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Influence of mandibular free-end partial edentulism on the force exerted on maxillary anterior teeth
Affiliation:1. Harinakano Family Dentistry, Japan;2. Department of Prosthodontics, Gerodontology and Oral Rehabilitation, Osaka University Graduate School of Dentistry, Japan;1. Department of Advanced Oral Sciences and Therapeutics, University of Maryland School of Dentistry, Baltimore, MD, USA;2. Central Texas Veterans Health Care System, Temple, TX, USA;3. Institute for Medical Biometry and Statistics, Faculty of Medicine and, Medical Center, University of Freiburg, Germany;4. Department of Operative Dentistry, Periodontology, and Endodontology, University of Dental Medicine and Oral Health, Danube Private University, Krems, Austria;5. Department of Prosthetic Dentistry, Center for Dental Medicine, Medical Center – University of Freiburg, Freiburg, Germany;1. Department of Prosthodontics, Propaedeutics and Dental Materials, School of Dentistry, Christian-Albrechts University, Kiel, Germany;2. Department of Removable Prosthodontics, Faculty of Oral and Dental Medicine, Cairo University, Cairo, Egypt;1. Department of Cariology and Operative Dentistry, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University (TMDU), 1-5-45 Yushima, Bukyo-ku, Tokyo 113-8549, Japan;2. Oral Prosthetic Engineering, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, 1-5-45, Yushima, Bunkyo-ku, Tokyo 113-8549, Japan;3. Department of Operative Dentistry, Division of Oral Functional Science and Rehabilitation, School of Dentistry, Asahi University, 1851 Hozumi, Mizuho-city, Gifu 501-0296, Japan;4. Department of Restorative Dentistry, University of Washington School of Dentistry, 1959 NE Pacific St. Box 357456, Seattle, WA 98195-7456, USA;1. Center of Digital Dentistry, Department of Prosthodontics, Peking University School and Hospital of Stomatology, National Engineering Laboratory for Digital and Material Technology of Stomatology, Research Center of Engineering and Technology for Digital Dentistry of Ministry of Health, Beijing Key Laboratory of Digital Stomatology, National Clinical Research Center for Oral Disease 100081, Beijing, China;2. Department of Materials and Environmental Chemistry, Arrhenius Laboratory, Stockholm University, S-106 91 Stockholm, Sweden;1. Department of Biomedical and Neuromotor Sciences, Alma Mater Studiorum - University of Bologna, Bologna, Italy;2. Private practice, Battipaglia (SA), Italy;3. Private practice, Bari, Italy;4. Department of Neurosciences, University of Padova, Padova, Italy;1. Department of Periodontology and Community Oral Health, Faculty of Dentistry, Universiti Sains Islam Malaysia, Level 15, Tower B, Persiaran MPAJ, 55100, Pandan Indah, Kuala Lumpur, Malaysia;2. Unit Periodontology, Department of Restorative Dentistry, Faculty of Dentistry, Universiti Kebangsaan Malaysia, Jalan Raja Muda Abdul Aziz, 50300, Kuala Lumpur, Malaysia;3. Department of Mechanical and Nuclear Engineering, University of Sharjah, P.O. Box 27272, Sharjah, United Arab Emirates;4. Department of Mechanical & Manufacturing Engineering, Faculty of Engineering & Built Environment, Universiti Kebangsaan Malaysia, 43600, UKM Bangi, Selangor, Malaysia
Abstract:PurposeThe purpose of this study was to determine the influence of mandibular free-end partial edentulism and the wearing of removable partial dentures in the partially edentulous area on the force exerted on maxillary anterior teeth.MethodsA commercially available jaw model with exchangeable teeth was used. Seven experimental conditions of mandibular free-end edentulism were set up and a distal extension removable partial denture to replace missing posterior teeth was fabricated. Strain gauges were attached to the root surface of the maxillary left central incisor, canine, first premolar and first molar, and the force exerted on them was calculated based on the calibration coefficient. An occlusal load of 49 N was applied and the forces were compared with the Kruskal–Wallis test (P < 0.05).ResultsThe force exerted on the maxillary anterior teeth increased significantly as the number of remaining teeth decreased. The force exerted on the maxillary anterior teeth decreased significantly with use of a removable partial denture.ConclusionsWhen the number of remaining teeth decreases in mandibular free-end partial edentulism, the burden on the maxillary anterior teeth increases. Our findings suggest that for patients with mandibular free-end partial edentulism, wearing a removable partial denture is effective in preserving the remaining teeth by reducing excessive stress.
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