Technical Complications of Removable Partial Dentures in the Moderately Reduced Dentition: A Systematic Review
The aim of this study was to conduct a systematic literature review with a subsequent meta-analysis on the technical complications and failures of removable partial denture (RPD) therapy in the moderately reduced dentition. A systematic literature search of established medical databases, last update...
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| Format: | Article |
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MDPI AG
2023-02-01
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| Series: | Dentistry Journal |
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| Online Access: | https://www.mdpi.com/2304-6767/11/2/55 |
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| author | Marie-Theres Dawid Ovidiu Moldovan Heike Rudolph Katharina Kuhn Ralph G. Luthardt |
| author_facet | Marie-Theres Dawid Ovidiu Moldovan Heike Rudolph Katharina Kuhn Ralph G. Luthardt |
| author_sort | Marie-Theres Dawid |
| collection | DOAJ |
| description | The aim of this study was to conduct a systematic literature review with a subsequent meta-analysis on the technical complications and failures of removable partial denture (RPD) therapy in the moderately reduced dentition. A systematic literature search of established medical databases, last updated 06/2022, was conducted. RCTs and prospective and retrospective studies were included that had information on technical complications and failures of RPDs, at least 15 participants, an observation period of at least two years and a drop-out rate of less than 25%. Publications were selected on the title, abstract and full-text level by at least three of the participating authors. The evidence of the included studies was classified using the GRADE system. The bias risk was determined using the RoB2 tool and the ROBINS-I tool. Of 19,592 initial hits, 43 publications were included. Predominantly, retention of the prosthesis, retention loss of anchor crowns (decementations), fractures/repairs of frameworks, denture teeth, veneering or acrylic bases, and a need for relining were reported depending on prosthesis type and observation time. Focusing on technical complications and failures, only very heterogeneous data were found and publications with the highest quality level according to GRADE were scarce. Whenever possible, data on technical complications and failures should be reported separately when referencing the tooth, the prosthesis and the patient for comparability. Prostheses with differing anchorage types should be analyzed in different groups, as the respective complications and failures differ. A precise description of the kinds of complications and failures, as well as of the resulting follow-up treatment measures, should be given. |
| first_indexed | 2024-03-11T08:58:08Z |
| format | Article |
| id | doaj.art-a3a094612a984cb492fbb1b37ae190b5 |
| institution | Directory Open Access Journal |
| issn | 2304-6767 |
| language | English |
| last_indexed | 2024-03-11T08:58:08Z |
| publishDate | 2023-02-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Dentistry Journal |
| spelling | doaj.art-a3a094612a984cb492fbb1b37ae190b52023-11-16T19:59:24ZengMDPI AGDentistry Journal2304-67672023-02-011125510.3390/dj11020055Technical Complications of Removable Partial Dentures in the Moderately Reduced Dentition: A Systematic ReviewMarie-Theres Dawid0Ovidiu Moldovan1Heike Rudolph2Katharina Kuhn3Ralph G. Luthardt4Department of Prosthetic Dentistry, Center of Dentistry, Ulm University, Albert-Einstein-Allee 11, 89081 Ulm, GermanyPrivate Practice, Philippine-Welser-Str. 15, 86150 Augsburg, GermanyDepartment of Prosthetic Dentistry, Center of Dentistry, Ulm University, Albert-Einstein-Allee 11, 89081 Ulm, GermanyDepartment of Prosthetic Dentistry, Center of Dentistry, Ulm University, Albert-Einstein-Allee 11, 89081 Ulm, GermanyDepartment of Prosthetic Dentistry, Center of Dentistry, Ulm University, Albert-Einstein-Allee 11, 89081 Ulm, GermanyThe aim of this study was to conduct a systematic literature review with a subsequent meta-analysis on the technical complications and failures of removable partial denture (RPD) therapy in the moderately reduced dentition. A systematic literature search of established medical databases, last updated 06/2022, was conducted. RCTs and prospective and retrospective studies were included that had information on technical complications and failures of RPDs, at least 15 participants, an observation period of at least two years and a drop-out rate of less than 25%. Publications were selected on the title, abstract and full-text level by at least three of the participating authors. The evidence of the included studies was classified using the GRADE system. The bias risk was determined using the RoB2 tool and the ROBINS-I tool. Of 19,592 initial hits, 43 publications were included. Predominantly, retention of the prosthesis, retention loss of anchor crowns (decementations), fractures/repairs of frameworks, denture teeth, veneering or acrylic bases, and a need for relining were reported depending on prosthesis type and observation time. Focusing on technical complications and failures, only very heterogeneous data were found and publications with the highest quality level according to GRADE were scarce. Whenever possible, data on technical complications and failures should be reported separately when referencing the tooth, the prosthesis and the patient for comparability. Prostheses with differing anchorage types should be analyzed in different groups, as the respective complications and failures differ. A precise description of the kinds of complications and failures, as well as of the resulting follow-up treatment measures, should be given.https://www.mdpi.com/2304-6767/11/2/55RPDremovable partial denturetechnical complicationssystematic review |
| spellingShingle | Marie-Theres Dawid Ovidiu Moldovan Heike Rudolph Katharina Kuhn Ralph G. Luthardt Technical Complications of Removable Partial Dentures in the Moderately Reduced Dentition: A Systematic Review Dentistry Journal RPD removable partial denture technical complications systematic review |
| title | Technical Complications of Removable Partial Dentures in the Moderately Reduced Dentition: A Systematic Review |
| title_full | Technical Complications of Removable Partial Dentures in the Moderately Reduced Dentition: A Systematic Review |
| title_fullStr | Technical Complications of Removable Partial Dentures in the Moderately Reduced Dentition: A Systematic Review |
| title_full_unstemmed | Technical Complications of Removable Partial Dentures in the Moderately Reduced Dentition: A Systematic Review |
| title_short | Technical Complications of Removable Partial Dentures in the Moderately Reduced Dentition: A Systematic Review |
| title_sort | technical complications of removable partial dentures in the moderately reduced dentition a systematic review |
| topic | RPD removable partial denture technical complications systematic review |
| url | https://www.mdpi.com/2304-6767/11/2/55 |
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