Tooth Preparation for RPD

1. Correction of occlusal plane and mal-alignment.

2. Parallel Guiding Surfaces

3. Rest Seats

4. Minor Connectors

5. Retainer area

6. Requires tooth modification

Diagnosis and treatment plan
Draw the Design of the RPD on the diagnostic chart

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

Delivery
 Surveying Procedure

This may be divided into the following distinct phases:

 Preliminary visual assessment of the study cast.
 Initial survey.
 Analysis.
 Final survey.

Preliminary visual assessment of the study cast

This stage has been described as 'eyeballing' the cast and is a useful
preliminary to the surveying procedure proper. The cast is held in the
hand and inspected from above. The general form and arrangement of
the teeth and ridge can be observed, any obvious problems noted and
an idea obtained as to whether or not a tilted survey should be
employed.
Mouth Preparation

 Mouth Preparation , Follow the Preliminary diagnosis , and the

development of a tentative treatment plan.

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 .
 Oral Surgical Preparation

- As early As Possible . long time interval Between surgery and Removable partial denture
construction .
1- Extraction .
2- Removal of residual roots .
3- Impacted teeth .
4- Malposed tooth .
5- Cyst and odontogenic tumors .
6- Exostoses and tori .
7- Hyper plastic tissues.
8- Muscle attachment and frena .
9- Bony spines , and knife edge ridges .
10- Polyps , papilloma , traumatic hemangiomas.
11- Hyper kera tosis, erthyroplakia , and ulcerations.
12-Dento facial deformity .
13- Osseo integrated device .
14- Augmentation & alveolar bone .
- conditioning of abused and irritated tissue by the use of tissue conditioning material
Extraction
Removal of Residual Roots
Impacted teeth
Malposed tooth
Preprosthetic Surgery

Enlarged tuberosity
Gross bone undercut

Large Tori
Exostoses and tori
Polyps, Papilloma, Traumatic
Hemangiomas
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 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)
Periodontal diagnosis and TTT
planning
Initial disease control therapy (phase 1)
 Oral hygiene instructions .
 scaling and root planning .
 elimination of local irritating factors , other than
calculus.
 Elimination of gross occlusal interferences.
 Guide to occlusal adjustment.
 Temporary splinting
 Use of night guard.

 Minor tooth Movement.

Periodontal diagnosis and TTT
planning

Definitive Periodontal surgery (phase 2)

 Gingivectomy.
 Periodontal Flap.
 Mucogingival surgical procedures
Recall maintenance (phase 3)
Restorative and Fixed

Complete crowns to restore remaining teeth are often necessary

and are contoured to coordinate and integrate with RPD treatment.
 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.
1-Correction of occlusal plane

1- Unopposed teeth for a long period of time over Eruption.

 If over Eruption is Minor Recontouring the surface
of the tooth.
 If moderate cast restoration, e.g. onlays or crowns.
 If Extreme Extraction.
Maxillary – supraeruption accompanied by down ward migration
of tuberosity

2- Tipped molar
2-Correction of mal-alignment

- Tipping of teeth , facially , lingually they complicate

clasping procedure, and alter the design of RPD.
3-Provision of support for periodontally
weakened teeth

Teeth showing decreased periodontal support

would require splinting.
Reasons for splinting.
 To
provide adequate support, and stabilization for a
RPD.

Types of splinting .
 Fixed splinting .
 Designing of the RPD
to join the teeth as
a functional unit.
Provision of support for periodontally
weakened teeth

Fixed Splinting .
 By joining teeth , with complete or partial coverage restoration .
 Fixed splinting of the posterior teeth will provide resistance to
Antero posterior Forces But Not Medio lateral forces.
 To Resist Medio lateral forces, splinting
 Should include one or more anterior teeth

Advantages Resistance to applied forces.

Disadvantages Closure of inter proximal Contacts

complicates Oral hygiene measures
Provision of support for periodontally
weakened teeth

Splinting by using properly designed RPD

Swing lock Removable partial denture leads
to an even distribution of applied force.
Extended arm Clasp.
Kennedy bar.
Lingual Plate.
4-Reestablishment of arch continuity

 Lone – standing tooth adjacent to an extension base area is

termed a pier abutment.
 Placing a clasp on such a tooth leads to periodontal destruction
and abutment loss.
 An appropriately constructed fixed partial denture is used to
reestablish arch continuity.
5-Examination of each Abutment tooth
individually

Aim
 Protection of abutment to be used in RPD construction.
 Restoring canine or premolars using – veneer type
crowns.
 Molars being restored – full cast crown.
 Proximal caries, on abutment with buccal and lingual
surfaces sound gold inlay may be indicated , best
possible support for occ. Rests.
 Most vulnerable area, is the proximal gingival area, lies
beneath the minor connector, due to accumulation of
debris, and food susceptibility to caries.
 This area, must be fully protected, by inlay restoration,
extending to beneath gingival margin.
Examination of each Abutment tooth
individually

Reshaping the tooth

 Enameloplasty
 Recountouring, But not over cutting.
Must be confined to Enamel surface , other wise
consider the properly contoured crowns.
 Recontouring

• The contours of the natural teeth most

often require adjustments for the proper
placement and functioning of the RPD.
Recontouring may be required to
1. Improve survey lines (improve clasp location)
2. Improve clasp retention (dimpling)
3. Improve the occlusal plane by grinding of the
cusp tips and incisal edges of anterior teeth.
 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
1/3 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.
Developing guiding planes.

Guiding planes :
“they are surfaces on proximal or
lingual surface of teeth, that are
parallel to each other, more
important parallel to the path of
insertion and removal.”
Guiding plane adjacent to a tooth
supported segment should be 2
to 4 mm in height
- Decreased height results in decreased
contact with the minor connector, and so
permits greater movement of RPD so
damaging torque forces on Abutment
Advantages of Guiding Planes

 Guiding the prosthesis during insertion

and removal.
 Enhance Stabilization
 Undesirable space Between Prosthesis
and Abutment
 Retention
Changing the height of contour
Enhancing Retentive
undercuts
 Rest seat Preparation

“Any unit of the partial denture that rests on a

tooth surface, to provide vertical support is called
a rest.”
Rest seat: “The prepared surface of the
abutment to receive the rest.
 Primary purpose of a rest to provide vertical
support they would transmit vertical forces to
the abutment, and direct forces along long axis
of the roots.
 Rest seat Preparation

 Form of occlusal Rest and Rest seats

1- Outline
– Triangular ( reduction app. 1.5mm )
 Rest seat Preparation

2) Floor: Should be concave

or spoon shape. To prevent
transferring of horizontal
stresses to the Abutment

3) Angle Formed by occlusal rest and minor

connector Should be less than 90 to direct the
force along axis of Abutment.
 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.

Support for Rests

Rests can be placed on :-

a) Sound Enamel
b) Any restoration, that proven to
resist fracture or distortion, when
subjected to forces.
Severely Tilted Abutment

- Secondary occlusal Rest

- Extended occlusal Rest
- Onlay to Restore occlusal plane
 To Minimize Further tipping of the
abutment and Direct Forces
towards the long axis of tooth
Interproximal occlusal Rest seat

- Prepared as Individual
occ. Rests, Except that it
must be extended further
lingually
used – to avoid
interproximal wedging by
framework.
Lingual Rests on canines and Incisor teeth

 Canine rest more preferable to an

incisal rest
Cingulum rest
- Confined to maxillary canines
- Rounded inverted v- shaped.
Lingual Rests on canines and Incisor teeth

 At junction of gingival margin

and middle 1/3
 Floor, should be toward the
cingulum rather than the axial
wall
 For mandibular canines ------
contraindicated due to lack of
thickness of enamel to prepare a
retentive rest seat

 Most satisfactory cingulum rest from the support point of view --

- that prepared on cast restorations
 Incisal rests and rest seats

On incisal Angles of Anterior teeth

Outline: Rounded notch at incisal angle, deepest
portion of preparation, apical to incisal edge
Notch: Should be beveled lingually and labially

- They are used predominantly as Auxiliary rests for indirect retainers

 Parallel Guiding Surfaces
Guiding surfaces are
prepared first, as
determined
Follow the natural curvature
by the path of insertion
of the tooth
 When prepare parallel guiding surfaces
of anterior abutment----

Stay on the lingual half to optimize esthetics !

Rests Areas
• Spoon shape (thicker in the center of the tooth than
at the marginal ridge)
• Incisal rest: 0.75-1.25mm, post. rests 1.25-1.5mm thick
• Wider at the marginal ridge
• Rounded at the junction with the minor connector
Tooth Preparation for RPD
1. Parallel Guiding Surfaces
2. Rest Seats
3. Minor Connectors Interproximal space
Tooth Preparation for RPD
1. Parallel Guiding Surfaces
2. Rest Seats
3. Minor Connectors
4. Retainer area Tooth alteration to lower
 excessive retention the height of contour

 inadequate retention

 Create a “dimple” retention

area by enamoplasty

 Crown the tooth

 How can undercuts be
created ?

• Dimpling
– But needs to be done with extreme caution
(remember the thickness of cervical enamel)

• Addition of composite
• Cast restorations
– Ideal contours can be created
 ‘Dimpling’ to create an undercut

 ‘Dimpling’ to create an undercut

 Before recontouring

Height of contour Tooth alteration to lower

the height of contour

1. 2.

After recontouring

Height of contour

4.
3. I bar engages cervical 1/3 retention area
Finish and polish all the alteration
areas
 Goals of the Impression
Techniques for the RPD
 Clinical Procedures to construct the study cast.
 Record all tooth and alveolar surfaces that will
contact the RPD framework
 Record the Critical landmarks: retromolar pads,
hamular notch, vestibular depths and edentulous
regions
Call People
by Name.
The
sweetest
music to
anyone's
ears is the
sound of
his/her
own name.
FINAL IMPRESSION TECHNQUES
Types of Removable Partial
Dentures

Functional Design Classification

1. Tooth Borne Partial Dentures

2. Extension Base Partial Dentures
 Final impressions
Types of impression techniques that can be used in
partial denture construction:

I- The anatomic form.

II. The physiologic or the functional form.

1- At the impression stage:
- Mclean’s and Hindel’s Methods.
- One stage selected pressure impression technique.-

2- At the framework stage:

The selective tissue placement impression technique.
(Altered cast technique with rubber, zinc o or fluid wax methods )

3- At the finished denture stage

a- old denture.
b- new denture.
The functional reline techniques using z o or rubber.
 Goals of the Impression Techniques
 Maximum coverage of the tissue available.

Provide maximum support, and so distribute load on

as large area as possible (decrease force / unit area).
• To distribute force widely .
Equalize support derived from edentulous ridges and
abutment teeth to decrease torque on teeth and preserve
bone.
 The base fit to the edentulous ridge.
Provide maximum support and retention.

 Direct forces to the primary stress bearing areas.

 Delineate accurately the peripheral extent of the denture
base.
Objectives of impression in
distal extensions:

OBTAIN MAXIMUM SUPPORT,

RETENTION AND STABILITY.
Critical landmarks: retromolar pads, hamular
notch, vestibular depths and edentulous regions
 The ridge must supply some support for the partial denture,
functional impression technique is used to equalize as much as
possible the support derived from the edentulous area and that
received from the abutment teeth.

The impression of the teeth should be made in its anatomic form

,because normally the teeth do not change position under function
to any measurable degree.
The impression of the soft tissue , on the other hand , must be made
in such a manner as to record the tissues in functional form.
Preparation for Impressions
• All tooth preparations must be completed
prior to final impressions
 Preparation for Impressions
• All required periodontal therapy should be completed and re-
evaluated
• Teeth should be clean and free of plaque
• Prophylaxis.
 The Materials of Choice to Record a
Partially Edentulous Arch
Elastomeric impression materials:
√√ Irreversible hydrocolloids (Alginate)
√Rubber base impression materials
√Silicone impression materials (PVS)
Polyether impression materials
√√Irreversible hydrocolloids are the most
commonly used due to :
the ease of handling,
relatively low cost,
and generating of dependable, accurate dental stone casts when
properly manipulated
Types of impression material
• Alginate
Material of choice
Especially effective if there
are lots of soft tissue
undercuts and/or teeth
with different axial
alignments
Types of impression material
Polysulfide (Rubber
base)
• Cost effective, Hydrophyllic
• Requires custom tray
• Long setting time
• May be difficult to remove
from the mouth
• Difficult to remove from the
cast (can break isolated
teeth)
 Final impressions
Types of impression techniques that can be used in
partial denture construction:

I- The anatomic form.

II. The physiologic or the functional form.

1- At the impression stage:
- Mclean’s and Hindel’s Methods.
- One stage selected pressure impression technique.-

2- At the framework stage:

The selective tissue placement impression technique.
(Altered cast technique with rubber, zinc o or fluid wax methods )

3- At the finished denture stage

a- old denture.
b- new denture.
The functional reline techniques using z o or rubber.
 I. The anatomic form impression
• “Is one stage impression technique, that will
produce a cast that does not represent a
functional relationship between the various
supporting structures”.
• It represent the hard and soft tissues at
rest.

– Alginate impression material.

– Rubber base impression material.
How to get an evenly distributed space between the tray and
the partially edentulous arch for the accurate alginate final
impression for RPD framework?
Solution 1:
Modify the stock tray with modeling compound or wax
Solution 2:
Fabricate the custom tray on the diagnostic model
 The anatomic form impression

In teeth -supported partial denture (bounded

saddle), ridge will not contribute to the
support of the P.D.

So it can be constructed on a cast obtained by

a (pressure free impression technique) that
records the teeth and supporting structure
at rest .
 2- Impressions with
Custom Trays
A- Alginate impression with Custom
Trays.
B- Rubber base with Custom Trays.
 Alginate or rubber base
with Custom Tray

An advanced technique required for a typical RPD

Prepare Patient and Mixing Area

When using elastomeric impression materials:

Use gauze and saliva ejector to remove excess
saliva, prepare mixing area, and use an assistant
Mix With No Streaks
Hard and Soft Tissue Extensions
and Borders

Completed
Impressions
 2- The functional
(physiological) form
impression at the
impression stage:
 Record the ridge portion of the cast in its
functional form by placing an occlusal load
on the impression tray

1. Mclean’s physiologic technique.

2. Hindel’s physiologic technique.
3. One stage selected pressure impression
technique.
If a distal extension RPD were
constructed from an Anatomic
Impression, it would exert excessive
pressure in the abutment teeth during
function.
 The main objective in an
impression for distal extension is:
• To provide maximum support for the RPD.

• Maintaining occlusal contact to help in

distributing the occlusal forces over the
natural and artificial teeth.

• Minimizing movement of the base that may

create leverage on the abutment teeth.
 MCLEAN’S PHYSIOLOGIC
TECHNIQUE

Idea of this technique:

• Mclean recorded the residual ridge that support a
distal extension base in its functional form , and
then related it to the remainder of the arch by an
overall hydrocolloid impression , while the first
impression was held in position.
 MCLEAN’S PHYSIOLOGIC
TECHNIQUE
1. Special tray is constructed on a study cast ,
only on the edentulous ridges .
2. Connect them together by a metal or acrylic
bar .
3. Border molding for the special trays using
green stick compound .
4. Occlusal rim is formed , and adjust tentative
VDO for the patient to bite on .
5. Zinc-Oxide impression is made under biting
force ( on the special tray ).
 MCLEAN’S PHYSIOLOGIC
TECHNIQUE

6. Overall alginate impression is made using stock

tray with 3 stops in the fitting surface of the tray ,
with the first impression held in place under finger
pressure .
7. Pour the impression into a master cast .
8. The metal framework will be constructed on this
cast.
 HINDEL’S PHYSIOLOGIC
TECHNIQUE
The idea of this technique:

• The impression of the edentulous ridge was recorded

anatomically with no biting force , while the second
alginate impression records the details of the rest of the
tissues with finger pressure applied through holes in the
tray.
 HINDEL’S PHYSIOLOGIC
TECHNIQUE
1. Special tray is constructed on a study
cast ,only on the edentulous ridges .
2. Connect them together by a metal or
acrylic bar .
3. Border molding for the special trays
using green stick compound .
4. Zinc-Oxide impression of the
edentulous ridge under light finger
pressure .
 HINDEL’S PHYSIOLOGIC
TECHNIQUE

5. Using a stock tray with holes in the

area corresponding to the distal
extension. (this holes is used to
maintain finger pressure on the 1st
impression until the alginate sets .

6. Overall impression is made.

The main drawback of this technique is:

They could not record exactly the functional

displacement of the tissues produced by the biting
forces.

However, it did not eliminate the variable of the

dentist's individual interpretation of what
constitutes and magnitude of functional loading.
 Disadvantages of these
techniques:
The tissue of the ridge will be
compressed in the functional form , blood
flow will be affected and reduced which
in turn leads to bone resorption .
One stage selected pressure
impression technique
Objectives:
• Help to equalize the support between the abutment teeth and the
residual ridge.

• Direct the forces to the ridge areas that are most capable of
withstanding these forces i.e the primary stress bearing areas
 One stage selected pressure
impression technique
It is a single impression made after the mouth
preparation & made before framework construction

1) Special tray is constructed on study cast as follow

• 2 layers of base plate wax relief is adapted on the teeth and residual
ridges .
• Aluminum foil is burnished over the wax .
• Cutting boxes through the foil and making occlusal stops which are
placed over the remaining teeth to ensure proper seating of the tray
• Construct a special tray short 2 mm of the border .
• Remove wax and foil from the cast and wet the surface of the cast.
2) Softened compound is applied on the tissue surface on the tray
corresponding to the ridge , (first seat the compound on the cast to
shape the compound before placement intra-oral) .

3) Reheat compound and place it in the mouth .

4) Apply compound to the borders for border molding .

5) Relief tissue surface of the compound except 1ry stress bearing area .

6) Rubber base impression with finger pressure .

7) Master cast , and framework construction .

Physiologic Adjustment &
Altered Cast Impression for
extension base RPD
“It is made after construction of metal
framework on a cast obtained from an
anatomic impression”
Physiologic Adjustment & Altered Cast Impression
for extension base RPD
Why we need to do physiologic
Adjustment for extension base RPD?
To establish a safety factor for
abutment teeth to minimize the
torquing force from future excessive
movement of the RPD due to bone
resorption or poor edentulous area
support
Inspection of the RPD Framework Casting

The Framework is adjusted until it smoothly

comes on and off the master cast.
The rests needs to be completely
seated with intimate contact.
The casting is placed in the mouth and moved as in
biting function with heavy pressure applied to the
extension area
 The altered Cast Technique (Selective
pressure impression technique)

The idea of this technique:

• An impression of the distally extended edentulous ridge is
made by using an impression tray attached to the
metallic framework , and the master cast is then
altered to accommodate the new ridge impression.
 Altered Cast Procedure
The purpose of this is to obtain the
maximum support possible from the
edentulous area of the extension partial
denture.
 The casting which has been
physiologically adjusted is placed on
the master cast
A single layer of baseplate wax is placed over the edentulous
area to provide a space for the impression material.
Warm the metal casting and reseat on the master cast
ensuring that all rests are well in place.
 Remove some wax from the denture base connector area
to provide for the mechanical lock of the acrylic to the metal.
On the MASTER CAST , 1ry Stress bearing area is left
without relief , Area that needs relief are relived using
wax as (internal oblique ridge , crest of the lower ridge ).
 Prepare the tray:
The purpose of the tray is to carry a uniform thickness of
the final impression material to the mouth without
exerting pressure on the mucosa.
When the plastic tray material is cured the entire cast is
submerged in the warm water for few seconds for easy
separation, then the wax spacer is removed.
The tray is placed in the mouth and
checked for proper peripheral extension.
The plastic tray is trimmed and polished.
Border extensions are refined with modeling
compound, then cut back to allow room for the
impression material.
Vent holes are placed in the plastic tray
near the finish line for escape of excess
impression material
Impression Procedure:
Light body rubber base or metallic paste
can be used
 Material is mixed, the tray is loaded, and the
casting is firmly seated on the teeth and held in
position over the rests until it is completely set
Do not place or allow movement on the
edentulous area!

Placing (three fingers tech.)

One over the indirect retainer
and two over the two occlusal rests
 Altered Cast Procedure
1) Made after construction of a framework which is made over
a cast obtained from an anatomic impression .

2) The framework is tried in patient mouth, with the rest on

their seats and occlusion is adjusted if need.
3) Draw the outline for the wax spacer on the edentulous areas
of the master cast so that the wax border is two millimeters inside the
peripheral extensions of the denture base. The spacer should stop at
the internal finish line of the framework)
On the MASTER CAST , 1ry Stress bearing area is left without
relief , Area that needs relief are relived using wax as
(internal oblique ridge , crest of the lower ridge.
4) Special tray is made on the ridge , attached mechanically to
the framework.
5) Border molding with green stick compound .
6) Relief holes are prepared in the acrylic tray using a #8 round
bur to permit the escape of excess impression material. This is
done to reduce the possibility of soft tissue distortion when the
impression is made…
7) A trial impression is made using irreversible hydrocolloid. This
impression is made to ensure that there is no impingement of
the border-molded tray on the underlying soft tissue. If any
pressure spots are noted, they should be removed.
8) Final impression with Zn-Oxide impression ( rubber base and fluid wax as
IOWA WAX no.1 , KORRECTA no.4 also can be used ).

10) After the framework is removed, a face-bow transfer recording is made,

11) The artificial teeth are selected (if it was missing) .
12) Alter the impression, the distal extension area on the master cast are
sawed off by a disc ,( 2 lines on each side , one vertical in the lingual
sulcus and one horizontal distal to last abutment ).
13) Retentive grooves are then cut on the side of the cast.

14) The framework with the impression is reseated on the cast and
green stick compound is placed on the rest and indirect retainers my aid in
ensuring proper seating during pouring impression) .

15) Impression is boxed Irreversible hydrocolloid is used for the boxing

technique.

16) Edentulous area is poured with stone ( with different color than
original cast ).

N;B Auto-polymerizing resin placed under the most distal extension of the
framework in the edentulous areas to act as a tissue stop during
processing of the acrylic.
The advantage of the altered cast
procedure:

1. Accurate relationship between the denture base and the metal

framework is established prior to tooth arrangement which should
result in less occlusal adjustment at the time of insertion.

2. To obtain the maximum possible support from the distal

extension base of the RPD and to accurately relate the
soft tissue surface of the denture base to the metal
framework.
 Physiologic Adjustment & Altered Cast Impression
for extension base RPD
Purpose:
To obtain the maximum tissue support
from the extension edentulous area

Border molding & final impression

Do not over load the material!

Fabricate the detachable tray 24hrs in

advance. Connect to the casting with
cold cured acrylic once the seating and
physiologic adjustment are completed.

Critical area: metal-acrylic junction

Trim the impression material exactly to the
metal finish line on the tissue surface
 Cast Alteration:
The edentulous area of the master cast is removed, and
the
metal casting is seated in place on the teeth.
The casting is secured to the stone cast with sticky wax.
 Physiologic Adjustment & Altered Cast Impression
for extension base RPD

Follow the same manner as

complete denture to bead and box
the alter cast impression
Preserve the 2-3mm peripheral
flange and 5mm land area

Secure the casting onto the

master cast with wax

Create mechanical retention on the master cast

Retention grooves are placed in the
cast. The impression is beaded and
boxed and ready to be poured in
vacuum-mixed stone.
Physiologic Adjustment & Altered Cast Impression
for extension base RPD

1. Pour the altered cast

impression after beading &
boxing
2. Remove the impression
tray from the casting once
the stone sets
The Altered Cast with the Edentulous Area Repoured
This produces the best possible support and
orientation of the metal casting to the remaining
teeth

Effective preventive measure to protect abutment

teeth by providing 2-3 times greater mucosal
support and minimizing denture movement.
 The functional relining
impression technique at the
finished denture stage

The idea of this technique:

1- For New denture: constructed from single anatomic impression to

avoid movement on the edentulous area after application of masticatory
load.
2- After denture use for many years , a combination of occlusal wear
and sinking of the denture following alveolar resorption occurs .So
functional impression is required to correct this situation
The functional relining impression
technique
Done after denture construction, (open mouth
procedure )

1- Borders are shortened and denture base is relieved ( to

create space for impression material ).
2- Border molding using Green Stick Compound
impression.
3- Zinc Oxide impression is done .
4- Overall alginate impression is made .
5- Cast is poured , relining , adjust occlusal errors .
The functional impression techniques can be
performed with different impression materials

• Rubber base impression material

• Zinc oxide and eugenol paste or
• Fluid wax.
After border molding with green stick compound
The more the mucosa displaced under function the more the tissue
rebound

• Functional base will lead to tissue rebound during

rest, thus it has limited application to uniformly firm
ridge only.

• Selective impression techniques can be applied to all

varieties of residual ridges as it customized to
mucosal conditions
Thank you