Clinical Evaluation of Periodontal Health of Abutment Teeth with Removable Partial Dentures Designed with and Without Clasps
Journal Title: INTERNATIONAL JOURNAL OF SCIENTIFIC STUDY - Year 2017, Vol 5, Issue 8
Abstract
Aim: The purpose of the study was to evaluate the effect of removable partial dentures designed with and without clasps on the periodontal health of the abutment teeth over a one-year worn period. Materials and Methods: A total of 80 subjects wearing RPDs were selected for the study. The subjects were equally divided into 2 groups of 40 subjects each with the age ranging from 51-70 years. Group I consists of 20 males and 20 females wearing removable partial dentures with clasps in their design whereas Group II consists of 20 males and 20 females wearing removable partial dentures without clasps. Abutment teeth of each subject were assessed for plaque index (PI), calculus index (CI), blending on probing (BOP), probing depth (PD), gingival recession (GR), tooth mobility (TM). Level of significance was set at p<0.05. Results: Results showed a highly significant association between bleeding on probing, increased Periodontal probing depth and Gingival recession with the subjects wearing RPDs designed with clasp. The significance was showed using Chi Square test with p value <0.05. Conclusion: Patients wearing RPDs are at a greater risk of periodontal damage due to lack of ability and poor motivation to maintain proper oral hygiene. RPDs with clasp incorporated in their design leads to more accumulation of plaque in the areas covered by the dentures and below the clasp arms in abutment teeth, which increases gingival inflammation. Therefore, it is mandatory for dental professionals to educate and motivate patients for maintenance of their oral hygiene and periodic follow up.
Authors and Affiliations
Shivani Jandial, Bhanu Kotwal, Satish Sharma, Nanika Mahajan, Sharad Kharyal, Vineet Kotwal
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