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Register a new userAssessment of Patient’s Satisfaction With The Partial Dentures Fixed By Precision Attachments In The Mandibular of Kennedy Class II
تقييم رضا المريض عن الأجهزة الجزئية المثبتة بوصلات الإحكام في الفك السفلي لحالات الصنف الثاني من كنيدي Class II
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تهدف هذه الدراسة إلى تقييم رضا المريض عن الأجهزة الجزئية المثبتة بنوعين مختلفين من وصلات الإحكام خارج التاجية في الفك السفلي و ذلك في حالات الصنف الثاني من كنيدي Class II. استخدمت عينة مؤلفة من 10 مرضى لديهم فقد ثنائي الجانب في الفك السفلي و تم تحضير دعامتين (الضاحك الأول و الثاني) و التعويض كما يلي: يمين المريض وصلة من نوع MKI (وصلة صلبة ) و يسار المريض وصلة من نوع ASC 52 (وصلة مرنة) ثم أجري تقييم لرضا المرضى لكل من نوعي الوصلات بعد مرور شهر و 6 أشهر على استخدام الأجهزة و ذلك باستخدام مقياس من 0 5 (0=ممتاز ،1=جيد جداً ، 2=جيد ، 3=متوسط ، 4=سيء ، 5= سيء جداً ) بحيث يكون التقييم من حيث: الرضا العام متضمناً (الناحية الجمالية ، الكلام و الثبات)– الراحة – القدرة على المضغ – سهولة نزع الجهاز – اندخال الأطعمة تحت الجزء المتحرك. بينت النتائج، عدم وجود فرق ذو دلالة احصائية بين الوصلتين من ناحية: الرضا العام متضمناً (الناحية الجمالية، الكلام و الثبات)– الراحة – القدرة على المضغ – سهولة نزع الجهاز بعد مرور شهر و ستة أشهر على استخدام الأجهزة في حين تبين وجود فرق ذو دلالة احصائية في الرضا بين الوصلتين من ناحية اندخال الأطعمة تحت الجزء المتحرك بعد مرور شهر و ستة أشهر على استخدام الأجهزة ، وذلك عند مستوى دلالة P 0.05 .
This study aims toassesst patient’s satisfaction with partial dentures fixed by two different extracoronal attachments in the mandibular of cases Kennedy class II . It used a sample consisting of 10 patients have lost bilateral in the mandibular were prepared two abutments (first and second premolar ) and compensation as follows : the right side of the patient by rigid attachment type MKI and the left side by resilient attachment type ASC 52 , then to assess patient’s satisfaction for each of the two types of attachments was conducted after a month and 6 months on the use of dentures using by scale 0 5 (0 = excellent ,1 = very good, 2 = good, 3 = middle , 4 = bad, 5 = very bad) , so that the assessment in terms : general satisfaction included (aesthetics, speech and retention ), comfort , the ability to chew ,easy removal denture , deposition foods under the removable part . The results showed , no difference statistically significant between tow attachments in terms of general satisfaction included (aesthetics, speech and retention) ,comfort , the ability to chew ,easy removal denture after one month and 6 months to use the dentures while showing difference statistically significant between tow attachments after one month and 6 months to use the dentures , when the level significance p< 0.05 .
References used
BURNS , D.R ; WARD , J.E. A review of attachments for removable partial denture design: part 1. Classification and selection. Int J Prosthodont. 1990;3:98-102
BURNS, D.R ; WARD, J.E. A review of attachments for removable partial denture design: part 2. Treatment planning and attachment selection. Int J Prosthodont 1990,3:169-74
RAGHAVENDRAREDDY , K ; THUMATI , P ; KRISHNAMOHAN REDDY, G.V .Prosthetic Rehabilitation of A Partial Edentuluos Condition By A Combination of ExtracoronalSemiprecision Attachment And A Cast Partial Denture: A Clinical Report. J Int Dent Med Res2013, 6: (3): 113-116
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The initial retention of implant-supported removable partial
dentures(ISRPD) is unknown. the purpose of this in vitro study was
to compare maximum dislodging forces of distal extension
mandibular ISRPD with three different clasp design. a stimulat
ed
class 1 partially edentulous mandible was prepared with two
implant in the first molar regions and two metal ceramic on distal
abutments. Fifteen bilateral distal extension frameworks was
fabricated with three different clasp design (Akers, I bar clasp ,no
clasp),each specimen was subjected to three type of retention
pulls ( main ,unilateral ,posterior pulls) five time with universal
testing machine.
Since early Orthodontics, one of the main concerns is to correct Skeletal
Class II. For this Purpose they designed different functional appliances, and
performed many cephalometric studies to evaluate treatment results for
these appliances on dent
ofacial complex. Our clinical experience, show the
ability of treatment of preadolescents by advancement the mandible in
skeletal class II correction with Sliding Plates. and for this purpose, lateral
cephalometric study was performed to evaluate treatment results at
dentofacial complex. 19 preadolescents ages 11-14 years with skeletal class
II and mandibular retrognathism Sliding Plates consist of two separated
removable parts, the upper one has midpalatal expansion and vertical wire,
the lower is provided with anterior bite plane. The plates were used for 6-12
months. Lateral cephalograms were taken before treatment and
immediately after treatment. The results after treatment were compared
with the pretreatment measurements before treatment. After treatment,
advancement of the mandible and the parts of TMJ has been observed.
Thus, the use of sliding plates are useful to correct skeletal class II with
mandibular retrognathism, especially in cases associated with narrow upper
dental arch for children their ages do not permit the use of pre-functional
preparation, and additionally, in cases that require functional
rehabilitations.
Distalizition of the upper first Molar is a common treatment modality and
very important method to correct Distal Malocclusion, or to create Spaces
in the upper arch.
The Distal Jet has recently been proposed to distalize maxillary molars in
Class II cases with no need for patient cooperation.
It is necessary when designing removable partial dentures to be fixed,
stable and well supported for improving patient comfort, and decreasing
damages on soft tissues and dental abutments, the alveolar ridge has a
strong influence in planning for
treatment and interpretations
biomechanical when treated with removable partial dentures, and have
four shapes in the sagittal plane which are horizontal shape, concave
shape, distal ascending shape and descending shape.
The purpose of this study was to evaluate the reliability of a single malleable noncommpression
titanium miniplate in fixation and stability of fractures of the mandibular
angle using two approaches(.transbuccal and intra-oral approach, or intra-or
ally alone) .
The research sample included 20 patients from patients who attended AL Assad
University Hospital with Unilateral or bilateralun-comminuted mandibular angle fractures
in the period between September 2011 and October 2013.
The research sample was divided into two groups depending on the two approaches
that have been used . Adequacy of the reduction and stability of fixation were evaluated
through Radiographic examinations immediately after surgery. Postoperative assessment
was based on clinical examination after 1 month, 6 monthes and a year to evaluate:
Occlusion, Masticatory efficiency, Maximum mouth opening range, and Other
complications(infection –mini-plate exposure).
The results of the present study showed that there were statistical difference between
the two approaches(transbuccal and intra-oral approach, or intra-orally alone) regarding
Occlusion, Masticatory efficiency and Other complications after 1 and 6 months while
there was no statistical difference between the approaches after 1 year .
we Concluded that using the combined transbuccal/oral approach was the best
regarding(infection and mini-plate exposure) and compared with intra-oral approach .
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