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Introduction to Removable Prosthodontics
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PROSTHODONTICS REMOVABLE FIXED MAXILLOFACIAL IMPLANTOLOGY
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Removable Prosthodontics
Part A: Removable Partial Denture Part B: Removable Complete Denture
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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
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Appointments for a Partial Denture
Patient Examination Consultation Final impressions Try-in and adjustment Delivery Adjustments 5
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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
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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
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Kennedy Classification
Bilateral edentulous areas located posterior to all remaining teeth
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Kennedy Classification
Class II Unilateral edentulous area located posterior to all remaining teeth
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Kennedy Classification
Class III Unilateral edentulous area bounded by anterior & posterior natural teeth
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Kennedy Classification
Class IV Single, but bilateral (crossing the midline) edentulous area located anterior to remaining teeth
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Components of a Partial Denture
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Part B: Removable Complete Denture
Edentulous patient Denture supported by alveolar bone and oral mucosa
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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
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Components of a Complete Denture
base Non-anatomical teeth Saddle Complete denture Anatomical teeth Flange
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Appointments for a Complete Denture
Examination Consultation Jaw relationship Oral surgery Denture delivery Final impressions First follow-up Adjustments
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Final Impressions Impression compound Border molding Muscle trimming
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Construction of Complete Dentures
Baseplate Represents denture base Bite rim Simulates space provided by height of teeth Vertical dimension Occlusal relationship
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Jaw Relationship Set-up
Baseplates and bite rims Centric occlusion Retrusion Protrusion Lateral movement Vertical dimension Shade Mold
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Try-in Appointment Denture teeth mounted in wax Evaluate Esthetics
Retention Comfort Speech articulation
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Delivery Appointment Evaluation Adjustments Instructions
Insertion and removal Daily maintenance
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Boucher's prosthodontic treatment for edentulous patients
REFERENCE BOOKS McCracken's Removable Partial Prosthodontics Boucher's prosthodontic treatment for edentulous patients
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