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Prosthetic rehabilitation of a bone defect with a teeth-implant supported, removable partial denture.

The use of teeth-implant, mucosa-supported removable dentures for rehabilitation of partially edentulous patients involves highly complex biomechanical aspects. This type of prosthesis associates 3 kinds of support that react differently to the functional and parafunctional forces developed in the oral cavity. Although the construction of removable partial dentures may seem paradoxical when osseointegrated implants are placed, in some cases, this option is an excellent alternative to solve difficulties related to the anatomic, biologic, psychomotor, and financial conditions of the patient. This article reports on a case in which a teeth-implant, mucosa-supported removable partial denture was the option of choice for a patient with financial and anatomic limitations, having a large structural loss of the residual alveolar ridge caused by trauma by a gunshot injury at the mandible. The 5-year follow-up did not reveal any type of biomechanical or functional problem.

Adult↗

The swing-lock removable partial denture.

The swing-lock removable partial denture is a good treatment alternative for maxillofacial prosthodontics, periodontally compromised dentitions and where some conventional designs for removable partial dentures cannot be applied. This paper presents clinical applications of the SLRPD. Indications, contraindications, advantages and disadvantages are discussed.

Contraindications↗

Provisional restoration for abutment of an existing removable partial denture.

The abutment of an existing removable partial denture may require a crown restoration. Fabrication of a provisional restoration to fit the existing clasp assembly requires special consideration. This article presents a simple technique for fabrication of such provisional restorations. An alginate impression is made of the arch with the removable partial denture in place. The abutment tooth is then prepared, providing adequate clearance between the clasp assembly and the tooth preparation. Cold curing acrylic resin of proper shade is mixed and poured in the impression of the abutment tooth. The impression is then seated in the mouth and removed before the acrylic resin is completely polymerized. The provisional restoration is then separated from the partial denture, finished and polished.

Adult↗

Layered silicone rubber technique for flasking removable partial dentures.

A method for flasking removable partial dentures using a layered silicone rubber technique has been described. The silicone investment protects the stone teeth from fracture during removal of the removable partial denture from the investment. Then the occlusal changes can be accurately corrected following processing.

Calcium Sulfate↗

Clinical evaluation of removable partial denture rest seat adaptation.

The clinical relationship between the removable partial denture cast occlusal rest and the corresponding rest seat was examined. Under the conditions of the study, it was found that rests of mandibular Class I and II removable partial dentures fit significantly better than those of mandibular Class III and IV prostheses. No significant difference was noted between similar types of maxillary removable partial dentures in this regard. In evaluating the fit of specific portions of the occlusal rest, it was found that the marginal ridge zone was more closely adapted to the rest seat than other zones for all types of removable partial dentures. However, contact, as defined in this analysis, was found to exist on a random basis in all four quadrants of the occlusal rests evaluated. In spite of this fact, one fifth of the occlusal rests did not contact the opposing rest seat at any point. Improved fit with length of service was not substantiated by a cross-sectional analysis. Suggestions were made to assist the clinician in achieving a better fit between the framework and dentition in removable partial dentures.

Dental Abutments↗

A longitudinal clinical study of bonded fixed partial dentures: the first 5 years.

Etched-metal, composite resin-bonded, fixed partial dentures, as described in the early 1980s, gained an immediate application and popularity in restorative dentistry. This initial report presents the results of the first 5 years of a 10-year longitudinal study of these restorations. A total of 71 fixed partial dentures, ranging in use from 13 to 65 months, that were placed at the University of California, Los Angeles, School of Dentistry using consistent design parameters and restorative techniques have been analyzed. The results of this initial report indicate: (1) bonded fixed partial dentures are technique-sensitive; (2) optimal success requires meticulous attention to procedural detail; (3) anterior bonded fixed partial dentures do not appear to need routine 180-degree-plus circumferential retainer preparation for predictable success; (4) posterior bonded fixed partial dentures appear to require 180-degree-plus circumferential preparation for predictable success; (5) for single-tooth posterior replacements or single-to-double tooth anterior replacements, bonded fixed partial dentures are a viable alternative to conventional fixed partial dentures when intact abutments exist; and (6) most failures occurred within the first year.

Appointments and Schedules↗

Radiographic evaluation of porosities in removable partial denture castings.

Most of the removable partial denture castings examined showed radiographic evidence of internal porosity. In general the porosity ocurred in characteristic regions associated with abrupt changes in cross-sectional thickness. These were located either within the partial denture framework or at the casting-sprue junctions. The porosity is due to metal shrinkage caused by a premature solidification at some point, which in turn interferes with a controlled unidirectional soldification of the casting.

Dental Alloys↗

The effect of placement and quantity of glass fibers on the fracture resistance of interim fixed partial dentures.

PURPOSE: Polymers used in interim fixed partial dentures (FPD) have recently been reinforced with fibers. The aim of this study was to determine the influence of the position of the fiber reinforcement on the fracture resistance of interim FPDs. In addition, the influence of quantity of fibers and the length of span of the FPD on the fracture resistance was investigated. MATERIALS AND METHODS: FPDs were fabricated from a resin mixture of polyethylmethacrylate powder and n-butylmethacrylate liquid. Five FPDs from each group were made, and the FPDs were stored in water for 30 days before testing. The FPDs in the control group were unreinforced, and in the other groups the FPDs were reinforced either with two or three unidirectional continuous glass-fiber reinforcements and one woven glass-fiber reinforcement. Different quantities of fibers were used and the fibers were placed in different locations in the FPD. The load was applied to the FPD by a steel ball placed in the cavity in the middle fossa of the pontic tooth. RESULTS: The load required to fracture the unreinforced FPDs varied from 372 to 1061 N. Mean fracture load of reinforced FPDs varied from 508 to 1297 N. One-way analysis of variance showed that the length of span and the quantity of fibers significantly affected the fracture load (P < 0.001, n = 5). By lengthening the span of the FPD, the reinforcing effect of glass fibers became more obvious. CONCLUSION: The results of this study suggest that the effectiveness of glass-fiber reinforcement is most evident in interim FPDs with long spans and that the positioning of reinforcement considerably influences the strength of the FPD.

Analysis of Variance↗

A zinc phosphate cement-luted and resin-luted fixed partial denture: a case report.

An innovative fixed partial denture design for restoring a posterior edentulous space is described. The distal retainer is conventionally luted with a zinc phosphate cement, and the mesial retainer is luted with a resin cement. Contingency planning, which involves placement of a nonrigid connector between the pontic and the distal retainer, allows recementation of the resin-luted segment if the resin bond fails.

Adult↗

Patient swallows removable partial denture: a clinical report.

The indications for a unilateral partial denture would appear to be when there is a single posterior tooth missing, bound on both sides by usable abutments. Another consideration for a unilateral partial denture is that the patient does not want to restore the space with a fixed partial denture. One drawback to this treatment modality is that the prosthesis needs to be removed after each meal and cleaned. Other more important reasons for not making a 1-tooth removable partial denture is that it provides no cross-arch stabilization and there is the chance that it may be swallowed if it becomes dislodged. This clinical and laboratory report describes how this patient was treated.

Deglutition↗

Precision attachment-retained removable partial dentures: Part 2. Long-term study of ball attachments.

Patients provided with 24 ball attachment-retained removable partial dentures were followed up to 23.5 years. The prosthetic treatment included fixed partial dentures in 8 arches, and combinations of crowns and splint bars in 16 arches. All ball attachment matrices were supplied with vertical occlusal stops in contact with the patrices. A nonresilient hinged coupling was established between fixed partial dentures and removable partial dentures. Seventeen arches had only two or three remaining teeth. A total of 66 abutments for fixed partial dentures were included, 30 of which were root canal treated and supplied with posts. No technical failures (loss of retention/cement failure, root or tooth fracture, metal framework fracture) with the fixed partial dentures were recorded. With the removable partial dentures, additional retention with clasps was introduced in 2 of the dentures (in addition to 8 originally), 2 had to be remade after fractures, and 4 dentures were relined.

Adult↗

Effect of direct relining on stresses at the denture base and the metal frame of removable partial dentures.

The Kennedy Class I removable partial denture (RPD) can cause stress to supporting hard and soft tissues and may lead to harmful effects. The purpose of this study is to investigate the pattern of these stresses in three different positions before and following a relining procedure. Ten patients, five males and five females, with a lower distal extension RPD and an opposing upper class III type RPD were selected for this study. Strain gauges together with a strain gauge indicator were used to study the pattern of stresses in three selected positions. Some changes were significantly different at the site of the denture base and at the metal frame near the direct retainer. After relining, the stresses were shared partially by the abutments and partially by the tissues. Maximum stresses were reported during swallowing. No significant difference was noticed between males and females.

Adult↗

Design variations of the rotational path removable partial denture.

The rotational path removable partial denture is a convenient design to use when restoring anterior edentulous spaces and can produce excellent esthetic results. In situations that are not ideal for the conventional rotational path, design alterations can be made that will allow the same excellent results to be achieved.

Denture Design↗

The segmented framework removable partial denture.

The segmented framework removable partial denture is made of two cast metal individual segments joined with a resin major connector. The small individual framework segments can be made to fit well and the design permits ready correction of the tissue surface of the major connector through relining or an altered cast procedure. The dentist is offered a valuable alternative treatment approach in selected patients.

Acrylic Resins↗

Clinical performance of resin-bonded fixed partial dentures.

Resin-bonded fixed partial dentures (RBFPDs) initially recorded poor survival rates because of indefinite tooth preparations and arbitrary selection of composite resin cements. In this study, 46 RBFPDs were inserted for a longitudinal study up to 45 months. The influence of location--anterior/posterior, or maxilla/mandible--and the inclusion of pontics in occlusal excursions on the survival rates was investigated. Periodontal parameters were recorded from abutments and controls (teeth). Eight RBFPDs lost retention and two RBFPDs failed because of porcelain fractures. The anterior to posterior location and the maxillary or mandibular arch had significant influence on the survival rates. Gingival scores of abutments and controls differed significantly, but statistically significant differences were not recorded for plaque scores.

Adolescent↗

Stress distribution of abutments and base displacement with precision attachment- and telescopic crown-retained removable partial dentures.

Five types of removable partial dentures (two attachment dentures, two telescopic dentures and one clasp denture) were designed. The two attachment dentures were retained by the rigid-precision attachments with or without a stabilizing arm, and the two telescope dentures were retained with cone telescope crowns with or without cross-arch stabilization. The stresses acting on abutment teeth and denture bases and the movements of denture bases were investigated, and the influences of denture design were clarified. The stress acting on a terminal abutment tooth retained by a rigid-precision attachment or cone telescopic crown was larger than that acting on a terminal abutment tooth retained by a clasp. The attachment dentures tended to concentrate more stress at the terminal abutment tooth than did the telescopic dentures. The stress of denture base of an attachment denture and a telescopic denture was less than that of a clasp denture. There was no difference between the stresses of attachment and telescopic dentures. The displacement of the denture base tended to be less when the denture was designed with a rigid connection for the retainer and with cross-arch stabilization.

Dental Abutments↗

A chemomechanical system for caries removal and glass ionomer cement to restore fixed partial denture abutments.

When a fixed partial denture fails due to recurrent caries under the casting of the abutments, a remake process usually requires a great deal of cooperation, multiple lengthy appointments, and financial resources. Many patients with special needs may not have the cooperation, tolerance, and resources to support such treatment. This paper describes an alternative method that utilizes a chemomechanical system for caries removal followed by a conventional restorative material to treat those patients.

Aminobutyrates↗

[Impressions in removable partial dentures].

The success of a removable partial denture, the comfort for the patient, stability and especially the psychological acceptance depend on a series of essential technicals factors. Probably the more delicate stage of the prosthetic technology is the transfer of informations from the mouth of the patient to the prothesist through the impression. In removable partial denture, impression have to take account into the balance between uncompressible hard tissue and soft structures with variable compressibilities. The diversity of clinical cases is responsible for a large diversity of techniques. The aim of this article is to describe the more common technics used in every day practice.

Dental Impression Materials↗