Functional evaluation of oral rehabilitation with removable partial dentures after five years

Abstract

Most removable partial denture (RPD) wearers are satisfied with their prostheses, but the factors that influence satisfaction and acceptance are still not determined.Objective:This study explored technical, biological, and satisfaction variables for the functioning of RPDs after five years, and compared the evaluation by the patient and by the clinician.Materials and Methods:Fifty adults (39 females, 11 males) were reexamined after five years of RPD service. Data were collected through clinical examination and a structured questionnaire to record the conditions of supporting soft tissues, prosthesis acceptance and technical characteristics, mastication, esthetics, comfort, hygiene, and need for professional intervention. Data were analyzed by descriptive statistics and Spearman correlation.Results:More than 50% of patients classified their RPDs as excellent regarding retention, mastication, esthetics, comfort, and hygiene. In the professional evaluation, retention and stability were considered excellent in more than 66% of cases, and hygiene of teeth and prostheses was considered good in 52% and 46%, respectively. The metallic framework and acrylic base were considered adapted in 92% of cases. Prosthesis acceptance was associated with retention, mastication, esthetics, hygiene, and comfort evaluated by the patient, and with retention, stability, and condition of the framework evaluated by the clinician. Retention and mastication/comfort evaluated by the patient had moderate positive correlation with retention and stability measured by the clinician. There was no association of hygiene evaluation by the patient and by the clinician.Conclusions:After five years, the oral rehabilitation with RPDs was satisfactory for most cases. There was correspondence between retention/retention and mastication-comfort/stability variables evaluated by the patient and by the clinician. Oral and prosthesis hygiene were not related.

Oral health impact profile and prosthetic condition in edentulous patients rehabilitated with implant-supported overdentures and fixed prostheses

“…The following aspects related to overdenture rehabilitation were evaluated (annex 2): -The condition of the acrylic portion of the teeth and of the base, classified as "requiring intervention" or "not requiring intervention" (18); -Base adaptation, classified as "adapted" or "not adapted" (19); -Occlusion, classified as "satisfactory" or "unsatisfactory" (20); -Retention, classified as "excellent", "good" or "poor" (18); -Stability, classified as "excellent", "good", or "poor" (20).…”

Análise comparativa da performance mastigatória entre doentes portadores de prótese parcial removível acrílica e esquelética

“…Parece que embora os indivíduos do género feminino tenham uma menor força muscular comparativamente aos do género masculino, essa força muscular é compensada por uma melhor coordenação e atividade sensorial por parte dos indivíduos do género feminino. 22 Neste estudo, um dos critérios de inclusão para os portadores de prótese parcial removível bimaxilar, foi o tempo de uso da prótese, embora o intervalo definido varie entre os 6 meses e os 5 anos, esse intervalo de acordo com estudos anteriores 23,24 parece não influenciar os resultados. A maioria das PPR's continuam a apresentar uma boa retenção e estabilidade após 5 anos de utilização.…”

“…A maioria das PPR's continuam a apresentar uma boa retenção e estabilidade após 5 anos de utilização. 23,24 Por outro lado, um exame clínico prévio foi realizado neste estudo de forma avaliar a estabilidade e retenção das PPR's dos participantes. As PPR's que apresentavam algum tipo de deslocamento vertical e/ou horizontal foram excluídas deste estudo.…”

Removable Partial Denture Designing: Variation of Hard and Soft Tissue Anatomy and Maxillary Major Connector Selection

“…Periodic checkup and oral hygiene measures of RPDs' users are essential to improve periodontal health and prosthesis longevity [17]. In contrary, Cosme et al, reported that there is no relation between oral hygiene and prosthesis [5,18]. As the MCs in intimate contact with oral mucosa, poor oral hygiene may increase the incidence of caries, Plaque accumulation, and periodontal diseases in RPD users.…”

“…Clinically, RPD can increase the risk of plaque, gingivitis, and caries especially root ones, in patients who wear them; however, the risk of periodontitis is not obviously increased by them [18,61]. In a study done by Janaina et al, it was concluded that RPDs en-OPEN ACCESS http://scidoc.org/IJDOS.php hanced tooth mobility, diminished prevalence of caries and did not induce the fractures of abutments [62].…”