Partial Denture Prosthesis Research Articles

A Comparative Evaluation of Removable Partial Denture Prostheses and Dental Caries Status among Diabetic and Nondiabetic Patients

Abstract Introduction Oral health is an integral part of general health. Systemic diseases such as diabetic condition and local factors have an impact on oral health of individuals. Dental caries is one of the most common oral health conditions affecting 60 to 90% of the population. Acrylic removable partial denture (RPD) is one of the most widely accepted means of tooth replacement. Its insertion in the mouth leads to altering the oral environment and increases plaque formation, particularly on tooth surface of those in contact with the acrylic partial denture facilitating the initiation of caries. Aim The aim of the study was to evaluate the effect of acrylic RPDs on caries prevalence in diabetic and nondiabetic patients. Methodology This comparative study was performed on 400 patients of age between 20 and 64 years visiting JSS Dental College and Hospital in Mysuru. Patients participating in this study were explained regarding the survey analysis and informed consent was taken. It was a questionnaire-based clinical study. Inclusion and exclusion criteria were considered for the selection of the study sample and categorize the patients into one of the following groups, with prostheses (Group A) and without prostheses (Group B) and subgroups diabetic patients with prostheses (Group A1) and nondiabetic patients with prostheses (Group A2). Diabetic patients without prostheses (Group B1) and nondiabetic patients without prostheses (Group B2). Sociodemographic information of each patient was recorded, and clinical examination was performed for decayed, missing, and filled teeth (DMFT) using DMFT index. Results A statistically significant high prevalence of dental caries was observed among nondiabetic patients with acrylic RPD (Group A2). Conclusion Acrylic RPD and diabetes had least role in caries prevalence.

Clinical Measurements of Force Exerted on Anterior Teeth in Partial Edentulous Distal Extension.

To determine the influence of partial edentulous distal extension and the use of removable partial dental prostheses in partially edentulous areas on the force exerted on the anterior teeth. A total of 83 volunteer patients participated in this study. The occlusal force was measured using an occlusal force measuring sheet in the patient's mouth. The occlusal forces and ratios were compared using the Wilcoxon signed-rank test (P < .05). The force exerted on the anterior teeth increased significantly as the number of remaining teeth decreased in an edentulous distal extension. The force exerted on the anterior teeth decreased significantly with the use of a removable partial dental prosthesis. In a clinical setting, when the number of remaining teeth in a partial edentulous distal extension decreases, the burden on the anterior teeth increases. Our findings suggest that, for patients with partial edentulous distal extension, using a removable partial dental prosthesis is effective in preserving the residual anterior teeth by reducing excessive force.

Single-unit cantilevered resin-bonded bridge: an alternative for maxillary lateral incisor replacement

Fixed partial denture (FPD) prostheses restore esthetics and function by connecting and fixing to adjacent teeth. Conventional FPDs require, for better retention and resistance, extensive preparations. Those preparations include buccal, palatal or lingual coverage, proximal guide planes, chamfers and /or grooves to optimize retention.1–4 The removing of such large amount of tooth structure increases the risk of periodontal complications and pulp exposure.1,3 In 1973, Rochette introduced resin bonded FPDs as a less invasive therapeutic option. He pioneered the use of lingual perforated cast alloy framework with acid etch composite for periodontal splinting of the anterior region.5 However, early Rochette bridges presented high failure rates. Since then, resin bonded FPDs have evolved with different framework materials and designs. Even though metal frameworks are highly resistant, they do have esthetical and mechanical limits such as the greyish appearance of the abutment teeth and dislodgment by the early loss of retention.2–4,7 This led to introducing metal free FPDs, also widely developed thanks to adhesive dentistry. The preparation designs for RBFPDs were strictly limited to the enamel. Studies revealed a survival rate of 86% after 3 years without retentive preparation.6 All Ceramic RBFPDs have been introduced in the early nineties of the last century as a treatment option for missing incisors. Adhesive dentistry has undergone major transformations in current concepts. It has launched new resin bonded FPD designs that allowed to be more conservative such as single unit cantilevered ceramic bridges which become the most commonly used design when replacing lateral incisor especially when implant supported crowns cannot be indicated.8 Placing an implant is not always possible in cases where there is an insufficient bone height or width or for patients with general pathologies that may limit implant indications. That is why in some cases it is compulsory to indicate an FPD. Anterior ceramic RBFPDs showed promising results and high survival rates. They have proved to be viable and reliable alternative.8

Comparative Mechanical Testing for Digitally Produced Provisional Fixed Partial Dentures vs the Conventional Method: An In Vitro Study

To examine and compare the fracture strength of implant-cemented fixed partial denture (FPD) prostheses fabricated with digital vs conventional chairside methods. Three groups of seven specimens each were produced: group A (3D printing); group B (milling); and group C (conventional chairside manufacturing), which served as a control. All groups were cemented to standard implant abutments placed in artificial bone blocks. Fracture strength testing was performed using a universal testing machine. Statistical analysis of the resultant maximum forces was performed using SPSS version 25 software (Mann- Whitney U test, P < .05). The mean fracture load value of the group A FPDs was 260.14 N ± 28.88, for group B was 663.57 N ± 140.55, and for group C was 266.65 N ± 63.66. Milled provisional FPDs showed a higher fracture resistance compared to 3D-printed and control groups. However, no such difference could be detected between the 3D-printed and control groups.

Evaluation the Effect of Diazonium Salt and Aluminum Oxide on the Shear Bond Strength of Heat Cure Acrylic Resin at Co/Cr and Titanium Alloys Interface

Bonding between metal components and denture base resin plays an important role in the success of removable partial denture. Removable partial denture prostheses often present a mechanical failure. The bonding between metal framework and acrylic resin is usually a mechanical interlock, since they do not chemical bond spontaneously. The aim of this study was to evaluate the effect of different surface treatments (diazonium salt and aluminum oxide) on the shear bond strength of PMMA at the Co/Cr and titanium alloys interface. Sixty-disc shape specimens were prepared and divided into 2 main groups according to the type of material, 30 specimens for Co/Cr alloy and 30 specimens for titanium alloy, then subdivided into 3 groups each one consist of 10 specimens, according to type of surface treatments. Each group had control group, aluminum oxide group (110 μm), and diazonium salt group. The specimens were thermocycled (3000 cycles) after applications of PMMA. Shear bond strength test conducted with crosshead speed 0.5mm/min. Data analyzed via One-way ANOVA and GHD test. Co/Cr alloy revealed that diazonium salt surface treatment had highest mean value of shear bond strength followed by aluminum oxide surface treatment at p&lt;0.01. For titanium alloy, the results showed the diazonium salt surface treatment had highest mean value of shear bond strength followed by aluminum oxide surface treatment group at p&lt;0.01. Aluminum oxide treatment slightly increased shear bond strength for both Co/Cr and titanium, while diazonium salt treatment statistically increased shear bond strength for Co/Cr and titanium alloy.

Evaluation of physico-mechanical properties of dental plaster modified with pulverized acrylic waste

Background: Dental plaster is most widely used to make temporary casts and as an investment medium during the fabrication of removable complete and partial denture prostheses. Dental plasters exhibit poor mechanical properties. Aim: This study aimed to evaluate the physico-mechanical properties of dental plaster modified with various concentrations of pulverized acrylic waste. Materials and Methods: A total of 120 specimens were fabricated using dental plaster and were divided into four groups of 30specimens each to evaluate setting time, one-hour compressive strength, 24-hour compressive strength, and surface reproducibility. Each group was subdivided into five groups of six specimens (n=6), each with the incorporation of various concentrations of pulverized acrylic powder. The specimens incorporated with various concentrations of pulverized acrylic powder (0.5 wt%, 1.0 wt%, 5.0 wt% and 10.0 wt%) were considered as modified groups and the dental plaster with no additives was considered as a control group. The initial and final setting times were measured using a Gillmore needle apparatus, the compressive strength was measured using a universal testing machine, and the surface reproducibility was analyzed using a stereo microscope. The obtained data were subjected to statistical analysis using one-way ANOVA and post hoc analysis. Results: The incorporation of 0.5 wt% resulted in more final and initial setting times. The one-hour and 24-hour compressive strengths of the dental plaster increased with increasing concentration of acrylic waste. Poor surface details were observed with an increase in the concentration of acrylic waste. Conclusions:The addition of acrylic waste resulted in an increase in the one-hour and 24-hour compressive strengths, decreased initial and final setting times, and poor surface reproducibility.

Effect of silver nanoparticles incorporation on impact strength of Heat-cure denture base resins

Background:Poly (Methyl methacrylic acid) based materials are widely used for the fabrication of removable complete and partial denture prostheses. these materials are prone to fractures when subjected to impact forces. While recent studies have explored the antimicrobial potential of denture base materials incorporating silver nanoparticles, their impact on the mechanical properties crucial for the prosthesis's durability has not been adequately established.Aim:To evaluate the impact strength of the heat-cure denture base materials incorporated with various concentrations of silver nanoparticles. Materials and Methods:Silver nanoparticles were incorporated at various concentrations (0.5, 1.0, 2.0 and 5.0 wt%) into three different heat-cure denture base materials. A total of 150 rectangular-shaped specimens (50 x 6 x 4), which comprises 50 samples from each of the three heat-cure acrylic resins were made using the compression molding technique. Ten specimens (n=10) were allocated for each concentration such as control, 0.5wt%, 1.0wt%, 2.0wt% and 5.0wt% concentrations of silver nanoparticles. A “V” notch was made exactly at the centre of each specimen to prevent the ductile fracture. The impact strength was evaluated using the Izod impact tester. The data were subjected to One-way ANOVA and Post hoctests for statistical analyses.Results: A decrease in the impact strength was observed in the modified groups compared to the control groups. One-way ANOVA showed significant differences (p=0.000) among the different concentrations of all three denture base materials.Conclusion:Silver nanoparticles incorporation reduced the impact strength of the denture base materials.

Attachment systems in overdenture therapy: a review.

Overdenture conventionally is a partial or complete denture prosthesis constructed over existing teeth or root structure. Attachments are the linchpins of an overdenture. Based on the clinical situation there are various attachment systems that are used accordingly. It is important that the clinician knows well about the attachment system and the amount of mechanical load that the clinical situation is going to deliver on the system. This article reviews the various attachment systems available in the market and their descriptions, advantages and disadvantages.

Polyetherether-Ketone (PEEK) Kennedy Class III Removable Partial Dentures: A case report

Modified poly-ether-ether-ketone (PEEK) is a new material that can be used for patients allergic to metals, or who dislike the metallic taste, the weight, and for patients with aesthetic concerns related to the visibility of the metallic clasps. This polymer would allow increased biocompatibility, durability, and elasticity, as well as more esthetically pleasing results. It has been used for years in orthopedics and medical field. The clinical use of PEEK removable partial denture prosthesis frameworks is presented as an alternative for the conventional metallic prosthesis.

Extremes in Denture Adaptation - Clinical and Psychological Influences

During evolutionary stages of different living organisms, new and challenging environments has prompted the development of adaptations that may be structural, physiological and behavioral. The clinical success of denture prosthesis treatment largely rests on patient’s ability to adapt which is time dependent. While the usual outcome by most of the patients is either an adaptation or maladaptation, it is rare to observe patients adapted to extremely faulty prosthesis. This article in the form of two case reports presents unique cases of extreme adaptation to the partial denture prosthesis. Both patients had their respective partial dentures resulted in the loss of their natural abutment tooth to which they were attached. In both cases the respective abutment teeth were dangling within the prosthesis. The extent of damage to the respective abutments were to the level of the apex of the root with one case being that of maxillary canine (longest root). Removal of the denture prosthesis led to the loss of natural tooth in both cases. Psychological aspects of such extreme denture adaptation have also been discussed.

Comparative analysis of weld strength of nickel-chromium and cobalt-chromium base metal alloys when submitted to tungsten inert gas welding.

Long span base metal alloy fixed prosthesis and partial dental prosthesis frameworks most often require welding for better fit and adaptation. The type of metal alloys used and its effect on the weld strength of the prosthesis have to be investigated. The aim of the study is to comparatively analyze the weld strength of nickel-chromium (Ni-Cr) and cobalt-chromium (Co-Cr) base metal alloys when subjected to tungsten inert gas (TIG) welding. 10 nickel- and cobalt-based specimens were obtained by casting of castable resin patterns of dimension 25 mm × 3 mm × 1 mm. Welding of the samples was carried out using the Lampert PuK 2 welding equipment, and a three-point bend test using a universal testing machine was carried out to evaluate the weld strength of the specimens. Statistical analysis was carried out using the SPSS software version 23. Higher weld strength was observed in the Co-Cr alloy (mean = 898 MPa) than in the Ni-Cr alloy (mean = 690 MPa), when submitted to TIG welding (P < 0.05). TIG welding could be a better alternative for joining base metal alloys for long span edentulous cases, and cobalt-based alloys could be better alternatives to nickel-based alloys that usually tend to cause hypersensitivity reactions.

A literature review on various luting cements used in dentistry

The success rate of the given fixed partial denture and the longevity of the fixed partial denture is depend on the tooth preparation and the usage of the luting cement under the fixed partial denture prosthesis. Luting cement plays an important role in maintaining or securing the fixed partial denture prosthesis in the cemented position. Luting cement should be bio compatible, it should be non-irritating to the underlying tooth structure and non-irritating to the pulp, it should maintain the adequate marginal seal. In recent days so many newer luting cements has been introduced in to the dentistry, that are claiming for good as well as better clinical performance from the existing cements in the terms of improved and better characteristic properties. The different cements which can be used as luting cements are glass ionomer cements, zinc phosphate, zinc poly carboxylate, zinc oxide eugenol, newer cements like resin modified glass ionomer cements, compomers and resin cements.

Force exerted on maxillary anterior teeth in mandibular unilateral and bilateral distal extension partial edentulous situation.

The purpose of this study was to determine the influence of mandibular unilateral and bilateral distal extension partial edentulous situation and the use of removable partial dental prostheses on the force exerted on maxillary anterior teeth. A commercially available jaw model with exchangeable teeth was used. Seven experimental conditions of mandibular distal extension edentulous situation were prepared and a distal extension removable partial dental prosthesis to replace missing posterior teeth was fabricated. The occlusal force was measured by inserting an occlusal force measuring film between the maxillary and mandibular teeth of the model. An occlusal load was applied and the forces and ratios were compared using the Kruskal-Wallis test and the Mann-Whitney U test (p < 0.05). As a result, the force exerted on the maxillary anterior teeth increased significantly as the number of remaining teeth decreased in unilateral and bilateral edentulous situation. The force exerted on the maxillary anterior teeth decreased significantly with use of a removable partial dental prosthesis. It is concluded that when the number of remaining teeth decreases in mandibular unilateral and bilateral distal extension partial edentulous situation, the burden on the maxillary anterior teeth increases. Our findings suggest that for patients with mandibular distal extension partial edentulous situation, using a removable partial dental prosthesis is effective in preserving the remaining teeth by reducing excessive force.

Silver-Coated Silica Nanoparticles Modified with MPS: Potential Antimicrobial Biomaterials Applied in Glaze and Soft Reliner.

Soft reliner and glaze are materials used over full or partial dental prosthesis to prevent excessive pressure on the supporting tissues. They are also indicated as supportive treatment for dental stomatitis, especially when modified by the addition of medications. The objective of the work was to evaluate the antimicrobial effect of silver-coated silica nanoparticles in a glaze and a soft reliner. The nanoparticles were synthesized, characterized, and tested by minimum inhibitory concentration (MIC) for C. albicans SC5314. Then, the nanoparticles were incorporated to a glaze and a soft reliner, which were called nanocomposites. Then, the nanocomposites were divided into six groups (n = 12): CG: glaze/reliner; CR: reliner; G1: glaze + 1% nanoparticles/reliner; G2: glaze + 2.5% nanoparticles/reliner; R1: reliner + 1%; R2: reliner + 2.5%. The nanocomposites were characterized by a goniometer and by a scanning electron microscope. The antibiofilm test was performed against C. albicans SC5314. According to the MIC results, the non-functionalized nanoparticles reduced fungal growth at 1000 μg/mL and the functionalized nanoparticles at 2000 μg/mL. The functionalized nanoparticle had a superior dispersion being selected for the antibiofilm test. There was a reduction of 64% in CFU/specimen count for the glaze, not statistically significant (p = 0.244). For the soft reliner, there was an increase in CFU/specimen with the presence of nanoparticles, still not statistically significant (p = 0.264). In conclusion, it is necessary to conduct new studies to increase the release of silver, thus improving nanoparticles’ antifungal potential.

The Implementation of the Minimal Intervention Dentistry in the Undergraduate Dental Clinical Teaching: A Retrospective Audit

Objectives: This study aims to assess the prevalence of minimal intervention dentistry (MID) treatment planned during the undergraduate clinical teaching. Materials and Methods: In this retrospective audit, clinical records from 108 dental students were collected and categorized into three cohorts; 2009/2014, 2010/2015, and 2011/2016. The number of direct restorations [amalgam restorations (AR) and composite restorations (CR)], fixed partial dental prostheses [conventional bridges (CB) and resin-bonded-bridges (RBB)] and single tooth indirect restorations (crowns and onlays) prescribed clinically by the undergraduate clinicians were retrieved. Results: Among the three cohorts, a trend was observed in the decrease of AR and the increase of CR prescribed by the dental students. The highest AR (9.6%) was performed by Cohort 2009/2014 and the highest CR (97.7%) was performed by Cohort 2011/2016. For fixed partial dental prostheses, RBB (67.6%) was the main treatment of choice, as compared to CB (32.4%). The cohort 2011/2016 prescribed the highest number of RBB as compared to earlier cohorts. In cases where teeth required cuspal protection, crowns (91.4%) dominated the treatment modality compared to onlays (8.6%). Conclusion: This study showed the dental undergraduates in UiTM endorsed the MID approach as recommended in the contemporary restorative dentistry.

Uso e necessidade de próteses dentárias em idosos domiciliados: um estudo transversal de base populacional

Abstract Background By the use of complete or partial dental prosthesis, function, esthetics, and phonetics are reestablished. Few population-based studies are available in the literature using an older adult population. Objective Evaluate the use of and need for dental prostheses and their associated factors. Method This study included a random sample of 287 elderly, in the city of Cruz Alta, Brazil. Use of and need for dental prostheses were the main outcomes, and two analytical models were constructed. Subgroup analyses were performed for individuals using fixed partial denture (FPD) and removable (partial and/or complete) dental prosthesis (RDP). Results Use of and need for dental prosthesis were identified in 83.6% (n=240) and 42.5% (n=122) of the elderly, respectively. Women presented a significantly higher prevalence ratio (PR) for use of dental prostheses (PR=1.15; 95%IC:1.02–1.28) and lower need (PR=0.70; 95%IC:0.54–0.91). No statistically significant difference was demonstrated for the use of FPD regarding the sex. Higher education level was associated with lower use of prostheses (PR=0.73; 95%IC:0.58–0.91) when compared to lower level of education. Medium level of education showed a significantly lower need for dental prostheses (PR=0.61 – 95%IC:0.39–0.94). Those that did not consume alcohol presented with a significantly lower use of FPD and RDP (PR=0.46; 95%IC:0.23–0.93 and 0.90;0.81–0.99, respectively). Conclusion The use of and need for dental prostheses were associated with sex, level of education, and behavioral factors.

Effect of Acrylic Removable Partial Denture in Caries Prevalence Among Diabetic and Non-Diabetic Patients.

Background:Dental caries is the most prevalent dental disease affecting human race. The etiology and pathogenesis of dental caries are known to be multifactorial. Studies have shown that removable partial dentures in the oral cavity increases the biofilm formation and consequently an increase in the occurrence of caries and periodontal diseases. There is a complex relationship between diabetes mellitus and dental caries. Patients with diabetes are more susceptible to oral sensory, periodontal, and salivary disorders which could increase the risk of developing new and recurrent dental caries. Therefore, the aim of the study was to assess the prevalence of dental caries among diabetic and non-diabetic acrylic removable partial denture wearers.Materials and Methods:Individuals participating in the study were partially edentulous and aged between 18 and 64 years. Patients were screened at Out patient department (OPD) in the Department of Prosthodontics JSSDCH, among which 60 patients were diabetic based on the random blood sugar level more than 160 mg/dl—30 patients were wearing RPD and 30 were without RPD. And 60 non-diabetic patients were selected among which 30 were wearing RPD and 30 without RPD. A total 120 patients were screened. Dental caries prevalence was assessed using Decayed, Missing, Filled (DMFT) index.Results:Diabetic group unrehabilitated with removable partial prosthesis showed significant difference in the number of missing teeth when compared to non-diabetic patients without removable prosthesis (P < 0.05).Conclusion:Removable partial denture prosthesis had less impact on prevalence of dental caries with good oral hygiene, following post insertion RPD instructions and regular dental visits irrespective of diabetes.

Postgraduate student’s perception on preclinical prosthodontics curricula: A web-based survey

This study aimed to determine the current background of teaching pre-clinical prosthodontics for post graduate students. It describes the perception of post graduate students regarding the effectiveness of the preclinical prosthodontic curriculum in preparing them to operate efficiently in the clinical setting.: To assess student’s knowledge and perception of preclinical postgraduate prosthodontics course in different dental colleges of India.: The study sample was obtained from 148 postgraduate student, both male and female, an anonymous questionnaire consisting of 15 questions regarding knowledge, attitude and practice of the preclinical curriculum. This research was conducted after getting permission from the respective authority and consent from all respondents. Data acquired from structured questionnaires were analysed and compared by simple percentage method.After careful assessment and graphical representation of responses acquired from participants, results were formulated. Participants expressed through open ended and closed ended questionnaire that exercises conducted for complete denture prostheses and fixed partial denture prostheses were adequate and preclinical curriculum for implantology and maxillofacial prostheses needs to be streamlined.This paper has found that, while all schools make efforts to ensure that their postgraduate dental students are best prepared for subsequent independent practices, prosthodontic education varies among schools. Although some trends in curricular formats and content are evident. This survey indicated that active and passive learning for preclinical prosthodontics and frequent feedback from students plays a vital role.

Attachment-Retained Unilateral Partial Denture versus Tooth Implant-Supported Prosthesis in Mandibular Distal Extension Cases: A Randomized Controlled Trial

Objective: To evaluate patients’ satisfaction, biting force measurement, and radiographic evaluation of abutment teeth of tooth implant-supported fixed partial denture, unilateral attachment, and conventional partial denture in mandibular distal extension cases. Materials and Methods: Twenty-four participants were selected according to the following criteria: participants with unilateral mandibular distal extension with last standing second premolar abutment; participants having abutments with sufficient occluso-gingival height and good periodontal condition. Participants were divided into the following three equal groups: participants of the implant group received fixed tooth implant-supported fixed partial dentures, attachment group participants received unilateral attachment removable partial dentures, and conventional group participants received conventional removable partial dentures. The evaluation included patient satisfaction using “OHIP14” questionnaires, biting force measurement, and radiographic evaluation of terminal abutments using the ANOVA test. Results: Participants of the implant group were mainly satisfied with their prosthesis than the attachment group, which is higher than the conventional. Regarding biting force measurement, there is a statistically significant difference (p &lt; 0.05) between all groups, including the implant group and attachment group, as well as between attachment and conventional group (p &lt; 0.05). The conventional group showed statistically significant (p &lt; 0.05) highest mean bone loss, while there was no statistically significant difference between implant and attachment groups; both showed statistically significantly lower mean amounts of bone loss. Conclusion: The tooth implant-supported fixed prosthesis could be considered a superior line of treatment for managing distal extension cases. Unilateral attachment, which is considered an excellent alternative in the case of implant placement, is not recommended.

\u201cIf I have teeth, I can smile.\u201d Experiences with tooth loss and the use of a removable dental prosthesis among people who are partially and completely edentulous in Karnataka, India

ObjectivesTooth loss is a phenomenon associated with structural and functional changes, with a negative influence on the oral and general health of an individual. Removable dental prosthesis is commonly fabricated as treatment for tooth loss. However, the perceptions and experiences of individuals during the transition from a dentate to a partially or completely edentulous state and their acceptance of the denture are largely ignored. The objective of this study was to explore the perceptions and experiences during the transition from a dentate state to being partially or completely edentulous in the Indian population.MethodsFifteen individuals wearing partial or complete denture prosthesis were interviewed in depth using open-ended questions. These interviews were recorded using a voice-recording device. They were then transcribed, and a coding process was applied using the thematic framework approach to qualitative analysis.FindingsFive themes emerged, namely: (i) Transition from dentulous to partially or completely edentulous state; (ii) Varying experiences with the use of dentures; (iii) Convenience and duration of wearing dentures; (iv) Attitude of dentists towards patients’ complaints; (v) Knowledge and preference of available treatment modalities.ConclusionsThe loss of natural teeth seemed to affect the psychological, functional, and social well-being of participants. Tooth loss was believed to be a natural aging process. Costs of treatment deterred the uptake of fixed denture treatment options. However, some participants preferred removable dentures to fixed prosthesis.