Acrylic Partial Dentures and Related Clinical Procedures.

Khaled Q Al Hamad BDS MSc MRD RCSEd Associate Professor Department of Prosthodontics Dent 445- Lecture 6

References
1. McCracken's Removable Partial Prosthodontics
( AB Carr, GP McGivney, DT Brown)

Chapter: Temporary removable partial dentures.

2. Lecture notes.

KENNEDY CLASS IV

KENNEDY CLASS III

KENNEDY CLASS III, MOD 1

KENNEDY CLASS I

KENNEDY CLASS I, MOD 1

KENNEDY CLASS II

KENNEDY CLASS II, MOD I

Acrylic vs Co-Cr

Tooth replacement is required for a variety of reasons Sometimes replacement is necessary for shorter periods of time that serve alternative purposes than permanent replacement

Indications
Temporary prosthesis may be indicated as part of total treatment for:

Appearance Maintenance of space. Reestablishment of occlusal relationship

To condition teeth and residual ridges

Interim restoration during treatment

To condition the patient for wearing a prosthesis

Appearance

Space Maintenance

To maintain space in young patient- until teeth are ready for permanent treatment: bridges, implants..
To prevent undesirable migration and extrusion of adjacent or opposing teeth.

Reestablishing occlusal relationship

New occlusal relation or vertical dimension

Similar to occlusal splint RPD with distal extension should provide optimal support through maximum coverage.

Interim restoration during treatment

Such as adding teeth /clasps to an existing RPD. Conversion of acrylic RPD to transitional CD Use of acrylic RPD during treatment for fixed restorations

Conditioning the patient for wearing a prosthesis.

To aid the transition of patient to complete denture

Patient wear the acrylic RPD for the remaining life of the natural teeth when further treatment of these teeth is impractical technically or economically

How many clinical visits ?

Impression stage:

Stock or custome tray. Enough teeth: hand held casts

Occlusal stage:

No enough teeth: use occlusal registration--- and then try in

Depending on the case, RPD will need from 2 visits ( only one impression visit and insertion visit) to full 5 visits similar to CD. This depends if a final impression with custome tray is needed, and or occlusal registration and subsequently try in is needed.

Clinical procedures

Proper fitting

Common areas requiring adjustment to obtain complete seating:

Interproximal extensions.

Regions were clasps exit from denture base

Tissue undercuts

Areas of prosthesis lies beneath height of contour.

Technician should block out the marginal gingiva and infra bulge regions but maintain maximum tooth contact superior to hight of contour