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All-ceramic surveyed crowns for removable partial denture abutments.

All-ceramic restorations may have limitations when used in combinations with other treatment modalities. Removable partial denture (RPD) abutment crowns are typically shaped to provide guide planes, rest seats, and retentive areas. Porcelain-to-metal crowns are routinely fabricated with retentive contours in the veneering porcelain, but until recently, the contours of the other portions of the restoration were developed in metal. This article describes the fabrication of all-ceramic crowns for RPDs with rest seats and guide planes in densely sintered aluminum oxide and retentive areas in veneering porcelain. Within the limitations outlined, this procedure allows the practitioner to use all-ceramic crowns in situations previously reserved for metal or metal-ceramic restorations.

Crowns↗

Fabricating a gold occlusal platform on a removable partial denture to help prevent extrusion of mandibular incisors.

A clinical procedure is presented in which a maxillary removable partial denture (RPD) replacing anterior teeth was fabricated with a cast gold anterior occlusal platform. This treatment is indicated to correct abrasion caused by extruded mandibular anterior teeth on the maxillary RPD. The advantages compared with prosthetic teeth supported by an acrylic resin base or metal-backed facings are discussed. This technique allows for development of optimal esthetics, strength, and durability, while preventing further extrusion and excessive wear of the teeth occluding against prosthesis.

Dental Occlusion, Traumatic↗

A case report of removable partial denture using the dimple-bar telescopic system.

The authors have devised a new attachment for a removable partial denture with a dimple-bar clasp, guiding channels, and a shoulder, named the dimple-bar telescopic system. This system has advantages over the clasp-type retention device in that it not only satisfies esthetic requirements, but also improves the handling and adjustability of the attachment denture. Furthermore, it was shown clinically that the dimple-bar telescopic system was free from food impaction when used as an intracoronal attachment, and maintained a feeling of comfort during tongue movement and speech. We present a typical case in which the dimple-bar telescopic system was used.

Crowns↗

Removable partial denture design considerations where periodontally compromised teeth exist.

Restoration of a periodontally compromised dental arch with a removable partial denture may require one or more design modifications. Multiple rests ensure that adequate vertical support remains in the event primary abutment teeth are lost. An open or closed base can be strategically placed in the maxillary major connector to facilitate the replacement of subsequently lost teeth. The location of finish lines can be modified to provide a smoother resin-to-metal transition when posterior teeth are lost. Wire direct retainers that provide more physiologically acceptable clasping of compromised teeth and that are easily adjusted and added to the prosthesis should be considered.

Dental Abutments↗

A clinical view of mandibular premolars in removable partial denture design.

Mandibular premolars are used as a model to discuss various strategies for the design of removable partial dentures. Factors that must be taken into consideration as the prosthesis is designed, such as coronal and radicular anatomy of the abutment teeth, the relationship of the abutment teeth to other teeth, and the presence of existing restorations, are also identified.

Bicuspid↗

[Influence of various impression procedures for removable partial denture on displacement of soft mucosal tissue].

In the impression-taking procedure for the distal extension removable partial denture, the pressure produced at the interface of the soft mucosal tissue and the impression material is the most important factor for the stability of the saddle under functional load. However, a review of the literature revealed little information about the displacement of the soft tissue caused by the impression pressure. In the present study, to investigate the influence of various impression procedures on the magnitude of the soft tissue displacement more precisely, a new three-dimensional deformation measurement system was devised. Compared to the previous studies, the greatest advantage of the system is that the hardened impression material can be surveyed directly without substituting a dental stone. It was found that, in the investigation using a partially edentulous simulated model, the amount of the subsidence in the soft tissue was increased as the thickness of the spacer of the impression tray was reduced or the seating speed of the tray was fast. Especially in the buccal area, a large amount of vertical displacement was present compared to the midridge and lingual area. Thus it was suggested that many factors are associated with the form of soft tissue under impression loading.

Computer Simulation↗

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↗

A stress-releasing intracoronal attachment for extension base removable partial dentures.

Intracoronal retainer systems incorporated into splinted abutment restorations help force distribution. The additional torque introduced by the extension-based removable partial denture is applied over multiple abutments rather than to single abutment teeth. A fixed-removable prosthesis is proposed as a solution to this situation. The Thompson dowel nonlocking semiprecision attachment system is the intracoronal retainer of choice for distal extension denture bases. It allows controlled rotation or stress relief of the removable component by minimizing detrimental transfer of traumatic forces to the abutment teeth. The design and fabrication of the manufactured version of this retainer system is described.

Dental Abutments↗

Evaluation of prefabricated lingual rest seats for removable partial dentures.

An investigation into the feasibility of using prefabricated lingual rest seats bonded to mandibular canines and incisors with an orthodontic enamel bonding system was undertaken. 1. A prefabricated lingual rest seat was designed and constructed to closely approximate the lingual contours of anterior teeth. 2. An in vitro study compared the mean failure loads of three orthodontic bonding systems. Two of the three have mean failure loads that are greater than twice the maximum occlusal-gingival forces that were applied to the abutments by removable partial dentures in the study by Maxfield et al. 3. A demonstration of the clinical feasibility of using these prefabricated lingual rests for support of removable partial dentures has been reported.

Dental Abutments↗

All-cast-titanium removable partial denture for a patient with a severely reduced interarch distance: a case report.

A patient had a maxillary posterior edentulous area and severely reduced interarch distance that precluded the use of a conventional removable partial denture. An all-cast-titanium denture base and occlusal surface was designed to fabricate a removable denture to restore the edentulous area. Titanium was cast in a centrifugal casting machine with electric are melting design. The desirable characteristics of titanium, such as favorable mechanical properties, low density, and comparatively low cost, make this metal particularly effective and suitable for construction of an all-cast-metal denture base with a metal occlusal surface.

Adult↗

Removable partial denture abutments restored with all-ceramic surveyed crowns.

All-ceramic crowns are used as alternatives to conventional metal-ceramic crowns for the restoration of single teeth. Traditionally all-ceramic restorations possessed physical properties that contraindicated their use in many treatment situations. The strength that zirconia ceramics exhibit seems to support the hypothesis that, in specific situations, an all-ceramic crown may be used to restore removable partial denture (RPD) abutments in areas previously reserved for metal or metal-ceramic restorations. Abutments for RPDs may now be fabricated with Procera AllZirkon with the classically prepared guide planes and rest seats. This article provides an overview of a technique for the fabrication of a zirconia-based crown to be used in conjunction with removable partial dentures using the Procera CAD/CAM technology.

Ceramics↗

Removable partial denture design by Canadian dental laboratories: a retrospective study.

Identical, unilateral, distal extension base (DEB) maxillary and mandibular casts with a posterior modification area were mailed to 15 Canadian commercial dental laboratories. Each cast was accompanied by a letter explaining the purpose of the study and a request for the laboratory to design a RPD-U and RPD-L framework. The package also included a questionnaire on the techniques commonly used by dentists in the construction of a removable partial denture prosthesis, as well as the laboratory procedures they requested from laboratory technicians. Compared to the findings of previous studies by McCracken and others, the results of this study indicate an improvement in the dentists' understanding of the fundamental principles of an RPD framework design. However, the questionnaire also revealed the need for improved communication between the dentist and the technician. The study suggests that the basic principles for the construction and design of removable partial dentures, as taught in dental schools across Canada, must be respected by dentists.

Communication↗

Influence of cigarette, pipe, and cigar smoking, removable partial dentures, and age on oral leukoplakia.

Oral leukoplakia, a potentially malignant lesion, has been associated with tobacco smoking, but few studies have investigated the influence of different products on lesion prevalence. In the current study 925 healthy male subjects from the Veterans Administration Dental Longitudinal Study were examined for lesion site and prevalence. The participants were grouped according to smoking status: nonsmokers, smokers of cigarettes, cigars, a pipe, cigars plus a pipe, or cigarettes plus another tobacco product. In addition, the amount of product smoked, presence of a removable partial denture, and age were examined to determine their relation to leukoplakia prevalence. The data indicated that cigar smokers had significantly fewer lesions than the other smoker groups and that persons smoking a pipe or a pipe plus cigars had the highest prevalence. Heavy cigarette smokers had significantly more palatal lesions than light to moderate cigarette smokers. While removable partial dentures did not appear to affect lesion prevalence significantly, older smokers, persons of 50 years and above, had a significantly higher prevalence than persons less than 50 years of age.

Adult↗

[Study on the dynamic behavior of mandibular distal-extension removable partial denture utilizing finite element method. 2. Influence of the location of rest and displaceability of residual ridge mucosa].

The purpose of this study is to investigate the denture design and displaceability of residual ridge mucosa and its relation to the load distribution on the remaining oral structures. In this study, the effects of the location of rest and displaceability of the mucosa were demonstrated utilizing the two-dimensional non-linear analysis reported on Part 1. The results were as follows. 1. Mesial rest could be simulated on the finite element model using pin element. 2. Removable partial denture with mesial rest distributed more stress on the mesial abutment teeth than that with distal rest. 3. Lesser displaceability of residual ridge mucosa resulted in a decrease of stress concentration around the most distal abutment and the uniform stress distribution on residual ridge was increased. 4. In the simulated condition where an increased pressure was applied on the mucosa, the behavior of the saddle on the mucosa with large displaceability could be similar to that of the mucosa with small displaceability. The results of this study suggested that mesial rest on the most distal abutment and pressure impression was desirable in removable partial denture with distal-extension.

Alveolar Process↗

[Functional mobility measurement of removable partial dentures using newly-developed analyzing system in six degrees of freedom--effect of cusp inclination of molar artificial teeth on denture displacement in function].

A measuring system to record three-dimensional displacement of removable partial dentures (RPDs) in six degrees of freedom has been developed. The system employed three pairs of photodiode and LED that were set up in a triangle. This system was capable of recording the in vivo RPD displacement with a recording sensitivity of 0.1 mm. In vivo displacement of upper RPDs with unilateral distal extension saddle was investigated using this measuring system to determine the effect of artificial cusp inclination of molar teeth on denture mobility. Two groups of different artificial dentition were switched to be attached to each of three experimental RPDs. The artificial teeth with cusp inclinations were calibrated to contact with opposing natural dentition during lateral grinding of the mandible, while the other artificial teeth were prepared to disclude with the mandibular teeth (flat-cusp group). Displacement range and average position of a reference point at the first molar of the RPDs during mastication were measured and analyzed as a function of the cusp inclination and the test food. As a result, the average displacement of the RPDs toward the edentulous ridge was smaller in the cusp group than that in the flat-cusp group, while the range of horizontal displacement in the buccal-palatal direction was greater in the former group than the latter. The denture wearers demonstrated typical grinding strokes at the end of the closing phase of the mandiblar movements when they chewed a peanut, which was attributed to a wide range of horizontal displacement of the dentures.

Denture, Partial, Removable↗

Runner bar modification for mandibular removable partial dentures.

Breakage of a segment of an acrylic resin denture base of a mandibular removable prosthesis may result from inadequate retention and support. The runner bar modification can be a solution for this problem, especially where excessive crown length is to be restored in the mandibular anterior region. A technique is described for placement of a 14-gauge (1.7 mm) round wax runner bar that conforms to the anterior arch form on the removable partial denture wax-up. Wax vertical struts are added between the denture base retention and the runner bar. Improved retention and rigidity, without compromising esthetics and function, can be obtained through use of this procedure.

Denture Bases↗