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RPD Portfolio 2021

Sanghyun Lim, DMD2025


Portfolio Instruction
▪ Your written name on each partially edentulous cast must be included in all images and easy
enough for me to identify. (Minus 1 point from portfolio per cast.)
▪ Submit clean, centered images on clear backgrounds. (Minus 1 point from portfolio per cast.)
▪ All submit work must be original. Use your own words instead of rearranging words or
paraphrasing from Dr. Ywom’s Realizeit content. (Minus 10 points from portfolio.)
▪ Include narratives which address procedures and learning experiences during the RPD module.
(See RPD Rubric)
▪ Include sections for “Do Differently” and “Effect on Patient Outcome” on additional slides.
(See RPD Rubric)
Mandibular Kennedy Class III mod 1
INDIRECT RETAINER
I accidently placed an indirect retainer here
but there is no fulcrum line to validate this
placement. Please disregard

MAJOR CONNECTOR
I chose lingual bar because there are at least
7mm from floor of mouth. If less than 7mm,
RESTS I would’ve chosen the lingual plate design
In this tooth-borne case, occlusal rests instead. The lingual bar opens the free
placed on the proximal to edentulous gingival margin which provides better
span; in between the mesial surfaces of hygiene and less stress on the tissue bearing
abutment tooth #18 and the distal area. I must survey to make sure that there is
surface of tooth #21 on the left side, I no soft undercuts
placed a cingulum rest on #27 and the
mesial surface of the abutment tooth
#30. Clasp Assemblies
On tooth#18 and #30 I placed the RPC type
PROXIMAL PlATES clasp(suprabulge) to actively engage the
I placed four proximal plates to abutment teeth. For tooth #22 and #27, I
provides frictional retention that aid in chose RPI clasp (infrabulge) for an adequate
reciprocation; the mesial on #18, distal support and retention.
on #21, distal on #27 and mesial of
#30

Blue line indicates acrylic intaglio/cameo area


Mandibular Kennedy Class III mod 1
A part of RPC, this is a non-retentive clasp engages in
0.00, not crossing the height of contour (reciprocation)

Clasp Assemblies; Rest, Proximal plate. I-


BAR
Although it is not showing on the photo, I This area
placed an I-BAR on the buccal side of supposed to be
tooth#27 the I-bar is extends anteriorly from blue (acrylic)
the major connector (mesh), actively engages
the 0.01 undercut, not crossing the HOC. this
is a typical supra-bulge retainer design.
Reciprocation is provided by cingulum rest
and distal guiding plate of the canine.
(according to RealizeIT module, RPI assembly
is ideal for canines and premolars)
Clasp Assemblies; Rest, Proximal plate, C-
clasp
The tooth #22 is designed with the retentive, Better illustration of Akers
stress relieving RPC type clasp on the buccal clasp design
side. The retentive clasp is actively engaging
in 0.01 undercut. On lingual side, bracing
arms are placed above the heigh of contour
line in 0.00. the goal is to remove any torque
on the abutment tooth by encirclement.
I could consider make this anterior area
Maxillary Kennedy Class I open at least 6mm from the free gingival
margin to the anterior strap. I will add
cingulum rests on the maxillary canines if
In this tooth-tissue borne case, occlusal I decide to do this way.
rests placed on the mesial surfaces of
abutment tooth #5 and #12 in order to
reduce/distribute occlusal loads to
abutment teeth.
The absolute minimum rests can be
two and I thought anterior-posterior
strap provides enough support. you can
also place the cingulum rests on the
both canines as well.

The ideal location of the guiding plates


in this case would be the distal
surfaces of maxillary first premolars 8mm An Illustration of mesh type denture
which is adjacent to edentulous spans. base connector. This connector does
not extend to the buccal side because if
it extends too much, it gives you less
For the major connector, I chose room to set teeth.
anterior posterior strap to provide
rigidity and maximum support. Also,
in contrast to complete palatal plate, it
opens more room for tissues to breath.
Each strap is 8mm thickness.
CONTINUE
Maxillary Kennedy Class I
The posterior strap Proximal plate (the cingulum rest is not shown)

The fulcrum line is drawn in black


dotted line indicates that these two
abutment teeth #5 and #12 must
have claps that engages in 0.01
undercut.
This is a RPI clasp assembly. I
Disregard wanted to clarify that the
reciprocating I bar extends from the
base connector, engages in 0.01
undercut.
Mandibular Kennedy Class I

RESTS
In this tooth-tissue borne design, I placed Lingual plate
two rests on the proximal to edentulous
span; in the mesial surfaces of abutment
tooth #21 and #28 (both mandibular 1 st
premolar). I could’ve done differently by MAJOR CONNECTOR
placing two additional cingulum rest in Unlike other class I scenario with lingual bar
both mandibular canine, but I thought the design, I decided to place lingual plate due
lingual plate provides enough balance and to inadequate tissue space from the gingival
support margin to the floor. The lingual plate covers
Acrylic the free gingival margin. A patient might
complain about the hygiene. The lingual
PROXIMAL PlATES plate also exert more stress on the tissue
I don’t have any other choice here to bearing area. However, it provides adequate
place the proximal plates differently. support and retentive feature.
Me and my partner both agreed to
place it on the distal surface of #21 &
#28
Mandibular Kennedy Class I

Base connector Lingual plate

Clasp Assembly type – RPI


I bar has been placed on the buccal surface of
tooth#27 and #22 (Kratochvil). The bar is also
engaging in 0.01 undercut
Maxillary Kennedy Class II
Guiding plates
RESTS And lingual bar
For the combination of distal extension indirect retainer on #11 to
and tooth borne case, I placed cingulum maximize retention.
rest on #6 then I chose to place occlusal
rest in between #14 and 15

Base plate connector for


distal extension
x y ClASP ASSEMBLY
Embrasure clasp assembly
is placed on #14 and #15

Anterior posterior type major


connector with a minimum
thickness of 7.00mm
x

An illustration of fulcrum
line is shown above.
Maxillary Kennedy Class II
Embrasure clasp assembly is placed
on #14 and #15. engages in 0.01
Indirect retainer undercut on buccal surface and the
reciprocating clasp is placed in 0.00

7-8mm

RPI style clasp


assembly on #6
(Kratochvil) engages
in 0.01 undercut
Answer the following questions…
Compare and contrast Preliminary, Example (Design) and Master
casts. A preliminary cast is produced for a diagnostic tool which provides essential anatomic structures, landmarks and current
condition of patient’s mouth. This will allow us to fabricate special custom impression trays which is the basis of obtaining a master cast. A
master cast is total replica of patient’s entire oral structures, and we design RPD on master cast

How does an angulated abutment tooth #18 or #31 complication


RPD design? – for both case, angulated abutment tooth is not going to properly withstand both forces action on
an RPD. Also, it might change the degree of undercut placement which increases the chance of improper placement of
guiding plate which allows the food entrapment.

Which of the following RPD scenario is more retentive, a


framework with 5 guiding planes versus 2 guiding planes, and why?
– 5 guiding planes are more retentive if properly placed with rest and clasp assembly. It provides path of placement and
removal of RPD, distribution of stress though use of RPD features such as major/minor connectors. It also lowers the HOC
on proximal surface for clasp arms.
Opti mal (5pts.) Slight Deviati on (4pts.) Moderate Deviati on (3.5pts.) Does Not Meet Expectati ons = 0 pts.

Correctly follows provided instructions.Presentation design and Slight deviation from provided Did not follow provided instructions.Presentation design
creativity are unique and appealing . instructions.Design and creativity Moderate deviationfrom provided instructions.Presentation design lacks creativity and insight.Organization needs corrections
Overall Organization/Image
Submission was on time; Overall quality of are original and well organized. meets acceptable requirements.Organization reflects adequate level and refinement. Submission was LATE and/or Overall
Quality
submission acceptable; Images were of acceptable quality. Organization reflects higher level of prosthetic knowledge. quality of submission was NOT acceptable and/or Images
Demonstrates advanced level of prosthetic knowledge. of prosthetic knowledge. were NOT of acceptable quality.

Contains images of the following items:Maxillary and Mandibular


Example Casts:Kennedy Class II, mod. 1Kennedy Class II, mod. 2
Missing 1-2 RPD components.
Kennedy Class III, mod. 1Each Example cast design contains the Missing 2 or more RPD components. Quality of Example cast requires Missing a Example Cast.Demonstrate severe deficiency in
Clinically Acceptable Quality of Example casts requires
following items:Major connector, minor connector, retention mesh, improvements. RPD design.Requires multiple corrections.
minor improvements.
rests, guiding plates, acrylic outline, and direct retainers. Excellent
description of laboratory exercises.

Reflection correctly describes


Self evaluation has been completed accurately.Through explanation Self evaluation is not accurate.
troubleshooting areas for
and understanding of clinical procedure demonstrated. Reflection Reflection correctly describes troubleshooting areas for strengths and Reflection correctly describes troubleshooting areas for
Quality of Reflection strengths and areas that need
correctly describes troubleshooting areas for strengths and areas areas that need improvement adequately for all clinical steps. strengths and areas that need improvement adequately for
improvement in detail for all
that need improvement in great detail for all clinical steps. all clinical steps.
clinical steps.

Explanation of future changes to improve technique was provided.


Explanation of future changes to improve technique was provided. Explanation of future changes to improve technique was
Adequately describes troubleshooting for future improvement.
Accurately describes troubleshooting for future improvement. NOT provided. Does Not troubleshooting for future
Do Differently Applies troubleshooting
Applies troubleshooting for future improvement whenever improvement whenever applicable and demonstrates
for future improvement whenever applicable and demonstrates
applicable and demonstrates improvement in all areas. improvement.
improvement in some areas.

How the results of the procedure might affect patient outcome were How the results of the procedure might affect patient outcome were How the results affect the patient outcome were not
Effect on Patient Outcome
described in great detail. described in adequate detail. addressed adequately.

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