Introduction to Removable Prosthodontics

PROSTHODONTICS REMOVABLE FIXED MAXILLOFACIAL IMPLANTOLOGY

Removable Prosthodontics Part A: Removable Partial Denture Part B: Removable Complete Denture

Part A: Removable Partial Dentures Replaces one or more teeth in one arch Retained and supported by underlying tissues and remaining teeth Consultation appointment Study models Radiographs Photographs Visual aids Treatment plan

Appointments for a Partial Denture Patient Examination Consultation Final impressions Try-in and adjustment Delivery Adjustments 5

Advantages of a Removable Partial Restores long span of lost dentition Easier for good oral hygiene of abutments Easily repaired and adjusted Restores function when no distal teeth present May support periodontally involved teeth Stabilizes the arches Fewer intraoral procedures than fixed pros. Proper occlusal plane is maintained Less expensive than fixed prostheses

Contraindications for a Partial Lack of sufficient number of natural teeth properly located in the arch Lack of teeth with adequate root support to retain the appliance Rampant caries or gross periodontal conditions of remaining teeth Poor oral hygiene with no motivation to improve oral conditions

Kennedy Classification Bilateral edentulous areas located posterior to all remaining teeth

Kennedy Classification Class II Unilateral edentulous area located posterior to all remaining teeth

Kennedy Classification Class III Unilateral edentulous area bounded by anterior & posterior natural teeth

Kennedy Classification Class IV Single, but bilateral (crossing the midline) edentulous area located anterior to remaining teeth

Components of a Partial Denture

Part B: Removable Complete Denture Edentulous patient Denture supported by alveolar bone and oral mucosa

Indications for a Complete Denture Extensive bone loss and periodontal disease Lack of motivation or ability to maintain teeth Gross decay or abscesses Edentulous patient Patient refused partial dentures Lack of financial resources for alternative treatments

Components of a Complete Denture base Non-anatomical teeth Saddle Complete denture Anatomical teeth Flange

Appointments for a Complete Denture Examination Consultation Jaw relationship Oral surgery Denture delivery Final impressions First follow-up Adjustments

Final Impressions Impression compound Border molding Muscle trimming

Construction of Complete Dentures Baseplate Represents denture base Bite rim Simulates space provided by height of teeth Vertical dimension Occlusal relationship

Jaw Relationship Set-up Baseplates and bite rims Centric occlusion Retrusion Protrusion Lateral movement Vertical dimension Shade Mold

Try-in Appointment Denture teeth mounted in wax Evaluate Esthetics Retention Comfort Speech articulation

Delivery Appointment Evaluation Adjustments Instructions Insertion and removal Daily maintenance

Boucher's prosthodontic treatment for edentulous patients REFERENCE BOOKS McCracken's Removable Partial Prosthodontics Boucher's prosthodontic treatment for edentulous patients