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A randomized clinical trial of two basic removable partial denture designs. Part I: Comparisons of five-year success rates and periodontal health.

Identifieur interne : 004400 ( PubMed/Curation ); précédent : 004399; suivant : 004401

A randomized clinical trial of two basic removable partial denture designs. Part I: Comparisons of five-year success rates and periodontal health.

Auteurs : K K Kapur ; R. Deupree ; R J Dent ; A L Hasse

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RBID : pubmed:7965900

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Abstract

A randomized clinical trial was undertaken to compare the effectiveness of two partial denture designs, one with I-bar (bar) and the other with circumferential retainers (circumferential), in 134 patients with Kennedy class I and class II edentulous conditions. A total of 30 partial dentures were considered failures, five because of abutment failures and 25 because of the lack of removable partial denture use for eating. The 5-year success rate of 71.3% for the circumferential design did not differ significantly from the 76.6% for the bar design (p > 0.05). There were no discernible changes in the nine periodontal health components of abutment teeth with either of the two designs after 60 months. The results indicate that the two designs do not differ significantly in terms of success rates, maintenance care, and effects on abutment teeth. A well-constructed removable partial denture of either design, supported by favorable abutments and accompanied by a regular recall program offers a satisfactory treatment modality.

PubMed: 7965900

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K K Kapur
<affiliation>
<nlm:affiliation>West Los Angeles Veterans Affairs Medical Center, Calif.</nlm:affiliation>
<wicri:noCountry code="subField">Calif</wicri:noCountry>
</affiliation>

Le document en format XML

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<term>Dental Abutments (adverse effects)</term>
<term>Dental Caries (etiology)</term>
<term>Denture Design (adverse effects)</term>
<term>Denture, Partial, Removable (adverse effects)</term>
<term>Follow-Up Studies</term>
<term>Gingival Diseases (etiology)</term>
<term>Humans</term>
<term>Jaw, Edentulous, Partially (classification)</term>
<term>Jaw, Edentulous, Partially (rehabilitation)</term>
<term>Male</term>
<term>Mastication (physiology)</term>
<term>Middle Aged</term>
<term>Patient Satisfaction</term>
<term>Periodontal Diseases (etiology)</term>
<term>Prosthesis Failure</term>
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<term>Treatment Failure</term>
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<term>Adulte d'âge moyen</term>
<term>Caries dentaires (étiologie)</term>
<term>Conception d'appareil de prothèse dentaire (effets indésirables)</term>
<term>Défaillance de prothèse</term>
<term>Humains</term>
<term>Maladies de la gencive (étiologie)</term>
<term>Maladies parodontales (étiologie)</term>
<term>Mastication (physiologie)</term>
<term>Mobilité dentaire (étiologie)</term>
<term>Mâchoire partiellement édentée ()</term>
<term>Mâchoire partiellement édentée (rééducation et réadaptation)</term>
<term>Mâle</term>
<term>Perte dentaire (étiologie)</term>
<term>Piliers dentaires (effets indésirables)</term>
<term>Prothèse dentaire partielle amovible (effets indésirables)</term>
<term>Résorption alvéolaire (étiologie)</term>
<term>Satisfaction du patient</term>
<term>Échec thérapeutique</term>
<term>Études de suivi</term>
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<keywords scheme="MESH" qualifier="adverse effects" xml:lang="en">
<term>Dental Abutments</term>
<term>Denture Design</term>
<term>Denture, Partial, Removable</term>
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<keywords scheme="MESH" qualifier="classification" xml:lang="en">
<term>Jaw, Edentulous, Partially</term>
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<keywords scheme="MESH" qualifier="effets indésirables" xml:lang="fr">
<term>Conception d'appareil de prothèse dentaire</term>
<term>Piliers dentaires</term>
<term>Prothèse dentaire partielle amovible</term>
</keywords>
<keywords scheme="MESH" qualifier="etiology" xml:lang="en">
<term>Alveolar Bone Loss</term>
<term>Dental Caries</term>
<term>Gingival Diseases</term>
<term>Periodontal Diseases</term>
<term>Tooth Loss</term>
<term>Tooth Mobility</term>
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<term>Mastication</term>
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<keywords scheme="MESH" qualifier="physiology" xml:lang="en">
<term>Mastication</term>
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<term>Jaw, Edentulous, Partially</term>
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<term>Mâchoire partiellement édentée</term>
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<keywords scheme="MESH" qualifier="étiologie" xml:lang="fr">
<term>Caries dentaires</term>
<term>Maladies de la gencive</term>
<term>Maladies parodontales</term>
<term>Mobilité dentaire</term>
<term>Perte dentaire</term>
<term>Résorption alvéolaire</term>
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<term>Follow-Up Studies</term>
<term>Humans</term>
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<term>Middle Aged</term>
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<term>Défaillance de prothèse</term>
<term>Humains</term>
<term>Mâchoire partiellement édentée</term>
<term>Mâle</term>
<term>Satisfaction du patient</term>
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<front>
<div type="abstract" xml:lang="en">A randomized clinical trial was undertaken to compare the effectiveness of two partial denture designs, one with I-bar (bar) and the other with circumferential retainers (circumferential), in 134 patients with Kennedy class I and class II edentulous conditions. A total of 30 partial dentures were considered failures, five because of abutment failures and 25 because of the lack of removable partial denture use for eating. The 5-year success rate of 71.3% for the circumferential design did not differ significantly from the 76.6% for the bar design (p > 0.05). There were no discernible changes in the nine periodontal health components of abutment teeth with either of the two designs after 60 months. The results indicate that the two designs do not differ significantly in terms of success rates, maintenance care, and effects on abutment teeth. A well-constructed removable partial denture of either design, supported by favorable abutments and accompanied by a regular recall program offers a satisfactory treatment modality.</div>
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<Title>The Journal of prosthetic dentistry</Title>
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<AbstractText>A randomized clinical trial was undertaken to compare the effectiveness of two partial denture designs, one with I-bar (bar) and the other with circumferential retainers (circumferential), in 134 patients with Kennedy class I and class II edentulous conditions. A total of 30 partial dentures were considered failures, five because of abutment failures and 25 because of the lack of removable partial denture use for eating. The 5-year success rate of 71.3% for the circumferential design did not differ significantly from the 76.6% for the bar design (p > 0.05). There were no discernible changes in the nine periodontal health components of abutment teeth with either of the two designs after 60 months. The results indicate that the two designs do not differ significantly in terms of success rates, maintenance care, and effects on abutment teeth. A well-constructed removable partial denture of either design, supported by favorable abutments and accompanied by a regular recall program offers a satisfactory treatment modality.</AbstractText>
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