension removable partial dentures, the procedure is time-consuming and technique-sensitive. This study clinically compared the vertical displacement of distal-extension removable partial dentures made from different impression techniques. The impressions studied were the altered-cast impression, an impression made from a border-molded custom tray, and a stock tray irreversible hydrocolloid impression that served as a control. A post hoc analysis, using a Tukey Q-test, exhibited significance (p less than 0.01) between the two impression techniques after intraoral loading was performed. Although statistically significant, the 0.19 mm difference between the impression techniques may or may not be clinically relevant. Additional research is required in this area.

Alginates↗

Future needs for fixed and removable partial dentures in the United States.

STATEMENT OF PROBLEM: Because of the decline in missing teeth among most adults, prosthodontic advanced training programs are concerned about the need for prosthodontics in the future. PURPOSE: An analysis was conducted to project the unmet need for fixed and removable partial dentures in the years 2005, 2010, and 2020. MATERIAL AND METHODS: Unmet need was calculated as follows: Total need equals the number of persons in each age cohort multiplied by the percentage who need a fixed or removable partial denture multiplied by the average procedure time required to provide the service. Total unmet need then equals total need minus the annual supply of prosthodontic services delivered by prosthodontists and general practitioners. RESULTS: Projected results indicate that total unmet need will increase from 488 million hours in 2005 to 517 million hours in 2010 and to 560 million hours in 2020. CONCLUSION: The significance of the results is that unmet prosthodontic need will increase and exceed the supply of services for the foreseeable 20-year future. Practicing dentists will find that a sizable minority of the population will continue to need fixed and removable partial denture services.

Adult↗

Deformation properties of Ti-6A1-7Nb alloy castings for removable partial denture frameworks.

Ti-6Al-7Nb alloy was cast into three differently designed, removable partial denture frameworks: Palatal strap (PS), Anterior-posterior bar (AP), and Horseshoe-shaped bar (HS). The vertical displacement and local strain of Ti-6Al-7Nb alloy frameworks were investigated to compare against those of Co-Cr alloy frameworks. Vertical loading force of 19.6 N was applied at two locations, 10 and 20 mm, from the distal end of the framework. Although higher vertical displacement and local strain were observed for Ti-6Al-7Nb alloy frameworks than those for Co-Cr alloy frameworks, the PS framework appeared to show the least deformation. In addition, the strain at 10-mm location was higher than that at 20-mm location for AP and HS frameworks. This study thus proved that design had a significant influence on the deformation properties of denture frameworks. The PS design was evaluated to be a suitable design for the removable denture framework with Ti-6Al-7Nb alloy.

Chromium Alloys↗

Combination stone and resilient material for removable partial denture remount cast described and compared with two other remount cast procedures.

A procedure for making a combination remount cast of stone and elastomeric material for removable partial dentures is described in detail and is compared quantitatively with two other methods for making remount casts for removable partial dentures. This method does not require blocking out the undercuts in the denture base or around the clasps.

Calcium Sulfate↗

The swing-lock removable partial denture in clinical practice.

The authors of this article consider that the swing-lock partial denture has a useful place in contemporary clinical dental practice and offers many advantages compared with conventional removable partial dentures in terms of retention and stability, especially in the extremely compromised dentitions. Here they describe the concept of the swing-lock removable partial denture, together with the indications, contraindications, technical and clinical considerations.

Dental Abutments↗

Removable partial denture design and fabrication survey of the prosthodontic specialist.

In an effort to better understand and define the present standard of practice for removable partial denture design and fabrication, a questionnaire was prepared and distributed to prosthodontic specialists and graduate students or residents attending the American College of Prosthodontists annual meeting in 1987. The survey was designed to determine the philosophies and techniques used by prosthodontic specialists in treatment involving the removable partial denture. There were 195 questionnaires completed and used in determining the results. The results indicate areas of general agreement. Comparison with other data shows areas of controversy, but prosthodontists tend to follow techniques and philosophies similar to what is taught in most U.S. dental schools and what is recommended by the Academy of Denture Prosthetics.

Adult↗

Effects of rehabilitation with conventional removable partial dentures on oral health--a cross-sectional study.

The study aims to elucidate the effects on the oral tissues of occlusal rehabilitation through removable partial denture. Sixty eight individuals treated with conventional partial dentures participated in a clinical study of the hygienic conditions around supporting teeth and the partial dentures, the occurrence of increased mobility of supporting teeth and deepened gingival pockets, the incidence of caries, impaired retention and the frequency of use of the prosthesis. A questionnaire was sent out and 84 per cent of the subjects responded anonymously. The results show that the removable partial denture represents a satisfactory method of oral rehabilitation for the individual with a reduced dentition.

Adult↗

[Using Nd-YAG laser to desensitize the hypersensitive dentine in preparing the abutment teeth for removable partial dentures prosthesis].

Patients often suffer from sensitivity and pain while preparing the seats of occlusal rests of clasps on abutment teeth with hypersensitive dentine for removable partial dentures prosthesis. Base Nd-YAG laser desensitization effect by making a hard surface layer in the hypersensitive dentine of the abutment teeth, We use this method to treat the teeth before and after occlusal seats of clasps preparation, 20 patients, more than 30 occlusal seats of clasp rests are completed smoothly without any suffering since 1991. All the patients wear their dentures satisfactorily without afterward side effect. After half one year to four years followed observation all the rests adapt to their seats well without marking wear, We believe that the desensitizing effect of Nd-YAG Laser is effective in preparing occlusal seats for removable partial denture prosthesis.

Adult↗

A randomized clinical trial of two basic removable partial denture designs. Part I: Comparisons of five-year success rates and periodontal health.

A randomized clinical trial was undertaken to compare the effectiveness of two partial denture designs, one with I-bar (bar) and the other with circumferential retainers (circumferential), in 134 patients with Kennedy class I and class II edentulous conditions. A total of 30 partial dentures were considered failures, five because of abutment failures and 25 because of the lack of removable partial denture use for eating. The 5-year success rate of 71.3% for the circumferential design did not differ significantly from the 76.6% for the bar design (p > 0.05). There were no discernible changes in the nine periodontal health components of abutment teeth with either of the two designs after 60 months. The results indicate that the two designs do not differ significantly in terms of success rates, maintenance care, and effects on abutment teeth. A well-constructed removable partial denture of either design, supported by favorable abutments and accompanied by a regular recall program offers a satisfactory treatment modality.

Alveolar Bone Loss↗

Restoration of occlusal vertical dimension by means of a silica-coated onlay removable partial denture in conjunction with dentin bonding: a clinical report.

The prosthesis described in this article allowed restoration of occlusal height by means of an onlay removable partial denture and composite resin bonded veneers. Reasons for its selection are: 1. It is a reversible procedure. 2. The patient can easily clean any plaque accumulation due to supragingival margins. 3. The cost to the patient was much lower than that of a fixed prostheses. 4. Chair time is less than with a fixed prosthesis. 5. Tooth structure remains relatively unaltered except for recontouring prior to onlay construction. 6. Repairs are easily done. 7. The onlays of the removable partial denture transfer the occlusal load on the abutment teeth along their long axes. 8. The procedure is less stressful and fatiguing to the patient than that involving a fixed prosthesis.

Adult↗

Retention of obturator-removable partial dentures: a comparison of buccal and lingual retention.

An in vitro study was performed to measure the influence of a simulated obturator on the amount of force required to dislodge a simulated unilateral removable partial denture with various clasp designs. The presence of an obturator reduces the retentive capability of a removable partial denture. Lingual retention appeared to provide more resistance to displacement than buccal retention. Infrabulge clasp designs appeared to be more retentive than suprabulge clasp designs.

Dental Stress Analysis↗

The base metal alloy question in removable partial dentures--a review of the literature and a survey of alloys in use in Alberta.

Base metal alloys have been used for over 60 years to cast removable partial denture frameworks. Among other elements, these alloys principally contain nickel, chromium and cobalt, and may be divided into the nickel-containing and nickel-free alloys. Because of the potential biocompatibility hazard created by these and other elements found in the alloys, this group of materials has come under ever increasing scrutiny in the literature. This paper reviews pertinent literature and reports on the findings of a survey on the base metal alloys used in Alberta for the casting of removable partial denture frameworks.

Beryllium↗

Gingival recession related to removable partial dentures in older patients.

One hundred forty-six patients, living in the community and attending a general dental practice, were examined on two occasions separated by 3 years to determine relationships among removable partial dentures, their design, and gingival recession. This study confirmed the relationship between the presence of a partial denture and an increase of gingival recession, but was unable to demonstrate any predictable relationship to the lack of tooth support, the material used for the dentures, or covering the gingival margins with lingual plates. These design factors may be less important than the maintenance of good oral hygiene for the prevention of periodontal disease in patients wearing removable partial dentures.

Age Factors↗

Comparison of load transfer by maxillary distal extension removable partial dentures with a spring-loaded plunger attachment and I-bar retainer.

This study photoelastically compared the stress distribution characteristics of two maxillary bilateral distal-extension removable partial denture designs, one using I-bar retention and the other using a semiprecision spring-loaded plunger attachment. Each prosthesis was subjected to vertical and horizontal extension-base loads. Comparisons were made from photographic recordings of isochromatic fringe distributions. The two retention designs produced comparable stresses with splinting of abutments for the plunger attachment. The attachment-retained prosthesis proved less stable with some loadings. Stress patterns followed three trajectories in the maxilla. A basis for stress distribution comparisons to other maxillary removable partial denture attachments is established.

Analysis of Variance↗

A new clapsing system for unilateral distal-extension removable partial dentures.

The background, rationale, and technique for fabricating the remodified Hart-Dunn attachment system have been presented. This subpontic attachment is a product of clinical experience in managing the unilateral distal extension removable partial denture patient. Minimal retention, reduced torque throughout the arch during function, and distribution of force according to sound mechanical principles make this remodified subpontic attachment the preferred method of treating most unilateral distal extension removable partial denture patients.

Dental Abutments↗

Removable partial denture abutment restoration: a case report illustrating a new direct technique.

The destruction of the crown underlying a partial denture can render useless an otherwise acceptable prosthesis unless some means can be found for building up the tooth under the prosthesis. The aim of this article is to introduce a technique in which light-curing glass-ionomer resin cement is utilized for the direct restoration of removable partial denture abutments. The cavity preparation is completed in the customary manner. The cement is applied en masse and covered with a suitable translucent separating sheet. The denture is reinserted and the restoration is light cured from the perimeter of the abutment. The denture is removed, and, with the aid of a suitable disclosing medium, the restoration is trimmed carefully to avoid reducing the intimate adaptation between the restoration and the removable partial denture. The technique is offered with full acknowledgement that it is a compromised treatment option.

Aged↗