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The Effect of Removable Partial Dentures on Periodontal Health of Abutment and Non‐Abutment Teeth

Background: A removable partial denture (RPD) is a common treatment available for restoration of partially edentulous ridges. Longitudinal studies indicate that RPDs have been associated with increased gingivitis, periodontitis, and abutment mobility. Methods: A total of 205 patients with RPDs parti...

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Published in:Journal of periodontology (1970) 2002-02, Vol.73 (2), p.137-144
Main Authors: Knezović Zlatarić, Dubravka, Čelebić, Asjâ, Valentić‐Peruzović, Melita
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creator Knezović Zlatarić, Dubravka
Čelebić, Asjâ
Valentić‐Peruzović, Melita
description Background: A removable partial denture (RPD) is a common treatment available for restoration of partially edentulous ridges. Longitudinal studies indicate that RPDs have been associated with increased gingivitis, periodontitis, and abutment mobility. Methods: A total of 205 patients with RPDs participated in this study. There were 80 males and 125 females aged 38 to 89, with 123 maxillary and 138 mandibular RPDs. Patients were wearing existing RPDs for different periods ranging from 1 to 10 years. A two‐part questionnaire was devised for this study. In the first part, patients answered questions on gender; age; smoking habits; denture age; denture wearing habits; mouth odor; and problems with food accumulating under the denture base, on the outside surface of the denture, and on the outside surface of remaining teeth after eating. The Kennedy classification, material, denture support, denture base shape, and number of teeth in contact, number of existing clasps, and occlusal rests were categorized. The quality of denture construction was also evaluated. In the second part of the questionnaire, baseline recordings of plaque (PI), gingival (GI), and calculus (CI) indexes were made, and Tarbet index (TI), as well as probing depth PD), gingival recession (GR), and tooth mobility (TM) were measured, both on abutment and non‐abutment teeth. Results: Significant differences (P
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Longitudinal studies indicate that RPDs have been associated with increased gingivitis, periodontitis, and abutment mobility. Methods: A total of 205 patients with RPDs participated in this study. There were 80 males and 125 females aged 38 to 89, with 123 maxillary and 138 mandibular RPDs. Patients were wearing existing RPDs for different periods ranging from 1 to 10 years. A two‐part questionnaire was devised for this study. In the first part, patients answered questions on gender; age; smoking habits; denture age; denture wearing habits; mouth odor; and problems with food accumulating under the denture base, on the outside surface of the denture, and on the outside surface of remaining teeth after eating. The Kennedy classification, material, denture support, denture base shape, and number of teeth in contact, number of existing clasps, and occlusal rests were categorized. The quality of denture construction was also evaluated. In the second part of the questionnaire, baseline recordings of plaque (PI), gingival (GI), and calculus (CI) indexes were made, and Tarbet index (TI), as well as probing depth PD), gingival recession (GR), and tooth mobility (TM) were measured, both on abutment and non‐abutment teeth. Results: Significant differences (P &lt;0.01) were noted for PI, CI, GI, PD, TM, and GR between abutment and non‐abutment teeth, with abutment teeth showing more disease. Conclusions: RPD design plays an important role in the state of the periodontium. Appropriate design and good oral hygiene may decrease the appearance of periodontal disease. J Periodontol 2002;73:137‐144.</description><identifier>ISSN: 0022-3492</identifier><identifier>EISSN: 1943-3670</identifier><identifier>DOI: 10.1902/jop.2002.73.2.137</identifier><identifier>PMID: 11895277</identifier><language>eng</language><publisher>737 N. 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Longitudinal studies indicate that RPDs have been associated with increased gingivitis, periodontitis, and abutment mobility. Methods: A total of 205 patients with RPDs participated in this study. There were 80 males and 125 females aged 38 to 89, with 123 maxillary and 138 mandibular RPDs. Patients were wearing existing RPDs for different periods ranging from 1 to 10 years. A two‐part questionnaire was devised for this study. In the first part, patients answered questions on gender; age; smoking habits; denture age; denture wearing habits; mouth odor; and problems with food accumulating under the denture base, on the outside surface of the denture, and on the outside surface of remaining teeth after eating. The Kennedy classification, material, denture support, denture base shape, and number of teeth in contact, number of existing clasps, and occlusal rests were categorized. The quality of denture construction was also evaluated. In the second part of the questionnaire, baseline recordings of plaque (PI), gingival (GI), and calculus (CI) indexes were made, and Tarbet index (TI), as well as probing depth PD), gingival recession (GR), and tooth mobility (TM) were measured, both on abutment and non‐abutment teeth. Results: Significant differences (P &lt;0.01) were noted for PI, CI, GI, PD, TM, and GR between abutment and non‐abutment teeth, with abutment teeth showing more disease. Conclusions: RPD design plays an important role in the state of the periodontium. Appropriate design and good oral hygiene may decrease the appearance of periodontal disease. J Periodontol 2002;73:137‐144.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Dental Abutments</subject><subject>Dental Calculus - etiology</subject><subject>Dental Clasps</subject><subject>Dental Deposits - etiology</subject><subject>Dental Materials</subject><subject>Dental Plaque Index</subject><subject>Dentistry</subject><subject>Denture Bases - adverse effects</subject><subject>Denture Design</subject><subject>Denture, Partial, Removable - adverse effects</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Food</subject><subject>Gingival Recession - etiology</subject><subject>Gingivitis - etiology</subject><subject>Halitosis - etiology</subject><subject>Humans</subject><subject>Jaw, Edentulous, Partially - classification</subject><subject>Jaw, Edentulous, Partially - rehabilitation</subject><subject>Longitudinal Studies</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Periodontal Diseases - etiology</subject><subject>periodontal diseases/prevention and control</subject><subject>Periodontal Index</subject><subject>Periodontal Pocket - etiology</subject><subject>Periodontitis - etiology</subject><subject>Smoking - adverse effects</subject><subject>Statistics, Nonparametric</subject><subject>tooth mobility</subject><subject>Tooth Mobility - etiology</subject><issn>0022-3492</issn><issn>1943-3670</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2002</creationdate><recordtype>article</recordtype><recordid>eNqFkMtOwzAQRS0EouXxAWyQV-wSPJ6kbpYVlJcQVKisLScZq0FJXOIExI5P4Bv5EhK1giWr0cycexeHsRMQISRCnr-4dSiFkKHCUIaAaoeNIYkwwIkSu2zcv2SAUSJH7MD7l36FCMU-GwFMk1gqNWbZckV8bi1lLXeWP1Hl3kxaEl-Ypi1MyS-pbruGPHc1X1BTuNzVbX-_IVO2qyEzS7u26ilu6pw_uPr78-v3tCRqV0dsz5rS0_F2HrLnq_ny4ia4f7y-vZjdBxlGqAKaTtCkdpomE0ggQ8ooJYpETDK3ZCGWKHJjc0LIFZkJpAatjBRKRVbGiIfsbNO7btxrR77VVeEzKktTk-u8VhADShhA2IBZ47xvyOp1U1Sm-dAg9GBW92b1YFYr1FL3ZvvM6ba8SyvK_xJblT2gNsB7UdLH_436bjF_EkP1Dyjgh5M</recordid><startdate>200202</startdate><enddate>200202</enddate><creator>Knezović Zlatarić, Dubravka</creator><creator>Čelebić, Asjâ</creator><creator>Valentić‐Peruzović, Melita</creator><general>American Academy of Periodontology</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>200202</creationdate><title>The Effect of Removable Partial Dentures on Periodontal Health of Abutment and Non‐Abutment Teeth</title><author>Knezović Zlatarić, Dubravka ; Čelebić, Asjâ ; Valentić‐Peruzović, Melita</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3437-e863abf8b96191c3ecebee405e2dfef15230dafde31d7ea61ba3f247327ef2533</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2002</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Dental Abutments</topic><topic>Dental Calculus - etiology</topic><topic>Dental Clasps</topic><topic>Dental Deposits - etiology</topic><topic>Dental Materials</topic><topic>Dental Plaque Index</topic><topic>Dentistry</topic><topic>Denture Bases - adverse effects</topic><topic>Denture Design</topic><topic>Denture, Partial, Removable - adverse effects</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Food</topic><topic>Gingival Recession - etiology</topic><topic>Gingivitis - etiology</topic><topic>Halitosis - etiology</topic><topic>Humans</topic><topic>Jaw, Edentulous, Partially - classification</topic><topic>Jaw, Edentulous, Partially - rehabilitation</topic><topic>Longitudinal Studies</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Periodontal Diseases - etiology</topic><topic>periodontal diseases/prevention and control</topic><topic>Periodontal Index</topic><topic>Periodontal Pocket - etiology</topic><topic>Periodontitis - etiology</topic><topic>Smoking - adverse effects</topic><topic>Statistics, Nonparametric</topic><topic>tooth mobility</topic><topic>Tooth Mobility - etiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Knezović Zlatarić, Dubravka</creatorcontrib><creatorcontrib>Čelebić, Asjâ</creatorcontrib><creatorcontrib>Valentić‐Peruzović, Melita</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of periodontology (1970)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Knezović Zlatarić, Dubravka</au><au>Čelebić, Asjâ</au><au>Valentić‐Peruzović, Melita</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The Effect of Removable Partial Dentures on Periodontal Health of Abutment and Non‐Abutment Teeth</atitle><jtitle>Journal of periodontology (1970)</jtitle><addtitle>J Periodontol</addtitle><date>2002-02</date><risdate>2002</risdate><volume>73</volume><issue>2</issue><spage>137</spage><epage>144</epage><pages>137-144</pages><issn>0022-3492</issn><eissn>1943-3670</eissn><abstract>Background: A removable partial denture (RPD) is a common treatment available for restoration of partially edentulous ridges. Longitudinal studies indicate that RPDs have been associated with increased gingivitis, periodontitis, and abutment mobility. Methods: A total of 205 patients with RPDs participated in this study. There were 80 males and 125 females aged 38 to 89, with 123 maxillary and 138 mandibular RPDs. Patients were wearing existing RPDs for different periods ranging from 1 to 10 years. A two‐part questionnaire was devised for this study. In the first part, patients answered questions on gender; age; smoking habits; denture age; denture wearing habits; mouth odor; and problems with food accumulating under the denture base, on the outside surface of the denture, and on the outside surface of remaining teeth after eating. The Kennedy classification, material, denture support, denture base shape, and number of teeth in contact, number of existing clasps, and occlusal rests were categorized. The quality of denture construction was also evaluated. In the second part of the questionnaire, baseline recordings of plaque (PI), gingival (GI), and calculus (CI) indexes were made, and Tarbet index (TI), as well as probing depth PD), gingival recession (GR), and tooth mobility (TM) were measured, both on abutment and non‐abutment teeth. Results: Significant differences (P &lt;0.01) were noted for PI, CI, GI, PD, TM, and GR between abutment and non‐abutment teeth, with abutment teeth showing more disease. Conclusions: RPD design plays an important role in the state of the periodontium. Appropriate design and good oral hygiene may decrease the appearance of periodontal disease. J Periodontol 2002;73:137‐144.</abstract><cop>737 N. Michigan Avenue, Suite 800, Chicago, IL 60611‐2690, USA</cop><pub>American Academy of Periodontology</pub><pmid>11895277</pmid><doi>10.1902/jop.2002.73.2.137</doi><tpages>8</tpages></addata></record>
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source Wiley-Blackwell Read & Publish Collection
subjects Adult
Aged
Aged, 80 and over
Dental Abutments
Dental Calculus - etiology
Dental Clasps
Dental Deposits - etiology
Dental Materials
Dental Plaque Index
Dentistry
Denture Bases - adverse effects
Denture Design
Denture, Partial, Removable - adverse effects
Female
Follow-Up Studies
Food
Gingival Recession - etiology
Gingivitis - etiology
Halitosis - etiology
Humans
Jaw, Edentulous, Partially - classification
Jaw, Edentulous, Partially - rehabilitation
Longitudinal Studies
Male
Middle Aged
Periodontal Diseases - etiology
periodontal diseases/prevention and control
Periodontal Index
Periodontal Pocket - etiology
Periodontitis - etiology
Smoking - adverse effects
Statistics, Nonparametric
tooth mobility
Tooth Mobility - etiology
title The Effect of Removable Partial Dentures on Periodontal Health of Abutment and Non‐Abutment Teeth
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