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What Occlusal Scheme Should Be Used with Removable Partial Dentures?

Charles J Goodacre1, Brian J Goodacre2

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Summary

This review examined occlusion schemes for removable partial dentures (RPDs). Limited evidence exists, with recommendations primarily based on expert opinion for harmonious, balanced RPD occlusion.

Keywords:
Removable partial denture (RPD)occlusal schemeocclusion

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Area of Science:

  • Dentistry
  • Prosthodontics
  • Dental Occlusion

Background:

  • Extensive research exists on complete denture occlusion.
  • Data on occlusal schemes for removable partial dentures (RPDs) is less clear.
  • This review focuses on the limited literature concerning RPD occlusion.

Purpose of the Study:

  • To investigate the dental literature regarding occlusal schemes specifically for removable partial dentures (RPDs).
  • To identify and synthesize available recommendations for RPD occlusion.
  • To highlight the evidence base, or lack thereof, for current RPD occlusion practices.

Main Methods:

  • Conducted a comprehensive PubMed search using various keyword combinations related to RPD occlusion.
  • Screened titles and abstracts to identify relevant articles.
  • Included a hand search of relevant textbooks to supplement literature findings.

Main Results:

  • Only 4 articles provided specific recommendations for RPD occlusion after initial screening.
  • The identified recommendations were based on expert opinion, not empirical evidence.
  • Textbook reviews yielded no evidence-based references for RPD occlusal schemes.

Conclusions:

  • RPD occlusion should promote physiological harmony and distribute functional stress.
  • Centric occlusion should feature bilateral posterior contacts without deflective contacts.
  • Balanced occlusion or canine-protected occlusion are recommended for RPDs, with bilateral balanced occlusion suggested when opposing complete dentures.