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Attachment-Retained versus Clasp-Retained Removable Partial Dentures: Effects of Retention on Patient Satisfaction
Linda J Dula1, Tringa Z Kelmendi2, Kujtim Shala1
1Department of Prosthetic Dentistry, Faculty of Medicine, University of Prishtina, Prishtina, Republic of Kosovo.
European Journal of Dentistry
|January 3, 2025
Summary
Attachment-retained removable partial dentures (RPDs) provide superior retention and patient satisfaction compared to clasp-retained RPDs. Higher retention force directly correlates with increased patient satisfaction in RPD use.
Area of Science:
- Dentistry
- Prosthodontics
- Biomaterials
Background:
- Removable partial dentures (RPDs) are crucial for restoring function and aesthetics.
- Both attachment-retained and clasp-retained RPDs are common prosthetic solutions.
- Assessing long-term retention and patient satisfaction is vital for RPD efficacy.
Purpose of the Study:
- To compare the retention and patient satisfaction of attachment-retained versus clasp-retained RPDs over time.
- To evaluate the impact of retention force on patient satisfaction.
- To provide insights into optimal RPD design for improved patient outcomes.
Main Methods:
- 107 patients with 130 RPDs were evaluated.
- RPDs were categorized into attachment-retained (n=51) and clasp-retained (n=79) groups.
- Retention forces were measured, and patient satisfaction was assessed via questionnaire and analyzed using Kruskal-Wallis and Spearman's rho tests.
Main Results:
- Attachment-retained RPDs showed significantly higher retention and patient satisfaction scores compared to clasp-retained RPDs.
- Both RPD types experienced a decline in retention and satisfaction over 3 months.
- A strong positive correlation was found between retention force and patient satisfaction for both RPD types (p < 0.0001).
Conclusions:
- Attachment-retained RPDs offer superior retention and patient satisfaction in the initial months of use.
- Optimizing retention force is critical for enhancing patient satisfaction with RPDs.
- These findings support the use of attachment-retained RPDs for improved patient experience.
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