Dr.

Teeth Notes

Removable
Dental Prosthesis

Introduction and Classification

There are three divisions of prosthodontics:

Fixed, > Crowns and bridges, implants

Removable, → CD, RPD

and Maxillofacial prosthodontics

Basics of removable prosthesis

An abutment is any tooth or dental
implant that supports a dental prosthesis.

A Retainer is the portion of a fixed or

removable partial denture that attaches
the prosthesis to an abutment.

Abutment tooth
'
Retainer

_
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 Let's understand it better

L t

Extracoronal Intracoronal

Reciprocal arm

Retentive arm

Patrix = Papa = male

Matrix = mumma = female
Watch RPD
PRIME lectures
on our
website
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 Removable partial dentures can also be
categorised according to the manner of
their support.

Tooth L j Tissue
supported supported

Removable partial dentures can also be

categorised as :

Interim Transitional Treatment denture

Given to Given during Contains a

improve the healing material that can
esthetics and process and treat the surgical
function replaced site
until a more with a
definitive definitive
form of prosthesis
All three are
treatment when
can be given. extraction given for short
sites have period only
stabilised.

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 Refers to casting

Cast vs. Model

r

Verb
Noun

r
r

An accurate, No dimensional or
positive spatial accuracy
reproduction (demo purposes)

When to give patients an RPD?

( Indications

For patients younger than 18 years FPD should

be avoided due large dental pulps and lack
of clinical crown height so interim partial
denture can be given to them.

① Long-span edentulous area

OF If FPD is given there will be

excessive force on abutment teeth
RPD is preferred because it takes
support from the ridge
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② Distal extension cases

Dental
Here we have
bridge could
distal
have been
given here > extension
( no
because we < abutment
have
posteriorly)
supporting
So FPD is not
tooth
an option
(abutments)
here
on either
side of the
edentulous 7
area
But
V
>

One options is
that an
implant can
Otherwise the only be placed and
<
option is RPD then it can
act as an
abutment for
FPD

③ Inadequate periodontal support for

remaining teeth
RPD can take support from tissues giving
some relief to compromised teeth.

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⑨ For cross-arch stabilization

An
< ME

Since RPD is a bilateral prostheses it

provides both anterior- posterior and
mediolateral stabilisation ( required when
your patient is a treated case of advanced
periodontal disease)

⑤ To compensate for Excessive bone loss

Denture bases
can restore and can
<
missing part t provide lip
of dental and cheek
arches support

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⑥ Esthetic considerations

When we want to replicate patient's natural

look by giving diastema, crowding, or
creating lost dental papilla.
These can be easily done in removable
dentures.

⑦ Patient's wish

⑧ Cost factor
Some patients can only afford an
acrylic denture

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