Journal of Prosthodontic Research
Online ISSN : 1883-9207
Print ISSN : 1883-1958
ISSN-L : 1883-1958

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Influence of mandibular distal extension implant-supported removable partial dentures on the force exerted on maxillary anterior teeth
Shuhei AritaTomoya Gonda Hitomi TogawaYoshinobu MaedaKazunori Ikebe
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JOURNAL OPEN ACCESS Advance online publication

Article ID: JPR_D_20_00077

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Abstract
Purpose: This study aimed to determine the influence of mandibular free-end partial edentulism and use of conventional or implant-supported removable dental prostheses in the partially edentulous area on the load exerted on the maxillary anterior teeth.
Methods: A jaw model with mandibular free-end missing teeth was used, and a distal extension, removable partial dental prosthesis was fabricated to replace the missing posterior teeth. Four experimental conditions were set up: 1) without prosthesis, 2) with a conventional removable partial dental prosthesis, 3) with an implant-supported removable partial dental prosthesis, and 4) with a complete dental arch. Strain gauges were attached to the root surface of the maxillary left central incisor, canine, first premolar, and first molar. The load exerted on them was calculated based on the calibration coefficient. An occlusal load of 49 N was applied, and the forces were compared using a Kruskal-Wallis test (P < 0.05).
Results: The load exerted on the maxillary anterior teeth increased significantly with no prosthesis, decreased significantly with a conventional removable partial dental prosthesis, and decreased even more significantly with an implant-supported removable partial dental prosthesis.
Conclusions: The burden on the maxillary anterior teeth decreased with the use of a removable partial dental prosthesis and decreased even further with the use of an implant-supported dental prosthesis. The use of an implant to support a distal extension removable partial dental prosthesis is potentially effective in preserving the remaining teeth and tissues by reducing excessive stress in patients with mandibular free-end partial edentulism.
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この記事はクリエイティブ・コモンズ [表示 - 非営利 4.0 国際]ライセンスの下に提供されています。
This is an open-access article distributed under the terms of Creative Commons Attribution-NonCommercial License 4.0 (CC BY-NC 4.0), which allows users to distribute and copy the material in any format as long as credit is given to the Japan Prosthodontic Society. It should be noted however, that the material cannot be used for commercial purposes.
https://creativecommons.org/licenses/by-nc/4.0/deed.ja
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