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References

Davenport JC, Basker RM, Heath JR, Ralph JP, Glantz PO. The removable partial denture equation. Br Dent J. 2000; 189:414-424
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Tuominen R, Ranta K, Paunio I. Wearing removable partial dentures in relation to dental caries. J Oral Rehabil. 1988; 15:515-520
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Lynch CD, Allen PF. Quality of materials supplied to dental laboratories for the fabrication of cobalt chromium removable partial dentures in Ireland. Eur J Prosthod Rest Dent. 2003; 11:176-180
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Successful removable partial dentures

From Volume 39, Issue 2, March 2012 | Pages 118-126

Authors

Christopher D Lynch

BDS, PhD, MFD RCSI, FDS(Rest Dent) RCSI, FACD, FHEA

Department of Restorative Dentistry, National University of Ireland, Cork, Ireland

Articles by Christopher D Lynch

Abstract

Removable partial dentures (RPDs) remain a mainstay of prosthodontic care for partially dentate patients. Appropriately designed, they can restore masticatory efficiency, improve aesthetics and speech, and help secure overall oral health. However, challenges remain in providing such treatments, including maintaining adequate plaque control, achieving adequate retention, and facilitating patient tolerance. The aim of this paper is to review the successful provision of RPDs.

Clinical Relevance: Removable partial dentures are a successful form of treatment for replacing missing teeth, and can be successfully provided with appropriate design and fabrication concepts in mind.

Article

While a number of treatment options exist for rehabilitation of partially dentate patients, including fixed bridgework and implant-retained prostheses, RPDs offer a predictable and realistic treatment option for a variety of clinical situations.1 Challenges for dental practitioners include providing aesthetic and retentive RPDs that optimize appearance and speech, while avoiding plaque retention. When compared to other forms of prosthodontic care, such as implant-supported restorations or fixed bridges, RPDs are less invasive, less expensive and much more easy to modify following provision. Against this, inappropriately designed RPDs increase the risk of periodontal disease and caries within abutment teeth, while decreasing patient tolerance and acceptance of the prosthesis.2–6 The aim of this paper is to review the successful provision of RPDs.

Provision of RPDs is indicated in the following scenarios:

As with all forms of dental treatment, a careful consideration of the potential risks and benefits should be considered. Clearly, the potential benefits should exceed the potential risks posed by the planned treatment.

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