Comparisons of tactile thresholds between implant-supported fixed partial dentures and removable partial dentures.
This study compared the tactile sensitivity of splinted abutment and denture teeth of 16 fixed partial dentures (FPD) supported by blade implants and 16 removable partial dentures (RPD) in patients with Kennedy Class I and Class II edentulous conditions. No significant differences were noted between the tactile thresholds of the natural abutment teeth and artificial teeth in the FPD and RPD groups. The splinted abutment teeth required 45.4 g, or 5.4 to 5.8 times higher occlusal loads than did those needed for the comparable nonsplinted teeth, to detect the stimulus. A further increase of 54% in thresholds with the FPD and over 100% with the placement of the RPD indicated the superiority of the RPD in terms of load distribution as a result of the cross-arch splinting and mucosal support. Moderate positive correlations (r = 0.37 to 0.46; P < .05) between tactile thresholds and masticatory performance were found, signifying that reduced tactile perception was not responsible for the incomplete restoration of the masticatory function with RPDs or FPDs but might be contributing to increased masticatory performance within both treatment groups.
Garrett
N R
NR
Department of Veteran Affairs, West Los Angeles Medical Center, California 90073.
Hasse
A L
AL
Kapur
K K
KK
D000704:Analysis of Variance; D001732:Bite Force; D001751:Blade Implantation; D016009:Chi-Square Distribution; D000044:Dental Abutments; D015921:Dental Implants; D003799:Dental Stress Analysis; D003830:Denture, Partial, Fixed; D003832:Denture, Partial, Removable; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D008409:Mastication; D008875:Middle Aged; D017060:Patient Satisfaction; D012684:Sensory Thresholds; D013165:Splints; D014110:Touch
D015921:Dental Implants