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At least 325 records · Page 18Linked to original sources
PubMed1978

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↗
PubMed1995

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↗
PubMed1995

Mastication with and without removable partial dentures: an intraindividual study.

The chewing of 22 subjects, with a total of 27 removable partial dentures (RPD) that had been used for more than 6 months, was analyzed by four different methods. The study design was an intraindividual comparison of chewing, with and without the RPDs. Chewing tests were a color mixture of two-colored gums, chewing gum bolus shaping, comminution of Optosil silicone tablets, and number of chewing strokes to first swallow of an almond. The participants were also asked some standardized questions about their eating, biting, and chewing capacity. There was no significant difference in efficiency as measured by chewing gum color mixing, chewing gum shape, and pulverization of Optosil between chewing with and without the RPDs. Significantly more strokes were needed to swallow an almond without than with the RPD in place. With their RPDs in place, all subjects could chew a sandwich and an apple, and all but one could chew whole meat. The study shows that the chewing process should preferably not be analyzed by one method only.

Adult↗
PubMed1981

Photoelastic analysis of stress patterns on teeth and bone with attachment retainers for removable partial dentures.

This investigation was designed to evaluate the forces developed in supporting structures by removable partial dentures with attachment retainers. The attachments tested were the (1) Sterngold type 7, (2) Dalbo MK, and (3) Thompson dowel. The study utilized a photoelastic model with stress areas recorded photographically. The results showed that: 1. Splinted abutments are indicated when using the tested attachment retainers. 2. With single abutments, the attachment retainers induced distal force on the teeth which resulted in unfavorable horizontal bone forces. 3. The Dalbo MK attachments produced the most force on the edentulous regions and the least force on the abutment teeth. 4. The Thompson dowel and Sterngold type 7 attachment retainers induced similar stress patterns on single abutments and both produced distal abutment forces. 5. The Thompson dowel induced more favorable stress patterns when the abutments were splinted.

Crowns↗
PubMed1998

Selective-pressure single impression procedure for tooth-mucosa-supported removable partial dentures.

This article describes a method of making impressions for tooth-mucosa-supported removable partial dentures using a single impression procedure. Through the use of border-molded custom trays, selectively relieved, and application of pressure on residual ridge areas, the objectives of maximum tissue coverage and selective tissue placement of primary stress-bearing areas are fulfilled. With a single impression procedure, treatment time is reduced and laboratory errors commonly encountered with the altered cast impression technique can be minimized or eliminated.

Dental Impression Materials↗
PubMed1996

Oral conditions and aptitude to receive implants in patients with removable partial dentures: a cross-sectional study. part I. oral conditions.

The relationship between a removable partial denture (RPD) and damage caused to residual oral structures is the subject of on-going research. A group of patients wearing RPD, treated in the same way in the same department, were recalled to evaluate their oral hygiene and to compare the clinical condition of abutment teeth with that of non-abutment teeth. The study shows that most patients were unable to maintain high standards of oral hygiene. In the group of patients with non-optimal hygiene the clinical condition of abutment teeth was worse than that of non-abutment teeth. In the group of patients with optimal oral hygiene the condition of abutment teeth and non-abutment teeth was almost identical. To increase the standards of oral hygiene it is strongly advisable to recall and follow up patients on a regular basis.

Aged↗
PubMed1996

A seminar/case-based approach to teaching removable partial dentures to predoctoral students.

This article describes a seminar/case-based, instructional model designed to simulate removable partial denture (RPD) problem-solving and decision-making processes encountered in third-year clinic in dental school and in dental general practice. Groups of approximately 20 second-year students (in the 3-year program) meet in a series of six 1-hour seminars during the first days of the course. Following the seminars, students complete an exercise on mouth preparation and multiple clasp and major connector designs on prototype casts. This is followed by survey-design exercises on casts of dentitions representing six variations of RPD requirements. Instructors assist students during the practice phase of each class. Each 2-hour practice session is followed by a 1-hour practical examination. The last day of the course is devoted to a comprehensive final practical examination on both maxillary and mandibular casts, incorporating any of the design features previously studied.

Curriculum↗
PubMed1986

Cross-sectional study of patients treated with removable partial dentures with special reference to the caries situation.

Thirty-four patients provided with removable partial dentures (RPDs) were reexamined after 3 yr. Caries that had developed during the period were analyzed with regard to the following potential caries risk factors: Lactobacilli, Streptococcus mutans, flow rate and buffer pH of paraffin stimulated saliva, oral hygiene and daily sucrose intake. Of 436 initially intact surfaces 31 (7.1%) had decayed and/or were restored during the 3-yr period. Caries recurred in 26 (6.2%) out of 422 initially restored surfaces during the same period. The development of new or recurrent caries had no correlation to whether or not the surfaces affected were in contact with the RPDs. No single caries risk factor seemed to be sufficiently closely correlated to the number of caries lesions developed to be used alone in the selection of patients at risk. When the sum of assumed negative factors was used a correlation was found for the group as a whole between the number of negative factors and the development of caries. However predicting the development of caries in any individual case seems to be more complicated.

Adult↗
PubMed2005

Conversion of a removable partial denture to a transitional complete denture: a clinical report.

A procedure is described for conversion of an existing removable partial denture into a complete denture using autopolymerizing tooth-colored acrylic resin, acrylic resin denture repair material, and a clear matrix template. The shape, color, and position of the lost natural teeth may be duplicated in the transitional denture, minimizing the psychological concerns of the patient regarding esthetics and social impact. Because the patient is never without teeth, an appropriate healing time can occur before fabrication of the definitive prosthesis.

Dental Prosthesis Design↗
PubMed1992

Management of an anterior defect with a removable partial denture supported by implants and residual teeth: a case report.

The treatment of a patient with a major defect in the anterior region of the mandible is described. A large part of the anterior dental arch and underlying mandibular bone was involved in the defect. A removable partial denture supported by implants as well as residual teeth was used to restore the defect. Compared with a traditional removable partial denture, which was used by the patient for several years as an interim prosthesis, the application of implants resulted in improved functional comfort and stability.

Adult↗
PubMed1994

[Distal free-end removable partial denture fabrication in reduced interarch distance patients].

Reduced interarch distance, resulted from extrusion of antagonist teeth and/or down growth of alveolar bone due to long-time absence of natural teeth without adequate restoration in this area, is found in many cases. In such condition, it is difficult to fabricate a distal free-end removable partial denture with conventional resin base because of insufficient space for denture base resin, metal framework and artificial teeth, and the long-term prognosis of the denture is questionable due to minimized strength of the denture base. In this article, the authors demonstrate the clinical and laboratory methods and procedures for distal extension removable partial denture construction in reduced interach distance condition. Partial metal base in the insufficient vertical space area of the ordinary denture base is altered, the metal occlusal scheme and buccal resin facing are designed, instead of resin denture teeth. These designs provide strength, esthetic and masticatory function to the denture, and the denture base is convenient for future denture repair or relining.

Denture Bases↗
PubMed1990

Cast connectors as cores for ceramometal pontics on removable partial dentures and for splinting anterior crowns.

A cast connector is a solderless union between two metal components, an alternative to soldering. Cast connectors depend upon mechanical retention for their strength and integrity and are mostly used in repairing or adding to prostheses cast in base metal alloys. Two techniques using cast connectors are described. One is for a removable partial denture that requires the replacement of an anterior tooth or teeth incorporating diastemas or unusual surface anatomy and color variations. Stock denture teeth may not adequately replicate such teeth. A solution to the problem is to extend a porcelain-compatible base metal cast connector from the removable partial denture framework onto the pontic site. A ceramometal pontic reproducing the unusual characteristics of the natural teeth may then be placed by vacuum-firing porcelain directly onto the framework. A second technique is described whereby multiple ceramometal anterior crowns may be splinted together by creating interproximal retentive zones in the frameworks, casting connectors into the retentive zones, and proceeding with porcelain application.

Acrylic Resins↗
PubMed1987

Cantilever bridges or removable partial dentures in geriatric patients: a two-year study.

The purpose of this study was to compare prosthetic, functional and occlusal conditions in twenty-seven patients treated with distally extending cantilever bridges and twenty-six patients treated with removable partial dentures (RPD) in the mandible. All patients had a complete upper denture. Mean age of the patients in both groups was about 69 years. The patients were under a supervised oral hygiene care throughout the 2-year study period. There were 6.9 +/- 1.7 mandibular teeth left in the bridge group and 7.5 +/- 1.7 in the RPD group and the mean number of posterior teeth (natural teeth/denture teeth/pontics) in occlusion was 4.1 +/- 1.1 and 7.3 +/- 1.4, respectively. During the study period signs and symptoms of mandibular dysfunction became significantly aggravated in the RPD group, P less than 0.05. A balanced occlusion in the muscular contact position was observed in 90% of the patients in the bridge group and in 76% of the RPD wearers. During the study period the need for dental or prosthetic treatment was negligible in the patients treated with bridges. In the RPD group, twenty-two teeth were restored with fillings due to caries and in eight patients major adjustments of the sublingual bar were necessary due to irritation of the oral mucosa. This study has shown that treatment with distally extending cantilever bridges in the mandible is a favourable alternative to treatment with removable partial dentures in elderly patients with a reduced dentition.

Aged↗
PubMed2004

A technique for fabricating patterns for removable partial denture frameworks using digitized casts and electronic surveying.

Although computer-aided design and manufacture techniques have shown some promising applications in the fabrication of crowns, inlays, and maxillofacial and oral surgery, the field of removable prosthodontics has not embraced these technologies so far. This article describes the development and investigation of computer-aided techniques that may eventually enable prosthodontic procedures such as surveying and the production of sacrificial patterns to be performed digitally. A 3-dimensional computer model of a conventional cast from a patient was obtained using an optical surface capture device (a scanner). The shape of a number of components of a removable partial denture framework was modeled on the 3-dimensional scan electronically, using computer-aided design software. A physical plastic shape of the components was produced using a Rapid Prototyping machine and used as a sacrificial pattern. Techniques to allow digital cast surveying before the production of sacrificial patterns were also developed. The results show that digital dental surveying and machine-produced sacrificial patterns can be accomplished. This article forms a basis for further developments leading to a fully integrated approach to the computer-aided design and fabrication of removable partial denture frameworks.

Computer Simulation↗
PubMed1991

Dimensional changes in casting titanium removable partial denture frameworks.

The difficulties encountered in casting titanium and its alloys have until recently hindered any widespread use of titanium in restorative dentistry. Now both equipment and materials are available for the routine use of titanium in the dental laboratory. This study used one of the casting systems and examined dimensional changes that occur during the construction of a removable partial denture framework. Nineteen castings were measured for horizontal and vertical plane changes. Results show these castings to have cross arch contraction, vertical plane expansion, and near neutral anterio-posterior change. It seems that pure titanium is within the range of dimension changes generally accepted for base metal removable partial denture alloys of the nickel-chromium variety.

Dental Casting Investment↗