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At least 109 records · Page 6Linked to original sources

A comparison of in vivo and in vitro strain with posterior fixed partial dentures.

PURPOSE: Deformation of fixed partial dentures during function has been related to clinical failures. However, such deformation has not been measured quantitatively, and the effect on deformation of the viscoelastic behavior of peridental structures is not well understood. The purpose of this study was to determine the strain distribution of fixed partial dentures during function and to compare the biomechanical behavior of fixed partial dentures in vivo and in vitro. MATERIAL AND METHODS: Three conventional posterior fixed partial dentures and two complete crowns were fabricated. Both in vivo and in vitro strain measurements of each of the five prostheses were recorded by a strain gauge method. A static load was produced through occlusal force in vivo and with a universal testing machine in vitro. RESULTS: The resulting difference between the strain distribution for the two crowns in vivo and in vitro was negligible, but the whole fixed partial denture demonstrated a substantial amount of strain in vivo. CONCLUSIONS: The results of this study suggest that serious problems with strain may occur in a long-span mandibular posterior fixed partial denture.

Adult↗

[Single tooth replacement with a removable partial denture].

The indication of removable partial dentures in cases of single tooth replacement is limited. This is due to a number of disadvantages closely connected to the use of removable partial denture. An often applied use is that of a mucosa-borne transitional acrylic denture to improve patients aesthetics until the definitive denture can be made. Acrylic dentures may be indicated as a definitive denture when limited financial resources are available. A metal frame removable partial denture can be applied to lengthen a shortened dental arch or in specific cases in which fixed partial dentures are not the preferable treatment option. The success of the treatment with a removable partial denture is highly dependent on the follow-up service and the oral hygiene awareness.

Denture Design↗

Risk of debonding in three-unit resin-bonded fixed partial dentures.

Resin-bonded fixed partial dentures are considered practical and conservative but have not always enjoyed longitudinal success. The long-term survival of 1637 three-unit resin-bonded fixed partial dentures was analyzed. A multistate analysis that included parameters such as debonding, rebonding, or renewal of the restoration was used. Five years after insertion 66.1% (+/- 3.7%) of the originally inserted prostheses remained in place. If additional rebonding was computed, the probability of survival was 82.0% (+/- 3.0%). Reconstruction of the metal frame after one or more dislodgements raised the success rate to 87.1% (+/- 2.6%). Rebonded resin-bonded fixed partial dentures developed a greater risk of debonding. The risk of failure for refabricated fixed partial dentures was similar to that of the originally inserted resin-bonded fixed partial dentures. There were no signs of greater caries incidence after multiple recementation procedures.

Adult↗

A new attachment system for removable partial dentures.

How a removable partial denture (RPD) attaches to its abutment teeth is the most important aspect of partial denture design. The reason is obvious: Many critical requirements for optimal design are dependent on the way the removable segment is related and secured to the abutment teeth. To appreciate the importance of the attachment design, it is necessary to understand several principles of overall RPD design. State-of-the-art RPD design is often the most effective means for achieving long-term maintainable health of the remaining teeth. Even weakened teeth with compromised bone support can, with good design, often be used effectively as abutments for RPDs while benefitting from the removable partial.

Denture Design↗

[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↗

The influence of heat treatments on several types of base-metal removable partial denture alloys.

Four removable partial denture alloys, Vitallium (Co-Cr alloy), Dentillium P.D. (Fe-Cr alloy), Durallium L.G. (Co-Cr-Ni alloy), and Ticonium 100 (Ni-Cr alloy), were evaluated in the as-cast condition and after heat treatment for 15 minutes at 1,300 degrees, 1,600 degrees, 1,900 degrees, and 2,200 degrees F followed by quenching in water. The following properties were determined and compared for each alloy at each heat treatment condition: the yield strengths at 0.01%, 0.1%, and 0.2% offsets, the ultimate tensile strength, the percent elongation, the modulus of elasticity, and the Knoop microhardness. The results were statistically analyzed. Photomicrographs were examined for each alloy and test condition. The following conclusions were made: 1. The "highest values" were exhibited by the as-cast alloy. 2. Heat treatment of the partial denture alloys tested resulted in reductions in strength, while the elongations varied. This study demonstrates that, in practice, one should avoid (a) prolonged "heat-soaking" while soldering and (b) grinding or polishing of the casting until the alloy is "red hot". 3. Durallium L.G. was the least affected by the various heat treatment conditions. 4. Conventional reporting of the yield strength at 0.2% offset, the ultimate tensile strength, and percent elongation are not adequate to completely describe and compare the mechanical behavior of alloys. The reporting of the yield strength at 0.01% offset, in addition to the other reported properties, will provide a more complete description of the behavior of the dental alloys.

Chromium↗

[The influence of major connectors of partial dentures of phonation: an instrumental analysis of speech].

After the insertion of removable dentures for restoring partially edentulous arches, phonation is affected by many factors, of which many influences are not completely understood. The aim of this study was to investigate the influence of various construction elements of maxillary and mandibular partial dentures on the formations of plosives, nasals, lateral approximates and fricatives. Twenty-four patients were included in the study. For each patient five different test dentures were constructed. Over a period of 24 h, six digital tape records were made for each patient. By this time, the patient had worn the dentures maximally 6 h. With the help of a computer-supported frequency analysis based on the principle of fast Fourier transformation (FFT), it was possible to demonstrate the differences in phonation in regard to denture design. During the test period, the patients were asked to fill in a questionnaire on denture comfort and phonation. This study also quantifies the influence of the sublingual bar on phonation. It can be assumed that the speaker tries to retain his habitual way of articulation despite the inserted test denture. Therefore, a phonation test immediately after insertion of a new constructed partial denture should be interpreted with caution because of the assumed compensation process. The results of this study could have consequences for dental therapy plans.

Adolescent↗

Alternate framework designs for removable partial dentures.

STATEMENT OF PROBLEM: The removable partial denture is usually less appreciated than the fixed partial denture by both patients and prosthodontists. This negative attitude could be due to problems associated with the wearing of a removable partial denture and concern essentially with comfort, esthetics, masticatory function, occlusal stability, and maintenance of oral hygiene. Such problems could be limited if treatment planning is made carefully, according to simplified and logical principles for framework design, and if oral hygiene and the fit of the dentures are regularly controlled. PURPOSE: This article reviews the factors associated with the prognosis of treatment with removable partial dentures. Furthermore, the article describes framework design applied in different clinical situations and compares them with more conventional designs. It seems important to consider a framework design that privileges comfort, esthetics, and oral hygiene rather than to follow mechanical rules that are entirely theoretical and have not been confirmed scientifically or clinically.

Biomechanical Phenomena↗

Provisional treatment for resin-bonded fixed partial dentures.

The resin-bonded fixed partial denture is a conservative option for the replacement of a missing tooth. It has a good prognosis and offers several advantages over a conventional fixed partial denture. However, it does not allow for placement of a provisional fixed partial denture. In some situations, it is important to provide some type of interim treatment. This can be accomplished by several techniques, that include placement of either a removable or bonded replacement tooth. The provisional treatment can provide an esthetic solution and maintain tooth position while the fixed partial denture is being made by the dental laboratory.

Denture Design↗