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Diagnosis and Treatment Planning in Partially Edentulous Patients

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Book cover Removable Partial Dentures

Abstract

Patients generally visit a dental office not to receive a removable partial denture (RPD), but to resolve the functional and/or esthetic problems or pain. Thus, the primary challenge of the clinician is to understand the needs and the expectations of the patient. In order to obtain a unique treatment plan, evaluation of the patient’s medical and dental history, financial capability, behavioral and socioeconomic profiles, a full-mouth series of periapical and panoramic radiographs, a complete clinical examination and proper diagnostic casts that have been transferred to a semi-adjustable articulator using face bow (when necessary) and interocclusal records are required.

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Bibliography

  • Amorim VC, Laganá DC, de Paula Eduardo JV, Zanetti AL. Analysis of the condyle/fossa relationship before and after prosthetic rehabilitation with maxillary complete denture and mandibular removable partial denture. J Prosthet Dent. 2003;89:508–14.

    Article  PubMed  Google Scholar 

  • Bain C. Treatment planning in general dental practice. Edinburgh: Churchill Livingstone; 2003.

    Google Scholar 

  • Bessadet M, Nicolas E, Sochat M, Hennequin M, Veyrune JL. Impact of removable partial denture prosthesis on chewing efficiency. J Appl Oral Sci. 2013;21:392–6.

    PubMed Central  PubMed  Google Scholar 

  • Carlsson GE, Omar R. Trends in prosthodontics. Med Princ Pract. 2006;15:167–79.

    Article  PubMed  Google Scholar 

  • Carr A, Brown D, McCracken W. McCracken’s removable partial prosthodontics. St. Louis: Elsevier Mosby; 2011.

    Google Scholar 

  • Davies SJ, Gray RM, McCord JF. Good occlusal practice in removable prosthodontics. Br Dent J. 2001;191:497–502.

    Google Scholar 

  • Dhingra K. Oral rehabilitation considerations for partially edentulous periodontal patients. J Prosthodont. 2012;21:494–513.

    Article  PubMed  Google Scholar 

  • Gernet W, Beuer F. Zahnärztliche Prothetik. Stuttgart: Thieme; 2007.

    Google Scholar 

  • Gerritsen AE, Witter DJ, Bronkhorst EM, Creugers NH. Increased risk for premolar tooth loss in shortened dental arches. J Dent. 2013a;41:726–31.

    Article  PubMed  Google Scholar 

  • Gerritsen AE, Witter DJ, Bronkhorst EM, Creugers NH. An observational cohort study on shortened dental arches clinical course during a period of 27–35 years. Clin Oral Investig. 2013b;17:859–66.

    Article  PubMed Central  PubMed  Google Scholar 

  • Graber G, Besimo C, Wiehl P, Rateitschak K. Farbatlanten der Zahnmedizin. Stuttgart: Thieme; 1992.

    Google Scholar 

  • Grossmann Y, Sadan A. The prosthodontic concept of crown-to-root ratio: a review of the literature. J Prosthet Dent. 2005;93:559–62.

    Article  PubMed  Google Scholar 

  • Jones JD, Turkyilmaz I, Garcia LT. Removable partial dentures-treatment now and for the future. Tex Dent J. 2010;127:365–72.

    PubMed  Google Scholar 

  • Kaeyser AF. Shortened dental arches and oral function. J Oral Rehabil. 1981;8:457–62.

    Article  Google Scholar 

  • Kaeyser AF. Teeth, tooth loss and prosthetic appliances. In: Öwall B, Käyser AF, Carlsson GE, editors. Prosthodontics. Barcelona: Mosby; 1996.

    Google Scholar 

  • Kanno T, Carlsson GE. A review of the shortened dental arch concept focusing on the work by the Käyser /Nijmegen group. J Oral Rehabil. 2006;33:850–62.

    Google Scholar 

  • Loney RW. Removable partial denture manual. 2011. http://removpros.dentistry.dal.ca/RemovSite/Manuals_files/RPD%20Manual%2011.pdf

  • Mazurat NM, Mazurat RD. Discuss before fabricating: communicating the realities of partial denture therapy. Part I: patient expectations. J Can Dent Assoc. 2003a;69:90–4.

    PubMed  Google Scholar 

  • Mazurat NM, Mazurat RD. Discuss before fabricating: communicating the realities of partial denture therapy. Part II: clinical outcomes. J Can Dent Assoc. 2003b;69:96–100.

    PubMed  Google Scholar 

  • McGarry TJ, Nimmo A, Skiba JF, Ahlstrom RH, Smith CR, Koumjian JH, Arbree NS. Classification system for partial edentulism. J Prosthodont. 2002;11:181–93.

    Article  PubMed  Google Scholar 

  • Meena A, Jain V, Singh N, Singh N, Arora N, Jha R. Effect of implant-supported prosthesis on the bite force and masticatory efficiency in subjects with shortened dental arches. J Oral Rehabil. 2014;41:87–92.

    Article  PubMed  Google Scholar 

  • Miller E, Grasso J. Removable partial prosthodontics. Baltimore: Williams & Wilkins; 1981.

    Google Scholar 

  • Nassani MZ, Tarakji B, Baroudi K, Sakka S. Reappraisal of the removable partial denture as a treatment option for the shortened dental arch. Eur J Dent. 2013;7:251–6.

    Article  PubMed Central  PubMed  Google Scholar 

  • Neto AF, Duarte AR, Shiratori FK, de Alencar e Silva Leite PH, Rizzatti-Barbosa CM, Bonachela WC. Evaluation of senior Brazilian dental students about mouth preparation and removable partial denture design. J Dent Educ. 2010;74:1255–60.

    PubMed  Google Scholar 

  • Öwall B, Kaeyser AF, Carlsson GE. Prosthodontics. Principles and management strategies. London: Mosby-Wolfe Pub; 1996.

    Google Scholar 

  • Preti G. Prosthetic rehabilitation. London: Quintessence Pub; 2011.

    Google Scholar 

  • Ramfjord SP, Ash MM. Occlusion. 4th ed. Philadelphia: WB Saunders; 1995.

    Google Scholar 

  • Reissmann DR, Heydecke G, Schierz O, Marré B, Wolfart S, Strub JR, Stark H, Pospiech P, Mundt T, Hannak W, Hartmann S, Wöstmann B, Luthardt RG, Böning KW, Kern M, Walter MH. The randomized shortened dental arch study: temporomandibular disorder pain. Clin Oral Investig. 2014;18:2159–69.

    Article  PubMed  Google Scholar 

  • Rosenstiel SF, Land MF, Fujimoto J. Contemporary fixed prosthodontics. St. Louis: Mosby Pub; 2006.

    Google Scholar 

  • Santos JJ. Occlusion. Chicago: Quintessence Pub. Co.; 2007.

    Google Scholar 

  • Sarita PT, Kreulen CM, Witter DJ, Van’t Hof M, Creugers NH. A study on occlusal stability in shortened dental arches. Int J Prosthodont. 2003a;16:375–80.

    PubMed  Google Scholar 

  • Sarita PT, Witter DJ, Kreulen CM, Van’t Hof MA, Creugers NH. Chewing ability of subjects with shortened dental arches. Community Dent Oral Epidemiol. 2003b;31:328–34.

    Article  PubMed  Google Scholar 

  • Sarita PT, Kreulen CM, Witter D, Creugers NH. Signs and symptoms associated with TMD in adults with shortened dental arches. Int J Prosthodont. 2003c;16:265–70.

    PubMed  Google Scholar 

  • Sarita PT, Witter DJ, Kreulen CM, Matee MI, van’t Hof MA, Creugers NH. Decayed/missing/filled teeth and shortened dental arches in Tanzanian adults. Int J Prosthodont. 2004;17:224–30.

    PubMed  Google Scholar 

  • Sasse M, Kern M, Marré B, Walter MH. Clinical performance of cantilevered fixed dental prostheses abutments in the shortened dental arch. J Dent. 2014;42:373–6.

    Article  PubMed  Google Scholar 

  • Schwass DR, Lyons KM, Purton DG. How long will it last? The expected longevity of prosthodontic and restorative treatment. N Z Dent J. 2013;109:98–105.

    PubMed  Google Scholar 

  • Silverman SI. Differential diagnosis. Fixed or removable prosthesis. Dent Clin North Am. 1987;31(3):347–62.

    PubMed  Google Scholar 

  • The glossary of prosthetic terms. J Prosthet Dent. 2005;94:10–92.

    Google Scholar 

  • Todd JE, Lader D. Adult dental health 1988. London: HMSO; 1991.

    Google Scholar 

  • Walter MH, Hannak W, Kern M, Mundt T, Gernet W, Weber A, Wöstmann B, Stark H, Werner D, Hartmann S, Range U, Jahn F, Passia N, Pospiech P, Mitov G, Brückner J, Wolfart S, Busche E, Luthardt RG, Heydecke G, Marré B. The randomized shortened dental arch study: tooth loss over five years. Clin Oral Invest. 2013;17:877–86.

    Article  Google Scholar 

  • Walther W. The concept of a shortened dental arch. Int J Prosthodont. 2009;22:529–30.

    PubMed  Google Scholar 

  • Witter DJ, Van Elteren PH, Käyser AF. Migration of teeth in shortened dental arches. J Oral Rehabil. 1987;14:321–9.

    Google Scholar 

  • Witter DJ, Van Elteren P, Käyser AF, van Rossum MJ. The effect of removable partial dentures on the oral function in shortened dental arches. J Oral Rehabil. 1989;16:27–33.

    Article  PubMed  Google Scholar 

  • Witter DJ, van Palenstein Helderman WH, Creugers NH, Käyser AF. The shortened dental arch concept and its implications for oral health care. Community Dent Oral Epidemiol. 1999;27:249–58.

    Article  PubMed  Google Scholar 

  • Wolfart S, Müller F, Gerß J, Heyedcke G, Marré B, Böning K, Wöstmann B, Kern M, Mundt T, Hannak W, Brückner J, Passia N, Jahn F, Hartmann S, Stark H, Richter EJ, Gernet W, Luthardt RG, Walter MH. The randomized shortened dental arch study: oral health-related quality of life. Clin Oral Investig. 2014;18:525–33.

    Article  PubMed  Google Scholar 

  • Wostmann B, Budtz-Jorgensen E, Jepson N, Mushimoto E, Palmqvist S, Sofou A, Öwall B. Indications for removable partial dentures: a literature review. Int J Prosthodont. 2005;18:139–45.

    PubMed  Google Scholar 

  • Yuan JC, Sukotjo C. Occlusion for implant-supported fixed dental prostheses in partially edentulous patients: a literature review and current concepts. J Periodontal Implants Sci. 2013;43:51–7.

    Article  Google Scholar 

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Correspondence to Tonguç Sülün DDS, PhD .

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Sülün, T., Şakar, O. (2016). Diagnosis and Treatment Planning in Partially Edentulous Patients. In: Şakar, O. (eds) Removable Partial Dentures. Springer, Cham. https://doi.org/10.1007/978-3-319-20556-4_5

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  • DOI: https://doi.org/10.1007/978-3-319-20556-4_5

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-20555-7

  • Online ISBN: 978-3-319-20556-4

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