scholarly journals Attachment-retained Unilateral Distal Extension (Kennedy's Class II Modification I) Cast Partial Denture

Author(s):  
Ashish R Jain ◽  
Jacob Mathew Philip

ABSTRACT Attachment-retained removable partial denture (RPD) is not an outdated treatment modality. It is even more contemporary in today's appearance-oriented society than when it was first introduced. There is significant number of patients who could benefit from this treatment option, both short and long term. However, lack of proper knowledge, overwhelming number of attachments available in the market, multiple adjustments and repairs are making dentists reluctant to offer and provide attachment-retained RPD services. The purpose of this article is to provide an overview and a simplified approach to this treatment modality by way of a case report. How to cite this article Jain AR, Philip JM, Ariga P. Attachment-retained Unilateral Distal Extension (Kennedy's Class II Modification I) Cast Partial Denture. Int J Prosthodont Restor Dent 2012;2(3):101-107.

2013 ◽  
Vol 1 (1) ◽  
pp. 14-17
Author(s):  
Md Ali Afzal Khan ◽  
Aleya Begum ◽  
Md Nazmul Hasan ◽  
Newaz Mohsina ◽  
Md Mamunur Rahman Jahangir

Dentists are disappointed after delivery of cast removable partial dentures because their patient refuses or is unable to wear the denture and the treatment is therefore deemed unsuccessful. When so many patients do not comply with treatment, it is instructive to reflect on why and how the treatment is performed. Appropriate, comprehensive treatment planning should precede and eliciting the patient's chief complaint, as well as his or her expectations of treatment before treatment planning. The case presentation provides for the practitioner to discuss the patient's expectations and to outline both favourable and unfavourable short and long term outcomes. By providing this information, the practitioner ensures that the patient is fully informed before giving consent and that he or she understands the associated benefits and risks. DOI: http://dx.doi.org/10.3329/updcj.v1i1.13948 Update Dent. Coll. j: 2011; 1 (1): 14-17


2013 ◽  
Vol 2013 ◽  
pp. 1-4 ◽  
Author(s):  
Naveen Gupta ◽  
Abhilasha Bhasin ◽  
Parul Gupta ◽  
Pankaj Malhotra

Satisfactory restoration in a patient with a partially edentulous situation can be challenging especially when unilateral or bilateral posterior segment of teeth is missing. Successful restoration can be done with various conventional and contemporary treatment options. One such treatment modality is attachment-retained cast partial dentures. This paper describes a case report of a patient with maxillary bilateral distal extension edentulous span restored with a cast partial denture having an extracoronal castable precision attachment (RHEIN 83 OT CAP attachments system).


Author(s):  
Pape Ibrahima Kamara

Background: The restoration of mastication is an element of the therapeutic success of the removable prosthesis. The aim of this study was to evaluate the chewing time of subjects wearing a metallic removable partial denture (MRPD) restoring a distal extension edentulism. Materials and methods: This is a descriptive pilot study carried out after a review of patient records. Subjects were asked to chew test foods, carrots and peanuts. Chewing was to continue until they perceived that the bowl was fit to be swallowed. All sequences were videotaped and data on the duration of the chewing sequence of the test foods was recorded on an Excel® spreadsheet. Data analysis was performed using SPSS® version 23 software with a 5% risk of error. Results: Out of a sample of 17 MRPD wearers, 12 subjects had a toothless Kennedy class I and 5 subjects had a Kennedy class II edentulism condition with 9 females (53%) and 8 males (47%). Subjects between 46 and 65 years of age were in the majority with a percentage of 59%. After chewing the sampled bowls, Kennedy class I edentulous subjects had an average chewing time of 93.24 seconds ± 31.93 for peanuts and 109.18 seconds ± 53.35 for cores. The respective averages of the class II edentulism subjects were 127.53 seconds ± 62.84 and 128.95 seconds ± 73.35 for peanuts and carrots respectively. Conclusion: This study reveals that peanut chewing is easier and the subjects with MPD restoring a class I edentulism performed less time than those with class II edentulism, a fact related to the presence of changes in class II edentulism. Statistically, no significant correlation was found between carrots or peanuts chewing and type of distal extension MRPD wearers.


Author(s):  
Lise D. Cloedt ◽  
Kenza Benbouzid ◽  
Annie Lavoie ◽  
Marie-Élaine Metras ◽  
Marie-Christine Lavoie ◽  
...  

AbstractDelirium is associated with significant negative outcomes, yet it remains underdiagnosed in children. We describe the impact of implementing a pain, agitation, and delirium (PAD) bundle on the rate of delirium detection in a pediatric intensive care unit (PICU). This represents a single-center, pre-/post-intervention retrospective and prospective cohort study. The study was conducted at a PICU in a quaternary university-affiliated pediatric hospital. All patients consecutively admitted to the PICU in October and November 2017 and 2018. Purpose of the study was describe the impact of the implementation of a PAD bundle. The rate of delirium detection and the utilization of sedative and analgesics in the pre- and post-implementation phases were measured. A total of 176 and 138 patients were admitted during the pre- and post-implementation phases, respectively. Of them, 7 (4%) and 44 (31.9%) were diagnosed with delirium (p < 0.001). Delirium was diagnosed in the first 48 hours of PICU admission and lasted for a median of 2 days (interquartile range [IQR]: 2–4). Delirium diagnosis was higher in patients receiving invasive ventilation (p < 0.001). Compliance with the PAD bundle scoring was 79% for the delirium scale. Score results were discussed during medical rounds for 68% of the patients in the post-implementation period. The number of patients who received opioids and benzodiazepines and the cumulative doses were not statistically different between the two cohorts. More patients received dexmedetomidine and the cumulative daily dose was higher in the post-implementation period (p < 0.001). The implementation of a PAD bundle in a PICU was associated with an increased recognition of delirium diagnosis. Further studies are needed to evaluate the impact of this increased diagnostic rate on short- and long-term outcomes.


2013 ◽  
Vol 51 (2) ◽  
pp. 113
Author(s):  
Woon-Chul Shin ◽  
Mong-Sook Vang ◽  
Hong-So Yang ◽  
Sang-Won Park ◽  
Hyun-Pil Lim ◽  
...  

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