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Interference factors regarding the path of insertion of rotational-path removable partial dentures
Chan-Te Huang1, Fang-Chun Liu1, Kwing-Chi Luk1
1Department of Dentistry, Chang Gung Memorial Hospital at Keelung, Chang Gung University College of Medicine, Taoyuan, Taiwan.
Background:
The aims of this study were to evaluate the effect of the location of the rotational center and the morphology of teeth resulting in interference with the rotational path of insertion and to estimate when an interference test should be performed.
Methods:
A total of 400 dental radiograms of maxillary and mandibular first and second molars (100 for each position) were selected. The radiograms were used to hand-sketch the outlines on tracing paper. Then, an interference test was simulated using calipers. Mesial long occlusal rest seats with three different lengths were designed. A curve-simulated rotational path was drawn on the tracing paper showing the outline of a molar. If the curve was intersected by the mesial outline, interference was occurred. A total of 1200 tests were performed.
Results:
A significant number of interference cases (18.5%, N = 400) occurred when the rotational center was placed at the most distal margin of the occlusal surface. The interference was reduced (2.75%, N = 400) but still present at the distal fourth of the occlusal surface. At the distal one-third of the occlusal surface, interference did not occur (0%, N = 400). There was a significant difference between the results of the three rotational centers (p < 0.0001).
Conclusions:
The interference test was not required for a rotational center at the distal third to half of the occlusal surface. However, if the length of the long occlusal rest extends beyond the distal third, an interference test is recommended before final impression.