title: Unilateral removable partial dentures.
abstract: Removable partial dentures (RPDs) are widely used to replace missing teeth in order to restore both function and aesthetics for the partially dentate patient. Conventional RPD design is frequently bilateral and consists of a major connector that bridges both sides of the arch. Some patients cannot and will not tolerate such an extensive appliance. For these patients, bridgework may not be a predictable option and it is not always possible to provide implant-retained restorations. This article presents unilateral RPDs as a potential treatment modality for such patients and explores indications and contraindications for their use, including factors relating to patient history, clinical presentation and patient wishes. Through case examples, design, material and fabrication considerations will be discussed. While their use is not widespread, there are a number of patients who benefit from the provision of unilateral RPDs. They are a useful treatment to have in the clinician's armamentarium, but a highly-skilled dental team and a specific patient presentation is required in order for them to be a reasonable and predictable prosthetic option.
authors.affiliation: The Dental Practice, New Street, Dinnington, S25 2EX.
authors.forename: W A
authors.initials: WA
authors.lastname: Goodall
authors.affiliation: Department of Restorative Dentistry, Charles Clifford Dental Hospital, 76 Wellesley Road, Sheffield, S10 2SZ.
authors.forename: A C
authors.initials: AC
authors.lastname: Greer
authors.affiliation: Academic Unit of Restorative Dentistry, School of Clinical Dentistry, Claremont Crescent, University of Sheffield, S10 2TA.
authors.forename: N
authors.initials: N
authors.lastname: Martin
mesh_terms: D000328:Adult; D003779:Denture Design; D003832:Denture, Partial, Removable; D005260:Female; D006801:Humans; D008875:Middle Aged