Alaa Al-Otaibi

Esthetic In Removable Prosthodontics prof. F Fahmi

March. 2013

- Patients requiring removable dentures have the same desires regarding esthetics as patients receiving fixed prosthodontic therapy and they deserve the best possible treatment outcome. Esthetic approaches in RPD: 1. Gingival Approaching Retainer 1- I bar clasp
2. Palatal I-bar 3. RLS-system 4. Twin-flex clasp or spring-clasp

Illustration

- Occlusal approaching retainer to undercut area on the mesiobucal surface of canine will very bother esthetics. - Esthetics of gingival approaching retainer will be better because the metal is more hided. - In the other hand it can be enhanced an indirect retainer at incisive. - The indirect retainer that can be selected in the form of cingulum rest beside mesial occlusal surface of canine, embrasure hook, terminal rest, incisal rest; secondary lingual bar, and so on. - This way will be more aesthetic, more stabilize, and the free-end saddle are not easy to lift up by sticky food. If canine and incisive has weakened, strengthen this teeth by splinting. Splinting can be conducted with orthodontic wire, or with composite in inter proximal area. - Splinting wire should place as low as possible in order to more aesthetic appearance.

2. Wrought Wire Wrought wire is more flexible compared to casting retainer. Because of this characteristic the tip of retentive arm can be placed more cervical to be more esthetic. - In the other hand for free-end RPD with retainer design first class lever, a more flexible retentive arm will decrease leverage to abutment teeth (act as shock absorber)

A. Combination cast and wrought wire B. Meacock C. Rush Angker

Part2, Esthetic in Removable partial denture

Alaa Al-Otaibi

Esthetic In Removable Prosthodontics prof. F Fahmi

March. 2013

3. Special Design Labial This retainer look like labial bow in orthodontic treatment, but there some differences that is Bow for Retainer Loop part is smaller Wire that patch at anterior teeth should place as low as possible near gingival margin, and for better esthetic the wire close over by red acrylic base. - The other advantage of Labial Bow like this will united anterior teeth in mastication when distal extension base lever up, so it is act as splint for anterior teeth. - The disadvantage is in the early patient feels bothered its lower lip .

4- Attachment

- Attachments may be classified as precision or semiprecision, intracoronal or extracoronal, and resilient or non resilient. Precision attachments are machined by the manufacturer, while semiprecision attachments are custom fabricated by the laboratory technician. - disadvantage: - The room must be made for the attachment within the crown. Box forms to accommodate the attachment must be prepared within the tooth at the time of tooth preparation. This removes a considerable amount of healthy tooth structure and often exacts a biologic price later. - This concept originated in the 1930s. - The partial denture requires two paths of insertion, with the framework being placed into the undercut first and then rotated to seat the posterior clasp assemblies. - When properly designed and fabricated, the removable partial denture cannot be dislodged by a force perpendicular to the plane of occlusion. The ultimate result is a retentive removable partial denture with no anterior clasp assemblies and the posterior assemblies in a position where they are not visible.

5- Rotational path Removable partial denture

6- overdenture / overlay Some remain teeth that still healthy enough but over-eruption, tipping, degree one mobility, and partial denture: considered not to extracted and conducted for root canal treatment. For this remain teeth its clinical crown is lessened, then made a dowel-core or dowel with layers that a- natural tooth close over clinical crown remains. Restoration will be functioned to give support, stability, and retention b- implants for overdenture that made on it. In the other hand it also give informational proprioceptive, and lessen resorption alveolar ridge.

Part2, Esthetic in Removable partial denture