PubMed · 3078344
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A E Stiles. Removable partial dentures: general design guidelines.. https://pubmed.ncbi.nlm.nih.gov/3078344/
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Despite the fact that solutions to functional and comfort problems are often available, successfully restoring the appearance of an edentulous patient remains a challenge. This review of the literature demonstrates the limited amount of useful evidence-based information available for restoration of dentate appearance in edentulous individuals. The English language peer-reviewed literature from 1880 to the present was reviewed. Articles were identified through previous literature reviews, an extensive hand search, and a search of MEDLINE using the key words esthetics and denture esthetics. Three main areas of information were found: published guidelines for achieving natural appearance, patient preference studies, and studies that have collected and analyzed anatomic norms.
The successful construction of removable full and partial dentures depends mainly on the preoperative evaluation of the supporting hard and soft tissue structures and their proper preparation. Stability, retention, function, and esthetics of removable prostheses may be enhanced by proper laser manipulation of the soft tissues and underlying osseous structure. Compared with conventional techniques, laser treatment has many advantages. More predictable postoperative healing results and shortened treatment time may be achieved when lasers are integrated into the treatment plan for construction of removable prosthetic devices.
A removable partial denture (RPD) for the restoration of maxillary defects must incorporate sound design principles to reduce potential damage to the abutment teeth and supporting periodontal tissue, while enabling acceptable functional levels of speech, mastication, and deglutition. These functional demands and potential stresses on the abutment teeth may exceed those encountered by patients without maxillary defects. This article describes the indications and design considerations for a hybrid gate design framework that incorporates both conventional cast direct retainers and the gate design concept in the same framework.