Preshaw PM, Walls AWG, Jakubovics NS, Moynihan PJ, Jepson NJA, Loewy Z. Association of removable partial denture use with oral and systemic health. J Dent. 2011; 39:711-719
Axelsson P, Lindhe J, Nyström B. On the prevention of caries and periodontal disease. J Clin Periodontol. 1991; 18:182-189
Axelsson P, Nyström B, Lindhe J. The long-term effect of a plaque control program on tooth mortality, caries and periodontal disease in adults. Results after 30 years of maintenance. J Clin Periodontol. 2004; 31:749-757
Bidra AS, Daubert DM, Garcia LT A Systematic review of recall regimen and maintenance regimen of patients with dental restorations. Part 1: tooth-borne restorations. J Prosthodont. 2016; 25:S2-S15
Felton D, Cooper L, Duqum I Evidence-based guidelines for the care and maintenance of complete dentures: a publication of the American College of Prosthodontists. J Prosthodont. 2011; 20:S1-S12
Featherstone J, Singh S, Curtis D. Caries risk assessment and management for the prosthodontic patient. J Prosthodont. 2011; 20:2-9
Tada S, Ikebe K, Matsuda K, Maeda Y. Multifactorial risk assessment for survival of abutments of removable partial dentures based on practice-based longitudinal study. J Dent. 2013; 41:1175-1180
Vanzeveren C, D'Hoore W, Bercy P, Leloup G. Treatment with removable partial dentures: a longitudinal study. Part I. J Oral Rehabil. 2003; 30:447-458
Steele JG, Walls AW, Murray JJ. Partial dentures as an independent indicator of root caries risk in a group of older adults. Gerodontology. 1997; 14:67-74 https://doi.org/10.1111/j.1741-2358.1997.00067.x
Burt BA, Ismail AI, Morrison EC, Beltran ED. Risk factors for tooth loss over a 28-year period. J Dent Res. 1990; 69:1126-1130
Wegner PK, Freitag S, Kern M. Survival rate of endodontically treated teeth with posts after prosthetic restoration. J Endod. 2006; 32:928-931 https://doi.org/10.1016/j.joen.2006.06.001
Sorensen JA, Martinoff JT. Endodontically treated teeth as abutments. J Prosthet Dent. 1985; 53:631-636
de Souza RF, de Freitas Oliveira Paranhos H, Lovato da Silva CH Interventions for cleaning dentures in adults. Cochrane Database Syst Rev. 2009; 4 https://doi.org/10.1002/14651858.CD007395.pub2
Wagner B, Kern M. Clinical evaluation of removable partial dentures 10 years after insertion: success rates, hygienic problems, and technical failures. Clin Oral Investig. 2000; 4:74-80
Jepson NJA, Moynihan PJ, Kelly PJ Caries incidence following restoration of shortened lower dental arches in a randomized controlled trial. Br Dent J. 2001; 191:140-144
Budtz-Jørgensen E, Isidor F. A 5-year longitudinal study of cantilevered fixed partial dentures compared with removable partial dentures in a geriatric population. J Prosthet Dent. 1990; 64:42-47
Nevalainen MJ, Narhi TO, Ainamo A. A 5-year follow-up study on the prosthetic rehabilitation of the elderly in Helsinki, Finland. J Oral Rehabil. 2004; 31:647-652
Wright PS, Hellyer PH, Beighton D Relationship of removable partial denture use to root caries in an older population. Int J Prosthodont. 1992; 5:39-46
Kern M, Wagner B. Periodontal findings in patients 10 years after insertion of removable partial dentures. J Oral Rehabil. 2001; 28:991-997
Yusof Z, Isa Z. Periodontal status of teeth in contact with denture in removable partial denture wearers. J Oral Rehabil. 1994; 21:77-86
Wright PS, Hellyer PH. Gingival recession related to removable partial dentures in older patients. J Prosthet Dent. 1995; 74:602-607
Chandler JA, Brudvik JS. Clinical evaluation of patients eight to nine years after placement of removable partial dentures. J Prosthet Dent. 1984; 51:736-743
Ramseier CA, Anerud A, Dulac M Natural history of periodontitis: disease progression and tooth loss over 40 years. J Clin Periodontol. 2017; 44:1182-1191
Chapple IL, Mealey BL, Van Dyke TE Periodontal health and gingival diseases and conditions on an intact and a reduced periodontium: Consensus report of workgroup 1 of the 2017 World Workshop on the Classification of Periodontal and Peri-Implant Diseases and Conditions. J Clin Periodontol. 2018; 45:S68-S77
Emami E, Taraf H, de Grandmont P The association of denture stomatitis and partial removable dental prostheses: a systematic review. Int J Prosthodont. 2012; 25:113-119
Ercalik-Yalcinkaya S, Özcan M. Association between oral mucosal lesions and hygiene habits in a population of removable prosthesis wearers. J Prosthodont. 2015; 24:271-278
Eickholz P, Kaltschmitt J, Berbig J Tooth loss after active periodontal therapy. 1: patient-related factors for risk, prognosis, and quality of outcome. J Clin Periodontol. 2008; 35:165-174
Tada S, Allen PF, Ikebe K Impact of periodontal maintenance on tooth survival in patients with removable partial dentures. J Clin Periodont. 2015; 42:46-53
Do Amaral BA, Barreto AO, Gomes Seabra E A clinical follow-up study of the periodontal conditions of RPD abutment and non-abutment teeth. J Oral Rehabil. 2010; 37:545-552
da Fonte Porto Carreiro A, de Carvalho Dias K, Correia Lopes AL Periodontal conditions of abutments and non-abutments in removable partial dentures over 7 years of use. J Prosthodont. 2017; 26:644-649
Yeung ALP, Lo ECM, Chow TW, Clark RKF. Oral health status of patients 5–6 years after placement of cobalt–chromium removable partial dentures. J Oral Rehabil. 2000; 27:183-189
Ezawi AAE, Gilam DG, Taylor PD. The impact of removable partial dentures on the health of oral tissues. A systematic review. Int J Dent Oral Health. 2017; 3
Featherstone J, Singh S, Curtis D. Caries risk assessment and management for the prosthodontic patient. J Prosthodont. 2011; 20:2-9
Yeung ALP, Lo ECM, Clark RKF, Chow TW. Usage and status of cobalt-chromium removable partial dentures 5–6 years after placement. J Oral Rehabil. 2002; 29:127-132
Kapur KK, Deupree R, Dent RJ, Hasse AL. A randomised clinical trial of two basic removable partial denture designs. Part 1: Comparison of 5-year success rates and periodontal health. J Prosthet Dent. 1994; 72:268-282
Öwall B, Budtz-Jörgensen E, Davenport J Removable partial denture design: a need to focus on hygienic principles?. Int J Prosthodont. 2002; 15:371-378
Rehmann P, Orbach K, Ferger P, Wostmann B. Treatment outcomes with removable partial dentures: a retrospective analysis. Int J Prosthodont. 2013; 26:147-150
McKenna G, Allen PF, O'Mahony D The impact of rehabilitation using removable partial dentures and functionally orientated treatment on oral health-related quality of life: a randomized controlled clinical trial. J Dent. 2015; 43:66-71
Ribeiro DG, Pavarina AC, Giampaolo ET Effect of oral hygiene education and motivation on removable partial denture wearers: longitudinal study. Gerodontology. 2009; 26:150-156
Zaki HA, Bandt CL. The effective use of a self-teaching oral hygiene manual. J Periodontol. 1974; 45:491-495
Van Der Weijden GA, Hioe KPK. A systematic review of the effectiveness of self-performed mechanical plaque removal in adults with gingivitis using a manual toothbrush. J Clin Periodontol. 2005; 32:214-228
Sicilia A, Arregui I, Gallego M A systematic review of powered vs. manual toothbrushes in periodontal cause-related therapy. J Clin Periodontol. 2002; 29:39-54
Morris AJ, Steele J, White DA. The oral cleanliness and periodontal health of UK adults in 1998. Br Dent J. 2001; 191:186-192
Maeda Y, Yang TC, Ikebe K, Andoh T. Frequency of relining procedures during the maintenance period of removable prostheses: an experiential report. Int J Prosthodont. 2014; 27:151-152
Vanzeveren C, D'Hoore W, Bercy P, Leloup G. Treatment with removable partial dentures: a longitudinal study. Part I. J Oral Rehabil. 2003; 30:447-458
Behr M, Zeman F, Passauer T Clinical performance of cast clasp-retained removable partial dentures: a retrospective study. Int J Prosthodont. 2012; 25:138-144
Hannah VE, O'Donnell L, Robertson D, Ramage G. Denture stomatitis: causes, cures and prevention. Prim Dent J. 2017; 6:46-51
Sakar O. Classification of partially edentulous arches. In: Sakar O (ed.). : Springer; 2016
The number of partially dentate adults is increasing, and many patients will require replacement of missing teeth. Oral rehabilitation with removable partial dentures (RPD) is a less time-consuming and a low-cost, conservative treatment alternative that meets the functional and aesthetics needs for many partially dentate patients. Given the high prevalence of RPD usage, it is pertinent to question its impact on general and oral health. However, there is limited evidence on the maintenance and recall regimens for patients with RPDs. Therefore, this article reviews and evaluates the available scientific evidence on complications, and patient recall and maintenance regimens.
CPD/Clinical Relevance: An understanding of the complications associated with removable partial dentures will help us strategize patient maintenance regimens.
Article
Patients seeking prosthodontic treatment will have had a series of factors that have contributed to the loss of their tooth structure and so, often present with complex treatment needs for restoring function and aesthetics.1 With increasing longevity, improved management of chronic diseases and associated comorbidities, there is an emphasis on patient-centred management and professionally directed recall and maintenance programmes.2 Many types of restorations are used to address patients' needs, but all require careful and co-ordinated planning and a long-term partnership with the patient to maintain an enduring result.3 Thus, an appropriate patient recall regimen, professional maintenance, as well as at-home maintenance are all important.4 For patients with dental prostheses, maintenance protocols are crucial for minimizing the risk of failure of supporting teeth, and preventing caries, periodontal disease and prostheses failure.1 It is also important to recognize that maintenance protocols will vary according to the health status of the patient.5 An understanding of the specific prognostic factors associated with different dental restorations, and their relative contribution to the duration of tooth survival will facilitate the development of prosthodontic treatment strategies and evidence-based predictions for the long-term prognosis of natural teeth.6 This review evaluates the scientific evidence available on the complications associated with removable partial dentures (RPDs) and on patient recall and maintenance regimens.
Register now to continue reading
Thank you for visiting Dental Update and reading some of our resources. To read more, please register today. You’ll enjoy the following great benefits:
