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At least 145 records · Page 8Linked to original sources
PubMed1983

Removable partial dentures with rotational paths of insertion: problem analysis.

Removable partial dentures designed to use a rotational path of insertion are technique sensitive. When indicated and when the principles discussed are followed, a denture that uses a rotational path can be highly successful. Tooth coverage can be decreased, which is an advantage in plaque control, caries reduction, and periodontal support. Esthetics can be improved without resorting to intracoronal retainers, and the number of components subject to distortion is reduced. When properly designed and constructed, use of a rotational path of insertion can result in a removable partial denture that is strong, hygienic, and esthetic.

Dental Arch↗
PubMed1975

Instructions for patients--a positive factor in removable partial denture service.

Studies have shown that improper wearing and care of removable partial dentures may adversely affect abutment teeth and associated periodontal tissues. A comprehensive removable partial denture service should include not only accurate construction of the prosthesis, but also printed instructions for the patient. Printed instructions help to inform the patient that delivery of removably partial dentures is only a part of our health service designed to maintain good oral health. A text of such concise printed information and instructions for the patient is presented.

Denture, Partial, Removable↗
PubMed1998

Use of a cast flexible plate as a hinge substitute in a hinge-lock design removable partial denture framework.

PURPOSE: The use of a hinge for a removable partial denture with an opening labial bow was replaced by the design and construction of a flexible plate incorporated as part of a cobalt-chromium casting. METHODS: Three similar prostheses were constructed and tested in vitro on an endurance test machine. Each test piece completed 12,000 opening and closing operations without fracture, which a previous study showed is a probable life cycle of a typical removable partial denture with a hinged section. RESULTS: This plate provided sufficient flexibility to allow functional operation of the removable partial denture by a patient.

Chromium Alloys↗
PubMedDate not supplied

Review of the Swinglock removable partial denture.

The author's experience with the swinglock removable partial denture concept is described. This infrequently utilized technique allows the use of undercuts that are unapproachable with other partial denture designs. Indications include missing or weakened key abutment teeth, tooth mobility, aesthetics, economic considerations, and the presence of certain ablative defects following oncologic surgery. The clinician must consider lip position, facial sulcus depth, position of frena, and the periodontal health of potential abutment teeth when considering a swinglock removable partial denture. Specific instructions for blockout, relief, and position of hinge and clasp assemblies should be part of the written laboratory instructions.

Denture, Partial, Removable↗
PubMed1980

Clinical evaluation of swinglock removable partial dentures.

Fifty-three patients were recalled for clinical examination to determine oral changes which occurred during the time that they wore swinglock removable partial dentures. Pertinent findings were as follows: 1. The swinglock removable partial denture should be considered as a treatment alternative for patients with unfavorable periodontal support and for patients missing key abutments. 2. Patients who have worn swinglock removable partial dentures for periods of 13 to 75 months did not demonstrate a continued periodontal breakdown, even when there was unfavorable periodontal support. 3. The swinglock removable partial denture may aid in reducing tooth mobility when the patient can maintain good levels of oral hygiene to control inflammation and the dentist can provide a proper occlusion. 4. As evidenced by responses to a satisfaction questionnaire, patient acceptance of the swinglock design was good. 5. The high prevalence of patients reporting for recall examination with one or more decayed teeth (22.4%) and removable partial dentures requiring relines (28.3%) emphasizes the need for proper recall of patients. 6. The swinglock removable partial denture will function satisfactorily if the dentist follows basic principles of removable partial denture construction and if the patient maintains a good level of oral hygiene and returns for regular recall visits.

Bone Resorption↗
PubMedDate not supplied

Indications for removable partial dentures: a literature review.

PURPOSE: The purpose of this report was to evaluate indications for the use of removable partial dentures based on a comprehensive literature review. MATERIALS AND METHODS: Using a model similar to a Delphi process, the literature relating to the indications and contraindications for the prescription of removable partial dentures was discussed by seven experienced educators in a 2.5-day workshop. RESULTS: Evidence for indications and contraindications for the prescription of removable partial dentures is not clearly stated in the literature; however, some basic principles are defined. There appears to be a trend in favor of the use of the shortened dental arch concept or implant-supported restorations instead of conventional removable partial dentures, given the evidence that the long-term use of removable dentures is associated with increased risks of caries and periodontitis and low patient acceptance. The presence of sound abutment teeth appears to encourage the use of removable partial dentures, as the fixed partial denture alternative requires sacrifice of healthy hard tissues. When economic factors influence the decision-making process, removable partial dentures are often chosen. CONCLUSION: While evidence-based indications and contraindications for prescribing removable partial dentures are still lacking, major underlying principles for clinical decision making are identified.

Contraindications↗
PubMed1997

Comparison of titanium and cobalt-chromium removable partial denture clasps.

STATEMENT OF PROBLEM: The use of titanium alloys for removable partial dentures is an increasingly popular application. While the flexibility of titanium would allow for cast clasps to be placed in deeper undercuts than advisable with cobalt-chromium, it is possible that the retentive forces of the titanium clasp might not maintain sufficient retention after repeated flexing of the clasp arm during insertion and removal of the partial denture. PURPOSE: This study assessed the characteristics of cast clasps made of titanium and titanium alloys to determine whether these materials are suitable alternatives for removable partial denture applications. MATERIAL AND METHODS: Removable partial denture clasps at two undercut depths were fabricated from commercially pure titanium, titanium alloy (Ti-6A1-4V), and cobalt-chromium. Loss of retention force was measured as the clasps underwent 3 years of simulated clinical use. The data were subjected to ANOVA and Scheffé's tests to determine differences. Evidence of casting defects and porosity was evaluated by radiographic examination and nonparametric statistics. SEM microscopy was used to observe surface characteristics that were described qualitatively. RESULTS: For the 0.75 mm undercut specimens, there was less loss of retention for clasps made from pure titanium and titanium alloy than for cobalt-chromium clasps. Porosity was more apparent in the pure titanium and titanium alloy clasps than in those made from cobalt-chromium, but the amount of porosity did not correspond to evidence of fractures or permanent deformation. CONCLUSIONS: The long-term retentive resiliency of the pure titanium and titanium alloy clasps suggests that these materials are suitable for removable partial dentures.

Alloys↗
PubMed1985

Periodontal problems associated with use of distal extension removable partial dentures--a matter of construction?

It is commonly assumed that a distal extension partial removable dentures rotates around the supporting rests when the saddle is occlusally loaded and that this rotation may expose the abutment teeth to a distal torque believed to be potentially harmful to their periodontal tissues. Attempts are therefore often made to counteract this effect through the denture construction. However, a review of relevant literature does not appear to substantiate an unqualified acceptance of the above mentioned assumptions, nor of the beneficial effect of special denture constructions designed to reduce the abutment loading. On the other hand, well controlled longitudinal studies seem to indicate that a favourable periodontal prognosis may be expected in such cases provided the following conditions are satisfied: Periodontal problems should be treated and an adequate oral hygiene established prior to the insertion of the denture; The periodontal health and oral hygiene should be maintained through regular recalls. During these recalls possible prosthodontic defects should be diagnosed and necessary measures implemented.

Animals↗
PubMed2006

[The effects of removable partial dentures on abutment teeth in elder patients].

PURPOSE: To analyse the effects of removable partial dentures on abutment teeth in elder patient and to discuss the reason of the effects and the preventive measures. METHODS: 95 aged patients with removable partial dentures were involved in the investigation, the rate of dental caries, fractures and missing in their abutment and non abutment teeth and the reason were recorded and analysed. X2 test was used for the statistical comparison. RESULTS: The removable partial denture in 5 years after wearing, the dental caries rate of the abutment teeth (17.38%) was significantly higher than the non abutment teeth (7.10%) (P<0.01). The missing abutment teeth (27.01%) extracted because of fracture or loose that made by periodontal disease and dental caries which can not be reserved was significantly higher than that of non abutment teeth (7.79%). CONCLUSION: The effect on abutment teeth of removable partial denture in aged patients were complex and it can increase the rate of dental caries , fracture and missing of abutment teeth.

Aged↗
PubMed1990

Clinical application of electric resistance welding and soldering methods to removable partial dentures.

The joining procedure for uniting metal structures is very important in the construction of removable partial dentures. However, it has several restricted problems in joining wrought wire clasps to rests or major connectors. For example, the base metal wires made of chromium-cobalt alloy are subject to changes in their mechanical properties caused by heating, and damage to acrylic resin materials (denture base and artificial teeth) occurs in the repair of removable partial dentures by using the torch soldering method. In this paper, in order to resolve these problems, an electric resistance welding machine was applied to attach wrought wire components to a removable partial denture framework. This welding machine was used to attach metal structures temporarily to each other, and to solder the welded joint with hard solder. Consequently, some problems of the conventional torch soldering method were improved by using the electric resistance welding and soldering methods. It was suggested that the clinical application of the electric welding and soldering methods was very useful in the construction of removable partial dentures.

Aged↗
PubMed1999

[Statistical analysis of fabrication of fixed and removable partial dentures].

A statistical survey based on laboratory records was performed on the number of fixed and removable partial dentures fabricated at the dental hospital of Tokyo Medical and Dental University from April 1 to September 30, 1997. A comparison was also performed with a previous survey, which had been carried out in 1986, in order to detect any change and possible alterations in the near future. From the findings of this statistical survey, the conclusions were as follows: 1. A total of 2,478 fixed and removable partial dentures were fabricated during the six month period in 1997. 2. The 3-unit fixed partial denture (bridge) was most common (63.1%) and the number of bridges decreased as the number of units increased. 3. For the single missing tooth, a fixed bridge was more popular (81.0%) than a removable partial denture. 4. For two missing teeth, there was no difference between the number of fixed bridges and removable partial dentures. 5. The percentage of fixed and removable partial dentures, which were not covered by health insurance, decreased to a large extent in comparison with the survey in 1986.

Denture, Partial, Fixed↗
PubMedDate not supplied

The effects of buccolingual width and position of occlusal rest seats on load transmission to the abutments for tooth-supported removable partial dentures.

PURPOSE: The suitable buccolingual width and the location of occlusal rest seats for removable partial dentures have not been scientifically established. The aim of the present study was to use three-dimensional geometric analysis to evaluate the effects of buccolingual width and the location of occlusal rest seats on load transmission to the abutments for tooth-supported removable partial dentures. MATERIALS AND METHODS: A tooth-supported portion of a maxillary removable partial denture with two conventional circumferential cast clasps and an indirect retainer was analyzed. Occlusal loading of 100 N was applied to the buccal mesial cuspal incline 2.0 mm from the central fossa of the first molar or to the lingual mesial cuspal tip. Four combinations of position and width (wide, buccal shift, middle, and lingual shift) were simulated. RESULTS: For buccal loading, the wide rests and buccal-shift rests produced lower tensile forces at the indirect retainer. For lingual loading, the buccal-shift rests produced the lowest compressive force to the anterior abutment. CONCLUSION: Based on the tooth-supported removable partial dentures that were analyzed, buccal shifting of the rest seats seems to be advantageous for load transmission to the abutments.

Bicuspid↗
PubMed1998

The significance of major connectors and denture base mucosal contacts on the functional strain patterns of maxillary removable partial dentures.

The purpose of this study was to investigate the biomechanical significance of major connectors and base mucosal contacts on the mechanical behaviour of maxillary removable partial dentures in vivo. Six subjects wearing maxillary dentures retained by conical crowns were selected for the study. Reflective photoelasticity and strain gauges were used to monitor the development of strain/stress during functional loading. Loading tests were performed initially with a denture design including a palatal major connector and denture bases and then repeated after removal of the major connectors and denture base alveolar muccosa contacts. The palatal major connector and the denture bases mucosal contacts contribute significantly to the rigidity and stability of removable partial dentures retained by conical crowns.

Aged↗
PubMed1989

[Cross sectional study of removable partial denture design in general practitioners].

Many reports have been made on statistical observation on prostheses, among which removable partial denture frequently becomes the subject of investigation from the two sides of cross- and longitudinal- sectional surveys, because its constituent factors are divergent. However, many of such reports used, as subject, the removable partial dentures fitted at clinical practices at the hospitals affiliated to dentistry universities (dentistry departments), and it is hard to say that these reports have grasped the actual circumstances in which removable partial denture is involved since each therapeutic principle as educational hospital constitutes its own specific environment, if the fact that difference occurs in the selecting criteria for each constituent factor according to the operators' designing conception and medical environment is taken into consideration. Then, we have made investigation of edentulous pattern and kinds of denture base material and retainers in 141 cases with removable partial denture fitted at general practitioners, and the following conclusions have been reached. 1. Among the direct retainers of free-end denture, those of clasp with distal rest (Aker's clasp) were the largest in number. 2. By base material, among the direct retainers of free-end denture, many of those of Bar type which has mesial rest (RPI clasp) were observed, in case of metal base, compared with resin base, but difference was observed in the frequency of use of the other retainers. 3. Free-end denture held a majority both in the upper and lower jaws. 4. As base material, resin base was overwhelmingly large in number, compared with metal base.

Cross-Sectional Studies↗
PubMed2004

Influence of loading positions of mandibular unilateral distal extension removable partial dentures on movements of abutment tooth and denture base.

PURPOSE: The aim of our study was to explore the effects of different loading positions on the movements of the abutment tooth and denture base of removable partial denture with unilaterally designed framework (RPD-U). MATERIALS AND METHODS: The experiment was carried out with a simulation model of a mandible without left molars. The movements of abutment tooth and denture base of the unilateral and bilateral designs were due to 30N vertical load on 12 loading positions determined with a strain gauge circuitry. The effects of loading positions on the movements of the abutment tooth and denture base were compared between two designs. RESULTS: During the loading on buccal, lingual positions, and the most disto-central position the movements of the abutment tooth and denture base of the unilateral design were significantly greater than those of the bilateral design (P < 0.01). During the loading on the three mesio-central positions the movements of the abutment tooth and denture base were equal between designs, and were significantly lower than during the loading on the other positions (P < 0.01). CONCLUSION: Ending the denture teeth at the mesial cusp of second molar and positioning the occlusal contacts over the ridge crest adequately stabilize the abutment tooth and denture base of RPD-U.

Acrylic Resins↗
PubMed1985

Custom-made denture teeth and denture base material for removable partial dentures.

A method that uses Isosit material to fabricate custom-made denture teeth and denture base has been described. The advantages of this technique are the denture teeth can be made to function in harmony with dynamics of the stomatognathic system; any type of occlusal scheme can be used; the material is esthetically pleasing; it can be characterized; it can be used as a denture base material, which can also be characterized; it can be repaired, relined, or rebased with little difficulty; and laboratory procedures can be accomplished in the dental office or laboratory.

Acrylic Resins↗