Influence of length of food platform on masticatory performance in patients missing unilateral mandibular molars with distal extension removable partial dentures

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  • Yanagawa Masako
    Graduate student, Removable Prosthodontics, Tokyo Medical and Dental University.
  • Fueki Kenji
    Assistant professor, Removable Prosthodontics, Tokyo Medical and Dental University
  • Ohyama Takashi
    Professor and Chair, Removable Prosthodontics, Tokyo Medical and Dental University.

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Abstract

Reduction of the size of food platform of a distal extension removable partial denture has been recommended to decrease functional load on the abutment teeth and residual ridges. The purpose of this study was to investigate the influence of shortening food platform on masticatory performance. Eight subjects unilaterally missing mandibular molars participated in the study. A unilateral design was used for the denture framework. The length of the food platform was changed as follows. Initially, (A) was adjusted so that the distal end of the platform was in accordance with the distal end of maxillary second molar. Next, the platform was shortened successively to 15 mm (B) and 10 mm (C). Subjects were asked to masticate 2-colored wax cubes to evaluate masticatory performance. Mixing Ability Index was calculated from the color mixture and the form of masticated cubes. Repeated measures one-way ANOVA indicated significant difference of Mixing Ability Index among platforms (P＜0.0001). The Dunnett’s test indicated no significant difference between A (1.27±0.29) and B (1.36±0.29), and a significant difference between A and C (0.89±0.30), (P＜0.001). Masticatory performance decreased significantly when the length of food platform was shortened to 10 mm.

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