Treatment Outcomes Based on Patients’ Self‐Reported Measures after Receiving New Clasp or Precision Attachment‐Retained Removable Partial Dentures

Peršić, Sanja; Kranjčić, Josip; Pavičić, Daniela Kovačević; Mikić, Vlatka; Čelebić, Asjâ

doi:10.1111/jopr.12395

Cited by 26 publications

(23 citation statements)

References 32 publications

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“…However, subgroup analysis of studies that provided clasp‐retained RPDPs revealed better OHRQOL in patients with SDA than in patients with clasp‐retained RPDPs. In one of the RCTs, patients with precision attachment‐retained RPDPs exhibited significantly better OHRQoL than those with clasp‐retained RPDPs , which suggests that precision attachment dentures, which lack metal clasps, provide better aesthetics and OHRQoL than clasp‐retained RPDPs. Third, the meta‐analysis only included data gathered over as short a follow‐up period as 12 months, because only one study had presented longer follow‐up data.…”

Section: Discussionmentioning

confidence: 99%

Shortened dental arch and prosthetic effect on oral health‐related quality of life: a systematic review and meta‐analysis

Fueki

Baba

2017

J of Oral Rehabilitation

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This systematic review aimed to compare oral health-related quality of life (OHRQoL) between two tooth replacement strategies - the shortened dental arch (SDA) concept and conventional treatment with removable partial dental prosthesis (RPDP) or implant-supported fixed partial dental prosthesis (IFPDP) - for distal extension of edentulous space in the posterior area. We retrieved eligible randomised controlled trials (RCTs) and non-RCTs published between 1980 and November 2016 retrieved from MEDLINE and the Cochrane Central Register of Controlled Trials. The primary outcome was OHRQoL evaluated using validated questionnaires. Two reviewers independently screened and selected the articles, evaluated the risk of bias and determined the standardised weighted mean difference (SWMD) in OHRQoL scores between the two strategies using a random effects model. Two RCTs and one non-RCT involving 516 participants were included in this review. All studies employed the oral health impact profile (OHIP) for evaluation of OHRQoL. There was no statistically significant difference in OHIP summary scores between SDA and RPDP at 6 (SWMD = 0·24) or 12 (SWMD = 0·40) months post-treatment. Only one non-RCT had reported higher OHRQoL with IFPDP than with SDA; however, because of the small sample size, there was no significant difference in OHIP summary scores between the two strategies at 6 (SWMD = -0·59) or 12 (SWMD = -0·67) months post-treatment. In terms of OHRQoL in partially dentate patients, the SDA concept appears to be as feasible as RPDP restoration. Further clinical trials are required to clarify the effect of IFPDP restoration on OHRQoL.

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Section: Discussionmentioning

confidence: 99%

Shortened dental arch and prosthetic effect on oral health‐related quality of life: a systematic review and meta‐analysis

Fueki

Baba

2017

J of Oral Rehabilitation

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“…They provide retention without the need for clasp retainers, thereby enhancing denture esthetics [7][8][9] . Resilient extracoronal attachments have been indicated for distal extension base cases to prevent torque of abutments and to distribute load favorably between abutments and the edentulous ridge [9][10][11] .…”

Section: Introductionmentioning

confidence: 99%

Zirconia Versus Metal Cad/Cam Extracoronal Attachments for the Bilateral Distal Extension Removable Partial Magnet Versus Ols Attachments for Implant Overdentures: A Stress Analysis Study

Nassouhy

Abdalla

2017

Egyptian Dental Journal

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Objectives: To compare between the effect of zirconia and metal CAD/CAM fabricated attachments on alveolar bone height of the residual ridge and periodontal health of abutment teeth in cases with bilateral distal extension base. Materials and Methods: Seven Kennedy class I patients were selected for this study. In a split-mouth manner, one side of the arch received metal attachment together with porcelain fused to metal fixed partial denture, while the other side received zirconia attachment connected to zirconia fixed restoration. Alveolar bone loss, bleeding on probing (BOP) and pocket depths (PD) were measured for each side at the time of delivery and at 6 and 12 months post-insertion. Results: There was no statistically significant difference between the two attachments regarding bone loss in the residual ridge in all follow-up appointments. There was also no significant bone loss for each attachment by the end of the follow-up period. There was no significant difference in BOP and PD at 6 months, but there was a significant increase in BOP and PD for both attachments at 12 months post-insertion. However, the difference between the two attachments was not statistically significant at any follow-up appointment. Conclusions: Zirconia attachment yields comparable clinical and radiographic results as metal attachments for distal extension cases within a follow-up period of one year.

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“…Persic S. et al [13] concluded that the PA-RPD showed superior OHRQoL than C-RPD on the other hand Montero et. al.…”

Section: O R I G I N a L A R T I C L Ementioning

confidence: 99%

Treatment Outcomes Based on Patient’s Oral Health Related Quality of Life (OHRQoL) after Receiving Conventional Clasp or Precision Attachment Removable Partial Dentures in Distal Extension Cases: A Randomized Controlled Clinical Trial

Mamdouh

El-Sherbini

Mady

2019

BDS

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Purpose: To compare the effect of two treatment options in mandibular Kennedy class I cases regarding oral health related quality of life (OHRQoL) and the biting force, removable partial dentures retained by either precision attachment (PA-RPD) or clasps (C-RPD)Materials and methods: The study included 32 partially edentulous patients which 16 patients received PA-RPD (OT Cap Attachment) and 16 patients received C-RPD. All the patients in both groups were asked to fill the OHRQoL questionnaire after 1 week (baseline), 3 months, 6 months and 12 months after prosthesis insertion. Biting force was measured using the i-load Star Sensor one week, 3 months, 6 months and 1 year after partial denture insertion for all patients in both groups. Statistical analysis comprised Mann Whitney U test, Friedman’s test, Dunn’s test and Chi-square test.Results: The results of OHRQoL revealed that at the baseline, 3 months and 6 months the PA-RPD showed statistically significant lower mean total OHIP-14 score than the C-RPD. However, after 12 Monthes , there was no statistically significant difference between total OHIP-14 scores in the two groups. Concerning the biting force there was no statistically significant difference between the two groups.Conclusion: Within the limitations of this study it was concluded that the OHRQoL of both the PA-RPD and the C-RPD was comparable after 12 months. Similarly the biting force was the same for both treatment options.

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Treatment Outcomes Based on Patients’ Self‐Reported Measures after Receiving New Clasp or Precision Attachment‐Retained Removable Partial Dentures

Cited by 26 publications

References 32 publications

Shortened dental arch and prosthetic effect on oral health‐related quality of life: a systematic review and meta‐analysis

Shortened dental arch and prosthetic effect on oral health‐related quality of life: a systematic review and meta‐analysis

Zirconia Versus Metal Cad/Cam Extracoronal Attachments for the Bilateral Distal Extension Removable Partial Magnet Versus Ols Attachments for Implant Overdentures: A Stress Analysis Study

Treatment Outcomes Based on Patient’s Oral Health Related Quality of Life (OHRQoL) after Receiving Conventional Clasp or Precision Attachment Removable Partial Dentures in Distal Extension Cases: A Randomized Controlled Clinical Trial

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