The goal of this observational study is to evaluate the outcome of a Poly-ether-ether-ketone - acrylic resin removable partial denture used in partial edentulous rehabilitation after one year of follow-up. The main question it aims to answer is: \- What is the survival outcome of partial rehabilitations using Poly-ether-ether-ketone-acrylic resin removable partial dentures? The participants will receive a definitive removable partial denture incorporating Poly-ether-ehter-ketone.
Folowing the recent applications of polyetheretherketone (PEEK) material in Dentistry it is necessary to further extend the evaluation to the use of Removable Partial Denture (RPD) rehabilitations. To test this, the study design to be used will be a single-centre, prospective observational cohort study to evaluate the short term outcome of the Removal Partial Denture (RPO) supported rehabilitations. The sample of this study consists in 10 patients consecutively treated. The cohort will be evaluated at baseline, RPD design, dental fitting, follow-up assessment at 4 weeks, 6 and 12 months after dental loading regarding: JUVORA prosthetic survival including repair and relining, assessment of the adaptation of the RPD frame, adaptation of the tissue base areas and their relationship to the frame adaptation, functional evaluation, aesthetics assessment (staining, color stability, anatomic form), oral health assessment of the RPD abutment teeth periodontium (plaque index, gingival index, probing pocket depths, bleeding on probing, mobility) incidence of mechanical complications (loosening or fracture of prosthetic components), patient assessment of RPD comfort, aesthetics and chewing ability; assessment of RPD preparation (technician satisfaction) concerning laboratory preparation time, clinical operative time and costs.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
10
A removable partial denture incorporating PEEK and acrylic resin in its composition used as definitive prosthesis to rehabilitate partial edentulism in the maxilla or mandible.
Malo Clinic
Lisbon, Lisbon District, Portugal
Survival of the prosthesis
Evaluation of the survival for the PEEK-acrylic resin removable partial denture; nominal (survival,failure)
Time frame: one year
Assessment of the adaptation of the RPD frame
Nominal: 0: adapted; 1: not adapted
Time frame: one year
Function of RPD is excellent
5-point Likert scale: strongly agree, agree, neutral, disagree, strongly disagree
Time frame: one year
Aesthetics of RPD are excellent
5-point Likert scale: strongly agree, agree, neutral, disagree, strongly disagree
Time frame: one year
Staining of RPD is absent
5-point Likert scale: strongly agree, agree, neutral, disagree, strongly disagree
Time frame: one year
Color stability is maintained
5-point Likert scale: strongly agree, agree, neutral, disagree, strongly disagree
Time frame: one year
Anatomic form of RPD is maintained
5-point Likert scale: strongly agree, agree, neutral, disagree, strongly disagree
Time frame: one year
Incidence of mechanical complications
Loosening or fracture of prosthetic components Nominal: O: absence; 1: presence
Time frame: one year
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Incidence of biological complications
Presence of periodontal pathology Nominal: O: absence; 1: presence
Time frame: one year
Plaque accumulation around RPD abutment teeth.
Simplified Oral Hygiene Index (Greene and Vermelion, 1964). Ordinal: 0: no debris or stain present; 1: Soft debris covering not more than one third of the tooth surface, or presence of extrinsic stains without other debris regardless of surface area covered; 2: Soft debris covering more than one third, but not more than two thirds, of the exposed tooth surface; 3: Soft debris covering more than two thirds of the exposed tooth surface.
Time frame: one year
Bleeding around RPO abutment teeth
Gingival index (Loe and Silness 1963)'. Ordinal: 0: absence of inflammation/normal gingiva; 1: mild inflammation, slight change in color, slight edema, no bleeding on probing; 2: moderate inflammation, moderate glazing, redness, edema and hypertrophy, bleeding on probing; 3: severe inflammation, marked redness and hypertrophy, ulceration, tendency to spontaneous bleeding.
Time frame: one year
Probing pocket depths around RPD Dependent variable abutment teeth measured in millimeters
Measured through probing with a periodontal probe, evaluated on all tooth aspects. Scale: Distance between mucosal margin and probe stop measured in millimeters.
Time frame: one year
Mobility of RPO abutment teeth
Mobility classification (Miller 1950). Ordinal: 0: no detected mobility; 1: first sign of movement greater than normal; 2: up to 1 mm in any direction; 3: more than 1 mm in any direction and/or vertical depression.
Time frame: one year
ln mouth comfort
Visual analogue scale (0-10 cm); 0:very poor; 10: very good
Time frame: one year
Oral Health Impact Profile OHIP-14
Oral Health Impact Profile OHIP-14 questionnaire
Time frame: one year