Interim Removable

Partial Dentures
Interim Removable
Partial Dentures
 Short period of time
 Prior to a definitive denture
 Acrylic major connector,
wrought wire clasps
Indications
 Large pulps (can’t fabricate
bridge)
 Clinical crowns too short
 No usable undercuts
Indications
 Children - permanent
prosthesis would be quickly
outgrown
 Temporary space maintenance
(caries, trauma, congenitally
missing teeth)
Indications
 Temporary time or financial
constraints
 Sudden loss of teeth, before
sufficient healing has
occurred (accidents, after
extractions)
Indications
 Transitional Denture
 Transition to a complete
denture
 Teeth need to be extracted
but not immediately
(medically compromised)
 Patient is not
psychologically prepared
Indications
 Treatment Denture
 Improve a condition before a
definitive denture
Indications
 Treatment Denture
 Tissue conditioning
Indications
 Treatment Denture
 Implant healing
Indications
 Treatment Denture
 Alteration of vertical
dimension / occlusion
 Determine how patient will
respond to changes (TMD)
 Surgical Splint
 Removal of palatal tori
Interim Prosthesis
Fabrication

 Preliminary impressions
 Design the definitive partial
denture (interim denture will
use similar design)
Interim Prosthesis
Fabrication
 Optional Step (preferred)
 Tooth preparations for a
definitive RPD
 New alginate impression
Interim Prosthesis
Fabrication

 Maxillo-mandibular relations
 Articulate casts
Design
 Clasps (Wrought wire 0.02”)
 Circumferential
Design
 Clasps (Wrought wire 0.02”)
 Ball clasps
 Rest and retentive
elements
Design
 Clasps (Wrought wire 0.02”)
 Adams clasps
 Rest and retentive
elements
Design
 Bracing
 Lingual/palatal major
connector provides bracing
 Contacts teeth at the
heights of contour
Design
 Rests
 Usually wrought wire
 Acrylic may be used over
cingulum rest seats
 Longer term use - cast
retainers
Design
 Major Connectors
 Full palatal coverage
increases strength &
stability
 Extend denture to first molar
 Retentive clasps embedded
into major connector
Prescription Writing
 Mark teeth to be extracted on
the cast & write the teeth
number on the prescription
 Draw a line around the teeth
where the cast should be
surgerized
Prescription Writing
 Survey the cast & mark height
of contour & retention areas
(0.02”)
 Indicate type of retentive
clasp, rest & bracing
Prescription Writing
 Indicate where rests, retention
arms & bracing are to be placed,
state tooth # & surface
 Draw the outline of the denture on
the cast
 Identify shade & mould of teeth
selected
 State the type of occlusion
required
 Adjustment
Commonly adjust:
• interproximal extensions (A)
• where clasp exits from resin (B)
• tissue undercuts (C)
(McCracken's Removable Partial Prosthodontics, 11th
Ediion. Elsevier, 2005)
‘Flipper’
 Slang - No Clasps