Designing cobalt chromium removable partial dentures for patients with shortened dental arches - a pilot survey

Nassani, Mohammad Zakaria; Devlin, Hugh; Tarakji, Bassel; McCord, James-Fraser

doi:10.1111/j.1365-2842.2010.02190.x

Cited by 6 publications

(8 citation statements)

References 31 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Table 3 illustrates that when instructions were provided, the shape of the major connector was the most frequent element to be prescribed by the surveyed dentists (35.8%). This is similar to the outcome of a UK survey where the design of the major connector was the most common component in dentists' prescriptions (59%) (30). The reason why dentists in this survey give more attention to the design of the major connector in comparison with the other elements of the cobalt chromium RPDs is not clear.…”

Section: Discussionsupporting

confidence: 80%

“…During each visit dentists' prescriptions were scrutinized, targeted casts were examined and a special data collection form was completed. The data collection form was a modified version of the one that was used in a previous investigation (30). Before the outset of the survey, the developed form was also distributed among 6 dental technicians to provide feedback about the clarity and feasibility of the contents.…”

Section: Methodsmentioning

confidence: 99%

See 1 more Smart Citation

Quality of communicating design features for cobalt chromium removable partial dentures in Riyadh, Saudi Arabia

Nassani

AlOtaibi

2020

Eur Oral Res

View full text Add to dashboard Cite

Purpose: This survey aimed to investigate quality of communicating design features for the construction of cobalt chromium removable partial dentures (RPDs) among dentists in Riyadh, Saudi Arabia. Materials and methods: A survey of nine commercial dental laboratories located in Riyadh was carried out. In each visit, master casts for cobalt chromium RPDs and dentists’ prescriptions were examined. A quality score for the provided instructions was developed and ranged from 0 to 4. A zero score means that no instructions were sent from the dentist for the design of the RPD. A score of 4 means that instructions were provided for the design of four main elements of the RPD, i.e., shape of major connector, type of direct retainers, position of direct retainers, position of dental rests. Results: 162 dentists’ prescriptions for RPDs and related casts were assessed. The majority of RPD cases were designed by the dental technician alone (64.2%). Shape of the major connector was the most frequent element in dentists’ prescriptions (35.8%). The mean quality score of dentists’ instructions was 0.96 (sd=1.54). 18% of the provided instructions achieved quality score equal to 4. Prescriptions for Kennedy Class III cases achieved significantly higher mean quality score compared to Kennedy Class II cases (p<0.05). 16.7% of the evaluated casts had clearly defined rest seat preparation. Conclusion: The results of this survey indicate inadequate quality of communicating the design features of cobalt chromium RPDs among practicing dentists in Riyadh, Saudi Arabia. The reliance on the dental technician to design the cast RPDs seems to be high.

show abstract

Section: Discussionsupporting

confidence: 80%

Section: Methodsmentioning

confidence: 99%

Quality of communicating design features for cobalt chromium removable partial dentures in Riyadh, Saudi Arabia

Nassani

AlOtaibi

2020

Eur Oral Res

View full text Add to dashboard Cite

show abstract

“…These guidelines were based on the best available evidence for what can be considered a good clinical practice in prosthodontics. They also guide clinicians to make the best clinical judgment and pave their way to deliver prosthodontic treatment of high standards; however, studies that assessed quality of clinical procedures and standards of technical work in prosthodontics indicated unsatisfactory findings among a considerable proportion of the examined cases . Furthermore, a large number of studies reported failure of prosthetic dental restorations and associated complications .…”

Section: Standards Of Care and Malpractice In Prosthodontics—an Overvmentioning

confidence: 99%

“…On the other hand, poor communication between the dentist and dental technician is a mark of malpractice. Unfortunately, the dental literature indicates inappropriate quality of communication between dentists and dental technicians in designing fixed and removable dental prostheses . The introduction of digital dentistry has provided modern ways for fabrication of prosthetic dental restorations and communicating prosthesis design between dentists and technicians.…”

Section: Malpractice In Prosthodontics—where and How Does It Occur?mentioning

confidence: 99%

Aspects of Malpractice in Prosthodontics

Nassani

2017

Journal of Prosthodontics

View full text Add to dashboard Cite

Crowns, fixed partial dentures, and removable dentures are the popular prosthetic dental restorations in current dental practice. Prosthodontic rehabilitation of the mouth, particularly in advanced and complex cases, requires careful planning, adequate clinical skills, and exacting technical standards. While a successful outcome is the ultimate goal for any prosthodontic treatment, complications, injuries, dissatisfaction, and/or failure may occur. When such events develop as a result of negligence or violation of standards of care, they are considered under the term of malpractice and may incur ethical and medico-legal implications. This paper reviews and highlights some aspects of malpractice in prosthodontics. The current state of prosthodontic malpractice on a global level will also be evaluated. Standards of prosthodontic care, current literature of prosthodontic malpractice, where and how prosthodontic malpractice occurs, and recommendations for the future are presented. A thorough understanding of what is quality prosthodontic care and what disrupts this care can be a useful guard against professional litigation and may protect patients from poor quality of dental prosthetic care.

show abstract

“…Furthermore, inadequate quality of prescription in designing RPDs for patients with SDAs has been reported. [30]…”

Section: Clinical Investigations On the Outcome Of Treatment With Fesmentioning

confidence: 99%

Reappraisal of the removable partial denture as a treatment option for the shortened dental arch

et al. 2013

View full text Add to dashboard Cite

For patients with shortened dental arches, many treatment options are available. The existing situation can be maintained by stabilizing the present dentition and improving the occlusion without extending the arch. Alternatively, the shortened dental arch can be extended by either a free-end saddle removable partial denture, cantilevered fixed bridge, or by an implant-supported prosthesis. The free-end saddle removable partial denture can be considered a simple, non-invasive, and relatively cheap treatment option for the shortened dental arch. It was believed that such prosthodontic rehabilitation would be beneficial for the patients in terms of improving oral functions. However, the existing literature indicates that the prognosis of free-end saddle removable partial denture is not predictable, it is problematic, and its contribution to oral functions in patients with shortened dental arches is considered to be dubious. This paper reviews and summarizes the current literature about the outcome of extending the shortened dental arch by a free-end saddle removable partial denture. It also outlines factors that may affect the prognosis of this prosthetic treatment.

show abstract

Designing cobalt chromium removable partial dentures for patients with shortened dental arches - a pilot survey

Cited by 6 publications

References 31 publications

Quality of communicating design features for cobalt chromium removable partial dentures in Riyadh, Saudi Arabia

Quality of communicating design features for cobalt chromium removable partial dentures in Riyadh, Saudi Arabia

Aspects of Malpractice in Prosthodontics

Reappraisal of the removable partial denture as a treatment option for the shortened dental arch

Contact Info

Product

Resources

About