Clinical update quiz

The clinical update online is a free member service providing up to 11 FREE CPD hours per year.

Each month, the clinical update is published online and in the Victorian Dentist. There are 11 clinical updates per year, corresponding with the distribution of the Victorian Dentist from February to December. This service is available to ADAVB and ADATas members only. Members can log in to view and answer the clinical update questions. If you answer at least eight out of 10 questions correctly, you will receive one hour of scientific CPD.

Please note: Each new clinical update will be available from the first business day of each month.

Efficacy and risks of removable partial prosthesis in periodontitis patients: A systematic review. 

Gotfredsen K, Rimborg S, Stavropoulos A. J Clin Periodontol. 2022;49 (suppl. 24) 167-181. DOI: 10.1111/jcpe.13519

Compiled by Dr Sarah Chin

Introduction

Oral rehabilitation with partial removable dental prostheses (RDP) is commonly used with 13-29% of adults in Europe having RDPs. There is greater partial edentulism with patients living longer and those with stage IV periodontitis with advanced attachment loss and loss of ≥5 teeth due to periododontitis requiring rehabilitation due to masticatory dysfunction. Increased gingival inflammation, periodontitis and tooth loss have been reported for patients with RDPs compared with those with fixed dental prostheses (FDP). Cleaning around RDPs may be easier compared with FDP and may be a more financially viable option. Another option is no or limited treatment resulting in a shortened dental arch (SDA).

Due to increasing prevalence of partial edentulism it is relevant to assess the efficacy and potential risk of RDP treatment in patients with periodontitis. The RDP oral health related quality of life (OHRQoL) is only increased if the anterior teeth are replaced.

The aim of this systematic review was to answer the following question: in partially edentulous periodontitis patients, do removable dental prostheses, in comparison with no prosthetic treatment or shorted dental arch or different RDP designs, result in greater tooth loss, periodontal parameters, masticatory efficiency and patient related outcome measures?

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