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Insertion axis in removable prosthesis: a preliminary report
Saverio Ceraulo1,2, Paolo Caccianiga3, Antonio Barbarisi4
1School of Medicine and Surgery, University of Milan-Bicocca, Monza, Monza-Brianza, Italy - saverio.ceraulo@unimib.it.
Minerva Dental and Oral Science
|September 27, 2024
Summary
Clear communication about removable partial denture (RPD) insertion is crucial. Explaining the insertion axis to patients improves acceptance and reduces potential issues like tooth mobility and pain.
Area of Science:
- Dental Prosthodontics
- Patient Education
- Biomaterials Science
Background:
- Removable partial dentures (RPDs) are common solutions for non-implant cases.
- Despite their widespread use, RPDs present aesthetic challenges.
- Patient acceptance of aesthetic limitations is a key factor in treatment success.
Purpose of the Study:
- To assess the impact of patient communication regarding the RPD insertion axis.
- To evaluate how this communication affects patient acceptance of aesthetic limitations.
- To explore the relationship between insertion axis understanding and prosthetic outcomes.
Main Methods:
- A study involving 150 patients requiring RPDs, treated by 10 dentists across two regions.
- Data collection through questionnaires administered at prosthesis delivery, 6 months, and 12 months.
- Inclusion and exclusion criteria were applied to ensure study population homogeneity.
Main Results:
- 100% of dental technician laboratories failed to communicate the insertion axis.
- After 12 months, 28% of patients reported pain during insertion, and 39.33% experienced remaining tooth mobility.
- No significant discomfort or adverse events were noted at the 6-month follow-up.
Conclusions:
- Adhering to the RPD insertion axis enhances periodontal health and clasp-retained tooth stability.
- Clear verbal and written instructions from clinicians can minimize periodontal stress and alterations.
- Integrating insertion axis information into patient declarations of conformity is recommended for improved outcomes.
