Periodontal problems associated with use of distal extension removable partial dentures—a matter of construction?
Abstract
Summary: It is commonly assumed that a distal extension partial removable dentures rotates around the supporting rests when the saddle is occlusally loaded and that this rotation may expose the abutment teeth to a distal torque believed to be potentially harmful to their periodontal tissues. Attempts are therefore often made to counteract this effect through the denture construction. However, a review of relevant literature does not appear to substantiate an unqualified acceptance of the above mentioned assumptions, nor of the beneficial effect of special denture constructions designed to reduce the abutment loading. On the other hand, well controlled longitudinal studies seem to indicate that a favourable periodontal prognosis may be expected in such cases provided the following conditions are satisfied: (1) Periodontal problems should be treated and an adequate oral hygiene established prior to the insertion of the denture; (2) The periodontal health and oral hygiene should be maintained through regular recalls. During these recalls possible prosthodontic defects should be diagnosed and necessary measures implemented.
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Longitudinal studies of distal extension removable dental prostheses indicate that a favorable periodontal prognosis may be expected provided periodontal disease is treated and adequate preprosthetic plaque control established, periodontal health and oral hygiene maintained through self-performed plaque control and periodic maintenance, and patient's motivation reinforced to enhance compliance.
“Longitudinal studies of distal extension RDPs indicate that a favorable periodontal prognosis may be expected provided the following conditions are satisfied: 1) periodontal disease, if present, is treated and an adequate preprosthetic plaque control regimen established; 2) periodontal health and oral hygiene are maintained through selfperformed plaque control measures 104 and periodic maintenance”
From Dental prostheses and tooth‐related factors (2018) · cites this paper as [105]
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Dental prostheses and tooth‐related factors
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Dental prostheses and tooth‐related factors
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- Authors
- BERG, E.
- Affiliations
- University of Bergen (NO)
- Corresponding author
- BERG, E.
- Venue
- Journal of Oral Rehabilitation
- Publisher
- Wiley
- Published
- 1985-09
- Volume
- 12
- Issue
- 5
- Pages
- 369-379
- ISSN
- 0305-182X (ISSN-L)
- 1365-2842
- OpenAlex
- W2045283743
- Cited by
- 49
- References
- 46
- Citations by year
- 2025: 1 · 2024: 2 · 2022: 1 · 2020: 1 · 2018: 2 · 2017: 3 · 2016: 1 · 2015: 1
- FWCI
- 0.86
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Oral Rehabilitation (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Dentistry › Orthodontics › Dental materials and restorations
- Health Sciences › Dentistry › Periodontics › Oral microbiology and periodontitis research
- Health Sciences › Dentistry › Oral Surgery › Dental Implant Techniques and Outcomes
- Keywords
- distal extension removable partial denture, periodontal disease, abutment teeth, denture fabrication, oral hygiene
- MeSH terms
- Dental Abutments, Animals, Bite Force, Models, Dental, Denture Design, Denture Bases, Denture, Partial, Removable, Humans, Periodontal Diseases, Stress, Mechanical
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