Saito M, Notani K, Miura Y, Kawasaki T
Removable Prosthodontics and Stomatognathic Rehabilitation, Department of Oral Functional Science, Hokkaido University Graduate School of Dental Medicine, Sapporo, Japan.
J Oral Rehabil. 2002 Jul;29(7):627-33. doi: 10.1046/j.1365-2842.2002.00898.x.
The design of removable partial dentures (RPDs) is an important factor for good prognostication. The purpose of this study was to clarify the effectiveness of denture designs and to clarify the component that had high rates of failure and complications. A total of 91 RPDs, worn by 65 patients for 2-10 years, were assessed. Removable partial dentures were classified into four groups: telescopic dentures (TDs), ordinary clasp dentures (ODs), modified clasp dentures (MDs) and combination dentures (CDs). The failure rates of abutment teeth were the highest and those of retainers were the second highest. The failure rates of connectors were generally low, but they increased suddenly after 6 years. Complication and failure rates of denture bases and artificial teeth were generally low. Complication and failure rates of TDs were high at abutment teeth and low level at retainers. Complication and failure rates of ODs were high at retainers.
可摘局部义齿(RPD)的设计是良好预后的一个重要因素。本研究的目的是阐明义齿设计的有效性,并明确失败率和并发症发生率较高的部件。对65例患者佩戴2至10年的91副可摘局部义齿进行了评估。可摘局部义齿分为四组:套筒冠义齿(TD)、普通卡环义齿(OD)、改良卡环义齿(MD)和组合义齿(CD)。基牙的失败率最高,固位体的失败率次之。连接体的失败率一般较低,但在6年后突然升高。义齿基托和人工牙的并发症及失败率总体较低。套筒冠义齿在基牙处的并发症及失败率较高,在固位体处较低。普通卡环义齿在固位体处的并发症及失败率较高。