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Middle palatal bar

Antero-posterior palatal strap


Occlusal view of mandibular cast

1st method

2nd method

Antero-posterior palatal bar

u-shape

The rest seats are drawn on the teeth adjacent to the edentulous areas

Rest seats adjacent to the edentulous area

Or,the rest is positioned on the mesial of the most distal tooth adjacent to an unbound edentulous space, and adjacent to the edentulous space on the tooth bound edentulous spaces.

Palatal strap

Complete palate

Proximal view on 35. red hash marks represent surface that will be modifi ed to create guide planes.

Proximal view of 47; red hash marks represent position on the proximal surface that will be modified to create guide planes.

Lingual bar

Lingual plate

Line drawn between the two distal most rest seats representing the fulcrum line and perpendicular lines representing potential positions of indirect retention needed. Physical retention latticework drawn on the preliminary cast. Design drawing with additional indirect rest seats drawn on the mesioocclusal of tooth 34. Line drawn between the two distalmost rest seats representing fulcrum line and perpendicular lines representing potential positions of indirect retention needed. Black line drawn between the two distalmost rest seats representing the fulcrum line and the perpendicular blue line representing potential position of indirect retention needed

indirect rest seat

The indirect rest seat already is present.

Unlike a Kennedy Class I or II removable partial denture support, which is both tooth and soft tissue supported, Kennedy Class III removable partial dentures are tooth supported. As a result their biomechanics are similar to a fixed partial denture in that they depend on a healthy periodontium for their entire support. Assuming for this patient that his or her periodontal status is healthy.

minimum of 8 mm below the free gingival margin is required in order to use a lingual bar.here,there is not enough available space to meet this requirement Therefore, a lingual plate is selected. Since latticework is considered the physical retention of choice for replacement of multiple teeth, the determination is made based on the inability to use this type of physical retention.If the lack of vertical space is not a limiting factor, then latticework should be selected.

Photo of the proposed RPD design

In Kennedy Class III situations, anteroposterior palatal straps and palatal straps are commonly used.

Prepared by Marwa Merheb & Bilal Taouk

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