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Academic literature on the topic 'Denture, Partial, Removable. Denture Precision Attachment'
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Journal articles on the topic "Denture, Partial, Removable. Denture Precision Attachment"
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Can, Gülsen, Baransel Özmumcu, and Pinar Altinci. "In vitro Retention Loss of Attachment-retained Removable Partial Denture." Journal of Contemporary Dental Practice 14, no. 6 (2013): 1049–53. http://dx.doi.org/10.5005/jp-journals-10024-1449.
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ABSTRACT Aim To investigate the importance of attachment types on the retention loss of extracoronal attachment-retained removable partial dentures depending on the usage period. Materials and methods In order to observe the retention loss of 5 different attachments (OT Strategy, OT Strategy-metal protected, Vario-stud-snap and Vario-soft 3 and ERA-RV) over time, attachment-retained partial dentures representing Kennedy II mod. I case were placed in a custom-made, retention test machine. For each minute, eight separating and joining movements were performed and retention values (Newton) of the attachments were recorded by computer. The retention tests implemented in 540,1080 and 2160 cycles. The data were evaluated statistically according to the two-way ANOVA and Tukey parametrical tests. Results The slide type attachment providing the best retention force was observed to be the most worn out by this process (p < 0.01) while the ball type attachments, which typically have the lesser retention force, showed less retention loss (p < 0.01). Conclusion It can be concluded that the retention attributes of the attachment-retained dentures were affected by the specific type of precision attachment as well as the usage period. Clinical significance Precision attachments with ball-type plastic matrices may be recommended for the clinical use due to their retention stability over time. How to cite this article Can G, Özmumcu B, Altinci P. In vitro Retention Loss of Attachment-retained Removable Partial Denture. J Contemp Dent Pract 2013;14(6):1049-1053.
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Peter, Meekha, Mahantesh Bembalagi, and Hema Kanathila. "A Distinct Parallel Attachment System for the Rehabilitation of Kennedy’s Class 2 Partially Edentulous Arch – A Case Report." Journal of Evolution of Medical and Dental Sciences 10, no. 17 (2021): 1265–68. http://dx.doi.org/10.14260/jemds/2021/268.
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Among the numerous techniques of oral rehabilitation, precision attachments are considered as a good treatment option in removable (RPD) as well as fixed partial dentures (FPD). Precision attachments enhance patient’s self-confidence and selfimage as they help in facilitating aesthetic, functional and retentive replacement of teeth that are missing in the oral cavity. They can improve the aesthetics by eliminating the clasp assembly in cast partial dentures (CPD). This particular case report explains the treatment sequence and approach for the utilisation of attachments in a Kennedy Class 2 situation. A successful removable partial denture includes a precise diagnosis with meticulous treatment planning. However, re-establishment of partially edentulous arch is particularly challenging in distal extension situations classified as Kennedy’s class 1 or 2 conditions.1 In such clinical cases, where a fixed prosthesis cannot be fabricated, a prosthodontist often suggests an implant retained prosthesis that is not routinely possible because of the insufficient available bone width and height.2 Thus to ensure functional and aesthetic substitution of lost teeth, an attachment secured RPD can be considered as a good treatment option in such cases. Attachments are constructed in a ready to place form (pre-fabricated) known as precision attachments. Another one is semi precision attachment where the segments have to be constructed by dentists or dental technicians because it requires casting for incorporating into fixed unit of restoration.3 Hence precision attachments are considered as possible alternatives when patients demand for a fixed restoration in distal extension cases. Various extra coronal attachments are available and used in distal extension cases. Preci-Sagix is considered as an ideal extra coronal attachment for removable partial dentures and also in over denture cases. It is accessible in two sizes, 1.7 mm mini or 2.2 mm standard and is selected according to the permitted space. The male component is available in three varieties, a plastic castable pattern (any hard alloy), cast to no prax (only non-precious alloy) and a threaded male and base ring (2.2 mm size only).4 These attachments produce vertical, horizontal and rotational movements during its function which supports the prosthesis by transferring harmful forces from the abutments to the supporting structures by its passive movement, which helps in the rehabilitation of distal extension cases.5 This case report explains restoration of partially edentulous arch by incorporating a Preci Sagix attachment in mandibular cast partial denture retained by a six-unit FPD and a maxillary conventional cast partial denture.
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Pandey, Bijay, S. P. Joshi, D. Thapa, and P. Shrestha. "Use of a Semi-Precision Attachment to Fabricate A Removable Partial Denture: A Case Report." Journal of Nepalese Prosthodontic Society 2, no. 2 (2019): 108–12. http://dx.doi.org/10.3126/jnprossoc.v2i2.31218.
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Use of attachment in providing retention to removable prosthesis is an old treatment modality with better success. It highly improves the comfort, aesthetic, function, and patient satisfaction, especially in the patients with long span edentulism where implants and fixed partial denture (FPD) are not indicated and cast partial dentures are barely satisfactory. Proper diagnosis and treatment planning is necessary for selection of appropriate attachment type. A comprehensive evaluation, multi-disciplinary approach and sequential treatment planning is needed for long-term successful outcome. This case report describes the use of an extra coronal semi-precision attachment to enhance retention of removable prosthesis.
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Sukaedi, Sukaedi, and Eha Djulaeha. "Treatment of sharp mandibular alveolar process with hybrid prosthesis." Dental Journal (Majalah Kedokteran Gigi) 43, no. 3 (2010): 136. http://dx.doi.org/10.20473/j.djmkg.v43.i3.p136-140.
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Background: Losing posterior teeth for a long time would occasionally lead to the sharpening of alveolar process. The removable partial denture usually have problems when used during mastication, because of the pressure on the mucosa under the alveolar ridge. Purpose: The purpose of this case report was to manage patients with sharp mandibular alveolar process by wearing hybrid prosthesis with extra coronal precision attachment retention and soft liner on the surface base beneath the removable partial denture. Case: A 76 years old woman visited the Prosthodontic Clinic Faculty of Dentistry Airlangga University. The patient had a long span bridge on the upper jaw and a free end acrylic removable partial denture on the lower jaw. She was having problems with mastication. The patient did not wear her lower denture because of the discomfort with it during mastication. Hence, she would like to replace it with a new removable partial denture. Case management: The patient was treated by wearing a hybrid prosthesis with extra coronal precision attachment on the lower jaw. Soft liner was applied on the surface of the removable partial denture. Hybrid prosthesis is a complex denture consisting of removable partial denture and fixed bridge. Conclusion: It concluded that after restoration, the patient had no problems with sharp alveolar process with her new denture, and she was able to masticate well.Latar belakang: Kehilangan geligi posterior dapat menimbulkan processus alveolaris tajam. Gigi tiruan sebagian lepasan mempunyai masalah selama pengunyahan karena adanya tekanan di mukosa di bawah alveolar ridge. Tujuan: Tujuan laporan kasus ini adalah untuk menjelaskan cara menangani pasien yang mempunyai prosesus alveolaris yang tajam di rahang bawah dengan dibuatkan protesis hybrid dengan daya tahan extra coronal precision attachment dan soft liner di permukaan bawah basis gigi tiruan sebagian lepasan. Kasus: Pasien wanita berumur 76 tahun datang di klinik Prostodosia Fakultas Kedokteran Gigi Universitas Airlangga. Pasien memakai gigi tiruan lekat rentang panjang di rahang atas dan gigi tiruan sebagian lepasan akrilik free end di rahang bawah, pasien mengalami masalah waktu mengunyah. Pasien tidak memakai gigitiruan lepasan rahang bawahnya karena tidak nyaman dipakai, dan pasien menginginkan pembuatan gigi tiruan lepasan rahang bawah yang baru. Tatalaksana kasus: Pada pasien ini dilakukan pembuatan Hybrid Prosthesis dengan daya tahan berupa extra coronal attachment di rahang bawah dan penggunaan bahan pelapis lunak yang diaplikasikan pada basis gigi tiruan lepasan nya. Hybrid prosthesis adalah gigi tiruan himpunan yang terdiri dari gigi tiruan lepasan dan gigi tiruan lekat. Kesimpulan: Hasil perawatan menunjukkan setelah mengganti gigi tiruan dengan gigi tiruan sebagian lepasan yang baru, pasien tidak mempunyai masalah dengan gigi tiruan yang baru akibat processus alveolaris yang tajam dan pasien dapat mengunyah dengan baik.
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Melina, Irene, Soekobagiono Soekobagiono, and Harry Laksono. "Kombinasi hybrid prosthesis dengan precision attachment pada kasus mahkota klinis pendek Hybrid prosthesis combined with precision attachment to overcome clinically short crown." Journal of Dentomaxillofacial Science 12, no. 2 (2013): 118. http://dx.doi.org/10.15562/jdmfs.v12i2.363.
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In the case of losing many teeth and the residual teeth have short clinical crown, design of the denture may hybriddenture. Hybrid denture is a removable partial denture with metal frame which have retention in the form ofprecision attachment. In short clinical crown, placement of crowns and the use of traction can be a problem,because there is no or lack of retention. In the manufacture of hybrid denture with precision attachment retention,using abutment with short clinical crowns is contraindicated. But in some literatures mentioned that the rest of theclinical crown height of not less than 2 mm can still be used as an abutment, but the abutments must be modified,such as making a longer preparation towards cervical edge. In several studies and literature, it is mentioned that toimprove the retention of the crown, the axial wall of abutment must be 4-6°. This article is aimed to report the clinical success of using the hybrid denture on abutment teeth which have short clinical crowns in a patient woman
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Sadek, Sherif Aly. "Comparative Study Clarifying the Usage of PEEK as Suitable Material to Be Used as Partial Denture Attachment and Framework." Open Access Macedonian Journal of Medical Sciences 7, no. 7 (2019): 1193–97. http://dx.doi.org/10.3889/oamjms.2019.287.
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BACKGROUND: Utilization of attachments in a removable partial denture is highly essential not only as a line of treatment but also as it has a remarkable impact on the denture’s durability during the function. The attachment should act as a stress breaking system preserving the abutment teeth.
 AIM: This consideration aimed to verify the convention of polyether ether ketone (PEEK) material as an attachment.
 MATERIAL AND METHODS: Four groups of different materials for both attachments and partial denture framework were fabricated and tested using strain gauges to compare between them according to the strains originated around both the abutment teeth and edentulous area.
 RESULTS: PEEK material is one of the esthetic materials used for fabrication of the framework of the RPD. On using it as a precision attachement is shows favorable stress distribution decreasing the strains around the abutment teeth and the alveolar ridge especially distal to the abutment teeth that was significantly reduced in comparison with the other treatment options.
 CONCLUSION: Utilization of PEEK material as both an attachment and framework decline the strains performed around the abutment teeth and over the edentulous ridge.
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D Prasad, Krishna, Chethan Hegde, Namrata G. Shah-Naidu, and Manoj Shetty. "Removable Partial Denture Design using Milled Surface as a Precision Attachment: An Esthetic Alternative." Journal of Orofacial Research 2 (July 2012): 182–85. http://dx.doi.org/10.5005/jp-journals-10026-1038.
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Lynch, Christopher D., and Patrick J. Quinn. "Emergency repair of a fractured dowel-retained precision attachment for a removable partial denture." Journal of Prosthetic Dentistry 86, no. 3 (2001): 320–21. http://dx.doi.org/10.1067/mpr.2001.117057.
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Saneja, Ritu, Atul Bhatnagar, Nancy Raj, and Pavan Dubey. "Semiprecision attachment: a connecting link between the removable and fixed prosthesis." BMJ Case Reports 13, no. 8 (2020): e233744. http://dx.doi.org/10.1136/bcr-2019-233744.
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Oral rehabilitation of partially edentulous arches requires careful treatment planning before any prosthodontic intervention. The connection of the metal framework of fixed (fixed dental prosthesis (FPD)) and removable partial denture using adhesive attachments is a good alternative prosthetic option when solely fixed prosthesis (FPD or implant) cannot be used due to anatomical limitation. Attachments are the tiny interlocking devices that act as a hybrid link to join removable prosthesis to the abutment and direct the masticatory forces along the long axis of the abutment. This joint acts as a non-rigid stress breaker, which helps in distributing the occlusal load. Precision and semiprecision attachment have always been bordered by an aura of mystery due to technique sensitive procedure and lack of knowledge. The following case describes a combined contemporary and conventional approach and treatment sequence with the use of attachments for the rehabilitation of partially edentulous arches.
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Munot, VimalKantilal, RameshP Nayakar, and Raghunath Patil. "Prosthetic rehabilitation of mandibular defects with fixed-removable partial denture prosthesis using precision attachment: A twin case report." Contemporary Clinical Dentistry 8, no. 3 (2017): 473. http://dx.doi.org/10.4103/ccd.ccd_117_17.
Full textDissertations / Theses on the topic "Denture, Partial, Removable. Denture Precision Attachment"
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SOUZA, José Everaldo de Aquino. "Retenção de grampos cirucenferenciais associados a retentores intra-radiculares com encaixe era utilizados em overdentures parciais removíveis." Universidade Federal de Goiás, 2008. http://repositorio.bc.ufg.br/tede/handle/tde/1382.
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Previous issue date: 2008-07-18<br>The overdentures can be defined as total or partial removable dentures that cover root or osseo integrated implants rehabilitating the whole dentition. The mechanical retention in the removable partial overdentures (RPOs) is obtained through the use of cast clasps and attachments. This biomechanical principle has a great importance, since is inwardly
associated with long term behavior and clinical performance of prosthesis and consequently, with comfort and satisfaction of the patients. So, the aim of this study was to assess the
retention of metallic framework with simple circumferential claps associated intraradicular retainer with attachment type ERA (Extra coronal Resilient Attachment, Sterngold Implamed,
Attleboro, EUA) in function of the metals based cobalt-chromium alloy (Co-Cr), titanium commercially pure (Ti cp) and nickel-chromium with titanium alloy (Ni-Cr with Ti), of the
retentive undercuts of 0,25mm and 0,75mm and in function of the time of use in each simulated period (initial, 6 months, 1, 2, 3, 4 e 5 years). Through of metallic matrices representing a partially edentulous mandibular right hemi-arch segment constituted by the crown of the first molar, root of the inferior canine and with the absent of the premolars, were
made 60 metallic frameworks being obtained 03 groups of each metal and subgroups representative of the 0,25mm and 0,75mm retentive undercuts of the circumferential clasp
(totalizing 10 samples in each subgroup). Acrylic denture bases were constructed on the denture space and on the canine root that anchored the attachments and these received retentive capsules in the gray color of the system. Previously the mechanic tests, radiographic exams of the Ti cp frameworks were realized with the aim of detecting possible casting defects that could avert the posterior use. Next, the samples were mechanically tested simulating the insertion and removal of the framework using the testing apparatus designed at the Ribeirão Preto School of Dentistry (Testing apparatus, São Paulo University, Ribeirão Preto, Brazil), representing 5 years of simulated used. To simulate the intraoral conditions and realize the tests, a gadget fulfilled with artificial saliva was adapted in the testing apparatus.
The retentive force data were recorded and submitted linear regression analysis and analysis of variance (ANOVA) to gauge a presence or not of significant differences and applied the Tukey complementary test 5% to comparison of the differences between the groups and subgroups. The groups of Ni-Cr with Ti and Co-Cr samples obtained most retentive mean
with significant differences to group of Ti cp samples that obtained least retentive mean in every periods of time analyzed. To groups Ni-Cr with Ti and Co-Cr samples there was not significant difference of retention between the times analyzed free-standing of retentive undercuts (p > 0,05). In the group Ti cp samples there was significant difference of retention between the times analyzed just to subgroup samples with 0,75mm undercuts (p < 0,05). The Ni-Cr with Ti and Co-Cr samples with 0,75mm undercuts presented the most retentive mean and the Co-Cr samples with 0,25mm undercuts presented retention mean intermediate between biomechanical design in every periods of time analyzed. The Ti cp samples with 0,25mm undercuts presented the least retentive mean until second year of the analyze and the
Ti cp samples with 0,75mm undercuts presented the least retentive mean of third until fifth year of the analyse. The circumferential claps casting in Ti cp used in 0,75mm undercuts have potential risk of fractures, mainly after the 2o year of use<br>As overdentures (sobredentaduras) podem ser definidas como próteses removíveis totais ou parciais, que cobrem raízes ou implantes osseointegrados reabilitando toda a dentição. A
retenção mecânica nas overdentures parciais removíveis (OPRs) é obtida por meio da utilização combinada de grampos fundidos e encaixes. Este princípio biomecânico é de grande importância, visto que está intimamente relacionado com o comportamento e o desempenho clínico em longo prazo das próteses e conseqüentemente, com o conforto e satisfação dos pacientes. Assim, o objetivo deste estudo foi avaliar a retenção de estruturas com grampos circunferenciais simples associadas a retentores intra-radiculares com encaixe
do tipo ERA (Extra coronal Resilient Attachment, Sterngold Implamed, Attleboro, EUA) em função dos metais à base de cobalto-cromo (Co-Cr), titânio comercialmente puro (Ti cp) e
níquel-cromo com titânio (Ni-Cr com Ti), dos contornos retentivos de 0,25mm e 0,75mm e em função do tempo de uso em cada período simulatório (inicial, 6 meses, 1, 2, 3, 4 e 5 anos). A partir de matrizes metálicas representativas de uma hemi-arcada inferior direita parcialmente desdentada com as presenças da coroa do primeiro molar, raiz do canino e com
os pré-molares ausentes, foram confeccionadas 60 estruturas metálicas sendo obtidos 3 grupos de cada metal e subgrupos representativos dos contornos retentivos de 0,25mm e 0,75mm do grampo circunferencial (perfazendo 10 amostras por subgrupo). Foram confeccionadas bases protéticas sobre o espaço protético e raiz do canino que ancoraram os encaixes e estes receberam as cápsulas retentivas de cor cinza do sistema. Previamente aos ensaios mecânicos,
exames radiográficos das estruturas em Ti cp foram realizados para detectar possíveis defeitos de fundição que pudessem inviabilizar o uso posterior. Em seguida, as amostras foram
ensaiadas mecanicamente simulando movimentos de inserção e remoção da estrutura utilizando uma máquina de ensaios projetada na Faculdade de Odontologia de Ribeirão Preto
(Máquina de Ensaios, Universidade de São Paulo, Ribeirão Preto, Brasil), representando o uso simulado de 5 anos. Para simular as condições intrabucais e realizar os ensaios, um
dispositivo preenchido com saliva artificial foi adaptado ao simulador. Os dados de força retentiva foram registrados e submetidos à análise de regressão linear e à análise de variância (ANOVA) para aferir a presença ou não de diferenças estatisticamente significativas e aplicado o teste de Tukey à 5% de probabilidade para comparação das diferenças entre os grupos e subgrupos. As amostras dos grupos em Ni-Cr com Ti e Co-Cr obtiveram as maiores
médias de retenção com diferenças estatisticamente significantes para as amostras do grupo em Ti cp que obtiveram as menores médias de retenção em todos os períodos de tempo analisados. Para os grupos das amostras em Ni-Cr com Ti e Co-Cr não houve diferença de retenção estatisticamente significante entre os tempos analisados independente dos contornos retentivos (p > 0,05). No grupo das amostras em Ti cp houve diferença de retenção
estatisticamente significante entre os tempos analisados apenas para as amostras do subgrupo com contorno retentivo de 0,75mm (p < 0,05). As amostras em Ni-Cr com Ti e em Co-Cr com contorno retentivo de 0,75mm apresentaram as maiores médias de retenção e as amostras em Co-Cr com contorno retentivo de 0,25mm apresentaram retenções médias intermediárias entre os desenhos biomecânicos em todos os períodos de tempo analisados. As amostras em Ti cp
com contorno retentivo de 0,25mm apresentaram as menores médias de retenção até o segundo ano de análise e as amostras em Ti cp com contorno retentivo de 0,75mm
apresentaram as menores médias de retenção do terceiro ao quinto ano de análise. Os grampos circunferenciais fundidos em Ti cp utilizados em contornos retentivos de 0,75mm tem um risco potencial de fraturas, principalmente após o 2o ano de uso
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Ferraço, Renato [UNESP]. "Influência dos sistemas de retenção e da inclinação do rebordo residual em casos de próteses conjugadas Classe I mandibular: análise da distribuição das tensões pelo método da fotoelasticidade." Universidade Estadual Paulista (UNESP), 2009. http://hdl.handle.net/11449/97392.
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ferraco_r_me_araca.pdf: 1898873 bytes, checksum: a4b549caf699d7868a711624716d6212 (MD5)<br>A reabilitação de pacientes classe I de Kennedy mandibular através de Prótese Parcial Removível é de difícil resolução devido a diferença de resiliência existente entre o ligamento periodontal dos dentes suportes e a mucosa do rebordo residual. A inclinação do rebordo residual no sentido sagital pode influenciar na distribuição das tensões transmitidas pela incidência de cargas em próteses parciais removíveis de extremidade livre associadas a próteses parciais fixas. Na associação da prótese parcial removível com próteses parciais fixas, o profissional tem como alternativa aos grampos tradicionais, o uso de encaixes extra-coronários que podem melhorar a estética e o funcionamento biomecânico do conjunto. Desse modo, o objetivo desse estudo foi avaliar a característica da distribuição de tensões em próteses parciais removíveis mandibulares de extremidade livre associadas a próteses parciais fixas nos dentes suporte com diferentes sistemas de retenção: (1) grampo por ação de pontas; (2) sistema ASC-52; (3) sistema ERA; e (4) encaixe de semi-precisão Score-PD, pela metodologia da fotoelasticidade. E, analisar a distribuição de tensões em próteses parciais removíveis mandibulares de extremidade livre associadas a próteses parciais fixas nos dentes suporte com diferentes sistemas de retenção: (1) grampo por ação de pontas e (2) sistema ERA, variando duas inclinações de rebordo residual: (1) horizontal e (2) descendente distal. Cargas axiais de 100N foram aplicadas sobre os dentes das próteses parciais removíveis. As imagens das aplicações foram capturadas e a distribuição das tensões foi avaliada, pela formação das franjas fotoelásticas. No primeiro estudo, a prótese com encaixes de semi-precisão produziu os maiores níveis de tensão na região de ápice, entre as raízes dos últimos dentes suporte e na porção mais distal do rebordo...<br>The rehabilitation of patients mandibular class I of Kennedy through Removable Partial Denture is difficult to solve because the difference in strength between the periodontal ligament of the abutment teeth and the residual ridge mucosa. The inclination of the residual ridge towards sagital may influence the distribution of stresses transmitted by the incidence of loads in distal extension removable partial dentures associated with fixed partial dentures. In association removable partial denture – fixed partial dentures, the professional has as alternative to the traditional clasps, the use of extra-coronary attachments that can improve the aesthetics and the biomechanics. Therefore, the objective of this study was to evaluate the characteristic distribution of tensions in mandibular distal extension removable partial dentures (1) “I” bar clasps, (2) ASC-52system, (3) ERA system, and (4) semi-precision Score-PD system, by the methodology of photoelasticity. And, analyze the distribution of tensions in mandibular distal extension removable partial dentures associated to the fixed partial dentures in the abutment teeth with different retention systems: (1) “I” bar clasps and (2) ERA system, ranging from two inclinations residual ridge: (1) horizontal and (2) distal descending. Axial loads of 100N were applied on the teeth of removable partial dentures. The images of the applications were captured and distribution of stress was assessed by the formation of the photoelastic fringes. In the first study, the prosthesis with semi-precision attachment produced the highest levels of tension in the region of apex, between the roots of the abutment teeth and in the more distal portion of the residual ridge. The prostheses with resilient attachments showed the largest fringes formations in the cervical-distal of the last abutment tooth. In the second study, horizontal ridge presented... (Complete abstract click electronic access below)
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Alturki, Wesam. "Dental Decision Support and Training System for Attachment Selection in Removable Partial Denture Design." Thesis, Rutgers The State Univ. of NJ, Rutgers Sch. of Health Professions, 2019. http://pqdtopen.proquest.com/#viewpdf?dispub=13424918.
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<p> <b>Background:</b> Attachment selection in removable partial dentures (RPD) design is considered one of the most challenging treatment modalities in dentistry. Any error that occur during attachment selection due to lack of proper knowledge, overwhelming number of attachments, mistreatment, multiple adjustments and repairs could result in adverse clinical consequences, and significant inconvenience to the patient as well as financial implication to both patient and provider. Attachment selection is indeed very challenging for several reasons. Firstly, the topic itself has not been widely researched and published in dental literature, and therefore the best attachment selection still remains an area prone to high error rates in decision-making. Secondly, the complexity of the topic and lack of proper knowledge that requires sound knowledge of attachment principle, which spans multiple dental displaces of endodontic, orthodontics, periodontics and prosthodontics. Furthermore, now there are an over whelming number of attachments available in the market due to high patient demand for cosmetic and aesthetic dental enhancements. It is therefore extremely difficult for dental practitioners to readily recall an extensive list of factors that determine an appropriate attachment for RPD design. This is more as for dental education students, especially for students, residents, and less experienced clinician who may not possess the adequate education, training and competencies. Although clinical experts in the area of RPD design and attachment experience and skills may be able to assist with knowledge and years of experience they may not always be around or readily available. To address this problem and gab in the education and training of dental students, residents and practitioners seeking continuing education, we have developed a clinical support and training system for RPD attachment design and implementation based on dental experts’ knowledge and literature evidence-based clinical and practice guidelines. </p><p> <b>Methodology:</b> The RPD attachment clinical decision support system was developed using Exsys Corvid Core software. The knowledge based of the system was setup using dental experts’ and literature evidence-based practice guidelines. In all the knowledge base was successfully loaded with more than 100 rules representing many different clinical scenarios for variable types of attachment selection in RPD. For any new input attachment case, based on the information entered by the user, the system comes up with an appropriate evidence-based recommendation and treatment plan. To ensure that the clinical decision support and training system was indeed fully capable of training and educating dental students and residents it was validated by nine expert prosthodontics using a survey style questionnaire on the various aspects of the setup and functionality of the system. The questionnaire results were statistically evaluated using Cronbach’s Alpha Coefficient Test. </p><p> <b>Results:</b> The Cronbach’s Alpha reliability coefficient was 0.893, which represent a good internal consistency and indicates an overall agreement among the prosthodontic experts as to the need and viability of the system for training dental students and residents in the area of RPD attachment design. Likewise, the results of the validation questionnaire showed that all prosthodontics agreed that the system contained all of the most relevant factors for attachment selection in RPD design ensuring its utility for training and education in a real-world practice. </p><p> <b>Conclusion:</b> The clinical decision support and training system for RPD attachment design was successfully developed using Exsys Corvid Core software. Expert prosthodontists concurred that the system can be effectively employed for training dental student, inexperienced dentists and residents to select an appropriate attachment for RPD. It can be used to complement traditional teaching methods even in the absence of patients as part of a dental degree curriculum.</p><p>
Books on the topic "Denture, Partial, Removable. Denture Precision Attachment"
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Precision Attachments in Prosthodontics: Overdentures and Telescopic Prosthesis. Quintessence Pub Co, 1985.
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