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[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↗

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↗

Removable partial dentures without rests.

Ever since Bonwill recommended the use of rests on removable partial dentures in 1899, rests have been universally considered inviolate and have gone unchallenged and untested. The author claims that removable partial dentures without rests may not cause the adverse conditions usually predicted, such as gingival stripping, gingival inflammation, mutilated residual ridges, or extensive and rapid resorption of the alveolar ridges. In removable partial dentures made by the author for several patients, the residual ridge remained stable and in physiologic equilibrium when rests were not used. A history of the long-term effect on patients wearing partial dentures with and without rests is presented.

Adult↗

[Stress analysis of distal free-end removable partial denture].

The study of the force distribution in distal free-end removable partial denture is complicated by the great difference of biomechanical property between the supporting tissue of the distal free-end removable partial denture, abutment tooth and alveolar mucosa under the denture base. Finite element method (FEM) was used in this study to estimate the effect on the abutment tooth and alveolar mucosa under various load conditions. The model is composed of the second premolar, the first molar and the second molar in acrylic resin teeth with the first premolar serving as the abutment. The stress on the abutment tooth was found reduced by 15% on comparing the load condition 3 (222 newton vertical force on each denture acrylic tooth) with the load condition 2 (222 newton vertical force on the second premolar and the first molar), and it can be further reduced by 22% in comparison to load condition 4 (222 newton vertical force on each denture tooth but shared equally to two occlusal contact points per denture tooth). The maximum displacement of the alveolar mucosa was found adjacent to the load area, and the maximum vertical displacement of the alveolar mucosa at load condition 4 is only 0.015 mm greater than load condition 3. It is concluded that when the number of occlusal contacts in distal free-end removable partial denture is increased and evenly distributed, the load on the abutment tooth will be decreased, with only minor effect on the alveolar mucosa.

Biomechanical Phenomena↗

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↗

Construction of a crown to fit a removable partial denture clasp.

This technique allows an accurate cast to be made of a prepared abutment tooth with the removable partial denture in place in the mouth. The partial denture is carefully removed from the cast, the crown waxed up, and the removable partial denture re-placed as many times as necessary during wax-up to obtain a crown that accurately fits the clasp.

Crowns↗

Radiographic detection of porosities in removable partial denture castings.

The purpose of this study was to discern the existence of structural defects in removable partial denture frameworks by means of radiographs. A simple technique was described using a dental radiograph unit and routine periapical dental films. All components of removable partial denture castings were radiographed with different angulations. The visibility of defects was clear. Structural defects were located and classified in two brands of removable partial denture base metal alloys (Ticonium and Nobilium) commonly used in fabrication of removable partial denture castings. The technique described is simple, inexpensive, not time-consuming, and can be implemented with minimum instrumentation. Future studies with this radiographic method for investigation of internal defects in fixed prostheses or dental implants are recommended.

Chromium Alloys↗

Precision attachment retained removable partial dentures: 1. Technical long-term study.

Patients provided with 53 distal extension-base removable partial dentures retained using rigid intracoronal slide attachments were followed up to 25 years. The initial treatment consisted of fixed partial dentures involving all remaining teeth in the treated arches and removable partial dentures having a cast cobalt-chromium framework. The removable dentures showed few complications and little need for relining. The failures primarily involved the fixed partial dentures. Seven arches required complete dentures as a result of technical complications in five patients. Cement failures, root fractures, and fractures of the fixed prostheses were most problematic. The survival rate was about 65% up to 15 years, and a survival time of 50% was extrapolated to 20 years.

Adult↗

Precision metal occlusal surfaces for removable partial dentures.

The prosthodontist is often limited in developing the desired occlusal pattern when integrating removable partial dentures with natural dentitions or fixed partial dentures. A technique that allows the development of an esthetic, accurate metal occlusal surface for a removable partial denture is described. The occlusion developed allows an occlusal harmony with the removable partial denture that is not possible with stock denture teeth or metal occlusal surfaces developed with stock denture teeth.

Dental Occlusion↗

[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↗

[Adhesive attachments for removable partial dentures].

Since twenty years adhesive dentistry plays a certain role in the design of removable partial dentures. With the use of adhesive attachments the esthetics and retention of a removable partial denture can be improved. To apply these attachments successfully the contour of a sound abutment has to be corrected by grinding to provide retention and resistance. The procedures for constructing removable partial dentures with adhesive attachments are described. It is recommended to apply adhesive attachments in the general dental practice.

Adhesives↗

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↗

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↗

Longitudinal study on forces transmitted from denture base to retainers of lower distal-extension removable partial dentures with conus crown telescopic system.

The purpose of this study was to perform longitudinal measurement of forces transmitted from the denture base to retainers of lower distal-extension removable partial dentures with a conus crown telescopic system. The experimental denture was embedded with a force-detecting unit which could detect a change in lateral and vertical forces transmitted from denture base to retainers at the same time. Forces were measured during chewing of food on several separate occasions from the insertion of new dentures to about 3 months after. Max.ver (maximal mean value of vertical force) and Max.lat (maximal mean value of lateral force) were calculated from the peak level of all strokes of chewing of food at the minimum of the interocclusal distance. The results are summarized as follows: (i) There were no significant changes of Max.ver and Max.lat; (ii) There were no significant differences of Max.ver between subjects the value of which was about 20 N; (iii) There were significant differences of Max.lat between subjects the value of which was less than 15 N.

Bite Force↗