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[Experimental study of removable partial denture retention].

This article describes a series of laboratory experiences about the retentive action of different designs of free end removable partial dentures. It reaffirm the classic concept of the better efficiency of the gingival -occlusal arm clasp than the gingival-occlusal ones, the efficiency and benefits of the rough clasp and the important retention of the posterior action clasp. We find also that the classic concepts of direct and indirect retention can be reformulated, in attention than the odem retainers, such as derived from DPI conception, develops an integral concept of retention and a rational system of fixing derived of the retainer design and the abutment preparation.

Bicuspid↗

Resin-bonded fixed partial denture retention: a retrospective 13-year follow-up.

A total of 51 resin-bonded fixed partial dentures (RBFPDs) were inserted under controlled clinical conditions and evaluated over a period of 13 years. Three levels of survival were defined: complete survival (no debonding); functional survival (loss of retention on one occasion with rebonding of the original RBFPD); and multiple survival (loss of retention on several occasions with rebonding of the original RBFPD). The effect of the aetiology, location (anterior/posterior or maxillary/mandibulary) and number of units of the missing tooth on RBFPD survival rates were investigated. The mean survival times and confidence levels were determined for each survival category, using the Kaplan-Meier procedure. The relative risks were calculated by the Cox regression procedure. The overall complete survival level of the study population at the end of the follow-up period was 85 months +/- 13%. Rebonding the RBFPDs once increased the overall functional survival rate to 112 months +/- 10% and multiple rebonding led to a further increase to 131 months +/- 8%. The RBFPD placement under conditions of good periodontal support in which orthodontic treatment was not required, such as trauma among other factors, showed significantly higher survival rates than those placed after periodontal or orthodontic treatment. This indicates that, under both these conditions, RBFPDs may serve as long-term or semi-permanent restorations.

Adolescent↗

The effect of reducing the number of clasps on removable partial denture retention.

Retention to a master model of 10 nominally identical chrome-cobalt removable partial denture castings with standardized bilateral molar and premolar clasps engaging 0.25 mm (0.01 inch) undercuts and 10 castings with clasps engaging 0.5 mm (0.02 inch) undercuts was measured on an Instron testing machine. The retention of each framework was remeasured as the clasps were removed in one of two sequences. Differences between frameworks, number of clasps, and depth of undercuts were all significant. The order of removal of the clasps was not statistically significant. In a separate experiment the position of the dislodging force was found to be significant. It was concluded that the dislodging force was dependent on (1) the fit of the framework, (2) the depth of the undercut, (3) the number of clasps, and (4) its point of application.

Bicuspid↗

The evolution of the complete denture base. Theories of complete denture retention--a review. Part 1.

The history of denture base materials and the accompanying development of impression techniques are traced from the earliest times to the present day (Part 1) as a prelude to a study (Part 2-4) of the various theories that have been advanced to explain retention of the base without mechanical support. These theories are critically reviewed and tabulated in chronological order. Some areas for further investigation are identified.

Aluminum↗

Magnetic denture retention systems: inexpensive and efficient.

A magnetic retention system has been used in more than 6000 complete and partial overdentures, sectional dentures and implant overdentures, with excellent clinical results and patient acceptability. For the overdenture application, decoronated, root-treated teeth are fitted with preformed or cast magnetisable alloy root elements, or 'keepers'. Following conventional denture construction, paired cobalt/samarium magnets in a special configuration are cured into the denture base so that with the denture inserted, the magnets grip the root elements with a retentive force of approximately 300 g per root. The paired magnet arrangement eliminates any external magnetic field and doubles the available retention. Magnetic retention has few of the problems encountered with other retention devices. It offers simplicity, low cost, self-adjustment, inherent stress-breaking, automatic repositioning after denture displacement, comparative freedom of lateral denture movement, reduces trauma to retained roots and eliminates the need for adjustment in service. For the sectional denture application, undesirable undercuts on the abutment teeth are used to provide passive, positive retention. The separate buccal and lingual sections are joined together by parallel pins fitting into matching tubes, assembly being maintained by magnetic attraction between a retention element in one section and a keeper in the other. Insertion and removal are more difficult than with a conventional denture but soft tissue coverage is minimal. There are no visible retainer arms and food traps are eliminated. Abutment tooth preparation is negligible, the laboratory procedures simple, and the treatment inexpensive and reversible. A clinical trial of magnetic overdenture retention in conjunction with osseointegrated titanium implants is now in progress. After 21 months acceptable clinical results have been obtained. An improved implant with an alumina core and a sintered hydroxyapatite coating is at present undergoing animal trials. Chemical bonding at the bone/implant interface is anticipated.

Dental Abutments↗

[Adhesion, contribution to full denture retention: experimental research on resin surface energy].

The authors propose a study of the surface energy of dental resins. The two liquids measure method, by means of water and alkanes enables to determine the dispersive and polar components of this energy and therefore to understand what types of bindings may be altered in the process of various physical or chemical treatments of the surface of the material. Treatment by alcoholic potash, or immersion of the resin in water, increase the polar component of surface energy by inducing a re-orientation of polymer molecules along the interface between P.M.M.A. and water. This improvement is not reversible. It reaches its maximum towards the eighth day of immersion in water. It cannot be obtained in saliva, a feebly polar medium. After a temporary increase towards the third day, the dispersive component of surface energy falls back approximately to its initial value. This treated resin can no longer be considered as a low energy solid. All comparative experimentation on the surface energy of prosthetic materials ought to be made on resin treated by water immersion.

Acrylic Resins↗

[Research methods in dentistry 1. Methods to quantify retention of complete dentures].

Retention is not an unambiguous variable. The degree of retention is dependent on biologic and physiologic properties of a complete denture and the denture-bearing and surrounding tissues. Quantifying retention forces of a complete denture can be carried out with three types of methods: subjective methods, methods with clinical more or less objective criteria, and nearly entire objective methods using measurement equipment. The subjective and most of the methods with clinical criteria are not or little reliable. However, for epidemiological research the methods with clinical criteria are very pragmatic. Of all objective methods using measurement equipment, the gnathodynamometer is the only apparatus with proven reliability.

Dental Research↗