Designing cobalt chromium removable partial dentures for patients with shortened dental arches: a pilot survey. 2011

M Z Nassani, and H Devlin, and B Tarakji, and J F McCord
University of Aleppo, Syria. mznassani@hotmail.com

The aim of this survey was to investigate the quality of prescription for the fabrication of cobalt chromium removable partial dentures (RPDs) that are used to extend the shortened dental arches (SDAs). A survey of four commercial dental laboratories located in northern England was conducted. The target of this survey was cobalt chromium RPDs that were requested to restore SDAs comprising the anterior teeth and 2-4 premolars. Dentists' prescriptions were scrutinised, and a special data collection form was completed accordingly. A total of 94 dentists' prescriptions and associated SDA casts were examined. Almost all the requested cobalt chromium RPDs were clasp-retained RPDs (97%). Scrutinising the 91 prescriptions for clasp-retained cobalt chromium RPDs showed that dentists' prescriptions did not have any instructions about the design of the partial denture in a considerable proportion of the cases (32%). Teeth to be clasped were identified clearly in 45% of the prescriptions. A majority of the dentists (64%) failed to provide any instructions about the design of the rests to be placed on the most posterior premolar abutment teeth. A considerable proportion of the dentists delegated the task of selecting the type of the major connector to the dental technician (41%). Only 21 (23%) of the examined casts had clearly defined rest seat preparation. The outcome of this pilot survey shows inadequate quality of prescription in designing RPDs for patients with SDAs. This finding has an ethical and clinical bearing and does not fit with current legal guidelines relevant to designing RPDs.

UI MeSH Term Description Entries
D008297 Male Males
D010865 Pilot Projects Small-scale tests of methods and procedures to be used on a larger scale if the pilot study demonstrates that these methods and procedures can work. Pilot Studies,Pilot Study,Pilot Project,Project, Pilot,Projects, Pilot,Studies, Pilot,Study, Pilot
D002858 Chromium Alloys Specific alloys not less than 85% chromium and nickel or cobalt, with traces of either nickel or cobalt, molybdenum, and other substances. They are used in partial dentures, orthopedic implants, etc. Chromium-Cobalt Alloys,Chromium-Nickel Alloys,Cobalt-Chromium Alloys,Nickel-Chromium Alloys,Alloys, Chromium,Alloys, Chromium-Cobalt,Alloys, Chromium-Nickel,Alloys, Cobalt-Chromium,Alloys, Nickel-Chromium,Chromium Cobalt Alloys,Chromium Nickel Alloys,Cobalt Chromium Alloys,Nickel Chromium Alloys
D003724 Dental Arch The curve formed by the row of TEETH in their normal position in the JAW. The inferior dental arch is formed by the mandibular teeth, and the superior dental arch by the maxillary teeth. Arch, Dental,Arches, Dental,Dental Arches
D003779 Denture Design The plan, delineation, and location of actual structural elements of dentures. The design can relate to retainers, stress-breakers, occlusal rests, flanges, framework, lingual or palatal bars, reciprocal arms, etc. Denture Designs,Design, Denture,Designs, Denture
D003832 Denture, Partial, Removable A partial denture designed and constructed to be removed readily from the mouth. Removable Partial Denture,Denture, Removable Partial,Dentures, Removable Partial,Partial Denture, Removable,Partial Dentures, Removable,Removable Partial Dentures
D004739 England A part of Great Britain within the United Kingdom.
D005260 Female Females
D005792 General Practice, Dental Nonspecialized dental practice which is concerned with providing primary and continuing dental care. Dental General Practice,Dental General Practices,General Practices, Dental,Practice, Dental General,Practices, Dental General
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man

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