COURSE: PROSTHODONTICS

AND CROWN & BRIDGE

MODULE NUMBER – BDSDEN404.21

MODULE NAME – RPD : RECENT DEVELOPMENTS
NAME OF FACULTY – DR. SHUBHABRATA ROY
DESIGNATION – SENIOR LECTURER,
DEPARTMENT OF PROSTHODONTICS AND CROWN &
BRIDGE, GNIDSR
 LEARNING OBJECTIVE & OUTCOME

LEARNING OBJECTIVE :
To impart knowledge of recent developments in techniques
and materials used for removable partial denture treatment.

LEARNING OUTCOME :
Students will develop skills and attitude of the latest CAD/CAM
technology, newer materials and techniques used in removable
prosthesis.
 MUST KNOW AREA - IN
MODULE
• Use of CAD/CAM technology in removable partial
dentures
• Indications and disadvantages of flexible removable
partial
dentures
GOOD TO KNOW AREA – IN
MODULE
• Various components of CAD/CAM technology
• Material science behind flexible partial
denture
• PEEK
 • INTRODUCTION

The dental profession has come far in terms of

better materials, tools and techniques. As a
result of increased life expectancy, a rise in the
number of elderly individuals within the
population, and a shift from total tooth loss/
total edentulism toward partial edentulism.
 DIGITAL
• DESIGN
Computer-aided design and computer-aided manufacturing
(CAD-
CAM) systems

• Dr. Duret was the first to develop dental CAD/CAM. He began to fabricate
crowns with an optical impression of abutment followed by designing and
milling.
CAD/CAM
COMPONENTS
 Data Acquisition Unit /
Collects Scanner
the data from the area of the preparation, adjacent and opposing
structures and then converts them to virtual
impressions
iTero (Align Technology), PlanScan
Intra- (Planmeca), CS 3500 (Carestream Dental
LLC), and Trios (3 shape)
Scanne Oral
r Extra-Oral Lava Scan ST ( 3M ESPE), Everest Scan
( KaVo),
Es1 (etkon)
 Design
o Software
Software
turn the captured images into a digital model to
produce and design the prosthesis.

o Standard transformation language (STL) data

format -
commonly used.
 Digital Fabrication Process Tools

Developing a restoration from a CAD model into a

physical part that undergoes processing, finishing,
and polishing before being inserted into the
patient’s mouth.

1. Subtractive (milling and grinding)

2. Additive manufacturing (Rapid Prototype, RP

or
3D printing)
 Selective laser melting (SLM)
 Direct Metal Laser Sintering
( DMLS)
Flexible Removable Partial
Dentures
1. Insertion in undercut
areas,
2. Brittleness of methyl
methacrylate which
leads to fracture,
3. Allergy to
methyl
methacrylate
monomer.

Indicated in every partial

edentulous condition.
Utilizes the undercuts in
the ridge for Retention
 INDICATIONS

1. Patients having tilted teeth.

2. Clasps have to be given in esthetic-zone like

on
maxillary canine.

3. Allergic to Nickel

4. Large bony exostoses that can not be

removed

5. Economical conditions limit the use of

Implant
and FPDs
 Material And Its
Properties
• Thermoplastic resins are used for the fabrication of flexible dentures

o Thermoplastic Acetal

o Thermoplastic Polycarbonate

o Thermoplastic Acrylic

o Thermoplastic Nylon

• Commercially Available

 Valplast (Valpalst Int. Corp. USA)

 Flexiplast (Bredent Germany),

 Lucitone FRS, Flexite, Flexite plus, Flexite M.P. , Sun flex, Pro flex.
FRPDs versus Cast Partial Dentures
versus
Conventional Rigid Acrylic Dentures
Manipulation And
Design

Figure6. Combination clasp

( of main clasp and circumferential clasp)
 Disadvantage
s
 Acrylic teeth are mechanically bonded to thermoplastic
nylon

 Clinically significant chromatic instability-might

show
staining and discoloration with time

 Flex under occlusal load so these can not maintain

the
vertical dimension.

 Sense about hot or cold eatables as these are

bad conductors comparison to Cast Metal
Dentures
 SHIFT IN
MATERIALS
METALS POLYMER-BASED

Polyethylene
glycol, Polymethyl
Cobalt-chromium methacrylate

Titanium Aryl-ketone polymers

 Polyetheretherketone
• Alternative(PEEK)
to base metal alloys in constructing
RPDs.
• PEEK presents high biocompatibility, good properties,
mechanical high
temperature resistance, and chemical stability
semicrystallin
• Polyetheretherketone (PEEK) is a ketone- e
based thermoplastic resin
• Difference in elastic modulus between PEEK and acrylic resin is smaller
than that between metal and resin, reducing the likelihood of these
interface problems, although there is no chemical adhesion between PEEK
and acrylic resin

• Slightly grayish, nontransparent white color of PEEK was more

acceptable
than the silver color of a metal clasp.

• PEEK clasp has the same disadvantages as other nonmetal clasp

materials:
difficulty of polishing and adjusting retention capacity.
 Reference
1. s
McCracken’s Removable Partial Prosthodontics. Alan B. Carr, David T. Brown: Twelfth
Edition.
Elsevier Mosby

2. Campbell SD, Cooper L, Craddock H, Hyde TP, Nattress B, Pavitt SH, Seymour DW. Removable
partial dentures: The clinical need for innovation. The Journal of prosthetic dentistry. 2017 Sep
1;118(3):273-80.

3. Williams RJ, Bibb R, Eggbeer D, Collis J. Use of CAD/CAM technology to fabricate a removable
partial denture framework. The Journal of prosthetic dentistry. 2006 Aug 1;96(2):96-9.

4. Sharma A, Shashidhara HS. A review: Flexible removable partial dentures. J Dent Med Sci. 2014
Dec;13(12):58-62.

5. Harb IE, Abdel‐Khalek EA, Hegazy SA. CAD/CAM constructed poly (etheretherketone)(PEEK)
framework of Kennedy class I removable partial denture: a clinical report. Journal of
Prosthodontics. 2019 Feb;28(2):e595-8.

6. Ichikawa T, Kurahashi K, Liu L, Matsuda T, Ishida Y. Use of a polyetheretherketone clasp

retainer for removable partial denture: A case report. Dentistry journal. 2019 Mar;7(1):4.
THANK YOU