Effect of Recall Interval on Abutment Tooth Failure in Distal-Extension Removable Partial Dentures
Abutment Tooth Failure in Distal-Extension Removable Partial Dentures
Keywords:
abutment tooth, removable partial denture, distal-extension removable partial denture, recall, maintenanceAbstract
Distal-extension removable partial dentures (RPDs) are time-efficient, cost-effective and uncomplicated treatment option for partially edentulous patients, particularly elderly. However, there is limited evidence regarding the impact of recall interval on abutment tooth failure. This retrospective study aimed to evaluate the impact of recall interval, clinical attachment loss, and occlusal types on abutment tooth risk of retainer failure in distal-extension RPDs. Data were collected from 515 abutment teeth of distalextension RPDs in patient records at the Department of Advanced General Dentistry, Faculty of Dentistry, Mahidol University. The study defined abutment tooth failure based on the following conditions: tooth extraction, new carious lesions, replacement of restorations, root canal treatment or retreatment, and progression of periodontal disease. The findings revealed that 21.7% of the abutment teeth experienced failure. The interval between follow-up visits significantly affected the abutment tooth failure with distalextension removable partial dentures (p < 0.001). The group that was not followed up had the highest rate of abutment tooth failure, followed by the group with a follow-up period longer than 6 months. Patients without recall visits had a nearly tenfold higher risk of abutment failure than those with recall intervals of 6 months (adjusted HR = 9.26). These results underscore that regular follow-up are crucial for maintaining the health and longevity of abutment teeth in patients with distal-extension RPDs
References
Ministry of Public Health, Thailand. Report on the 8th National Oral Health Survey, Bangkok, Thailand: Bureau of Dental Public Health, Department of Health, Ministry of Public Health; 2017.
Hongseethong N, Kamsa-ard S, Noisombut R, Savisit R. Association between the categories of tooth loss by Eichner’s Index and impacts on oral health-related quality of life among elderly. Khon Kaen Dent J 2018;21(1):10-20.
Jung H, Kim H. Factors affecting patients' decision-making for dental prosthetic treatment. J Korean Acad Prosthodont 2008;46. doi; 10.4047/jkap.2008.46.6.610
Shrirao ND, Deshmukh SP, Pande NA, Radke UM. An evaluation of patient's decisions regarding dental prosthetic treatment. J Indian Prosthodont Soc 2016;16(4):366-71.
Jorge JH, Quishida CC, Vergani CE, Machado AL, Pavarina AC, Giampaolo ET. Clinical evaluation of failures in removable partial dentures. J Oral Sci 2012;54(4):337-42.
Kern M, Wagner B. Periodontal findings in patients 10 years after insertion of removable partial dentures. J Oral Rehabil 2001;28(11):991-7.
Costa L, do Nascimento C, de Souza VOP, Pedrazzi V. Microbiological and clinical assessment of the abutment and non-abutment teeth of partial removable denture wearers. Arch Oral Biol 2017;75:74-80. doi: 10.1016/j.archoralbio.2016.11.002
Rehmann P, Orbach K, Ferger P, Wöstmann B. Treatment outcomes with removable partial dentures: A retrospective analysis. Int J Prosthodont 2013;26(2):147-50. doi: 10.11607/ijp.2959
de Aquino AR, Barreto AO, de Aquino LM, Ferreira  M, Carreiro Ada F. Longitudinal clinical evaluation of undercut areas and rest seats of abutment teeth in removable partial denture treatment. J Prosthodont 2011;20(8):639-42.
Lopes J, Vergani C, Giampaolo E, Pavarina A, Machado A. Shear bond strength fatigue limit of rest seats made with dental restoratives. J Adhes Dent 2007;9(2):203-8.
Eichner K. [Renewed examination of the group classification of partially edentulous arches by Eichner and application advices for studies on morbidity statistics]. Stomatol DDR 1990;40(8):321-5.
Papapanou PN, Sanz M, Buduneli N, Dietrich T, Feres M, Fine DH, et al. Periodontitis: Consensus report of workgroup 2 of the 2017 World Workshop on the Classification of Periodontal and Peri-Implant Diseases and Conditions. J Periodont 2018;89(Suppl 1):S173-S182. doi: 10.1002/JPER.17-0721
Matuliene G, Pjetursson BE, Salvi GE, Schmidlin K, Brägger U, Zwahlen M, et al. Influence of residual pockets on progression of periodontitis and tooth loss: Results after 11 years of maintenance. J Clin Periodontol 2008;35(8):685-95.
Tada S, Ikebe K, Matsuda K, Maeda Y. Multifactorial risk assessment for survival of abutments of removable partial dentures based on practice-based longitudinal study. J Dent 2013;41(12):1175-80.
Kennedy E. A method of describing partially edentulous arches or partial dentures based on the location of the edentulous areas within the arch. J Am Dent Assoc 1925;12(2):307-11.
Silapabanlaeng Y. Removable partial dentures. Book 1. Bangkok, Thailand: Faculty of Dentistry, Mahidol University; 2002.
Bergman B, Hugoson A, Olsson CO. Caries, periodontal and prosthetic findings in patients with removable partial dentures: A ten-year longitudinal study. J Prosthet Dent 1982;48(5):506-14.
Tada S, Allen PF, Ikebe K, Matsuda K, Maeda Y. Impact of periodontal maintenance on tooth survival in patients with removable partial dentures. J Clin Periodontol 2015;42(1):46-53.
Berg T, Caputo AA. Maxillary distal-extension removable partial denture abutments with reduced periodontal support. J Prosthet Dent 1993;70(3):245-50. doi: 10.1016/0022-3913(93)90059-w
Zlatarić DK, Celebić A, Valentić-Peruzović M. The effect of removable partial dentures on periodontal health of abutment and non-abutment teeth. J Periodontol 2002;73(2):137-44. doi: 10.1902/jop.2002.73.2.137
Kujarearntaworn K, Rungsiyakull C, Suttiat K, Rungsiyakull P. Factors affecting the force distribution of implant-assisted distal-extension removable partial denture. Chiang Mai Dent J 2017;38(2):27–38.
Downloads
Published
Issue
Section
License
Copyright (c) 2025 Buddhchinaraj Phisanulok Hospital
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
