Académique Documents
Professionnel Documents
Culture Documents
2-1
depends, to a great extent, on its supporting tension, neuromuscular control, etc. Bracing
tissue(s). is provided by contact of the denture with
the denture bearing tissues and the natural
The Tooth Supported RPD teeth, supplemented by contact of the
tongue,
Tooth supported RPDs receive all checks and lips with the polished surface of
their support from the abutment teeth the denture. The tissue supported RPD is
(Fig. 2-1). Retention is derived from direct essentially a complete denture with some
retainers on the abutment teeth and bracing remaining natural teeth. (Fig. 2-2). Tissue
is provided by contact of rigid components supported RPDs have the potential to cause
of the framework with natural teeth. Tooth soft tissue damage and periodontal
supported RPDs do not move appreciably in attachment loss and accordingly should be
function. Most tooth supported RPDs have used for only a short period of time (one
a cast metal major connector, although year or
sometimes it is possible to construct a tooth less) while a FPD, definitive RPD or
supported interim RPD with a plastic major implant prosthesis is constructed.
connector and wrought wire rests and/or
transocclusal clasps. The principles of The Tooth-Tissue Supported RPD
design of tooth supported RPDs is relatively
noncontroversial and similar in many The tooth-tissue supported RPD is
respects to the principles of design of FPDs. supported at one end by natural teeth, which
In lay persons vocabulary the tooth essentially do not move, and at the other end
supported RPD is referred to as a by the denture bearing tissues (mucosa
"REMOVABLE BRIDGE". This is a overlying bone) which moves because of the
nonprofessional term which should be resiliency of the mucosa (Fig. 2-3). The
avoided. design of the tooth-tissue supported RPD is
one of the most controversial topics in
The Tissue Supported RPD prosthodontics. Several philosophies with
specific RPD designs or construction
Tissue supported RPDs are primarily technics have been suggested to compensate
supported by the tissues (mucosa overlying for the difference in support provided by the
bone) of the denture foundation area. They natural teeth and denture foundation tissues.
may obtain some tooth support by contact of This topic is discussed in a later chapter.
the denture above the height of contour of
the natural teeth. Tissue supported RPDs
usually have plastic major connectors and
are, therefore, usually interim RPDs. Tissue
supported RPDs will move in function
because of the resiliency of the mucosa.
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FISET'S ADDITIONS Class IX A partially edentulous situation in
which functional and cosmetic requirements
Class VII A partially edentulous situation in or the magnitude of the interocclusal
which all remaining natural teeth are located distance require the use of a telescoped
on one side of the arch, or of the median line prosthesis (partial or complete). The
(Fig 2-4g). remaining teeth are capable of total or
partial support for the prosthesis (Fig. 2-4i).
2-5
APPLICATION
REFERENCES
2-6
2. Applegate, O.C.: Essentials of 12. Austin, K. and Lidge, E.: Partial
Removable Partial Denture Dentures, St. Louis, 1957, The C.V.
Prosthesis, 1st ed. St. Louis, 1954. Mosby Company.
The C.V. Mosby Company, p. 5.
13. Gaurilor, E.I. and Oksman, I.M.:
3. Cummer, W.E.: Possible Ortopedicheskaia Stomatologiia,
combinations of Teeth Present and Moscow, 1968, Meditsina.
Missing in Partial Restorations, Oral
Health, 10:421-430, 1920. 14. Skinner, C.: A Classification of
Removable Partial Dentures Based
4. Baylin, C.M.: Tissue Support in on the Principles of Anatomy and
Partial Denture Construction, Dent. Physiology, J. Prosthet. Dent. 9:240-
Cosmos 70:988-997, 1928. 246, 1959.
8. Kennedy, E.: Partial Dental 18. Costa, E.: A Simplified System for
Construction, ed. 2, Brooklyn, 1951, Identifying Partially Edentulous
Dental Items of Interest Publishing Arches J. Prosthet. Dent., 32:639-
Company. 645, 1974.
9. Beckett, L.S.: The Influence of 19. Stratton, R.S., Wiebelt, F.J.: An atlas
Saddle Construction on the Design of removable partial denture design.
of Partial Removable Restoration, J. Chicago: Quintessence, 1988, pp. 9b,
Prosthet. Dent. 3:506-516, 1953. 135, 175, 197, 207, 243, 273, 313.
10. Friedman, J.: The ABC 20. Ward J.E.: Incidence of Kennedy
Classification of Partial Denture classes of RPDs constructed at VCU
Segments, J. Prosthet. Dent. 3:517- School of Dentistry from September 4,
524, 1953. 1986 to May 26, 1987.