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PubMed1992

Parallel bonded cast attachments for removable partial dentures.

The original design of a semi-precision extra-coronal attachment for partial dentures is illustrated, and its fabrication in a cast non-precious bondable alloy is described. A step-by-step method is also described of bonding multiple attachments in parallel for the retention and support of removable partial dentures. Clinical cases are illustrated. The results of trials indicate that the method is clinically viable and, in selected cases, appears to offer distinct advantages over existing retention systems.

Chromium Alloys↗
PubMed1999

New telescopic crown design for removable partial dentures.

STATEMENT OF PROBLEM: Special technical skills and experiences are required to fabricate a telescopic crown to provide adequate retention with precise frictional retention ("conus friction force") between coping and telescope. It is also difficult to control clinically alterations of retentive forces after prolonged usage. PURPOSE: This study examined an innovative telescopic crown system for removable partial dentures that can be fabricated without special technical skill or experience and readily adjusted retentive forces. The retention of telescopic crowns was investigated after repeated insertion/separation tests. MATERIAL AND METHODS: Ten telescopic crowns were constructed to evaluate retentive forces. Each telescopic crown was adjusted to provide a retentive force of approximately 9.8 N. Each telescopic crown was then subjected to 10,000 insertion/separation cycles, and retentive force of each telescopic crown was recorded initially and after every 1,000 cycles. The retentive force of each telescopic crown was re-adjusted after these measurements to provide a retentive force of approximately 9.8 N. The retentive force was recorded a second time after each 1,000 insertion/separation cycles up to 10,000 cycles. RESULTS: Retention of the telescopic crowns gradually diminished, depending on the number of insertion/separation cycles. The mean retentive force after 10,000 insertion/separation cycles was over 2 N. All 10 telescopic crowns were re-adjusted to exert a retentive force of 9.8 N after the initial 10,000 cycles, and the retentive force also diminished on the second 10,000 cycles. CONCLUSIONS: Reduction of retention was dependent on insertion/separation cycles. This new telescopic crown with reduced retention could be easily readjusted. Readjusted retentive forces were at least equivalent to the initial retention.

Analysis of Variance↗
PubMed2001

A comparison between videotaped and live demonstrations, for the teaching of removable partial denture procedures.

AIM: This study was devised to test the effectiveness of videotaped demonstrations as opposed to live demonstrations, to small groups of undergraduate dental students. The outcome was assessed by comparing the students' understanding of the clinical and laboratory technical stages of the altered cast impression technique, which is used in the construction of removable partial dentures. METHOD: 31 students watched a series of videotaped demonstrations and 30 received a similar series of live demonstrations. The altered cast procedure was divided into 5 distinct stages, each of which was assessed with the aid of agreed criteria, initially by the students and then by 2 staff assessors and these results were compared. The students were subsequently asked to rate how helpful the videotaped or live demonstration had been on a 5-point scale. RESULTS: The live demonstration group showed better agreement between the students' assessment and the assessors' assessment of the quality of the work for the first part of the clinical stage. There was no difference in the groups' assessment of the final outcome of this clinical stage and the subsequent laboratory technical stages. Students who observed the live demonstrations indicated higher scores for its helpfulness in performance of all the stages of the technique, when compared to those who had observed a videotaped demonstration. CONCLUSION: Both teaching methods developed a similar level of understanding of the principles behind the exercise, although the students preferred the live demonstrations. A carefully produced videotaped demonstration can be a useful alternative to a live demonstration in teaching the short and clear cut technique selected for this study.

Chromium Alloys↗
PubMed2005

Masticatory function after unilateral distal extension removable partial denture treatment: intra-individual comparison with opposite dentulous side.

Due to large individual differences of masticatory function, an inter-individual comparison between denture patients and complete dentate people would be insufficient. This cross-sectional study aimed to evaluate patients' masticatory performance (determined by Mixing Ability Index, MAI) and bite force (determined by maximum bite force, MBF) after removable partial denture (RPD) treatment by comparing those of the RPD replaced side with those of their own opposite dentulous side, and to evaluate influence of bite force on masticatory performance in different dentitions. Subjects included patients with unilateral distal extension RPDs (n=28). Apart from the RPD replaced area on one-side, all subjects had intact dentitions. Both masticatory parameters were evaluated separately on each chewing side. MAls and MBFs obtained from the RPD replaced side (0.65 +/- 0.50 and 220 +/- 155 N, mean +/- SD) were significantly lower than those from the dentulous side (1.06 +/- 0.64 and 450 +/- 268 N; Wilcoxon signed-ranks, P < 0.001). MBF significantly influenced MAI in both RPD replaced (Univariate linear regression; R2 = 0.17, P < -0.001) and dentulous sides (R2 = 0.51, P < 0.001). After RPD treatment, masticatory performance and bite force of RPD replaced side were lower than those of their own dentulous side. The influence of the bite force on masticatory performance in RPD replaced side was less significant than that in the dentulous side.

Bite Force↗
PubMed1992

Intentional replantation of a removable partial denture abutment tooth: a case report.

Intentional tooth replantation is a last-resort procedure, recommended only when all other techniques, short of tooth extraction, have been exhausted or are impractical. Although most endodontic textbooks describe the procedure, and many reports of intentional replantation have appeared in the dental literature, none have reported use of the technique to retain a removable partial denture abutment tooth. This article presents such a case and the rationale for the decision to intentionally replant. Eighteen-month follow-up clinical and radiographic results are presented.

Bicuspid↗
PubMed1978

A combination impression and occlusal registration technique for extension-base removable partial dentures.

The ultimate goal of a prosthodontic service is the placement and maintenance of prostheses which are in biologic and functional harmony with the supporting tissues and remaining teeth. The combination impression and occlusal registration technique minimizes clinical and technical procedures which might introduce errors. If accurately managed, this technique will provide optimum occlusion and mucosal support for extension-base removable partial dentures.

Dental Impression Technique↗
PubMed2003

Masticatory and nutritional aspects on fixed and removable partial dentures.

The aim of the present study was to evaluate mastication, food selection and nutritional aspects in two groups of persons restored with fixed (FPD, N=44) and removable (RPD, N=40) partial dentures respectively. The subjects were part of a cohort study of 67-68-year-old men living in Malmö, Sweden. The two groups were very similar regarding social factors and the inclusion criteria were chosen so that the groups were very equal regarding oral factors, apart from the difference in fixed and removable partial dentures. The number of natural teeth, number of replaced teeth and occlusal contacts did not differ significantly between the two groups, nor did the distribution of maxillary and mandibular dentures. A comprehensive examination of several general health factors included a home interview of dietary habits. A clinical examination included a 20-minute oral examination with registration of number of teeth, FPDs, RPDs, and occlusal contacts. It also included masticatory tests: chewing gum colour mixing, chewing gum bolus shaping, and swallowing threshold (number of strokes to the first swallow of an almond). The consumption of hard and soft foods was revealed by the dietary interview as well as the intake of energy and some nutrients. There was a significant difference between the groups regarding the capacity to mix the two-coloured chewing gum, to shape the chewing gum bolus and in the consumption of hard foods. There was no difference in the swallowing threshold and the consumption of soft foods. The intake of energy and nutrients did not differ significantly between the groups. The differences in masticatory capacity found thus seem to have little, if any, effect on the factors of importance for general health. A reasonable explanation for the differences found is that artificial teeth that are well retained, such as FPDs, make more active chewing possible than do removable, and often somewhat loose-fitting partial dentures.

Aged↗
PubMed2005

Development and evaluation of a self-report measure for identifying type and use of removable partial dentures.

AIM: To develop and validate a self-complete questionnaire suitable for use in primary dental care settings. DESIGN: A questionnaire survey. PARTICIPANTS: The research was undertaken in primary dental care (general dental practices, Newcastle upon Tyne, UK) and two teaching hospitals (Newcastle Dental Hospital, UK; University Dental School and Hospital, Cork, Ireland). A self-assessment of numbers of teeth and removable partial dentures questionnaire was devised and distributed to 137 patients in the three settings. Following completion of the questionnaire, each patient's dentist then examined them and completed the same questionnaire. The two sets of information were then compared. In the second phase of the study, 37 subjects completed the questionnaire in their own home and their dentist completed the questionnaire at a subsequent clinical examination. RESULTS: There was excellent agreement regarding counting of teeth [80%, Kappa = 0.79, s.e. 0.04 for maxillary teeth and 77%, Kappa = 0.68, s.e. 0.03 for mandibular teeth]. There was also good agreement between dentists and patients in terms of positioning of spaces in the dental arch (79.6-92.6%). Subjects in the study were also able to accurately identify the type of denture they had (either acrylic or cobalt-chromium based). These findings were confirmed in the second phase of the study. CONCLUSIONS: Agreement between dentists and patients was very good. This self-report measure could be of use when gathering data for studies of partially dentate patients.

Aged↗
PubMedDate not supplied

Knowledge-based systems, removable partial denture design and the development of RaPiD.

Knowledge-based systems (KBS), otherwise and formerly known as 'expert systems', are computer programs that contain a representation of knowledge that can be used to solve problems normally requiring human intelligence. This article discusses the contributions such systems can make to medicine and dentistry, indicates the range of existing dental KBSs and gives reasons why removable partial denture (RPD) design has attracted so much attention in this respect. A description is also given of the 'RaPiD' system for designing RPDs at the chairside.

Computer-Aided Design↗
PubMed1979

[Removable partial denture. Excerpts from the literature 1977--1979].

In partial denture prosthesis research and advances were made principally on: -- the fundamental biomechanical properties of the demodont and the fibromucosa. In the light of these findings, the justification of stressbreaking as a principle is questioned -- the mechanical properties of chromium-cobalt alloys -- checking of castings by radiography -- simplification of the designs for removable partial denture frameworks -- impression materials and techniques (fluid-wax functional impression and altered cast-procedure) -- the combination of restauration and plaque control for successful dentistry.

Biomechanical Phenomena↗
PubMed1977

Evaluation of photoelastic stress patterns produced by various designs of bilateral distal-extension removable partial dentures.

The results of this study showed that: 1. The design of a retainer with a mesial rest in conjunction with a buccal I-bar or a wrought-wire and cast lingual arm exhibited the most favorable distribution of vertically applied forces. 2. Retainer designs with a distal rest tend to move the clinical crown distally and the root mesially at the apex, resulting in horizontal forces in the bone. 3. Placing rests of distal-extension removable partial dentures more anteriorly provides an axis of rotation that directs applied forces in a more vertical direction. 4. The distal rest in conjunction with circumferential retainers developed greater horizontal forces within the supporting structures.

Chromium Alloys↗
PubMed1985

Symposium on semiprecision attachments in removable partial dentures. Laboratory procedures.

The fabrication of semiprecision rest systems will differ depending on whether a prefabricated rest system or milled-in rest system is indicated. In a prefabricated rest seat, a die-related model must be used and the rest seats must be waxed into the wax pattern. A means of fabricating both locking and nonlocking rests has been described. The instruments and tools necessary for the milled-in rest seat have been illustrated. The need for a stress-releasing attachment for distal-extension removable partial dentures is satisfied by the Thompson dowel rest. In fabricating the Thompson dowel rest prosthesis, both vertical parallelism and horizontal parallelism are essential for rotation. The use of a parallelometer and the parallel rule insures precise positioning of the Thompson dowel rest, which in turn, will enable the distal extension partial to rotate.

Dental Abutments↗
PubMed2003

The effect of three different periodontal pre-treatment procedures on the success of telescopic removable partial dentures.

In this prospective study, 120 teeth consisting of maxillary and mandibular canines and premolars were divided into three groups each containing 40 teeth. The teeth were assigned randomly in quadrants to three different periodontal treatment protocols. The first group was treated with professional prophylaxis only. The second group received additional deep scaling. With the third group, additional surgical periodontal flap surgery and scaling was performed. Both papillary bleeding index (PBI) and probing depth (PD) were evaluated before, during and after treatment. During the subsequent prosthetic treatment phase all teeth were then used as telescope abutments supporting a removable prosthesis. The documentation of the attachment level (AL) was then used as a clinical parameter. One year after the incorporation of telescopic removable partial dentures (RPDs), PD, PBI and AL were again evaluated. The resulting periodontal parameters were compared between the different groups using the general linear model (GLM) repeated measures and the Kruskal-Wallis test for non-parametric variables. Differences within the three treatment groups were determined using the t-test, e.g. the Wilcoxon test for dependent variables (P < 0.05). A significant decrease in inflammatory indices (PBI) was found for all types of periodontal treatment (P < 0.03 for all groups). Additionally, the reduction in PD was significant for all of the three groups (P < 0.001 for all groups). The greatest reduction in PD was observed in the group in which a surgical approach was used. Evaluation of the attachment level after the incorporation of the telescopic RPDs showed that tooth position did not influence the periodontal prognosis and that the use of telescopic RPDs exerted no ascertainable negative influence on the periodontium of the abutment teeth.

Adult↗
PubMed1987

An investigation of shear bond strengths of various resin-bonded inner surface rest seat designs for removable partial dentures.

Results and conclusions that can be drawn from this study are: All smooth, mesh, and seating preparation groups produced mean bond strengths significantly greater than that of the control group (p less than 0.01). The cast mesh rest seats exhibited significantly greater bond strengths at 24 hours (p = .0072). However, at 30 days, statistically significant differences between the three groups were not evident. Mean bond strengths for the electrolytically etched rest seat groups increased significantly at 30 days compared with the 24-hour means (p less than .05). These results suggest that an electrolytically etched resin-bonded rest seat can easily withstand the functional stresses exerted by a removable partial denture. The incorporation of seating preparation on an abutment tooth for an etched resin-bonded lingual rest seat seems to offer no advantage in terms of retentive strength.

Acid Etching, Dental↗
PubMed1979

The effect of various clasping systems on the mobility of abutment teeth for distal-extension removable partial dentures.

Three clasping systems were placed in five patients, and measurements of abutment tooth mobility were made. These data were compared to previously established baselines and statistically analyzed. The findings of the study are: 1. There was no difference in abutment tooth mobility during the 4-week test period with each of the three clasping systems. The important factor may have been the fit of the distal-extension denture base over the residual ridge, which provides the stability to prevent increases in abutment mobility. 2. Any mobility increases were in a buccal direction only, or toward the flexible retentive clasp arm. There was never any change in lingual mobility. 3. All five patients chose the I-bar retainer as the design of choice due to its increased resistance to dislodgment. Periodic recall of distal-extension removable partial denture patients is mandatory to ensure proper stress distribution and prevent increases in abutment tooth mobility.

Dental Abutments↗
PubMed2006

Acceptability of maxillary major connectors in removable partial dentures.

BACKGROUND: The choice of connector lies between plate, a bar or a combination of bars, which may cross the palate in various positions. Many opinions have been expressed concerning the acceptability to the patients of the various forms of palatal connectors but there have been few investigations. OBJECTIVES: The aim of this study is to compare subjective patients' reactions to three maxillary major connectors: metal bar, metal plate, and acrylic connectors and to establish the most acceptable and the least acceptable maxillary major connectors. METHODS: Fifteen consecutive patients attending the prosthetic out-patient clinic of Dental Center, University College Hospital, Ibadan who had never worn dentures were recruited into the study. Three dentures each with a different maxillary major connector design were fabricated for each patient. A questionnaire was administered to ascertain their reactions to each of the three denture designs. RESULTS: Fourteen patients (93.3%) preferred the denture with metal palatal bar major connector whereas only one patient preferred the denture with acrylic plate major connector design. No patient preferred the palatal metal plate connector design. CONCLUSIONS: The metal bar major connector was the most acceptable maxillary major connector while acrylic resin plate was more acceptable than metal plate maxillary major connector. It also confirmed the influence of connector design on patient acceptance of removable partial denture.

Acrylic Resins↗
PubMed2006

[Case report of a patient with bounded missing, treated with removable partial denture].

PATIENT: The patient was a 60-year-old male with the chief complaint of loosening of the bridge on the upper right side. The diagnoses of the patient were detachment of the bridge (7 6 5 4 3 2 1 | 1) and root fracture (5|). A cobalt chromium plate with Mini-SG attachment was used at 4 3 2| to fix the bridge. The course of the patient was uneventful five years after the treatment. DISCUSSION: Judging from the condition of the detached bridge, the same type of fixed bridge was considered too weak to withstand the lateral force. Stabilization of the functional occlusion was achieved by using the attachment, followed by good clinical results. CONCLUSION: The patient was satisfied with the comfort of the removable partial denture with attachment, and good functional results were obtained.

Denture Design↗
PubMed1996

The acquisition and validation of removable partial denture design knowledge. I. Methodology and overview.

The authors report on the eliciting of the partial denture design expertise of teachers of prosthetic dentistry. Their approach was to identify 125 design rules and then to sample expert reaction by surveying 10 experts individually and by surveying the prosthetic departments in all 17 dental schools in the British Isles. The surveys achieved a return of 100% and revealed an unsuspected consensus concerning the rules. A majority of schools were in agreement on whether or not 111 (89%) of the rules could be supported. This design expertise will be disseminated through RaPiD, a knowledge-based assistant for the design of removable partial dentures. It is expected that by incorporating into this design assistant rules which have been shown to be widely supported, the acceptability and usefulness of RaPiD for clinical education and practice will be increased.

Artificial Intelligence↗