Evaluation of Clinical Training for Removable Partial Denture at the Tokyo Medical and Dental University

Abstract

In this study, we confirmed that the principle of rigid support was indispensable for RPD design from the evaluation of a clinical education program. On the other hand, we found out that an objective assessment of the educational system or RPD is necessary to improve the RPD clinical educational program. AbstractPurpose: The aim of this study was to survey the undergraduate removable partial denture (RPD) clinical program and RPD's fabricated by students in 2006, and to identify the problems to be solved in the future. Methods:Sixty-nine students in their final semester at Tokyo Medical and Dental University (TMDU) recorded the following preoperative data: age, gender, chief complaint, and Kennedy and Eichner classifications. The students were requested to present their treated cases and were subjected to an oral examination by the professor to determine the treatment plan and prosthetic design of denture. Additionally, the students surveyed the chewing function score and visual analogue scale (VAS) regarding esthetics and stability of RPD, and the material used for RPD frameworks was summarized. Results: The patients included 35 men and 34women, and their chief complaints were mostly dissatisfaction with their current dentures. More than 80% of cases were classified as Kennedy I or II, and about one-fourth were classified as Eichner B4 or C1, in which the occlusal supports could not easily be reconstructed. Chewing function score significantly improved compared to preoperative state (P<0.05) and postoperative VAS was clinically acceptable. 89% of frameworks, were cast with Co-Cr alloy in one piece and a palatal strap or bar and a lingual bar were applied in 77% of treated RPDs. Conclusion:It is thought that our educational methods for delivery of RPDs are adequate. Since it is suggested by an objective assessment of them that they are unsatisfactory, we should deal with that problem without delay.

Effect of mandibular bilateral distal extension denture design on masticatory performance

“…In the present study, only Kennedy Class I cases in the Eichner B group were considered. Bilateral mandibular distal edentulous cases not only account for about half of the mandibular defects encountered in clinical practice [32,33] but are also ideal for investigating the influence of RPD design on mastication because of denture design, in which the functional forces are borne by both the periodontal ligament of the abutment teeth and the mucosa of the crest of the residual ridge.…”

The incidence of different removable partial denture cases related to age, gender and archin a distinct population in Iraq

“…Various RPD patterns that fabricated must be periodically reviewed to give us guidelinesfor teaching 15,16 .…”