Partial Edentulousness and Treatment Options Chosen
Keywords:Fixed prosthesis, kennedy’s class III, partial edentulism, removable partial denture.
Background: Purpose of this study was descriptive analysis of partial edentulousness, treatment options chosen, and treating clinics.
Materials and Method: This study is a part of the cross-sectional descriptive study conducted from April 2017 to September 2017 in the Department of Prosthodontics, B.P Koirala Institute of Health Sciences for which ethical clearance was taken from the Institutional Review Committee (IRC).Purposive sampling was done and written informed consent taken. Clinical assessment of each patient was done and noted down on the preformed proforma. Collected data were entered in Microsoft excel 2013 and statistical analysis done by SPSS 20 version.
Results: Among the total patients, 11 (3.35%) were from high economic group, 251 (76.52%) from medium economic group, and 66 (20.12%) from low economic group. Frequencies of Kennedy’s classes in upper arch were class I (n=21), class II (n=38), class III (n=169), class IV (n=23) and in lower arch class I (n=29), class II (n=19), class III (n=130), class IV (n=15). Majority of the patients in medium economic class had chosen fixed prosthesis whereas those in low economic class had chosen temporary removable partial denture (RPD).
Conclusions: The most commonly found Kennedy’s class in both the arches is Class III, somewhat more frequently found in upper arch than lower arch. Most commonly chosen treatment option is fixed partial denture (FPD) and least chosen is Cast Partial Denture (CPD). Economic status does affect choice of the treatment options. Temporary RPDs are preferentially placed by undergraduate clinic, FPDs by Specialist clinic and implant-supported by Post-graduate Clinic.
Fouda SM, Al-Harbi FA, Khan SQ, Virtanen JI, Raustia A. Missing Teeth and Prosthetic Treatment in Patients Treated at College of Dentistry, University of Dammam. Int J Dent 2017; 2017: 1-6. https://doi.org/10.1155/2017/7593540
Campbell, et al. Removable partial dentures: The clinical need for innovation. J Prosthet Dent 2017; 118: 273-280. https://doi.org/10.1016/j.prosdent.2017.01.008
Col DSJ, D’Souza, Lt Col Parag Dua. Rehabilitation strategies for partially edentulousprosthodontic principles and current trends. MJAFI 2011; 67: 296-298. https://doi.org/10.1016/S0377-1237(11)60068-3
Xie Q, Ding T, Yang G. Rehabilitation of oral function with removable dentures-still an option? J Oral Rehabil 2015; 42(3): 234-42. https://doi.org/10.1111/joor.12246
Budtz-Jörgensen E. Restoration of the partially edentulous mouth — a comparison of overdentures, removable partial dentures, fixed partial dentures and implant treatment. J Dent 1996; 24(4): 237-24. https://doi.org/10.1016/0300-5712(95)00075-5
Sharma A. Description of Partial Edentulism among Patients Visiting the Prosthodontic Department at a Tertiary Care Center in the Eastern part of Nepal. Acta Scientific Dental Sciences 2019; 3(10): 130-137.
Sharma A. Occurrence of Kennedy’s Classes and Associated Compromising Conditions with Class III. EC Dental Science 2021; 20(3): 14-18.
Ozkurt-Kayahan Z, Tomruk CO, Kazazoglu E. Partial edentulism and treatment options. Yeditepe Dental Journal 2017; 31-36. https://doi.org/10.5505/yeditepe.2017.62207
Charyeva OO, Altynbekov KD, Nysanova BZ. Kennedy Classification and Treatment Options: A Study of Partially Edentulous Patients Being Treated in a Specialized Prosthetic Clinic. J Prosthodont 2012; 21(3): 177-80. https://doi.org/10.1111/j.1532-849X.2011.00809.x
Shrestha P, Bhagat T. Partial Edentulism in Patients Visiting the Dental Out-Patient Department at the Tertiary Care Centre in the Eastern Part of Nepal. Journal of Nepalese Prosthodontic Society 2018; 1(1): 33-37. https://doi.org/10.3126/jnprossoc.v1i1.23848
D’Souza KM, Aras M. Association between socio-demographic variables and partial edentulism in the Goan population: an epidemiological study in India. Indian J Dent Res 2014; 25: 434-8. https://doi.org/10.4103/0970-9290.142519
Al-Quran FA, Al-Ghalayini RF, Al-Zu'bi BN. Single-tooth replacement: factors affecting different prosthetic treatment modalities. BMC Oral Health 2011; 11(34): 1-7. https://doi.org/10.1186/1472-6831-11-34
Elagra ME, Alhayek AI, Al-Mutairi BF, Aljohar NA, Aladwani RA. Changing trends of prosthetic rehabilitation of partially edentulous patients visiting a tertiary care dental hospital. J Family Med Prim Care 2019; 8: 1914-8. https://doi.org/10.4103/jfmpc.jfmpc_360_19
Sonnahalli NK, Mishra SK, Chowdhary R. Attitude of dental professionals toward cast partial denture: A questionnaire survey in India. J Indian Prosthodont Soc 2020; 20: 104-9. https://doi.org/10.4103/jips.jips_304_19