Clinical Evaluation of Removable Partial Dentures on the Periodontal Health of Abutment Teeth: A Retrospective Study

Abstract

The aim of this retrospective study was to evaluate the effect of removable partial dentures in periodontal abutment teeth in relation to the type of denture support and design of RPD in a five-year worn period. Methods : A total of 64 patients with removable partial dentures (RPDs), participated in this study. It were examined ninety-one RPDs. There were seventy-five RPDs with clasp-retained and sixteenth were RPDs with attachments. There were 28 females and 36 males, aged between 40-64 years, 41 maxillary and 50 mandible RPDs. For each subjects the following data were collected: denture design, denture support, and Kennedy classification. Abutment teeth were assessed for plaque index (PI), calculus index (CI), blending on probing (BOP), probing depth (PD), gingival recession (GR), tooth mobility (TM). Level of significance was set at p<0.05. Results : According to denture support of RPD, BOP, PD, PI, GR, CI and TM-index showed no statistically significant difference. Based on the denture design of RPD’s, BOP, PD, PI, CI, and TM-index proved no statistically significant difference. Except GR-index according to denture design confirmed statistically significant difference in RPD with clasp p<0.01. The higher values of all periodontal parameter as BOP, PD, PI, CI and TM were in patients with RPD’s with claps comparing with RPD’s with attachment. Conclusion : RPD’s with clasp increased level of gingival inflammation in regions covered by the dentures and below the clasp arms in abutment teeth.

Gigi Tiruan Sebagian Kerangka Logam sebagai Penunjang Kesehatan Jaringan Periodontal

“…6 Pembuatan gigi tiruan yang tepat merupakan fase integral dari perawatan penyakit periodontal secara keseluruhan yang penting dalam mempertahankan kesehatan jaringan periodontal. 10 Oleh karena itu, tujuan dari penulisan sari pustaka ini adalah untuk menambah keilmuan dan wawasan bagi periodontis dan prostodontis dalam menangani pasien periodontal kompromis yang akan dibuatkan gigi tiruan sebagian lepasan kerangka logam. Disain gigi tiruan kerangka logam yang baik, kerjasama yang baik antara semua anggota tim medis dalam menangani kasus akan menghasilkan keberhasilan perawatan yang dilakukan.…”

“…Bentuk anatomi gigi tiruan dengan cusp yang terlalu besar akan menyebabkan terjadinya interference/sangkutan saat gerakan artikulasi yang lama kelamaan akan mengakibatkan gangguan sendi rahang. 6,10,13 Kerusakan tulang alveolar terjadi biasanya karena adanya traumatik oklusi, atau pada gigi penyangga yang tidak seimbang dengan jumlah gigi tiruan sehingga beban yang diterima gigi penyangga terlalu besar. Kerusakan gigi asli terjadi pada gigi yang digunakan untuk pegangan klamer atau gigi penyangga.…”

The Effect of Periogen Solution on Dental Calculus in vitro: A Pilot Study

“…[1][2][3] It can accommodate not only on tooth surfaces, but also on various prosthetic restorations (either fixed or removable dentures) when the patient's oral hygiene is poor and the mechanical cleaning of restorations is insufficient. 4,5 Patients are not able to remove hardened calculus; it needs professional cleaning using ultrasonic scaler and/ or hand instruments by dental professionals, as well as regular checkups if the patients' oral condition makes it necessary.…”

Factors Associated with Insufficient Removable Partial Denture Design Instructions

“…Because of this concern, dentists are responsible for the RPD design as an ethical obligation. [5][6][7][8] A proper transfer of design information to the dental laboratory provides increased professional quality assurance in an RPD service. 5 Successful transfer of information regarding the details of prostheses to the dental technician plays an essential role in maintaining high quality of the prostheses.…”