Clinical performance of cast clasp-retained removable partial dentures: a retrospective study.
Identifieur interne : 001253 ( PubMed/Curation ); précédent : 001252; suivant : 001254Clinical performance of cast clasp-retained removable partial dentures: a retrospective study.
Auteurs : Michael Behr [Allemagne] ; Florian Zeman ; Torsten Passauer ; Michael Koller ; Sebastian Hahnel ; Ralf Buergers ; Reinhold Lang ; Gerhard Handel ; Carola KolbeckSource :
- The International journal of prosthodontics [ 0893-2174 ]
Descripteurs français
- KwdFr :
- Adulte d'âge moyen, Analyse de survie, Bases d'appareil de prothèse dentaire, Caries dentaires (), Crochets dentaires, Femelle, Humains, Mandibule, Maxillaire, Mâchoire partiellement édentée (), Mâchoire partiellement édentée (rééducation et réadaptation), Mâle, Parodontite (), Perte dentaire (), Piliers dentaires, Prothèse dentaire partielle amovible, Rebasage d'appareil de prothèse dentaire, Échec de restauration dentaire, Études de suivi, Études rétrospectives.
- MESH :
- rééducation et réadaptation : Mâchoire partiellement édentée.
- Adulte d'âge moyen, Analyse de survie, Bases d'appareil de prothèse dentaire, Caries dentaires, Crochets dentaires, Femelle, Humains, Mandibule, Maxillaire, Mâchoire partiellement édentée, Mâle, Parodontite, Perte dentaire, Piliers dentaires, Prothèse dentaire partielle amovible, Rebasage d'appareil de prothèse dentaire, Échec de restauration dentaire, Études de suivi, Études rétrospectives.
English descriptors
- KwdEn :
- Dental Abutments, Dental Caries (classification), Dental Clasps, Dental Restoration Failure, Denture Bases, Denture Rebasing, Denture, Partial, Removable, Female, Follow-Up Studies, Humans, Jaw, Edentulous, Partially (classification), Jaw, Edentulous, Partially (rehabilitation), Male, Mandible, Maxilla, Middle Aged, Periodontitis (classification), Retrospective Studies, Survival Analysis, Tooth Loss (classification).
- MESH :
- classification : Dental Caries, Jaw, Edentulous, Partially, Periodontitis, Tooth Loss.
- rehabilitation : Jaw, Edentulous, Partially.
- Dental Abutments, Dental Clasps, Dental Restoration Failure, Denture Bases, Denture Rebasing, Denture, Partial, Removable, Female, Follow-Up Studies, Humans, Male, Mandible, Maxilla, Middle Aged, Retrospective Studies, Survival Analysis.
Abstract
This retrospective study investigated the survival rate of 174 clasp-retained removable partial dentures (CR-RPDs) made at the Department of Prosthodontics of the Regensburg University Medical Center over a 25-year period (1984 to 2009).
PubMed: 22371834
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<affiliation wicri:level="1"><nlm:affiliation>Department of Prosthodontics, Regensburg University Medical Center, Regensburg, Germany. michael.behr@klinik.uni-regensburg.de</nlm:affiliation>
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<wicri:regionArea>Department of Prosthodontics, Regensburg University Medical Center, Regensburg</wicri:regionArea>
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<author><name sortKey="Koller, Michael" sort="Koller, Michael" uniqKey="Koller M" first="Michael" last="Koller">Michael Koller</name>
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<term>Dental Clasps</term>
<term>Dental Restoration Failure</term>
<term>Denture Bases</term>
<term>Denture Rebasing</term>
<term>Denture, Partial, Removable</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Jaw, Edentulous, Partially (classification)</term>
<term>Jaw, Edentulous, Partially (rehabilitation)</term>
<term>Male</term>
<term>Mandible</term>
<term>Maxilla</term>
<term>Middle Aged</term>
<term>Periodontitis (classification)</term>
<term>Retrospective Studies</term>
<term>Survival Analysis</term>
<term>Tooth Loss (classification)</term>
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<keywords scheme="KwdFr" xml:lang="fr"><term>Adulte d'âge moyen</term>
<term>Analyse de survie</term>
<term>Bases d'appareil de prothèse dentaire</term>
<term>Caries dentaires ()</term>
<term>Crochets dentaires</term>
<term>Femelle</term>
<term>Humains</term>
<term>Mandibule</term>
<term>Maxillaire</term>
<term>Mâchoire partiellement édentée ()</term>
<term>Mâchoire partiellement édentée (rééducation et réadaptation)</term>
<term>Mâle</term>
<term>Parodontite ()</term>
<term>Perte dentaire ()</term>
<term>Piliers dentaires</term>
<term>Prothèse dentaire partielle amovible</term>
<term>Rebasage d'appareil de prothèse dentaire</term>
<term>Échec de restauration dentaire</term>
<term>Études de suivi</term>
<term>Études rétrospectives</term>
</keywords>
<keywords scheme="MESH" qualifier="classification" xml:lang="en"><term>Dental Caries</term>
<term>Jaw, Edentulous, Partially</term>
<term>Periodontitis</term>
<term>Tooth Loss</term>
</keywords>
<keywords scheme="MESH" qualifier="rehabilitation" xml:lang="en"><term>Jaw, Edentulous, Partially</term>
</keywords>
<keywords scheme="MESH" qualifier="rééducation et réadaptation" xml:lang="fr"><term>Mâchoire partiellement édentée</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Dental Abutments</term>
<term>Dental Clasps</term>
<term>Dental Restoration Failure</term>
<term>Denture Bases</term>
<term>Denture Rebasing</term>
<term>Denture, Partial, Removable</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Male</term>
<term>Mandible</term>
<term>Maxilla</term>
<term>Middle Aged</term>
<term>Retrospective Studies</term>
<term>Survival Analysis</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr"><term>Adulte d'âge moyen</term>
<term>Analyse de survie</term>
<term>Bases d'appareil de prothèse dentaire</term>
<term>Caries dentaires</term>
<term>Crochets dentaires</term>
<term>Femelle</term>
<term>Humains</term>
<term>Mandibule</term>
<term>Maxillaire</term>
<term>Mâchoire partiellement édentée</term>
<term>Mâle</term>
<term>Parodontite</term>
<term>Perte dentaire</term>
<term>Piliers dentaires</term>
<term>Prothèse dentaire partielle amovible</term>
<term>Rebasage d'appareil de prothèse dentaire</term>
<term>Échec de restauration dentaire</term>
<term>Études de suivi</term>
<term>Études rétrospectives</term>
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<front><div type="abstract" xml:lang="en">This retrospective study investigated the survival rate of 174 clasp-retained removable partial dentures (CR-RPDs) made at the Department of Prosthodontics of the Regensburg University Medical Center over a 25-year period (1984 to 2009).</div>
</front>
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<DateCompleted><Year>2012</Year>
<Month>05</Month>
<Day>31</Day>
</DateCompleted>
<DateRevised><Year>2012</Year>
<Month>02</Month>
<Day>28</Day>
</DateRevised>
<Article PubModel="Print"><Journal><ISSN IssnType="Print">0893-2174</ISSN>
<JournalIssue CitedMedium="Print"><Volume>25</Volume>
<Issue>2</Issue>
<PubDate><MedlineDate>2012 Mar-Apr</MedlineDate>
</PubDate>
</JournalIssue>
<Title>The International journal of prosthodontics</Title>
<ISOAbbreviation>Int J Prosthodont</ISOAbbreviation>
</Journal>
<ArticleTitle>Clinical performance of cast clasp-retained removable partial dentures: a retrospective study.</ArticleTitle>
<Pagination><MedlinePgn>138-44</MedlinePgn>
</Pagination>
<Abstract><AbstractText Label="PURPOSE" NlmCategory="OBJECTIVE">This retrospective study investigated the survival rate of 174 clasp-retained removable partial dentures (CR-RPDs) made at the Department of Prosthodontics of the Regensburg University Medical Center over a 25-year period (1984 to 2009).</AbstractText>
<AbstractText Label="MATERIALS AND METHODS" NlmCategory="METHODS">The study analyzed the frequency of and time to the fracture of clasps, connectors, or denture bases; the occurrence of caries or periodontal lesions; the loss of abutment teeth; and the necessity of maintenance procedures such as relining or treatment of pressure areas.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">The median follow-up time of 3 years was calculated using the inverse Kaplan-Meier method. The 5-year survival rate (time to renewal) of all CR-RPDs was 96.4%; the 10-year survival rate was 89.8%. Fractures most frequently occurred in clasps (n = 28, 16.1%) followed by major connectors (n = 9, 5.1%) and minor connectors (n = 6, 3.4%). The 5-year event-free rate for clasp fracture was 80.4%; the 10-year event-free rate was 76.9%. Caries lesions on abutment teeth were seen in 31.6% of patients, and 35.6% showed inflammation of the periodontal tissue surrounding the abutment teeth. The 5-year event-free rate for caries was 58.4%; the 10-year rate was 39.6%. A frequent complication was loss of abutment teeth (n = 15), but this complication was not age-dependent. After insertion of their prostheses, one-third of patients (n = 53, 30.5%) showed pressure areas of the mucosa. Significantly more (P < .001) pressure areas were caused by prostheses of the mandible (39.6%) than by those of the maxilla (12.5%).</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">CR-RPDs showed a survival rate of approximately 90% after 10 years of oral service. The predominant complications during oral service were caries lesions, loss of abutment teeth, and fracture of clasps.</AbstractText>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Behr</LastName>
<ForeName>Michael</ForeName>
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<AffiliationInfo><Affiliation>Department of Prosthodontics, Regensburg University Medical Center, Regensburg, Germany. michael.behr@klinik.uni-regensburg.de</Affiliation>
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<Author ValidYN="Y"><LastName>Zeman</LastName>
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<Author ValidYN="Y"><LastName>Passauer</LastName>
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<Author ValidYN="Y"><LastName>Lang</LastName>
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<MeshHeadingList><MeshHeading><DescriptorName UI="D000044" MajorTopicYN="N">Dental Abutments</DescriptorName>
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<MeshHeading><DescriptorName UI="D003731" MajorTopicYN="N">Dental Caries</DescriptorName>
<QualifierName UI="Q000145" MajorTopicYN="N">classification</QualifierName>
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<MeshHeading><DescriptorName UI="D016734" MajorTopicYN="Y">Dental Clasps</DescriptorName>
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<MeshHeading><DescriptorName UI="D019232" MajorTopicYN="N">Dental Restoration Failure</DescriptorName>
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<MeshHeading><DescriptorName UI="D003819" MajorTopicYN="N">Denture Bases</DescriptorName>
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<MeshHeading><DescriptorName UI="D003823" MajorTopicYN="N">Denture Rebasing</DescriptorName>
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<MeshHeading><DescriptorName UI="D003832" MajorTopicYN="Y">Denture, Partial, Removable</DescriptorName>
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<MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D005500" MajorTopicYN="N">Follow-Up Studies</DescriptorName>
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<MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName>
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<MeshHeading><DescriptorName UI="D008334" MajorTopicYN="N">Mandible</DescriptorName>
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<MeshHeading><DescriptorName UI="D008437" MajorTopicYN="N">Maxilla</DescriptorName>
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<MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName>
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<MeshHeading><DescriptorName UI="D010518" MajorTopicYN="N">Periodontitis</DescriptorName>
<QualifierName UI="Q000145" MajorTopicYN="N">classification</QualifierName>
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<MeshHeading><DescriptorName UI="D012189" MajorTopicYN="N">Retrospective Studies</DescriptorName>
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<MeshHeading><DescriptorName UI="D016019" MajorTopicYN="N">Survival Analysis</DescriptorName>
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<MeshHeading><DescriptorName UI="D016388" MajorTopicYN="N">Tooth Loss</DescriptorName>
<QualifierName UI="Q000145" MajorTopicYN="N">classification</QualifierName>
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