The clinical picture and concepts of the treatment of terminal bilateral partial edentulism in the maxilla with removable acrylic partial dentures

Abstract

Introduction. Bilateral terminal partial edentulism in the maxilla represents a complex and challenging clinical condition in dental practice, requiring a meticulous and personalized approach for the adequate restoration of functionality and morphology of the stomatognathic system. Within this pathology, acrylic removable partial dentures are emerging as a therapeutic alternative of prime importance, providing an adaptable and effective solution for patients affected by these specific dental deficiencies. The objective of this study is to provide a detailed analysis of the clinical picture associated with bilateral terminal partial edentulism in the maxilla, focusing on relevant anatomical, functional and aesthetic aspects. Also, the assessment of the impact of the treatment performed with acrylic removable partial dentures on the quality of life and the level of satisfaction of the patients participating in the research will be studied. Materials and Methods. For this study, 20 patients aged between 45 and 60 years with a clinical presentation of bilateral terminal edentulism in the maxilla, treated with removable acrylic partial dentures were selected. The examination and evaluation of the patients was done over a period of eight months at the Department of Dental Propaedeutics „Pavel Godoroja”, USMF, „Nicolae Testemițanu”. Oral health-related quality of life was assessed with the Oral Health Impact Profile-14 questionnaire. Data were analyzed using descriptive and multivariate analyzes at a significance level of p < .05. Results. Following clinical examinations, it was determined that removable acrylic partial dentures are favorable because the prosthetic field provides maintenance and stability. The biological adaptation of removable acrylic prostheses is the process by which these intraoral devices are tolerated and accepted by the oral tissues and the patient’s body as a whole. This fit is essential for the patient’s long-term comfort, functionality and oral health. The biological adaptation of removable acrylic prostheses has been recognized as an essential element for ensuring comfort, functionality and long-term oral health in selected patients. This process was essential for oral tissue tolerance and avoiding potential complications such as gingival lesions or discomfort. Conclusion. The results obtained from the study confirmed that the biological adaptation of acrylic removable partial dentures is an essential factor in ensuring long-term comfort, functionality, and oral health. In the perspective of dental practice, these findings support the need for a personalized and careful approach in treating bilateral terminal partial edentulism in the maxilla, with the ultimate goal of optimizing therapeutic outcomes and providing patients with efficient, comfortable, and aesthetic solutions.