Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2023 Mar 29;23(1):182.
doi: 10.1186/s12903-023-02870-x.

Impact of unilateral removable partial dentures versus removable partial dentures with major connector on oral health-related quality of life of elder patients: a clinical study

Luciana Goguta  1 , Mirela Frandes  2 , Adrian Candea  1 , Codruta Ille  1 , Anca Jivanescu  1
Affiliations

Impact of unilateral removable partial dentures versus removable partial dentures with major connector on oral health-related quality of life of elder patients: a clinical study

Luciana Goguta et al. BMC Oral Health. .

Abstract

Objective: This study aimed to establish the survival rate of unilateral removable partial dentures (u-RPD) comparative with bilateral RPD (bi-RPD) with major connector in elder patients, as well as to determine both their treatment satisfaction and oral health.

Methods: The study sample included 17 patients treated with u-RPD and 17 patients treated with bi-RPD with a major connector. The patients were followed over five years with recalls every 6 months. A 5- points Likert scale was used to determine the satisfaction of the patients. The Oral Health Impact Profile-14 (OHIP-14) questionnaire was used to evaluate their oral health after each type of administrated treatment. The local oral examined aspects included the maintenance of the abutment teeth periodontal health, the fractures of the removable dentures, the fractures of the connectors, the chipping of the aesthetic material. Kaplan-Meier survival analysis was conducted to evaluate the performance of the two treatments.

Results: The mean survival time in years was 4.882 ± 0.114, 95% CI (4.659; 5.106) and 4.882 ± 0.078, 95% CI (4.729; 5.036), for the u-RPD and the bi-RPD, respectively. The five-year survival rates for the two dentures were 94.1% for u-RPD vs. 88.2% for bi-RPD with a major connector, without a statistically significant difference between them (Log-rank test χ2(1) = 0.301, p = 0.584). The patients receiving u-RPD presented significantly higher satisfaction scores compared to the patients receiving bi-RPD, 4.88 ± 0.48 vs. 4.41 ± 0.62, Mann-Whitney U test, p = 0.026.

Conclusion: Patients receiving u-RPD presented higher levels of treatment satisfaction and better oral health than patients receiving bi-RPD. The survival rates of the treatments u-RPD and bi-RPD were similar.

Keywords: Oral health; Patient satisfaction; Quality of life; Removable partial dentures; Survival analysis.

PubMed Disclaimer

Conflict of interest statement

The authors declare no conflict of interest.

Figures

Fig. 1
Fig. 1
a and b. Try-in of the SLS metal framework (FPD and u-RPD)
Fig. 2
Fig. 2
Intraoral aspect of the treatment before luting the FPD with u-RPD
Fig. 3
Fig. 3
The Kaplan Mayer survival functions
See this image and copyright information in PMC

References

    1. Ommerborn MA, Hugger A, Kruse J, et al. The extent of the psychological impairment of prosthodontic outpatients at a german University Hospital. Head Face Med. 2008;4:23. doi: 10.1186/1746-160X-4-23. - DOI - PMC - PubMed
    1. Goguţă LM, Ioanaş A, Jivanescu A. Geriatric patients’ psychological status relative to the removable prosthodontic treatment. Eur Geriatr Med. 2017;8(5–6):483–5. doi: 10.1016/j.eurger.2017.07.024. - DOI
    1. Yen Y, Lee H, Wu Y, et al. Impact of removable dentures on oral health-related quality of life among elderly adults in Taiwan. BMC Oral Health. 2015;15:1. doi: 10.1186/1472-6831-15-1. - DOI - PMC - PubMed
    1. Moldovan O, Rudolph H, Luthardt RG. Clinical performance of removable dental prostheses in the moderately reduced dentition: a systematic literature review. Clin Oral Investig. 2016;20(7):1435–47. doi: 10.1007/s00784-016-1873-5. - DOI - PubMed
    1. Arce-Tumbay Jackelyn / Sánchez-Ayala, Alfonso / Sotto-Maior, Bruno Salles / Senna, Plinio Mendes / Campanha, Nara Hellen. Mastication in subjects with extremely shortened Dental Arches rehabilitated with removable partial dentures. Int J Prosthodont. 2011;6:24. - PubMed

LinkOut - more resources