Abstract

The purpose of this survey was to determine removable partial denture (RPD) framework design concepts, new materials, and digital technology that are currently being taught in the predoctoral RPD curriculums in the U.S. dental schools. A questionnaire including RPD framework design concepts, materials, and digital technology was created on Qualtrics. The link to the questionnaire was distributed by email in May 2018 to U.S. dental schools. Thirty-nine of the sixty-six schools responded, yielding a response rate of 59%. Most schools are utilizing textbooks by McCracken and/or Stewart as their primary reference (90%). Only a few schools teach incisal rest (24%) and intra-coronal retainers (8%) in the clinic. The majority of schools teach three or less clasp assembly variations for distal extension RPD scenarios and utilize altered cast impression techniques only for selective patient scenarios. Half of schools currently utilize digital technology in their RPD curriculum. Although twenty-five schools (69%) indicated that implant-assisted RPD (IARPD) is being taught in the curriculum, only nineteen of them teach IARPDs in the clinic. Half of schools are utilizing non-metal clasp denture (NMCD) in their curriculum; most of these school provide this treatment as immediate/interim partials or long-term interim partials. Many U.S. dental schools are simplifying RPD design concepts and principles that are being taught. More schools are introducing new concepts and materials such as IARPD and NMCDs while incorporating digital technology in their predoctoral RPD curriculum.

Highlights

  • Removable partial denture (RPD) education has traditionally been a difficult area to teach and learn [1]

  • The specific aim of this study was to determine RPD design concepts that are currently being taught in U.S predoctoral programs and whether new concepts, materials, and digital technology are being used in their predoctoral RPD curriculum

  • Thirty-five (89.7%) of the responding U.S dental schools indicated that they utilize the textbooks by McCracken and/or Stewart as their primary reference for the RPD curriculum

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Summary

Introduction

Removable partial denture (RPD) education has traditionally been a difficult area to teach and learn [1]. Up to 50–60% of cases received by the laboratories reported having little or no input from the dentist regarding the design of their patient’s RPDs [1,3]. This is similar to a survey from 1984, where approximately 78% of the technicians in commercial laboratories designed most or all removable partial dentures [4]. Since implant therapy may not be a feasible option for the increasing partially edentulous population due to high cost, anatomical variations, and/or medical reasons, RPDs will remain a major therapy in the future [6].

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