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Metal framework: CrCr-Co alloy is most commonly used Denture teeth: acrylic or porcelain denture teeth Pink acrylic resin
Survey, determine the path of insertion, and tripod Mouth preparation and impression for the RPD framework Seat and fit the RPD framework Physiologic adjustment and altered cast impression if it is an extension base RPD Maxillomandibular registration (obtain face bow, VDO, and CR records) Tooth selection Wax partial denture try-in if it is esthetic or complex case tryDelivery
Draw the Design of the RPD on the diagnostic chart. Identify the axis of . rotation due to the distal extension
Design sequence: Rests Minor connectors Major connector Denture base connectors Retainers
Draw Dra RPD design on the cast follo ing your paper RPD design following our
Surveying Procedure
This may be divided into the following distinct phases:
Preliminary visual assessment of the study cast. Initial survey. Analysis. Final survey.
Mounted diagnostic casts with proper VDO and CR record Final RPD design based on surveying analysis and MAP Sort out the proper treatment sequence
Lack of positive rests results in prosthesis displacement, which can destroy mucosa & periodontal attachment (100% mucosal support) 100% support)
A treatment liner provides proper mucosa-prosthesis mucosacontact during the tissue treatment period
Conditioning of Abused and irritated tissue by the use of tissue conditioning material
Mouth Preparation
Mouth Preparation , Follow the Preliminary diagnosis , and the development of a tentative treatment plan.
Objectives:Objectives:
To Return the mouth , to the optimum health, and eliminate any condition , that would be determinable to the success of the removable partial denture. Mouth Preparation include Procedures in three categories :1- Oral surgical preparation. 2- periodontal preparation . 3- preparation of abutment teeth .
Extraction
Impacted teeth
Malposed tooth
Preprosthetic Surgery
Large Tori
Osseo-integrated device
Periodontal Preparation
Objectives
1- Removal and control of all the Etiological Factors contributing to periodontal disease . 2- Elimination or reduction of all pockets . 3- Establishment of functional non traumatic occlusion . 4- Development of personalized plaque control.
Periodontal Treatment
For I-bar consideration: 1. Tissue quality: 2-3mm attached gingiva 2. Tissue contour: in relation to the abutment
Free gingiva graft can provide attached mucosa in an area critically associated with the prosthesis
Periodontal Preparation
Periodontal diagnosis and ttt planning Initial disease control therapy (phase 1) Definitive Periodontal surgery (phase 2) Recall maintenance (phase 3) Advantages of periodontal therapy
Complete crowns to restore remaining teeth are often necessary and are contoured to coordinate and integrate with RPD treatment. Note positive rests.
Treatment Partial Denture: #23 & 26: hopeless teeth An acrylic resin partial denture Extraction is recommended that is placed on interim or transitional bases
Indications:
1. Cases require restoration of vertical dimension 2. Immediate esthetic & functional needs 3. Evaluation of hygiene & abutments 4. As immediate extraction site Immediate treatment partial in place bandage right after extraction
Abutment Preparation
Correction of occlusal plane Correction of mal-alignment . Provision for support for periodontal weakened teeth. Reestablishment of arch continuity. Examination of each abutment tooth individually as to what type of restoration is indicated. Reshaping teeth. - Enameloplasty. - Developing guiding planes. - Interproximal Preparation for Minor connectors. - Changing height of contour. - Enhancing Retentive undercuts - Rest seat preparation.
Correction of mal-alignment
- Tipping of teeth , facially , lingually they complicate
clasping procedure, and alter the design of RPD.
Types of splinting .
Fixed splinting . Designing of the RPD to join the teeth as a functional unit.
Advantages Disadvantages
Resistance to applied forces. Closure of inter proximal Contacts complicates Oral hygiene measures
Recontouring
The contours of the natural teeth most often require adjustments for the proper q j p p placement and functioning of the RPD.
Excessive tooth contours are reduced by lowering the height of contour so that;
1. The origin of the circumferential clasp is placed preferably at the junction of the middle and gingival third of the crown 2. The retentive terminal is placed in the gingival third of the crown for better esthetics and better mechanical advantage. 3. The reciprocal clasp is placed above the height of contour, but not higher than the cervical portion of the middle third of the crown.
Guiding plane of tooth adjacent to distal Extension Edentulous space i slightly shorter it 1 5 2 mm is li htl h t its 1.5 in height
- Decreased height results in decreased contact with the minor connector, and so permits greater movement of RPD damaging torque forces on Abutment so
1- Properly
Prepared guiding Plane Permits contact between the reciprocal element and Abutment so Prevent lateral forces.
2- Minimize the number of Pathways by which the Prosthesis May enter and exist 3- Reciprocal clasp arm With lingual guiding plane Effective Reciprocation
If the angle Formed by occlusal rest and minor connector is greater than 90, this will lead to: :
a- slippage of the prosthesis away from the abutment orthodontic like force leading to Movement of tooth b- Torque on the abutment.
as Individual occ. Rests, occ Rests Except that it must be extended further lingually used to avoid interproximal wedging by framework.
- Prepared
Advantages of internal rest seats:1- elimination of visible clasp 2- location of the rest seat in a more Favorable position in relation to the tipping axis Indicated only for tooth supported RPD
Cingulum rest
- Confined to maxillary canines - Rounded inverted v- shaped.
Call People by Name. The sweetest music to anyone's ears is the sound of his/her own name.