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At least 37 records · Page 2Linked to original sources

A provisional removable partial denture for use during construction of an anterior splint bar prosthesis.

A technique for constructing a provisional removable partial denture before and during construction of an anterior splint bar prosthesis is described. The provisional prosthesis is easily adapted to fit the splint bar prosthesis after it is cemented in place. The technique assures that the patient will enjoy the benefits of a well-fitting and esthetic provisional restoration through all phases of construction of the splint bar and the final removable partial denture.

Denture Design↗

Overlay removable partial dentures for a patient with ectodermal dysplasia: a clinical report.

The orofacial characteristics of ectodermal dysplasia include anodontia or hypodontia, hypoplastic conical teeth, underdevelopment of the alveolar ridges, frontal bossing, a depressed nasal bridge, protuberant lips, and hypotrichosis. Patients with this disease often need complex prosthetic treatment. The options for a definitive treatment plan may include fixed, removable, or implant-supported prostheses, singly or in combination. However, financial constraints and other priorities can prevent patients from choosing the most desirable treatment. This clinical report describes the diagnosis and treatment of ectodermal dysplasia in an 18-year-old man. The treatment included interim removable partial dentures fabricated to establish an acceptable therapeutic occlusal vertical dimension, followed by definitive overlay removable partial dentures and composite restorations.

Adolescent↗

Occlusal plane modification of an existing maxillary complete denture prior to removable partial denture construction: a case report.

Success in fabricating removable partial dentures, Kennedy Class I and Class II in particular, is highly dependent on proper orientation of the occlusal plane. The closer to the ideal, the better the prosthesis will function and provide proper esthetics and phonetics. This case report presents the diagnosis and occlusal modification of an existing maxillary complete denture to improve the patient's masticatory function with the fabrication of a removable partial denture.

Dental Occlusion, Balanced↗

A comparison of patient's satisfaction between complete and partial removable denture wearers.

OBJECTIVES: The aim of this study was to compare satisfaction between complete denture (CD) and Kennedy Class I removable partial denture (RPD) wearers. MATERIALS AND METHODS: A total of 156 CD and 112 RPD wearers took a part in this study. From the primary group of the examined patients, only those whose RPDs and CDs were assessed as excellent or very good by the dentist, took a part in this study. Patients graded satisfaction of their dentures by using an analogue scale from 1 to 5 (1=unsatisfactory; 5=excellent). RESULTS: Both CD and RPD wearers were mostly satisfied with their dentures (the distribution of the scores of the patients' assessments was skewed towards the highest scores; more than half of the patients scored all the examined variables to the best score category). Complete Denture wearers were significantly more satisfied with chewing, speech and retention of maxillary denture than RPD wearers (P<0.05). Removable partial denture wearers were significantly more satisfied with the retention and the comfort of wearing mandibular denture (P<0.05). There was no significant difference between CD and RPD wearers for general satisfaction with their dentures, aesthetics and comfort of wearing maxillary denture (P>0.05; N.S.). CONCLUSIONS: A majority of CD and RPD wearers were satisfied with the dentures. CD wearers were more satisfied with speech, chewing and retention of maxillary denture, while RPD wearers were more satisfied with the retention and the comfort of wearing mandibular denture. Different groups of denture wearers have to make significant, but different adjustments to wear their dentures successfully.

Attitude to Health↗

Indexing procedures for converting removable partial dentures after extractions while the patient retains the prosthesis.

A new indexing procedure is described for the conversion of removable partial dentures when extraction of additional teeth is planned. Advantages and disadvantages of the indexing procedure are reviewed and compared with traditional treatment options. The new procedure facilitates the use of dental laboratory expertise and facilities and allows the patient to retain the prosthesis throughout the process. A component that includes teeth, denture base segments, and wire or cast clasps is created by the laboratory and attached by the dentist during the extraction visit as a simple denture repair procedure. The procedure can also be used to convert an existing partial denture to an immediate complete denture. Required clinical and laboratory procedures are described.

Acrylic Resins↗

Correction of prognathism with fixed and removable partial dentures.

Prognathism in those patients for whom surgical orthodontic procedures are contraindicated can be successfully treated by the use of fixed and removable partial denture prosthodontics. Careful neuromuscular evaluation of the patient is necessary for the success of the treatment rendered. The nonsurgical treatment of prognathism by this method was described.

Acrylic Resins↗

[Structural designs in the removable partial dentures].

Today the removable partial dentures are used as permanent prosthetic devices. Thus, their designs must be considered the prevention of breakage or deformation. A metal plate denture consisting of double structure has been designed with the intention of improved mechanical strength and durability. Principal investigations of this study were to introduce structural design techniques and apply them to denture design, to analyze the double structure using the finite element method, to judge reliability using a statical bending test, to compare the breaking strength of each structure, and to measure movement during function of mandibular extension base removable partial dentures on the simulation model. The summary of results is shown below: 1. Calculated values and experimental values were a fairly good approximation. 2. The reinforcement and Lightweight method of double structure was made evident. 3. Regarding the packing resins, METADENT was slightly superior in mechanical strength to ACRON. 4. Maximum stiffness of the double structure was approximately 7-10 times that of skeleton types, and breaking strength was about 9 times. 5. Tensile strain generated at the double structure was statistical less than for skeleton types. 6. When loads of 10 kg applied, the difference of distal displacement between double structure and skeleton types was between 70-80 microns. 7. The stiffness of the skeleton types decreased remarkably by shortening the denture flanges, but the double structure did not show significant change.

Dental Stress Analysis↗

Porcelain-fused-to-metal crowns as replacements for denture teeth in removable partial denture construction.

A procedure has been described for using porcelain-fused-to-metal crowns in place of denture teeth on a removable partial denture. Improved esthetic results are achieved when replacement denture teeth are made simultaneously with, and visually match, adjacent tooth crowns. This procedure provides a superior treatment result, particularly where multiple unilateral anterior teeth are lost and a removable partial denture is indicated.

Crowns↗

Analysis of the condyle/fossa relationship before and after prosthetic rehabilitation with maxillary complete denture and mandibular removable partial denture.

STATEMENT OF PROBLEM: The influence of the loss of posterior teeth on the condylar position and on temporomandibular disorders (TMDs) remains a controversial issue. PURPOSE: This study investigated whether prosthetic rehabilitation promoted modification of the condylar position in subjects without symptoms of TMDs. MATERIAL AND METHODS: The temporomandibular joints (TMJs) of 12 women (age 37 to 74), all with existing maxillary complete dentures but no removable partial denture (RPD) restoring the Kennedy class I partially edentulous mandibular arch and no clinical signs of TMDs according to the criteria established by Helkimo, were viewed in maximal intercuspal position with corrected lateral tomography before and after prosthetic rehabilitation with a new maxillary complete denture and a mandibular RPD. Before prosthetic rehabilitation, a mandibular stabilizing base was fabricated to prevent the existing maxillary complete denture from dislodging during tomographic examination. Two methods were used to evaluate tomograms: (1) linear measurements of the subjective narrowest anterior and posterior intra-articular joint spaces made from the tomograms by use of a digital caliper and (2) linear measurements of the anterior and posterior intra-articular joint spaces on the basis of drawings and tracings. Repeated-measures analysis of variance followed by orthogonal contrasts were used to evaluate differences between measurements carried out on the same subject under the different test conditions of the study (before prosthetic rehabilitation, before prosthetic rehabilitation with a mandibular stabilizing base in position, and after prosthetic rehabilitation) (P<.05). RESULTS: Before prosthetic rehabilitation, a predominance of posterior condylar positions was observed. Before prosthetic rehabilitation with a mandibular stabilizing base in position, a significant decrease was observed in posterior condylar positions (P=.03). This decrease was more marked after prosthetic rehabilitation (P=.02). The subjective evaluation and comparison on the basis of drawings and tracings used to analyze the tomograms produced similar results (P=.70). CONCLUSION: Within the limitations of this study, significant changes in the condylar position occurred after prosthetic rehabilitation in subjects without symptoms of TMDs.

Adult↗

Construction of temporary crown for transitional removable partial dentures.

Often restoration requires maintaining patient function with the old partial denture while constructing permanent crowns and a new removable prosthesis. The technique described here allows the practitioner to produce temporary crowns to maintain function with the old partial during prosthetic reconstruction.

Crowns↗

The effects of loading locations and direct retainers on the movements of the abutment tooth and denture base of removable partial dentures.

The purpose of this study was to evaluate the degree and amount of movement of the abutment tooth and denture base influenced by the direct retainer of distal extension removable partial denture and the location of functional loading, then to suggest direct retainer design with minimal adverse effect and with optimum functional loading location for residual tissue. The displacement of the abutment tooth and inclination of the denture base were determined, with 30 N as work load utilizing simulation model and strain gauge system, about two types of direct retainers with mesial or distal rest and nine loading points on denture base. Displacement and inclination was determined with the one-way analysis of variance and Scheffe's multiple test was performed. The results revealed that type of direct retainer influenced on the magnitude rather than direction of the abutment tooth displacement. The distal displacement of abutment tooth was significantly less in Type M clasp (with mesial rest and connection) than in Type D clasp (with distal rest and connection) (p<0.05). The location of loading points influenced both of the magnitude and direction of the abutment tooth and denture base movement. Posterior and lingual loading resulted in significantly distal displacement of abutment tooth (p < 0.05).

Analysis of Variance↗

Impression techniques for removable partial dentures.

This article concerns a subject that has been very perplexing to dentists attempting to provide superior removable prosthetic services. The techniques in this article have been developed, tried, and proven over 42 years of clinical practice. Adequate impressions for partial denture construction when crowns that have been fitted to the mouth are included as part of the master cast. The dilemma of having already cemented crowns with attachments on them can be a problem. An easy technique has been developed for analog production in these cases.

Alginates↗

Retrospective audit of patients with advanced toothwear restored with removable partial dentures.

The dental records of 50 patients with advanced tooth wear restored with removable prostheses were examined. Retrospective data were collected with regard to source of referral, presenting complaint, aetiological factors, clinical features, dentures provided, details of failures and maintenance. The maximum follow up period was three years. The ratio of male to female patients was 4:1 and the age range 31-75 years. Failures were recorded in 38% of patients with provisional and 64% with definitive dentures. The most common failure was fracture or wear of the incisal or occlusal surfaces. The majority of failures were addressed by adjustment of the dentures and the audit confirmed the need for regular maintenance.

Adult↗

Fabrication of interim acrylic resin removable partial dentures with clasps.

An orderly sequence of steps for construction of an interim acrylic resin partial denture has been presented. The technique allows the dentist to fabricate an effective restoration that has a definite path of insertion and removal that can be placed in the patient's mouth with little time spent on adjustment and correction. This technique may be used with heat- or cold-curing acrylic resin.

Acrylic Resins↗

[A pilot study on the effects of Mini-SG F attachments on periodontal health of the abutment teeth used in free-end partial removable dentures].

OBJECTIVE: To investigate the effects of Mini-SG F attachment on periodontal health of the abutment teeth in restoring free-end removable partial dentures (RPDs). METHODS: The periodontal status of the abutments in restoring free-end RPDs was longitudinally observed with periodontal indices commonly used in clinics, and a group comparison was made using a one-way analysis of variance (ANOVA). RESULTS: The stability and retention of free-end RPDs retained by Mini-SG F attachments were excellent during the whole observation course. Compared with the periodontal status of the first and the second abutments before restoration respectively, no significant differences in gingival indices, plaque indices, periodontal probing depth, alveolar bone resorption levels of those were shown 6 months after restoration. The mobility of the abutments was significantly reduced when they were splinted together. CONCLUSION: Mini-SG F attachments used in free-end RPDs have no evident adverse effect on periodontal health of the abutment teeth, and the way of splinting the abutments is advantageous to their long-term health and stability.

Adult↗