Dr.

Irfan Ahmed

Removable partial denture

Denture replaces one or more teeth in
the same arch.
It can be removed from the mouth and
replaced by the patient

Partially Edentulous
patient

Kennedy method of classification

kennedy

k. Class I

k. Class II

k. Class III

k. Class IV

Bilateral edentulous areas located posterior

to the remaining natural teeth.

Unilateral edentulous areas located

posterior to the remaining natural teeth.

A unilateral edentulous area with natural teeth

remaining both anterior and posterior to it

A single ,but bilateral (crossing the midline)

edentulous area located anterior to the
remaining natural teeth

1.

2.

3.

4.

Classification should follow rather than

precede any extraction, that may alter
the original class.
3rd molar not to be considered in
classification (if not to be replaced).
3rd molar when used as abutment,
considered in the classification.
If 2nd molar is missing & not to be
replaced, it is not considered in
classification.

5.

5.

Class is always
determined by
most posterior
edentulous area.
In class I, II & III any
additional
edentulous area is
referred to as
Modification.

7.

8.

The extent /area of modification is not

considered in the classification. Only the
number of additional edentulous areas is
counted.
There can be no modification in class IV.

1.To replace several teeth in the same

quadrant or in both quadrants of the same
arch.
2.As a temporary replacement for missing
teeth in a child.
3.To replace missing teeth for patients who do
not want a fixed bridge or implants.
4.For the patient who finds it easier to maintain
good oral hygiene.
5.To serve as a splint to support periodontally
involved teeth.

A lack of suitable teeth in the arch to.1

support, stabilize, and retain the removable
.prosthesis
Rampant caries or severe periodontal.2
conditions that threaten the remaining
.teeth in the arch
A lack of patient acceptance for esthetic.3
.reasons
. Chronic poor oral hygiene.4

1.Framework
The cast metal skeleton that provides
support for the remaining
components of the prosthesis.

2.Connectors
Join various parts of the partial together
Major connector
Minor connector

3.Retainer
Known as a clasp, it supports and
provides stability to the partial
denture by partially circling an
abutment tooth.

4.Rest
A metal projection designed to control
the seating of the prosthesis.

5.Artificial teeth
Constructed from either acrylic or
porcelain.

1.Saddle
2.Connector
3. Occlusal rest

1. Acrylic
2. Metal
3. Metal-acrylic
combination
(alloys used for partial denture
fabricating: cobalt-chrome alloys,
gold alloys type IV and titanium)

Appointment 1: Records
Updated health and dental history.
Prophylaxis.
Preliminary impressions.
Radiographs.
Photographs.

Appointment 2: Preparation
Prepare the teeth.
Take the final impression.
Take the occlusal registration.
Select the shade and mold of the
teeth.
Prepare the laboratory prescription.

Appointment 3: Try-in
Evaluate the fit, comfort, and
function of the appliance.
Evaluate the shade, mold, and
arrangement of the teeth.
Take new occlusal registration.
Note any changes on the laboratory
prescription.

Appointment 4: Delivery
- Placement of the partial denture by the
patient.
- Check occlusion.
- Detect any pressure points.
- Check retainers for tension on the natural
abutment teeth.
- Polish partial.
- Give patient home instructions.

- Store prosthesis in water when not

wearing it.
- After eating, remove it from mouth and
brush or rinse the retainers, rests, and
complete partial.
- Brush and floss abutment teeth and
natural teeth to keep them free of food
debris and plaque.
- Advise patient not to adjust the partial
denture.

Appointment 5: Postdelivery
check
Evaluate the fit.
Check the mucosa for pressure
areas and sore spots.
Evaluate the function of the
prosthesis.