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