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Dynamic retentive force of a mandibular unilateral removable partial denture framework with a back-action clasp.

PURPOSE: The purpose of this study was to investigate the dynamic retentive force of a mandibular unilateral distal-extension partial denture framework with a back-action clasp that was designed in a buccally tilted cast on a dental surveyor. The retention mechanism of this framework was analyzed in comparison with other typical unilateral and bilateral frameworks for the mandibular Kennedy class II case. MATERIALS AND METHODS: Experimental gold alloy frameworks of three designs were repositioned to the master cast, and lifted upward to the vertical direction to the occlusal plane. The load required to dislodge each framework was recorded. The retentive force of each framework was determined by the maximum load in a dislodgment cycle. The bending strength of a plain clasp pattern of the same length as the clasp arm used in each framework was also measured by cantilever beam test. RESULTS: The mean retentive force of the unilateral framework with a back-action clasp of relatively low bending strength was significantly higher (P < 0.01) than that of the unilateral framework with two Akers clasps of relatively high bending strength, and 70 to 80% of the bilateral framework with two Akers clasps on the edentulous side and a double Akers clasp on the contralateral side. The unilateral framework with a back-action clasp showed the greatest early load resistance in the dislodgment cycle among the three designs. CONCLUSION: The reasonable retention mechanism was demonstrated by the unilateral framework with a back-action clasp.

Dental Abutments↗

Clinical application of a newly developed surveying system for designing and fabricating removable partial dentures.

In this paper, some problems in commercially available surveying systems were discussed, and a clinical technique for designing and fabricating clasps by using an improved 'Digital Surveyor' and a computer system were presented. This system has the advantages as follows: (1) morphological factors on abutment teeth could be measured and evaluated using the improved 'Digital Surveyor' and its accessories set, (2) clasps providing with proper mechanical properties according to various conditions in the mouth could be designed and fabricated precisely and easily. It became clear that conventional surveying methods involved empirical rules should be re-examined and replaced by the more rational surveying method like this system.

Computer-Aided Design↗

Dentin exposure and decay incidence when removable partial denture rest seats are prepared in tooth structure.

Prosthodontists surveyed preferred inverted V-shaped canine cingulum ledge rest seats located at the junction of the middle and cervical thirds of the lingual surface. Most respondents indicated that they preferred a ledge depth of at least 1.0 mm and indicated that their preparations usually did not extend into dentin. When the respondents evaluated various ledge depths, the mean depth of those judged adequate was 0.74 mm, which was less than the respondent and textbook recommendations. Premolar occlusal rest seats judged adequate generally met textbook size guidelines. The mean clinical incidence of dentin exposure with cingulum ledges and occlusal rest seats was 61%, close to the 55% exposure rate found on extracted teeth. Dentin Detector Gel effectively identified clinical dentin exposure but tooth sensitivity was not a good indicator of dentin exposure. Seventy-one of the 107 rest seats studied for incidence of caries and decalcification had exposed dentin but only two of the 71 had lesions. Ten of the 107 had small enamel fractures, primarily occurring on cingulum ledges.

Attitude of Health Personnel↗

[Determination and analysis of masticatory performance of nonfree-end removable partial denture].

OBJECTIVE: The purpose of this study was to evaluate the changes of masticatory performance of the cases wearing dentures and relative factors. METHODS: The changes of masticatory performance of the cases wearing dentures were studied before and after wearing by using the light absorption method and peanuts as test food. RESULTS: The mastication performance of the experimental groups was predominantly lower than that of the control groups. The masticatory performance was gradually improved with wearing denture period increasing. Factors relating to the masticatory performance were age, number of occlusal units lost and the kind of denture, and the number of chewing etc. CONCLUSION: The mastication performance of the experimental groups was dominantly lower than that of the control groups, but gradually improved with wearing denture period increasing. Varied factors affect the masticatory performance of experimental groups.

Adult↗