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At least 109 records · Page 6Linked to original sources
PubMed1996

Prosthodontic management of a combination transosteal/endosteal implant reconstruction: a clinical report.

This is a clinical report of a patient who was not referred for prosthodontic evaluation and treatment until after undergoing Bränemark endosseous implant placement to supplement the previously existing mandibular staple bone plate implant. This supplemental treatment was the surgeon's attempt to resolve the patient's complaint of loose dentures. Creativity with implant biomechanics and prosthodontic design were necessary to restore the patient, in a predictable manner, to normal function. A fixed, detachable cast overdenture bar rigidly connected to all the implants was constructed utilizing resilient attachments to retain the tissue-supported mandibular overdenture. A presurgical prosthodontic evaluation could have averted many of the problems encountered with treatment. More effective conventional prosthodontic treatment may have resolved the patient's complaints and eliminated the need for additional implant placement.

Bone Plates↗
PubMedDate not supplied

Mandibular implant-supported overdentures: a prospective evaluation of the burden of prosthodontic maintenance with 3 different attachment systems.

PURPOSE: A prospective study on mandibular implant-supported overdentures using more than 2 Brånemark implants splinted with multiple round bars evaluated a hypothesis that unnecessary prosthodontic maintenance would result from the contravention of accepted biomechanical principles. MATERIALS AND METHODS: A randomized prospective trial on 59 edentulous patients details prosthodontic maintenance and complications of 52 mandibular overdentures (11 unsplinted, 41 splinted) over a 3-year period. RESULTS: Prosthodontic maintenance was greater in the first year than in subsequent years, regardless of design. Comparison between the splinted designs with round bars revealed no statistically significant difference with either retentive clip activation or fractures. More than 70% of the retention clips in the 2-implant (single round bar) design needed activation, as compared to 44% of those with the 3-implant (double round bar) or 4-implant (triple round bar) design. Retention clip fracture occurred in 30% of patients with 3 or 4 implants and 16% of those with 2 implants. Relining the overdentures, regardless of design, revealed an excessive maintenance burden in 40% of overdentures. Remaking of overdentures was necessary in 21% of patients. CONCLUSION: Multiple round bars splinting 3 or 4 implants can still be a treatment concept in mandibular overdenture treatment. Results from prospective evaluation of this design indicate less prosthodontic maintenance of clip activation but more clip fractures than with 2 implants splinted with single round bars, although not at statistically significant levels.

Adult↗
PubMed2003

Evidence-based practice in removable prosthodontics.

This review of selected articles has discussed the best evidence from clinical studies pertaining to removable prosthodontics. The goal was to correlate recent literature in context with what is clinically significant for the general dentist practicing removable prosthodontics. The focus of this limited review should encourage more interest in seeking valid literature to support and incorporate evidence-based practices into daily prosthodontic treatment decisions. Prosthodontic treatment planning is a complex process that involves a combination of diagnostic information, patient desires, evidence-based outcome data, and a thorough review of the treatment alternatives (1). With appropriate skills and the availability of software to conduct a literature search, evidence-based practice is a powerful means for general dentists to establish the effectiveness of patient treatment decisions and enhance clinical knowledge and skills over the course of a professional career (5).

Dental Prosthesis, Implant-Supported↗
PubMed2004

Prosthetic dentistry and the unilateral cleft lip and palate patient. The last 30 years. A review of the prosthodontic literature in respect of treatment options.

All cleft lip and palate patients are unique and present with their own diagnostic and prosthodontic problems. Many patients have benefited, recently, from alveolar bone grafting and orthodontic realignment and require little or no prosthodontic treatment. Some treatment, however, has been planned with a prosthesis as the final restoration, as a sizeable number of such patients have not undergone the alveolar graft procedure, (or this has been unsuccessful), or they were deemed to be unsuitable because of the extent of their defect. The patients who have not received grafting and orthodontic realignment are therefore the patients who present the greatest prosthodontic challenge. This paper presents an overview of the work that has been carried out over the last thirty years in relation to the prosthodontic rehabilitation of the cleft lip and palate patient. It is clear that multidisciplinary treatment planning by surgeons, orthodontists and restorative dentists is required for the long-term benefit of this small but challenging group of patients.

Cleft Lip↗
PubMedDate not supplied

The dentist's communicative role in prosthodontic treatment.

PURPOSE: Dentist-patient verbal communication is important for patient satisfaction. The aim of this study was to investigate the dentist's role in the provider-patient relationship as to verbal communication and patient satisfaction with the treatment outcome in prosthetic dentistry. The dentist-specific properties were analyzed in random coefficient modeling. MATERIALS AND METHODS: Sixty-one dentist-patient pairs were followed through 61 prosthodontic treatment periods. The treatment performed was fixed prosthodontic restorations on teeth or implants. One encounter at the end of each treatment period was tape recorded. The verbal communication on the recordings was analyzed using an interaction analysis instrument. Various measures of communication were used, summarizing the variational pattern of verbal interaction. Two different aspects of the patient satisfaction concept were used as dependent variables: cure (overall patient satisfaction with prosthodontic treatment), and care (patient satisfaction with a particular dental encounter during the prosthodontic treatment period). RESULTS: In the multilevel model for care, the dentist variance was mostly explained by the communication variables. In the cure model, there was no dentist variance. The communication patterns used by the dentists thus influenced patient satisfaction in a short-term perspective but not in an intermediate perspective. CONCLUSION: Patient evaluation of the care during an encounter is dependent on the dentist's verbal communication activity during the encounter, but this communication has no impact on the patient evaluation of overall prosthetic treatment outcome in the intermediate time perspective.

Adult↗
PubMedDate not supplied

Problems reported by patients before and after prosthodontic treatment.

PURPOSE: This study sought to investigate problems reported by patients before and after prosthodontic treatment. MATERIALS AND METHODS: Patient-reported problems were studied using the item list contained in the German version of the Oral Health Impact Profile in a convenience sample of 107 prosthodontic patients before (T0), 1 month after (T1), and 6 to 12 months after treatment (T2). "Frequently reported" problems were defined as impacts experienced fairly often or very often. The prevalence of frequently reported problems was compared among treatment groups and across appointments. RESULTS: At baseline, the most prevalent frequently reported problems were "difficulty chewing" (31%), "take longer to complete a meal" (28%), "food catching" (26%), "uncomfortable to eat" (24%), and "unable to eat (because of dentures)" (23%). At T2, the most prevalent frequently reported problems were "sore spots" (5%), "painful gums" (4%), "discomfort (because of dentures)" (3%), and "sore jaw" (2%). The number of reported problems decreased from 18.0 (T0) to 7.5 (T1), and further to 4.5 (T2). The decrease was the fastest in fixed partial denture wearers and the slowest in removable partial denture wearers. Some problems emerged during or after prosthodontic treatment. The kind of pre- and posttreatment problems differed substantially. CONCLUSION: The number of problems decreased substantially after prosthodontic treatment. Fixed partial dentures more effectively influenced the problems reported before treatment than did removable partial or complete dentures.

Adult↗
PubMed1989

A multimodal approach to implant prosthodontics.

The Core-Vent System of Osseointegrated Implants consists of different submergible endosseous implants. These implants vary in width and design. The strength of the Core-Vent System is in two aspects. The first is the eight different widths that are provided for utilization of available bone. The second major strength is the variety of cemented and screw-in prosthodontic abutments that are used for prosthodontic support. This allows the practitioner a wide range of treatment plans to satisfy the esthetics and functional requirements of the patient. The Core-Vent System of Osseointegrated Implants has evolved to meet the increasing needs of implant prosthodontics. No one implant or prosthodontic option can fulfill all anatomic and prosthetic requirements. The Core-Vent System offers versatile and simplified hardware to help the dentist achieve the primary goal of dentistry: to predictably restore our patients to normal contour, comfort, function, esthetics, and health.

Dental Abutments↗
PubMed1998

Management of the gingival sulcus in fixed prosthodontics: a literature review and treatment protocol.

This review of the fixed prosthodontics and periodontology literature illustrates the influence of various factors on the health of the periodontium during and after fixed prosthodontic treatment. This article describes four categories of marginal finish lines for fixed prosthodontic restorations relative to the gingival margin and the epithelial attachment. The management of each category from both the periodontal and prosthodontic prespectives is also discussed.

Denture, Partial, Fixed↗
PubMedDate not supplied

Successful long-term treatment outcomes in the field of osseointegrated implants: prosthodontic determinants.

PURPOSE: Because existing implant success criteria have not met with widespread use, consensus is needed among professionals working in the field as to what constitutes implant success. This article discusses implant success within the context of prosthesis success, and argues that successful use of implants cannot be judged without prosthesis consideration. RESULTS AND DISCUSSION: A framework for evaluating clinical success of prosthodontic treatment is presented. A context for judging success by presenting related topics that include contrasting process and outcome measures, and consideration of long-term outcomes that have a tangible meaning to the patient (i.e., are patient-based), is argued for. A hierarchy of outcomes is proposed for a better understanding of the relative strengths associated with various outcomes. Emphasis is given to the concept of prosthodontic treatment being prescribed to reduce the patient-specific burden associated with the missing tooth condition. CONCLUSION: The challenge is to define the best applications of dental implants within the broad context of prosthodontic options through demonstrated advantages over more conventional options. A broad understanding of "success" from multiple outcome domains is most likely to give the truest measure for implant application within the context of possible prosthodontic options for all patients.

Dental Implantation, Endosseous↗
PubMed1982

A survey of the removable prosthodontic clinical experience of dental students.

A survey was sent to every dental school in the contiguous United States and Puerto Rico to solicit answers to 15 questions concerning various aspects of the prosthodontic education of the dental student. It was found that student clinical experiences differed significantly among the regions in terms of the total number of prosthodontic patients treated per student. Fees also differed significantly among the regions. No comment was made on the possible effects of denturism on either the type of patient or the number of removable prosthodontic patients available for treatment by dental students. Concerning the difficulty in securing the various types of patients, all categories were mentioned as being somewhat in short supply, although the greatest shortage was complete denture patients. There was no universally recognized solution to the shortage of patients, although lowering of fees and substitution of requirements were mentioned most frequently. Pertaining to the presence or absence of a strict requirement system, the vast majority of schools reported use of at least some type of requirement system, though not necessarily a strict one.

Clinical Competence↗
PubMed1983

Background information: requirements for advanced specialty education programs in prosthodontics.

The proposed revisions have been developed to address problems of fragmentation, inconsistency, and lack of balance in advanced prosthodontic education. Minimum didactic and clinical requirements for each subdiscipline are clearly indicated in the proposed "Requirements," and programs will no longer be directed to provide special emphasis in one subdiscipline. It should be noted that the proposed "Requirements" do not prevent or preclude programs from emphasizing one subdiscipline. This option is left up to the sponsoring institutions. The proposed "Requirements," however, do underscore the fact that the primary responsibility of accredited prosthodontic programs is to provide students with the opportunity to achieve competence in the full scope of prosthodontic procedures.

Curriculum↗
PubMed1985

Application of prosthodontic techniques in private practice.

A survey of 150 LSUSD alumni from the 1977 to 1981 classes was conducted. The questions dealt with type of practice and complete denture techniques. Results of the survey showed significant differences between the prosthodontic techniques the students were taught and the ones they used in practice. An analysis of the responses was made, and the type of prosthodontic procedures taught and practiced as well as the function of the prosthodontic instruction were discussed.

Curriculum↗
PubMed1989

Ten-year study of trends in removable prosthodontic service.

To gain an overview of where the field of removable prosthodontics may be heading, an ex post facto research project was completed that randomly sampled the charts of patients screened for removable prosthodontics during 1977-1979 and 1985-1987. The information showed that, overall, the number of complete dentures was declining whereas the number of removable partial dentures was increasing. The fastest growing prosthodontic service was the combination of the maxillary complete denture opposing the mandibular removable partial denture. Curriculum changes based on the results of the research were made.

Denture, Partial, Removable↗
PubMed1990

Private prosthodontic practice: a status report.

This article reports the data of a national poll of private prosthodontic practitioners. It reports incomes, overhead expenses, staff size, and character of prosthodontic practices. The study also develops a profile for a median prosthodontic practice and practitioner.

Adult↗
PubMed1995

Surgical and prosthodontic training of general practitioners for single tooth implants: a study of treatments performed at four general practitioners' offices and at a specialist clinic after 2 years.

Both the surgical and the prosthodontic procedures will be performed by one and the same general practitioner (GP) for many implant patients, as access to specialists is limited or non-existent in a large number of places. However, treatment by GPs has not been documented to the same extent as treatment performed by specialists. This lack of knowledge was the reason for the present study, in which four GPs performed both the surgery and the prosthodontics on patients requiring single tooth implant replacements. The treatments were performed after an initial training of the GP and his/her dental assistant for 8 days. The treatments by the GPs exhibited clinical results corresponding to those achieved at a specialist clinic. The outcome indicates that complete single tooth implant treatments might be performed by GPs who have passed an initial training and demonstrated an interest in a close co-operation with specialists in oral surgery/periodontics and prosthodontics. Such a co-operation should be based on the distribution of complicated cases to the specialists and of non-complicated cases to the GPs.

Adolescent↗
PubMed1992

The reporting of statistical inferences in selected prosthodontic journals.

Dental periodicals are the fundamental source of prosthodontic research. The ability to understand and contribute to dental literature is basic to the prosthodontic profession. The purpose of this study is to tally relative frequency with which various descriptive (n = 18), graphical (n = 7), and inferential statistical procedures (n = 68) are used in the prosthodontic literature. Our method consists of four procedures: journal selection, choice of 1987 through 1988 articles with inferential statistical content, tally of the statistical procedures in those articles, and quality control procedures used in obtaining these data. At least 50% of 10 prosthodontists selected 17 of 100 journals most likely to be read by prosthodontists. In the 17 journals, 1,320 articles were screened of which 406 were selected and evaluated for their statistical procedures. The bar and line plots were the most common graphical procedures occurring in over one fourth of the 406 articles. Percentages, means, and standard deviations occurred in more than 40%. Although 58% used the .05 significance level, only 0.3% mentioned power. Analysis of variance was used more often than the t tests (42% v 29%), whereas correlation/regression (21%) and chi-square tests (14%) were used less often. The t tests, analysis of variance (Duncan, Tukey, and Student-Newman-Keuls multiple comparison procedures), chi-square tests, correlation and regression, and the Wilcoxon tests occurred in at least 5% of the 406 articles.

Analysis of Variance↗
PubMed1994

A survey of private prosthodontic practice.

This article reports the data of a survey of private prosthodontic practitioners. It reports incomes, overhead expenses, staff size, and character of prosthodontic practices. The study also develops a profile for a median prosthodontic practice and practitioner.

Adult↗
PubMed1995

Informed consent for the prosthodontic patient with temporomandibular disorders. Report of the Committee on Temporomandibular Disorders of the American College of Prosthodontists.

The prosthodontic treatment of patients with a history of temporomandibular disorders presents unique risk-management problems because of the varied nature, uncertain prognosis, and frequent recurrence of these disorders. Patients with temporomandibular disorders frequently require managed treatment over extended periods of time and may complicate the delivery and outcome of prosthodontic treatment. Informed consent is needed to protect both the patient and the prosthodontist because it facilitates proper communication, goal setting, and cooperation. The purpose of this article is to discuss the essential elements of informed consent and to present an informed consent program useful in the prosthodontic treatment of patients with temporomandibular disorders.

Dental Care for Chronically Ill↗