Romanian Journal of Medical and Dental Education Volum 15 Issue 1, 2026 ESTHETIC PRINCIPLES FOR REMOVABLE DENTURES: A NARRATIVE REVIEW

ESTHETIC PRINCIPLES FOR REMOVABLE DENTURES: A NARRATIVE REVIEW

Laura Vidru,  Agop-Forna Doriana, Diana Hanu

ABSTRACT

Aim of the study: Pacients receiving removable dentures as a treatment for their tooth loss condition, present a big concern regarding the esthetic outcome of the treatment. Various articles were studied to encompass new technology, materials and clinical protocols which can lead to an esthetic result regarding complete dentures or removable partial dentures (RPD) treatment outcomes and patient satisfaction.

Materials and methods: A total of 11 published articles were studied for this narrative review by manually searching them on Google Scholar and PubMed (2001-2026). Search terms included “Esthetic dentures” , “Removable partial dentures” , “complete dentures” , “removable denture esthetics” , “Flexible partial denture”, “RPD clasp esthetics” , “thermoplastic denture” , “digital denture manufacturing” , ”magnetic retained denture”.

Results: Esthetic success in complete dentures depends on meticulous tooth selection, correct occlusal vertical dimension (OVD), adequate lip support, and personalized denture-base characterization. In RPDs, metal clasp visibility remains the main aesthetic limitation; alternatives including thermoplastic resins, acetal resin, polyether ether ketone (PEEK), and digitally fabricated frameworks have proved promising results. Patient-reported satisfaction show important improvement on esthetic, functional and pronunciation at patients that received a removable denture in comparison with not having one.

Conclusions: Aesthetic management of removable prostheses requires a patient-centered, multidisciplinary approach combining biometric principles, contemporary materials, and digital workflows.

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