PubMed · 5241971
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R Marxkors. 1968. [The splint prosthesis].. https://pubmed.ncbi.nlm.nih.gov/5241971/
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During planning for treatment involving cast removable partial dentures (RPDs), it is important to remember that the 2 major reasons why patients seek this treatment are to improve esthetics and to improve mastication. Treatment that is considered unsuccessful may not necessarily represent poor execution of procedures, but rather may not have fulfilled the patient's expectations with regard to these 2 goals. Searches of the Cochrane Collaboration and MEDLINE databases were conducted to identify issues pertaining to patient compliance in wearing cast RPDs. Compliance was better when the patient's chief concern was replacement of anterior teeth. The success of RPDs for replacement of teeth missing from other areas depended on the patient's perception of the value of such replacement. Maximum masticatory efficiency is equivalent for people functioning from second premolar to second premolar and those wearing partial dentures. Many clinicians believe that the prescription of partial dentures which replace teeth missing distally to the second premolars represents overtreatment.
Edward Kennedy's book Partial Denture Construction was published in 1928. A number of the principles that he advocated are still taught, albeit in a modified manner, although the background reasoning supporting those principles has changed somewhat. This paper highlights some of those principles and makes the point that several of them do not appear to have achieved wide acceptance over 70 years later.
This series of articles has been written with the intention of simplifying the processes involved in the prescription of removable partial dentures. The scene is set in this introduction, and the first article addresses basic clinical and patient-related factors involved in decision-making before commencing active prosthodontic treatment. The second paper will outline a variety of impression techniques for primary and definitive impressions, while the third discusses designing principles. The fourth article is a brief overview of some technological aspects of removable partial denture-making and the fifth attempts to provide a useful guide showing how to diagnose and manage common clinical problems associated with removable partial dentures.