Following tooth loss, it may not be possible to restore the dentition with a fixed prosthesis due to issues with the size and distribution of the saddle area/s, abutment distribution and bone quantity/quality. This problem can be partly resolved using a removable partial denture (RPD), but good retention and stability may be challenging to achieve [read the full story…]
Thibault Colloc looks at a recent review of the accuracy of CAD-CAM systems for the fabrication of removable partial dentures. The availabel evidence is limited as only 7 studies were included only 2 of which were clinical.
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This study provideds the 10-years outcome of the effect of molar replacement by partial removable dental prostheses (PRDP) or with restored shortened dental arches (SDA) on oral health-related quality of life.
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9 RCTs were included in this Cochrane review of different final-impression techniques and materials for complete and removable partial dentures. The available evidence for the relative benefits of different denture fabrication techniques and final-impression materials is limited and is of low or very low quality.
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This small trial compared the restoration of the posterior reduced dental arch with either a denture or no denture. They found greater satisfaction and quality of life in the no denture group.
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This review of the effect of removable partial dentures (RPDs) on quality of life included 16 studies mainly retrospective and cross-sectional providing limited evidence of any association association between patient-reported QoL or satisfaction with technical or biological parameters of RPDs.
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This review of the impact on oral health related quality of life (OHRQoL) linked with maintaining or restoring a shortened dental arch found limited evidence from 3 studies suggesting a benefit for OHRQoL with maintaining rather than restoring a the SDA with a removable partial dental prosthesis.
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This review looked at the ability of partial dentures to improve masticatory performance. 8 studies involving 180 patients were included suggesting that RPDs partially compensated for this reduced performance.
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This rapid technology review of the longevity of removable dental prostheses focused on complete dentures and partial plastic or metal dentures. It included a small number of systematic reviews, which were of limited quality and based on a small number of small studies. While good 5 year survival rates were found, the quality of the evidence means that the findings should be interpreted cautiously.
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This study suggests that treatment based on SDA concept led to better quality of life compared with treatment based on RPDs up to 12 months after treatment.
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