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VOLUME 11 , ISSUE 2 ( April-June, 2021 ) > List of Articles


Effect of Removable Partial Dentures on Masticatory Performance and Oral Health-related Quality of Life in Shortened Dental Arch Patients

Nay Nwe Htun, Aung Thu Hein, Kyaw Tint

Keywords : Glucose extraction method, Masticatory performance, Oral health-related quality of life, Rehabilitation, Removable partial denture, Shortened dental arch

Citation Information : Htun NN, Hein AT, Tint K. Effect of Removable Partial Dentures on Masticatory Performance and Oral Health-related Quality of Life in Shortened Dental Arch Patients. Int J Prosthodont Restor Dent 2021; 11 (2):71-75.

DOI: 10.5005/jp-journals-10019-1309

License: CC BY-NC 4.0

Published Online: 30-09-2021

Copyright Statement:  Copyright © 2021; The Author(s).


Aim and objective: This study aimed to evaluate the effect of removable partial dentures (RPDs) on masticatory performance (MP) and oral health-related quality of life (OHRQoL) in shortened dental arch (SDA) patients. Materials and methods: Twenty mandibular SDA patients with four occlusal units, opposing with maxillary complete dentition, that were natural teeth or fixed prosthesis, were recruited and measured MP by using gummy jelly (Glucolumn, GC Co. Ltd., Tokyo, Japan) and Glucosensor GS-II (GC Co. Ltd., Tokyo, Japan) (glucose extraction method). In addition, OHRQoL was assessed by using the oral health impact profile-14 questionnaire, which consists of 14 questions with seven domains. The total score and individual domain scores were calculated and used as parameters of OHRQoL. At 2 weeks after the final adjustment of RPD, MP and OHRQoL were assessed by the same method and questionnaire. These data were compared before and after rehabilitation. The p value of <0.05 was considered statistically significant. Results: A total of 20 SDA patients consisting of 17 (85%) females and 3 (15%) males who met the prescribed criteria (45–68 years, mean; 56 ± 8.23 years) were recruited. Both MP (p < 0.001) and OHRQoL (p < 0.001) were significantly improved after rehabilitation. Conclusion: These results suggested that rehabilitation with RPDs significantly improves objective MP and subjective OHRQoL in patients with SDA.

  1. United Nations. Department of Economic and Social Affairs. Population Division. World population ageing, 2019 highlights. New York: United Nations, 2019.
  2. Steele J, O'Sullivan I, Executive Summary: Adult Dental Health Survey 2009. The Health and Social Care Information Centre, 2011.
  3. Iwashita H, Tsukiyama Y, Kori H, et al. Comparative cross-sectional study of masticatory performance and mastication predominance for patients with missing posterior teeth. J Prosthodont Res 2014;58(4):223–229. DOI: 10.1016/j.jpor.2014.04.002.
  4. Kayser AF. Shortened dental arches and oral function. J Oral Rehabil 1981;8(5):457–462. DOI: 10.1111/j.1365-2842.1981.tb00519.x.
  5. Witter DJ, Hoefnagel RA, Snoek PA, et al. Extension of (extremely) shortened dental arches by fixed or removable partial dentures. Ned Tijdschr Tandheelkd 2009;116(11):609–614.
  6. McLister C, Donnelly M, Cardwell CR, et al. Effectiveness of prosthodontic interventions and survival of remaining teeth in adult patients with shortened dental arches—a systematic review. J Dent 2018;78:31–39. DOI: 10.1016/j.jdent.2018.02.003.
  7. Locker D, Matear D, Stephens M, et al. Oral health-related quality of life of a population of medically compromised elderly people. Community Dent Health 2002;19(2):90–97.
  8. MacEntee MI. Biologic sequelae of tooth replacement with removable partial dentures: a case for caution. J Prosthet Dent 1993;70(2):132–134. DOI: 10.1016/0022-3913(93)90007-B.
  9. WHO Expert Committee on Recent Advances in Oral Health. Recent advances in oral health: report of a WHO Expert Committee. Geneva: World Health Organization; 1992. pp. 16–17.
  10. Kanno T, Carlsson GE. A review of the shortened dental arch concept focusing on the work by the Käyser/Nijmegen group. J Oral Rehabil 2006;33(11):850–862. DOI: 10.1111/j.1365-2842.2006.01625.x.
  11. Wang MQ, Xue F, He JJ, et al. Missing posterior teeth and risk of temporomandibular disorders. J Dent Res 2009;88(10):942–945. DOI: 10.1177/0022034509344387.
  12. Gerritsen AE, Witter DJ, Bronkhorst EM, et al. Increased risk for premolar tooth loss in shortened dental arches. J Dent 2013;41(8):72 6–731. DOI: 10.1016/j.jdent.2013.05.013.
  13. Shoi K, Fueki K, Usui N, et al. Influence of posterior dental arch length on brain activity during chewing in patients with mandibular distal extension removable partial dentures. J Oral Rehabil 2014;41(7): 486–495. DOI: 10.1111/joor.12169.
  14. Preshaw PM, Walls AWG, Jakubovics NS, et al. Association of removable partial denture use with oral and systemic health. J Dent 2011;39(11):711–719. DOI: 10.1016/j.jdent.2011.08.018.
  15. Creugers NHJ, Witter DJ, Van't Spijker A, et al. Occlusion and temporomandibular function among subjects with mandibular distal extension removable partial dentures. Int J Dent 2010;2010:1–7. DOI: 10.1155/2010/807850.
  16. Graham R, Mihaylov S, Jepson N, et al. Determining “need” for a removable partial denture: a qualitative study of factors that influence dentist provision and patient use. Br Dent J 2006;200(3):155–158. DOI: 10.1038/sj.bdj.4813193.
  17. Krall E, Hayes C, Garcia R. How dentition status and masticatory function affect nutrient intake. J Am Dent Assoc 1998;129(9):1261–1269. DOI: 10.14219/jada.archive.1998.0423.
  18. Yoshida M, Kikutani T, Yoshikawa M, et al. Correlation between dental and nutritional status in community-dwelling elderly Japanese. Geriatr Gerontol Int 2011;11(3):315–319. DOI: 10.1111/j.1447-0594.2010.00688.x.
  19. De Cicco V, Barresi M, Fantozzi MPT, et al. Oral implant-prostheses: new teeth for a brighter brain. PLoS ONE 2016;11(2):e0148715. DOI: 10.1371/journal.pone.0148715.
  20. Fueki K, Igarashi Y, Maeda Y, et al. Factors related to prosthetic restoration in patients with shortened dental arches: a multicentre study. J Oral Rehabil 2010;38(7):525–532. DOI: 10.1111/j.1365-2842.2010.02183.x.
  21. Kondo T, Wakabayashi N. Influence of molar support loss on stress and strain in premolar periodontium: a patient-specific FEM study. J Dent 2009;37(7):541–548. DOI: 10.1016/j.jdent.2009.03. 015.
  22. Fueki K, Igarashi Y, Maeda Y, et al. Effect of prosthetic restoration on oral health-related quality of life in patients with shortened dental arches: a multicentre study. J Oral Rehabil 2015;42(9):701–708. DOI: 10.1111/joor.12297.
  23. Morita K, Tsuka H, Kato K, et al. Factors related to masticatory performance in healthy elderly individuals. J Prosthodont Res 2018;62(4):432–435. DOI: 10.1016/j.jpor.2018.03.007.
  24. Takeshima T, Fujita Y, Maki K. Factors associated with masticatory performance and swallowing threshold according to dental formula development. Arch Oral Biol 2019;99:51–57. DOI: 10.1016/j.archoralbio.2018.12.012.
  25. Shiga H, Kobayashi Y, Arakawa I, et al. Validation of a portable blood glucose testing device in measuring masticatory performance. Prosthodont Res Pract 2006;5(1):15–20. DOI: 10.2186/prp.5.15.
  26. Sugiura T, Fueki K, Igarashi Y. Comparisons between a mixing ability test and masticatory performance tests using a brittle or an elastic test food. J Oral Rehabil 2009;36(3):159–167. DOI: 10.1111/j.1365-2842.2008.01917.x.
  27. Slade GD. Derivation and validation of a short-form oral health impact profile. Community Dent Oral Epidemiol 1997;25(4):284–290. DOI: 10.1111/j.1600-0528.1997.tb00941.x.
  28. Soe KK, Gelbier S, Robinson PG. Reliability and validity of two oral health related quality of life measures in Myanmar adolescents. Community Dent Health 2004;21(4):139–144.
  29. Nyan M, Oo SZ, Hlaing EE, et al. A study of relationship between partial edentulism and oral health related quality of life (OHRQoL) and effect of removable partial dneutre treatment on OHRQoL. Myanmar Dent J 2019;26(1):41–46.
  30. Cohen J. Statistical power analysis for the behavioural science. 2nd ed., Lawrence Erlbaum Associates; 1988. pp. 8–13.
  31. Yamashita S, Sakai S, Hatch JP, et al. Relationship between oral function and occlusal support in denture wearers. J Oral Rehabil 2000;27(10):881–886. DOI: 10.1046/j.1365-2842.2000.00602.x.
  32. Arce-Tumbay J, Sanchez-Ayala A, Sotto-Maior B, et al. Mastication in subjects with extremely shortened dental arches rehabilitated with removable partial dentures. Int J Prosthodont 2011;24(6):517–519.
  33. Fueki K, Igarashi Y, Maeda Y, et al. Effect of prosthetic restoration on masticatory function in patients with shortened dental arches: a multicentre study. J Oral Rehabil 2016;43(7):534–542. DOI: 10.1111/joor.12387.
  34. Omo J, Sede M, Esan T. Masticatory efficiency of shortened dental arch subjects with removable partial denture: a comparative study. Niger J Clin Pract 2017;20(4):459–463. DOI: 10.4103/1119-3077.181363.
  35. Aras K, Hasanreisoglu U, Shinogaya T. Masticatory performance, maximum occlusal force, and occlusal contact area in patients with bilaterally missing molars and distal extension removable partial dentures. Int J Prosthodont 2009;22(2):204–209.
  36. Sánchez-Ayala A, Gonçalves TMSV, Ambrosano GMB, et al. Influence of length of occlusal support on masticatory function of free-end removable partial dentures: short-term adaptation. J Prosthodont 2013;22(4):313–318. DOI: 10.1111/j.1532-849X.2012.00938.x.
  37. Kobayashi Y, Shiga H, Arakawa I, et al. The effectiveness of measuring glucose extraction for estimating masticatory performance. Prosthodont Res Pract 2006;5(2):104–108. DOI: 10.2186/prp.5.104.
  38. Wolfart S, Müller F, Gerß J, et al. The randomized shortened dental arch study: oral health-related quality of life. Clin Oral Investig 2014;18(2):525–533. DOI: 10.1007/s00784-013-0991-6.
  39. Omo J, Sede M, Esan T. Quality of life in subjects with shortened dental arch rehabilitated with removable metal-based partial dentures. Eur J Prosthodont 2016;4(2):25–31. DOI: 10.4103/2347-4610.190606.
  40. McKenna G, Allen F, Woods N, et al. Cost-effectiveness of tooth replacement strategies for partially dentate elderly: a randomized controlled clinical trial. Community Dent Oral Epidemiol 2014;42(4):366–374. DOI: 10.1111/cdoe.12085.
  41. McKenna G, Allen PF, O'Mahony D, et al. The impact of rehabilitation using removable partial dentures and functionally orientated treatment on oral health-related quality of life: a randomised controlled clinical trial. J Dent 2015;43(1):66–71. DOI: 10.1016/j.jdent.2014.06.006.
  42. Reissmann DR, Wolfart S, John MT, et al. Impact of shortened dental arch on oral health-related quality of life over a period of 10 years — a randomized controlled trial. J Dent 2019;80:55–62. DOI: 10.1016/j.jdent.2018.10.006.
  43. Jaeschke R, Singer J, Guyatt GH. Measurement of health status. Ascertaining the minimal clinically important difference. Control Clin Trials 1989;10(4):407–415. DOI: 10.1016/0197-2456(89)90005-6.
  44. Tsakos G, Allen PF, Steele JG, et al. Interpreting oral health-related quality of life data. Community Dent Oral Epidemiol 2012;40(3):193–200. DOI: 10.1111/j.1600-0528.2011.00651.x.
  45. Locker D, Jokovic A, Clarke M. Assessing the responsiveness of measures of oral health-related quality of life. Community Dent Oral Epidemiol 2004;32(1):10–18. DOI: 10.1111/j.1600-0528.2004.00114.x.
  46. Tan H, Peres KG, Peres MA. Retention of teeth and oral health–related quality of life. J Dent Res 2016;95(12):1350–1357. DOI: 10.1177/0022034516657992.
  47. Myint Oo KZ, Fueki K, Yoshida-Kohno E, et al. Minimal clinically important differences of oral health-related quality of life after removable partial denture treatments. J Dent 2020;92:103246. DOI: 10.1016/j.jdent.2019.103246.
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