ACP members may download ACP position and may distribute copies to patients and referring dentists Copyright2015AmericanCollege ProsthodontistsAllrightsreserved 211 E Chicago Ave Suite 1000 Chi ID: 947098
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ACP members may download ACP position statements and may distribute copies to patients and referring dentists. Copyright2015AmericanCollege Prosthodontists.Allrightsreserved. 211 E. Chicago Ave., Suite 1000, Chicago, IL 60611| TEL: 312 - 573 - 1260 | FAX: 312 - 573 - 1257 | acp@prosthodontics.org 1 TheFrequencyDentureReplacementRemovablecompleteandpartialdentalprosthesesareusedto replacemissingteeththe completelypartiallyedentulouspatient.Theyaremedicaldeviceswithlimitedlifespans,and shouldnotbe consideredpermanentrestorations.Limitationstheirlongevityresultfromcontinualchangesthepatientshard Hardandsofttissuechanges(resorptiontheresidualridges)maylead to alossfittheremovableprosthesis.Thisleadlossprosthesisretention,stability,support, Degradationthecomponentsthemovableprosthesiscanincludeweartheprostheticteethdenturebaseacrylicresin,chippingfracture Porosityleadcolonizationtheprostheseswithpathogenicbacteria,fungi,and viruses,whichmaycontributeaspirationdiseases(suchpneumonia).Oralbiofilm(plaque) Therecurrentlyno evidencedeterminethefrequencydenturerelines,rebasing, ACP members may download ACP position statements and may
distribute copies to patients and referring dentists. Copyright2015AmericanCollege Prosthodontists.Allrightsreserved. 211 E. Chicago Ave., Suite 1000, Chicago, IL 60611| TEL: 312 - 573 - 1260 | FAX: 312 - 573 - 1257 | acp@prosthodontics.org 2 Therefore,is thepositiontheAmericanCollegeProsthodontists(ACP)thatremovablecompleteandpartialdenturesshouldevaluatedforreplacementwhenleastthefollowingconditionsoccurs: chronicirritation(inflammation)existsbeneaththedenturebases(includinglimitedepulisfissuratum,oralulcerations,treatmentresistantCandidarelateddenturestomatitis).(Caveat:Thelistintendedto allinclusive,ratherkeyexamplesredflagssignalingthatdentureshouldreplaced).dentureadhesivesarerequiredforthepatienteat,retainthedenturessocially(i.e.,whenthedentureswillremainplacethemselves),whenadhesivesmustbe usedmorethan oncedaily.the patientwillnot,cannot,weartheremovableprostheses.the removableprostheseshavedegradedsufficientlyto leadto prosthesisinstability,lossretention,lossesthetics,losssupport,inabilityto eat,theprosthesesprostheticteetharediscolored,cracked,broken,missing.the teethsupportingremovablepartialdentureoverdenturearelost.the prosthesishasbeenfunctionformorethanyears. Th
eACP recommendsthatpatientsconsultwiththeiroralhealthcareprovider(generaldentistprosthodontist)andrequestthattheirremovableprosthesesexaminedregularly. References ZengLouHuangal:Toothlossandheadandneckcancer:metaanalysisobservationalstudies.PLOS/One2013;8:e79074.Doi:10.1371/journal.pone.0079074 ManoharonNagarajaV,EslickGD:Illfittingdenturesandoralcancer:metaanalysis.OralOncol2014;50:10581061. FeltonDA:Edentulismandcomorbidfactors.Prosthodont2009;18:88 FeltonD,CooperDuqumal:Evidencebasedguidelinesforthecareand maintenancecompletedentures:publicationtheAmericanCollegeProsthodontists.Prosthodont2011;20:S1S12 Authors FrankTuminelli,DMD,FACPLyndonCooper,DDS,PhD,FACPStephenD.Campbell,DDS,MMSc,FACPDavidA.Felton,DDS,MSD,FACPVictoriaA.Vickers,DDSRadiMasri,DDS,MS,PhD,FACPAnnWei,DDS,FACP ACP members may download ACP position statements and may distribute copies to patients and referring dentists. Copyright2015AmericanCollege Prosthodontists.Allrightsreserved. 211 E. Chicago Ave., Suite 1000, Chicago, IL 60611| TEL: 312 - 573 - 1260 | FAX: 312 - 573 - 1257 | acp@prosthodontics.org 3 Date ApprovedACPBoardDirectors:Oct.20,2015Reaffirmed ACP Board of Directors: Oct. 30, 201