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| ID | Type | Description | Link |
|---|---|---|---|
| SDA South African RCT | Other Identifier | UWC- SA |
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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.
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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Removable partial denture Group | Experimental | Patients with a reduced posterior dental arch will be randomized into one of 2 Groups Group A will receive a removable partial denture prosthesis |
|
| Reduced Posterior Dental Arch Group | Active Comparator | Patients with a reduced posterior dental arch and not receiving any Intervention will be compared to the removable partial denture group |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Removable partial denture (Chrome Cobalt Distal extension) | Device | For Group A: a distal extension removable denture will be constructed for patients with a reduced posterior dental arch |
| Measure | Description | Time Frame |
|---|---|---|
| Patient satisfaction | Two different tools will b used to assess primary outcomes
| 3 months |
| Measure | Description | Time Frame |
|---|---|---|
| Functioning | Failure of intervention or patient unhappy with treatment prescribed | 3 months |
| Oral health-related Quality of Life | A Tool will be used to assess primary outcome |
| Measure | Description | Time Frame |
|---|---|---|
| Negative outcomes with intervention | These include: periodontal breakdown (plaque index, loss of attachment), tooth loss, carious lesion formation, change in treatment or any other self-reported complaints | 3 months |
Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Saadika Khan, PhD | Staff Member | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Saadika Khan | Cape Town | Western Cape | 7800 | South Africa |
By publishing the results in a reputable (peer reviewed and accredited) journal
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| ID | Term |
|---|---|
| D017060 | Patient Satisfaction |
| ID | Term |
|---|---|
| D000074822 | Treatment Adherence and Compliance |
| D015438 | Health Behavior |
| D001519 | Behavior |
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| ID | Term |
|---|---|
| D003832 | Denture, Partial, Removable |
| ID | Term |
|---|---|
| D003829 | Denture, Partial |
| D003778 | Dentures |
| D017266 | Dental Prosthesis |
| D011476 | Prosthodontics |
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|
| A reduced posterior dental arch | Other | 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 |
|
|
| 3 months |
| D003813 |
| Dentistry |
| D019736 | Prostheses and Implants |
| D004864 | Equipment and Supplies |