Professional Documents
Culture Documents
ABSTRACT
Background: the purpose of this study was to compare the periodontal status in patients receiving partial dentures
constructed from conventional and altered cast impression techniques.
Materials and Methods: twenty patients receiving mandibular bilateral distal extension removable partial dentures
were assigned for treatment, the patients divided into ten patients receiving partial dentures constructed from
conventional impression technique and other ten patients receiving partial dentures constructed from an altered
cast impression technique. The periodontium of the last abutments had been evaluated using gingival bleeding
index and probing pocket depth, the first score have been made at time of insertion, the second score made after
3days of insertion, the third score after 10days of insertion, the fourth score after 30 days of insertion, the fifth score
after 45 days of insertion and the last score was made after 60 days of insertion. Student t-test had been made to
evaluate the periodontal conditions at different time intervals.
Results: the results revealed that there would be a decrease in both periodontal indexes scores with time.
Conclusion: the use of altered cast impression technique for distally extended removable partial dentures will result in
a less stress concentration on the abutment teeth resulting in a proper periodontal health and reducing damage of
periodontal tissues this will be in addition to proper oral hygiene being established.
Key words: Impression technique, distal extension, periodontium, last abutment. (J Bagh Coll Dentistry 2009; 21(4):3740)
INTRODUCTION
Mandibular distal extension removable
partial dentures usually require the altered cast
impression procedure during fabrication or a
relining at time of insertion to improve the
stability and support of the prosthesis.(1)
In the field of construction of distally
extended partial denture had linked the optimum
mucosal support to the method of making
impressions and materials used, in an attempt to
relate between teeth, hard tissues and soft tissues
covering edentulous ridges.(2)
Several studies have demonstrated the
advantages of the altered cast impression
technique that compared with use of a one piece
cast (4).
The removable partial denture fabricated
using altered cast impression technique is
believed to promote patient comfort and preserve
oral health. (1, 18)
For restoration of missing posterior teeth in
distal
extension
edentulous
ridge
the
displacements are quite different between the
residual ridge mucosa and the periodontal
support tissues of abutment (3)
Restorative Dentistry
37
Restorative Dentistry
RESULTS
Tables 1-5 show the descriptive statistics
(mean, standard deviations and standard error)
for both gingival bleeding index and periodontal
pocket depth for patients wearing distal extension
removable partial dentures constructed from a
conventional and an altered cast impression
technique. The results revealed that, there would
be a decrease in both periodontal indexes scores
with time
For gingival bleeding index, the results
indicated that there were non significant
differences between the conventional and altered
cast impression technique partial dentures at first
,second and third score, while the difference
became significant at the other scores (table3).
For periodontal pocket depth index, the results
indicated non significant differences at the first
scores for both impression techniques, but the
differences were significant at the other scores
till became highly significant at the sixth score
recorded (table 6). For both indices there were no
statistically significant difference at day zero (at
time of insertion of the partial dentures in
mouths) (tables 3,6), but there were a statistically
significant difference after 30 days of insertion in
gingival bleeding index.
For the scores of periodontal pocket depth,
there would be a significant difference at 10, 30
and 45 days then the difference became highly
significant at 60 days following insertion of the
partial denture in mouth (table 6).
DISCUSSION
Support for bilateral and unilateral distal
extension removable partial dentures is shared
between the abutment teeth and the edentulous
ridges, difference in resiliency between these
supporting elements have prompted examination
of numerous laboratory and clinical models and
their effects on the forces exerted on abutment
teeth (8-10).
38
4.
REFERENCES
1.
Restorative Dentistry
39
0.0539
0.0171
1.61
1.76
Mea
3.613 3.58 3.542 3.529
n
0.113 0.1079 0.1169 0.1157
SD
SE 0.0358 0.0341 0.037 0.0366
Min 3.41 3.39 3.31 3.29
3.7
Max 3.79 3.76 3.72
3.491 3.464
0.1104
0.0349
3.27
3.68
0.1084
0.0343
3.23
3.64
1.63
0.0618 0.0699
0.0196 0.0221
1.64
1.6
1.81 1.81
*P<0.05 Significant
**P>0.05 Non
significant
**P<0.01 High significant
Restorative Dentistry
0.1223 0.1189
0.0387 0.0376
3.3
3.3
3.72
3.7
Mea
1.853 1.816 1.775 1.739
n
SD 0.0506 0.0554 0.0528 0.0549
0.016 0.0175 0.0167 0.0174
SE
1.7
1.67
Min 1.77 1.72
1.9
1.84 1.82
Max 1.94
3.552 3.527
1.744 1.688
0.0521
0.0165
1.66
1.81
40