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    Assessment of The Partially Dentate Patient

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    David McMahon
    The presentation discussed the treatment options for patients missing some teeth, including fixed bridges, removable partial dentures, and implant-retained fixed prostheses. It outlined the systematic process for designing removable partial dentures, from the initial assessment and impressions to the final prosthesis. The goals of any design are to provide support, retention, stability of occlusion, and an easy path of insertion and removal.

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    Assessment of The Partially Dentate Patient

    Uploaded by

    David McMahon
    29 views41 pages
    The presentation discussed the treatment options for patients missing some teeth, including fixed bridges, removable partial dentures, and implant-retained fixed prostheses. It outlined the systematic process for designing removable partial dentures, from the initial assessment and impressions to the final prosthesis. The goals of any design are to provide support, retention, stability of occlusion, and an easy path of insertion and removal.

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    Assessment of the Partially Dentate Patient(1) (5)

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    The presentation discussed the treatment options for patients missing some teeth, including fixed bridges, removable partial dentures, and implant-retained fixed prostheses. It outlined the systematic process for designing removable partial dentures, from the initial assessment and impressions to the final prosthesis. The goals of any design are to provide support, retention, stability of occlusion, and an easy path of insertion and removal.

    Copyright:

    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    29 views41 pages

    Assessment of The Partially Dentate Patient

    Uploaded by

    David McMahon
    The presentation discussed the treatment options for patients missing some teeth, including fixed bridges, removable partial dentures, and implant-retained fixed prostheses. It outlined the systematic process for designing removable partial dentures, from the initial assessment and impressions to the final prosthesis. The goals of any design are to provide support, retention, stability of occlusion, and an easy path of insertion and removal.

    Copyright:

    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    of 41

    Assessment of the Partially

    Dentate Patient

    Dr. Graham Quilligan


    Objectives
     To understand the need for tooth replacement
     To recognise that there a number of methods for
    replacing missing teeth
     To recognise the indications for Removable
    Partial Dentures
     To undertand the limitations of fixed
    bridgework
     To understand the sequence of clinical stages
    Treatment options for the Partially Dentate

    • Fixed prostheses
    – Bridgework (Conventional & Resin Bonded)
    – Implant retained fixed prostheses
    • Removable Partial Dentures (acrylic/co-cr)
    • Functionally orientated treatment planning
    (Shortened Dental Arch)
    • Controlled progression to complete dentures
    (Transitional dentures)
    Replacement Options for the Partially
    Dentate
    • Length of edentate span
    Replacement Options for the Partially
    Dentate
    • Soft Tissue and bone loss
    Replacement Options for the Partially
    Dentate
    • Why not use bridgework?
    Replacement Options for the Partially
    Dentate
    • Spacing
    Replacement Options for the Partially
    Dentate

    • Diastema
    Replacement Options for the Partially
    Dentate
    • Alignment
    Replacement Options for the Partially
    Dentate

    • Unrestored Abutments
    Replacement Options for the Partially Dentate

    • Prognosis for remaining teeth


    Partial Denture Design

    A systematic approach
    Planning

     Patient input
     Previous history
     Assessment of Abutment teeth
    – Radiographs
     Dental Examination
    – Caries
    – Periodontal disease
    – Occlusal considerations
    Removable Partial Dentures

     Tissue borne
     Tooth borne
     Tooth and Tissue borne
     Kennedy Classification
     (1-4, modifications)
    Preliminary Impressions
    Preliminary Registration
    Removable Partial Dentures

     Preliminary casts
     Mount Preliminary casts (preliminary
    registration required)
     Survey casts to identify undercuts
    – Tooth
    – Tissue
    Surveyor
    Surveyor
     Coloured lead and Analysing Rod
    – Survey at Path of Natural Displacement (table
    horizontal)
    – Tilt cast and survey again (preferably different
    colour lead)
    – Identify areas of undercut
     Use undercut gauge to measure depth
    – Decide on clasp tip position and material
    Surveyed cast
    A system of design
     Outline saddle areas
     Path of insertion
     Support
     Retention
    – Direct
    – Indirect
     Bracing
     Connectors
    Outline saddle areas
    Path of insertion
    Support
    Occlusally Approaching clasp
    Gingivally Approaching clasp
    Depth of Undercut
     <0.25mm – wrought or cast
     0.25-0.5 mm – wrought gold, stainless steel
    or elongated cast cobalt chrome
     >0.5 – wrought only
    Connectors
     Major Connectors
    – Join saddles together

     Minor Connectors
    – Join Clasps/Rests to Major Connectors
    Major Connectors
     Bars
    – Lingual – 8mm
    – Sub Lingual -6mm or less
    – Buccal
    – Palatal (Anterior/Middle/Posterior)
     Plates
    – Lingual
    – Palatal
    Connectors
    Connectors
    Tooth Preparations

     Rest Seats
     Guide Planes
     Lowering of survey lines
     Create undercuts
    – Addition of composite
    – Dimple cavity in enamel
    – Surveyed Crowns
    Rest Seat Preparation
    Guide Planes
    Creating Undercuts
    Creating Undercuts
    Prescription Sheets

     Transfer of design – draw outline


    carefully
     Describe principle features
    – Position of rest seats
    – Clasp design (inc. materials)
    – Connector Design
    From tooth try in to finish
     BLOCK OUT UNWANTED
    UNDERCUTS!
    Aftercare

     Keep your designs simple


     Cleaning instructions
     Ongoing maintenance
    Reading Material
     “A clinical guide to removable partial denture design” Author -
    Davenport, J. Basker, R., Heath, J. et al Publisher – MacMillan
    (BDJ Series)

     “A clinical guide to removable partial dentures” Author -


    Davenport, J. Basker, R., Heath, J. et al Publisher – MacMillan
    (BDJ Series)

     “Removable Partial Dentures” Author – Jepson, NJA,


    Quintessence Publishing co.

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