BOOKS

McCrackens Removable Partial Prosthodontics

11th Edition, 2005

Removable Partial Prosthodontics

JE Grasso and EL Miller 3rd Edition 2003
Partial Removable Dental Prosthesis
 Prosthesis
DEFINITION

An artificial replacement of an absent part of the

human body

Or

A therapeutic device to improve or alter functions

Glossary of Prosthodontics Terms

(GPT)
What you need to know as a general
dentist !!!
 Classification of Prostheses

Prosthesis

Dental Maxillofacial Ancillary

Prosthesis Prosthesis Prosthesis
 Dental
Prosthesis

Fixed Removable
Dental Dental
Prosthesis Prosthesis
 Fixed
Dental
Prosthesis

Cement Screw Friction

Retained Retained Retained
FDP FDP FDP
 Removable
Dental
Prosthesis

Complete Partial
RDP
RDP
Partial Removable Dental Prosthesis
A Removable dental prosthesis that restores one

or more but not all of the natural teeth and/or

associated parts

and may be supported in part or whole by

natural teeth, dental implant supported crowns,

dental implants abutments
Partial Removable Dental Prosthesis
what materials can be used to fabricate
Removable PDP?
 History,
Examination and
Diagnosis for
Partial Dentures
How we arrive at the designing of prosthesis?
`
History:
Medical
Dental

Treatment Plan:
1, Intra-Oral
Study Cast 2, Visual
3, Digital
Prosthesis Examination

Radiograph
Obtaining The History

Vending Direct
Machine interview

Combination
of these two
1. Medical History

Vending machine method

We use a printed questionnaire and the patient

is asked to fill in the blanks

Explain to the patient why medical history is

obtained
1. Medical History
Areas to be investigated:
Age:
It will tell more about the following:
neuromuscular skills
oral epithelium
salivary defects
osteoporosis
1. Medical History
Systemic Illnesses of significance:
1.Anemia:
pale mucosa, decreased saliva, sore tongue

2.Diabetes:
Hypo-salivation, loose teeth, fragile mucosa

3.Hyperthyroidism:
Rapid destruction of alveolar bone, generalized
osteoporosis; so poor risk for Partial RDP
1. Medical History
Systemic Illnesses of significance:

4.Epilepsy: Enlarged gingiva

5.Arthritis: Assessing the TMJ

2. Dental History

To know how the patient arrived at this stage of his or

her present state of semidentulouness

Caries Periodontal
diseases
2. Dental History
Patient Attitude:
Prosthesis fails because too much attention is paid on
construction and design of prosthesis

while

Little attention is paid on the patient psyche, likes and

dislikes, hope and fears
2. DENTAL HISTORY
Patients Prosthetic Experience:
Patients attitude towards wearing a prosthesis
Or
Patients attitude towards not wearing a
prosthesis

Does the present one fit?

It is comfortable?
Is it acceptable in appearance?
In short
What is wrong and what is right ?
EXAMINING THE PATIENT

There are two ways of examining a patient.

1. Off -the-chair

2. In-the-chair
1. Off-the-Chair

Covert Examination Covert Examination

Personality Clues:

Appearance Habits e.g. Clenching

Gait Face

Type of hand shaking Voice

Eyes
2. In-the-Chair Examination

Examination

Preliminary Definitive
Visual-Digital Inspection
Too many structures present intra-orally.

Printed form
Mental Checklist

To decrease the possibility of overlooking an

important detail
Step one: check the teeth for caries
Step two: check the teeth for periodontal status
Step three: check the occlusion
Visual-Digital Inspection

Step one: check the teeth for caries

caries index
What should we advice
in this case?

Prescribe complete denture

Rather than partial RDP
Visual-Digital Inspection

Step two: check the teeth for periodontal status

Any prosthesis inserted in the presence of

periodontal disease is doomed to failure
Visual-Digital Inspection
What we should check!!!!

Marginal gingiva
Interdental papilla
Mobility
Pocket depth
Bifurcation
Visual-Digital Inspection

Step two: check the teeth for periodontal status

TOOTH WITH DOUBTFUL PROGONSIS!

Follow the contingency designing.

Visual-Digital Inspection

Residual Ridges:

Consistency
Thickness
Width and height
Visual-Digital Inspection

Torus Mandibularis
Torus Palatinus
Vestibule
Frenula
Saliva
 Radiograph

Why to have radiograph!!!

Incipient caries
Recurrent caries around filling
Impacted teeth
cyst
CastHave a nice Day!