Partial Edentulousness and Treatment Options Chosen

(Pages: 14-17)

Arati Sharma

Department of Prosthodontics, B.P. Koirala Institute of Health Sciences, Nepal




Abstract: Background: Purpose of this study was descriptive analysis of partial edentulousness, treatment options chosen, and treating clinics.

Materials and Method: This study is a part of the cross-sectional descriptive study conducted from April 2017 to September 2017 in the Department of Prosthodontics, B.P Koirala Institute of Health Sciences for which ethical clearance was taken from the Institutional Review Committee (IRC).Purposive sampling was done and written informed consent taken. Clinical assessment of each patient was done and noted down on the preformed proforma. Collected data were entered in Microsoft excel 2013 and statistical analysis done by SPSS 20 version.

Results: Among the total patients, 11 (3.35%) were from high economic group, 251 (76.52%) from medium economic group, and 66 (20.12%) from low economic group. Frequencies of Kennedy’s classes in upper arch were class I (n=21), class II (n=38), class III (n=169), class IV (n=23) and in lower arch class I (n=29), class II (n=19), class III (n=130), class IV (n=15). Majority of the patients in medium economic class had chosen fixed prosthesis whereas those in low economic class had chosen temporary removable partial denture (RPD).

Conclusions: The most commonly found Kennedy’s class in both the arches is Class III, somewhat more frequently found in upper arch than lower arch. Most commonly chosen treatment option is fixed partial denture (FPD) and least chosen is Cast Partial Denture (CPD). Economic status does affect choice of the treatment options. Temporary RPDs are preferentially placed by undergraduate clinic, FPDs by Specialist clinic and implant-supported by Post-graduate Clinic.

Keywords: Fixed prosthesis, kennedy’s class III, partial edentulism, removable partial denture.