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DIAGNOSIS AND

TREATMENT PLANNING IN
REMOVABLE PARTIAL
DENTURE
OBJECTIVES

Elimination of diseases

Preservation of health of oral tissues & remaining teeth

Restoration of function & esthetics


Diagnosis:
1. Patient evaluation-
a. Chief complaints
b. Expectations
ATTITUDES

PHILOSOPHICAL EXACTING

HYSTERICAL INDIFFERENT
HISTORY

1.Medical
2. Dental

Extract the important factors that will


affect your dental treatment and prognosis
MEDICAL HISTORY
Evaluating effect of Physical Problems on treatment:

Arthritis
Anemia
Diabetes
Epilepsy
Cancer
Cardiovascular disease
Transmissible diseases
DENTAL HISTORY
History of Present Complaint/Pain
Onset
Site and Radiation
Characteristics
Severity
Duration
Precipitating Factors
Relieving Factors
INTRA ORAL EXAMINATION-Hard tissue
Periodontal considerations

Oral hygiene habits

Caries activity

Endodontic treatment

Surgery/ Extraction

Analysis of occlusal factors

Fixed restorations

Orthodontic treatment

Mouth preparations
Periodontal considerations

Oral hygiene habits

Caries activity

Endodontic treatment

Surgery/ Extraction

Analysis of occlusal factors

Fixed restorations

Orthodontic treatment

Mouth preparations
Periodontal considerations

Oral hygiene habits

Caries activity

Endodontic treatment

Surgery/ Extraction

Analysis of occlusal factors

Fixed restorations

Orthodontic treatment

Mouth preparations
Periodontal considerations

Oral hygiene habits

Caries activity

Endodontic treatment

Surgery/ Extraction

Analysis of occlusal factors

Fixed restorations

Orthodontic treatment

Mouth preparations
Periodontal considerations

Oral hygiene habits

Caries activity

Endodontic treatment

Surgery/ Extraction

Analysis of occlusal factors

Fixed restorations

Orthodontic treatment

Mouth preparations
Periodontal considerations

Oral hygiene habits

Caries activity

Endodontic treatment

Surgery/ Extraction

Analysis of occlusal factors

Orthodontic treatment

Mouth preparations
Periodontal considerations

Oral hygiene habits


Caries activity
Endodontic treatment
Surgery/ Extraction
Analysis of occlusal factors
Orthodontic treatment
Mouth preparations
HARD TISSUE ABNORMALITIES

Torus palatinus
Torus mandibularis
Exostosis and undercuts
Mandibular tuberosity
SOFT TISSUE ABNORMALITIES

High frenal attachments


Hypertrophic lingual frenum
Unsupported and hypermobile
gingiva
RADIOGRAPHIC EXAMINATION
RADIOGRAPHIC INTERPRETATION
QUALITY & QUANTITY
OF BONE

ROOT MORPHOLOGY
LAMINA DURA
PERIODONTAL SPACE
INTER CRESTAL BONE
IRREGULAR OCCLUSAL PLANE

Enameloplasty
Extraction
OCCLUSAL EQUILIBRATION

Selective grinding or coronal reshaping of tooth with the


intent of equalizing occlusal stress
INDICATIONS - RPD

Long span

Bilateral stabilization

Distal extension cases

Future change in design


DEVELOPMENT OF TREATMENT PLAN
Phase1

Collection and evaluation of diagnostic data


Immediate treatment to control pain and infection
Biopsy
Development of treatment plan
Education and motivation of patient
Phase 2

Removal of deep caries followed by temporary restorations


Extirpation of inflamed pulp
Extraction of non retainable teeth
Periodontal treatment
Occlusal equilibration
Phase 3

Preprosthetic surgical procedures


Definitive endodontic procedures
Fixed partial denture constructions
Phase 4

Removable partial dentures


Reinforcement of education and motivation
Phase 5

Post insertion care


Periodic recall