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Partial dentures

The number of partially dentate adults is increasing, and many patients will require replacement of missing teeth. Although current treatment options also include fixed partial dentures and implants, removable partial dentures (RPDs) can have advantages and are widely used in clinical practice. However, a significant need exists to advance materials and fabrication technologies because of the unwanted health consequences associated with current RPDs.

Purpose

The purpose of this review was to assess the current state of and future need for prosthetics such as RPDs for patients with partial edentulism, highlight areas of weakness, and outline possible solutions to issues that affect patient satisfaction and the use of RPDs.

Material and methods

The data on treatment for partial edentulism were reviewed and summarized with a focus on currently available and future RPD designs, materials, means of production, and impact on oral health. Data on patient satisfaction and compliance with RPD treatment were also reviewed to assess patient-centered

Removable partial dentures

Removable partial dentures are for patients who are missing some of their teeth on a particular arch. Fixed partial dentures, also known as “crown and bridge” dentures, are made from crowns that are fitted on the remaining teeth. They act as abutments and pontics and are made from materials resembling the missing teeth. Fixed bridges are more expensive than removable appliances but are more stable.

Another option in this category is the flexible partial, which takes advantage of innovations in digital technology. Flexible partial fabrication involves only non-invasive procedures. Dentures can be difficult to clean and can affect oral hygiene.

    Maryland Bridge

    20Resin Bonded Bridge – Maryland Bridge

    Resin Bonded Bridge, also known as Maryland bridge is a dental prosthesis constructed of a cast metal framework which is luted to the enamel of abutment teeth by an adhesive composite resin.

    Indications
    In situations where the abutments are unrestored.

    Advantages
    It is a conservative restoration for missing teeth. Minimal tooth preparation is required. The retainer wings are attached to the abutments using resin cement.

    Disadvantages
    Resin bonded bridge is unsuitable where there is severe tooth wear, parafunction or insufficient interocclusal clearance.

    Picture of Resin Bonded Bridge

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