Acrylic partial denture

Acrylic partial denture

Definition:
Is a dental prosthesis that substitute teeth and associated
structures in partially edentulous arch made from acrylic
resin and can be removed and replaced at will.

Types
Temporary Removable Partial Dentures
Interim Removable Partial Dentures
Transitional Denture
Treatment Denture
Immediate RPD
Temporary RPD: a removable
prosthesis that is used
temporarily for a period of time
until a more definitive
prosthesis can be provided .

Interim Removable Partial Dentures

Definition: is dental prosthesis to be used for a short interval of time for
reasons of esthetics, mastication, occlusal support, or convenience.

objective of using an interim prosthesis is to condition the

patient to the acceptance of an artificial substitute for missing
natural teeth until more definitive prosthodontic therapy can
be provided .

Acrylic major connector,

wrought wire clasps
Interim Removable Partial
Dentures
 Transitional Denture
-Transition to a complete denture
-Teeth need to be extracted but not
immediately (medically compromised)
-Patient is not psychologically prepared
to loose all the teeth at one time
Transitional
Denture
 Treatment Denture
Improve a condition before a definitive denture can be made
Treatment Denture may include:
-Tissue conditioning papillary hyperplasia (massage,
brushing, with or without surgery)
- acute inflammation (increase tissue adaptation and
redistribute the stress)
- may use the existing denture or a new treatment denture
may be made
-Implant healing
-Alteration of Vertical Dimension /Occlusion
-Surgical Splint -Removal of palatal tori
Treatment Denture

Tissue conditioning

Implant healing
 Immediate RPD
Any removable dental prosthesis fabricated for placement
immediately following the removal of a natural tooth/teeth.
It is a partial denture constructed before the extraction of
unwanted teeth and is inserted immediately after their
removal.
An immediate denture, which may be complete or partial, is
constructed to replace teeth immediately after their
extraction.
Indications of Temporary Removable
Partial Dentures

1. Esthetic or appearance.
2. Space Maintenance .
3. Reestablishment of occlusal relationships
4. To condition teeth and residual ridges
5. Interim restoration during treatment
6. To condition the patient for wearing a
prosthesis
1. Esthetic or appearance.
For the sake of appearance, a temporary removable
partial denture may replace one or more missing
anterior teeth or it may replace several teeth, both
anterior and posterior
2. Space Maintenance
In younger patients the space should be maintained until the
adjacent teeth have reached sufficient maturity to be used
as abutments for fixed restorations

In adult patients the maintenance of the space can prevent

undesirable migration and extrusion of
adjacent or opposing teeth until definitive treatment can be
accomplished.
3. Reestablishment of occlusal
relationships
Temporary removable partial dentures may be used as
occlusal splint
Temporary removable partial dentures are used for the
following reasons: (1 ) to establish a new occlusal
relationship or occlusal vertical dimension and (2) to
condition teeth and ridge tissue for optimum support
of the definitive removable partial denture that will
follow.
occlusal splint
OCCLUSAL SPLINT
4. To condition teeth and residual ridges
stimulation is from occlusal or finger pressure,
there seems to be little doubt that the tissue
of the residual ridge becomes more capable of
supporting a distal extension removable
partial denture when they have been
previously conditioned by wearing a
restoration.
5. Interim restoration during treatment
Sometimes a temporary removable partial denture must be made to
replace missing anterior teeth in a partially edentulous arch, which
are ultimately to be replaced with fixed restorations

6. To condition the patient for wearing a prosthesis

A temporary restoration may be made to aid the patient in making a
transition to complete dentures
Advantages of acrylic partial dentures over Cobalt
Chrome partial dentures
Light in weight. •
Good appearance •
Not expensive (Low cost). •
Easy to construct and to repair. •
Less laboratory and clinical time consuming •

Disadvantages of acrylic partial denture

Poor thermal conductivity

Lower strength (easily broken)
Less hygienic
Tendency for warpage if overheated during polishing.
 Fabrication
Clinical Steps for Interim Removable Partial Dentures
1. History, examination, and proper treatment planning
2. Mouth preparation (endodontic, periodontal,
surgery)
3. Upper and Lower impressions
4. pour the casts
5. Maxillo-mandibular relations (occlusal vertical
dimension, centric record )
6. Articulate the casts
7. Draw design for interim partial denture
Interim Partial Denture Design:
Clasps (Wrought wire)
 Design
Bracing
Lingual/palatal
major connector
provides bracing
Contacts teeth at
the heights of
contour

Major Connectors •
Full palatal coverage increases strength
& stability
Extend denture to first molar
Retentive clasps embedded into –
major connector
ADDITION OF TOOTH TO THE
DENTURE
 Utilizing Acrylic Interim Partials
1. Generally, patients who wear interim
partials can be more susceptible to caries
as the acrylic interim partial denture (as
well as remaining natural teeth) can
become target for plaque accumulation.
Therefore, extra prophylactic measures
such as more frequent hygiene visits and
regular use of fluoride should be
recommended.
2. Ideally, interim partials should not be worn
during sleep, as soft tissue needs time to recover
to its normal healthy architecture. Patients who
insist on wearing their prosthesis while they
sleep should leave their partial out for several
hours during the day.
3. When using clasps for retention, care should be
taken not to interfere with patient’s normal
occlusion. Occlusal interferences are one of the
main reasons for poor patient compliance with
these appliances.
Thank You!