scholarly journals Relevance of Variations in the Opposing Dentition for the Functionality of Fixed and Removable Partial Dentures: A Systematic Review

2012 ◽  
Vol 2012 ◽  
pp. 1-17 ◽  
Author(s):  
Bernhard Pommer ◽  
Martin Krainhöfner ◽  
Georg Watzek ◽  
Gabor Tepper ◽  
Charalabos-Markos Dintsios

The aim of this systematic review was to evaluate the functionality of fixed and removable partial dentures as test interventions in relation to variations in the opposing dentition and their prosthetic restoration. The abstracts identified in the respective databases were screened independently by two investigators. RCTs and uncontrolled studies were considered, provided the patients were included consecutively and the confounding variables were adequately monitored. Seventeen papers were included. The study and publication quality was assessed using a “biometric quality” tool showing an overall poor quality. The reported outcomes, such as survival rates, were in each case obtained from a single study. Two possible trends could be deduced for the endpoint longevity: (a) the first trend in favor of removable partial dentures, compared to fixed partial dentures, with a fully edentulous opposing arch fitted with a removable prosthesis; (b) the second trend in favor of implant-supported partial dentures, compared to conventionally fixed partial dentures, with natural opposing dentition or with a removable partial denture in the opposing arch. No evidence could be generated as to whether, and if so how, variations in the opposing dentition have a bearing on the decision to fit a partially edentulous arch with a fixed or removable partial denture.

Author(s):  
Mariana Domingues Pordeus ◽  
Joel Ferreira Santiago Junior ◽  
Helena Sandrini Venante ◽  
Rodrigo Moreira Bringel da Costa ◽  
Ana Paula Chappuis Chocano ◽  
...  

2017 ◽  
Vol 1 ◽  
Author(s):  
Chang Wei Zhi ◽  
Ho Ting Khee

<p class="AbstractContent">Restoring occlusal plane and occlusal vertical dimension (OVD) in patient with existing indirect restorations who must wear removable prostheses may be a challenge to the dental operator. Onlay removable partial dentures (RPD) are used to re-establish the occlusion in conjunction to replace missing teeth without having to remove the existing indirect restoration. This case report described prosthetic rehabilitation with onlay RPD in patients who were partially edentulous and has reduced OVD. The treatment involved a set of provisional RPD to re-establish the OVD, as well as to evaluate the function, esthetic and speech of the patient, followed by definitive onlay RPD. The mandibular onlay RPD was used to provide stable occlusion and to correct the uneven occlusal surface on the abutment teeth. This treatment able to improve patient’s chewing function through a simple removable prosthesis and conservative on the existing restorations.</p>


2021 ◽  
Vol 10 (36) ◽  
pp. 3192-3195
Author(s):  
Mallika S. Shetty ◽  
Sanath Kumar Shetty ◽  
Suhaim Sayyed Karkala ◽  
Zahid Mohammed ◽  
Tushar Milind Wankhede

The main aim of prosthetic dentistry is restoring the form, function, comfort and appearance of the patient by the placement of a prosthesis replacing the missing teeth and contiguous tissues.1 Various prosthetic options for partially edentulous patients include an interim removable partial denture (RPD) to a cast partial denture, a fixed dental prosthesis (FDP), and a more implant-retained prosthesis. However, FDP and implant-retained prosthesis are not always feasible, particularly in patients with excessive residual ridge resorption and jaw defects due to trauma and / or surgical ablation. In such a situation, a dentist may resort to another option of fixed-RPD prosthesis, to restore the defective hard and soft tissues to achieve natural aesthetics, phonetics, comfort, and better hygiene. This hybrid prosthesis fulfils the objectives of the rehabilitation such as support, stability, and retention characteristics similar to a fixed prosthesis and aesthetics and hygiene maintenance of a removable prosthesis.2,3,4,5 Any prosthesis designed or fabricated should be based on the prosthetic principles of support, stability, retention, and preservation of remaining structures.1 From the patient's perspective, retention is one of the important factors for its acceptability. These retentive options range from simple bar and clip attachments to more sophisticated spark erosion overdentures.6,7 Spark erosion prosthesis is technique sensitive, bulky, and requires expensive equipment.6,7 On the other hand, precision attachments provide better vertical support and stimulation to the underlying tissue through intermittent vertical massage.8 Treatment with a hybrid denture is an affordable choice to fulfil the patient's aesthetic demands along with providing a good prognosis for the prosthesis and preservation of the remaining dentition. This article presents two case reports of prosthodontic rehabilitation of a patient with mandibular defects using an attachment-retained fixed-removable hybrid prosthesis.


Author(s):  
Akinori Tasaka ◽  
Takayuki Ueda ◽  
Kaoru Sakurai

ABSTRACT A 66-year-old man visited our department with the chief complaint of poor esthetics due to loss of a fixed partial denture in a maxillary incisor tooth and difficulty in mastication due to an ill-fitting, mandibular removable partial denture. An analysis of the occlusal vertical dimension resulted in a diagnosis of infraocclusion. After increasing vertical dimension with a provisional restoration and treatment denture which covered the attritioned surface, a definitive prosthesis was applied. Untreated loss of molars and severe attrition of the remaining teeth caused infraocclusion in this patient, which increased occlusal loading on the incisor teeth and induced detachment of the prosthesis in the maxillary incisors. Esthetic appearance was improved and masticatory dysfunction restored by increasing vertical dimension and oral rehabilitation. Mildly invasive prosthetic treatment involved application of a removable partial denture which covered the attritioned surface, not only infraocclusion but masticatory dysfunction and poor esthetics were also treated. How to cite this article Tasaka A, Ueda T, Sakurai K. Infraocclusion Treated with Removable Prosthesis on Occlusal Surface of Severely Attritioned Teeth. Int J Prosthodont Restor Dent 2012;2(2):66-71.


Author(s):  
Ana Larisse Carneiro Pereira ◽  
Annie Karoline Bezerra de Medeiros ◽  
Kaiza de Sousa Santos ◽  
Érika Oliveira de Almeida ◽  
Gustavo Augusto Seabra Barbosa ◽  
...  

2020 ◽  
Vol 13 (8) ◽  
pp. e233744
Author(s):  
Ritu Saneja ◽  
Atul Bhatnagar ◽  
Nancy Raj ◽  
Pavan Dubey

Oral rehabilitation of partially edentulous arches requires careful treatment planning before any prosthodontic intervention. The connection of the metal framework of fixed (fixed dental prosthesis (FPD)) and removable partial denture using adhesive attachments is a good alternative prosthetic option when solely fixed prosthesis (FPD or implant) cannot be used due to anatomical limitation. Attachments are the tiny interlocking devices that act as a hybrid link to join removable prosthesis to the abutment and direct the masticatory forces along the long axis of the abutment. This joint acts as a non-rigid stress breaker, which helps in distributing the occlusal load. Precision and semiprecision attachment have always been bordered by an aura of mystery due to technique sensitive procedure and lack of knowledge. The following case describes a combined contemporary and conventional approach and treatment sequence with the use of attachments for the rehabilitation of partially edentulous arches.


2012 ◽  
Vol 39 (10) ◽  
pp. 791-798 ◽  
Author(s):  
R. F. C. P. DE FREITAS ◽  
K. DE CARVALHO DIAS ◽  
A. DA FONTE PORTO CARREIRO ◽  
G. A. S. BARBOSA ◽  
M. Â. F. FERREIRA

2021 ◽  
Vol 2021 ◽  
pp. 1-11
Author(s):  
Naseer Ahmed ◽  
Maria Shakoor Abbasi ◽  
Sara Haider ◽  
Nimra Ahmed ◽  
Syed Rashid Habib ◽  
...  

Objective. Analyzing and comparing the fit and accuracy of removable partial denture (RPDs) frameworks fabricated with CAD/CAM and rapid prototyping methods with conventional techniques. Materials and Methods. The present systematic review was carried out according to PRISMA guidelines. The search was carried out on PubMed/MEDLINE, Cochrane collaboration, Science direct, and Scopus scientific engines using selected MeSH keywords. The articles fulfilling the predefined selection criteria based on the fit and accuracy of removable partial denture (RPD) frameworks constructed from digital workflow (CAD/CAM; rapid prototyping) and conventional techniques were included. Results. Nine full-text articles comprising 6 in vitro and 3 in vivo studies were included in this review. The digital RPDs were fabricated in all articles by CAD/CAM selective laser sintering and selective laser melting techniques. The articles that have used CAD/CAM and rapid prototyping technique demonstrated better fit and accuracy as compared to the RPDs fabricated through conventional techniques. The least gaps between the framework and cast ( 41.677 ± 15.546   μ m ) were found in RPDs constructed through digital CAD/CAM systems. Conclusion. A better accuracy was achieved using CAD/CAM and rapid prototyping techniques. The RPD frameworks fabricated by CAD/CAM and rapid prototyping techniques had clinically acceptable fit, superior precision, and better accuracy than conventionally fabricated RPD frameworks.


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