Anomaly of Dental Arch
Conditions
Keywords
randomized controlled trial, intervention, posterior reduced dental arch, patient satisfaction, sequential sampling
Brief summary
Dental services for large sectors of the population of the Western Cape (WC) Province of South Africa (SA) has been, and continues to be, limited to low-cost treatment options and emergency services, such as extractions at public health clinics. Replacement of missing teeth for the disadvantaged majority of the population is provided almost exclusively at the dental teaching institutions. Loss of teeth in the WC Province is, as elsewhere, the result of disease and the lack of restorative care and then having these replaced by a removable partial denture, if the patient can afford it Null Hypothesis: The daily functional needs and quality of life of partially dentate adult patients with a reduced posterior dental arch and /or a Shortened Dental Arch (SDA) will not be satisfied nor improved by replacing the posterior teeth with a removable prosthesis.
Detailed description
The aim of this research is to determine whether the daily functional needs and the quality of life of partially dentate adult patients with a reduced posterior dental arch will be satisfied and improved without having the posterior teeth replaced with a removable prosthesis, as compared to having the use of such prosthesis. Objectives: To conduct a randomized controlled trial amongst partially dentate adult patients with a reduced posterior dental arch (3-5 pairs of posterior occluding pairs of teeth) and where these patients will be randomly assigned to one of two groups: one group would be provided with a metal- based removable partial denture (RPDP) to replace the posterior teeth, the other will receive no treatment. Daily functioning ability and patient satisfaction between the groups (with/without RPDP) would then be compared.
Interventions
DEVICERemovable partial denture (Chrome Cobalt Distal extension)
For Group A: a distal extension removable denture will be constructed for patients with a reduced posterior dental arch
OTHERA reduced posterior dental arch
For Group B: Patients with a reduced posterior dental arch will not be provided with a removable denture and will be compared to patients in Group A
Sponsors
University of the Western Cape
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Investigator, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
21 Years to 55 Years
Healthy volunteers
No
Inclusion criteria
* Patients with Classic SDA * Patients with a reduced posterior dental arch (from 3-5 posterior occluding teeth) * Specific Age limits * Remaining teeth periodontally sound * Lost molars in one jaw * Both canines and one premolar should be present
Exclusion criteria
* Exclude patients with Angle Class 2 or 3 * Signs of Temporo-mandibular disorders * Compliance is a problem (Alcoholism/ drug addiction) * Risk of over-eruption of teeth * Patients wanting removable partial dentures
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Patient satisfaction | 3 months | Two different tools will b used to assess primary outcomes 1. Oral Impact of Daily Performance (OIDP) tool 2. Global Visual Analogue Scale (VAS) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Functioning | 3 months | Failure of intervention or patient unhappy with treatment prescribed |
| Oral health-related Quality of Life | 3 months | A Tool will be used to assess primary outcome |
Other
| Measure | Time frame | Description |
|---|---|---|
| Negative outcomes with intervention | 3 months | These include: periodontal breakdown (plaque index, loss of attachment), tooth loss, carious lesion formation, change in treatment or any other self-reported complaints |
Countries
South Africa
Outcome results
None listed