Determining the retention of removable partial dentures. 2019

Omar Alageel, and Ammar A Alsheghri, and Suliman Algezani, and Eric Caron, and Faleh Tamimi
Doctoral student, Faculty of Dentistry, McGill University, Montreal, Canada; Lecturer, College of Applied Medical Sciences, King Saud University, Riyadh, Saudi Arabia.

BACKGROUND Removable partial dentures (RPDs) provide a cost-effective treatment for millions of partially edentulous patients worldwide. However, they often fail because of loss of retention. One reason for this problem is lack of precise guidelines for designing retentive RPDs. OBJECTIVE The purpose of this in vitro study was to determine the forces produced by food and clasps during mastication to develop an algorithm for predicting RPD retention and to help determine the optimal number of clasps. METHODS The forces that food exerts on acrylic resin teeth during simulated mastication and the retention forces provided by clasps (wrought wire, circumferential, and I-bar) engaging on teeth were measured using a universal testing machine. A statistical analysis was performed with a 1-way ANOVA and repeated-measures ANOVA while the developed algorithm was evaluated by using sensitivity and specificity analysis. RESULTS The force exerted by food mastication on each individual tooth ranged between 1.7 and 12.2 N, depending on the type of tooth, tooth anatomy, occlusion, and food. The retention force of the clasps after cyclic testing ranged between 2.9 and 14.5 N, depending on the type of tooth abutment and clasp. Using these measurements, an algorithm was developed to predict RPD retention. The algorithm was confirmed experimentally on 36 RPDs, showing a sensitivity of 96%, specificity of 100%, and an accuracy of 97%. CONCLUSIONS The forces generated by food mastication on teeth varied according to the type of tooth, occlusion, and food. The retention force of RPD clasps varied according to the type of tooth and clasp. An algorithm for predicting RPD retention and determining the optimal number of clasps was developed and validated experimentally.

UI MeSH Term Description Entries
D008409 Mastication The act and process of chewing and grinding food in the mouth. Chewing
D003781 Denture Retention The retention of a denture in place by design, device, or adhesion. Denture Stability,Retention, Denture,Stability, 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
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000044 Dental Abutments Natural teeth or teeth roots used as anchorage for a fixed or removable denture or other prosthesis (such as an implant) serving the same purpose. Abutments, Dental,Abutment, Dental,Dental Abutment
D016734 Dental Clasps Metal devices for fastening together two or more parts of dental prostheses for stabilizing or retaining them by attachment to abutment teeth. For a precision attachment for a partial denture DENTURE PRECISION ATTACHMENT is available. Denture Clasps,Clasp, Dental,Clasps, Dental,Dental Clasp,Clasp, Denture,Clasps, Denture,Denture Clasp

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