Impact of Removable Partial Dentures on Masticatory Performance in Partial Edentulism: A Systematic Review.

Navodika Yaparathna, Ruvini Manjula Hettiarachchi, Santosh Kumar Tadakamadla, Robert Love, Nigel D Robb, Menaka Abuzar
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Abstract

Purpose: To evaluate the impact of removable partial dentures (RPDs) on masticatory performance (MP) of partially edentulous subjects.

Materials and methods: Electronic database and hand searches were conducted to explore clinical trials reporting the evidence of the effect of metal- and acrylic-based RPDs on mastication. The validated objective and subjective measures of assessment of mastication were included. The article selection, data extraction, and assessment of risk of bias were conducted by two reviewers independently.

Results: Out of 11,200 studies, 1 randomized controlled trial and 23 clinical trials met the inclusion criteria. Positive impact on different parameters of masticatory function after RPD treatment was reported in 14 studies. Subjective evaluation of chewing ability (CA) displayed an improvement in 83.3% of studies, while improvement was evidenced only in 69.5% of studies upon objective evaluation. Most studies reported data on free-end saddles. Of the 13 studies associated with bilateral free-end saddle dentures, 9 studies showed a positive effect on masticatory efficiency. Various factors were found to have an impact on the MP of RPDs.

Conclusions: Subjective evaluation displays higher positive impact of RPDs in MP than objective evaluation. Assessment of patients' perspectives is important in clinical decision-making. Multiple factors affect the MP with RPD treatment.

可摘局部义齿对部分性失足患者咀嚼性能的影响:一项系统综述。
目的:可摘局部义齿(RPD)作为一种经济高效的口腔功能恢复治疗方法,在临床牙科实践中得到了广泛应用。清楚地了解局部义齿对咀嚼性能的影响对于口腔修复的临床决策非常重要。本系统综述的目的是评估RPD对部分缺牙受试者咀嚼性能(MP)的影响。材料和方法:进行电子数据库和手部搜索,以探索报告金属和丙烯酸基可摘局部义齿对咀嚼效果影响的证据的临床试验。包括经验证的咀嚼评估的客观和主观测量。文章选择、数据提取和偏倚风险评估由两名评审员独立进行。结果:在11200项研究中,一项随机对照试验和23项临床试验符合纳入标准。14项研究报告了RPD治疗后对不同咀嚼功能参数的积极影响。83.3%的研究显示咀嚼能力(CA)的主观评估有所改善,而在客观评估的研究中,只有69.5%的研究证明咀嚼能力有所改善。大多数研究报告了自由端鞍座的数据。在13项与双侧游离端鞍状义齿相关的研究中,有9项研究显示出对咀嚼效率的积极影响。研究发现,各种因素对RPD的咀嚼性能(MP)有影响。结论主观评价显示RPD对MP的积极影响高于客观评价。评估患者的观点在临床决策中很重要。多种因素影响RPD治疗的MP。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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