Introduction to Removable
Prosthodontics
1
PROSTHODONTICS
•
•
•
•
REMOVABLE
FIXED
MAXILLOFACIAL
IMPLANTOLOGY
2
Prosthodontics:
Removable Prosthodontics
Part A: Removable Partial Denture
Part B: Removable Complete Denture
3
Part A: Removable Partial Dentures
• Replaces one
or more teeth
in one arch
• Retained and
supported by
underlying
tissues and
remaining
teeth
Consultation appointment
Study models
Radiographs
Photographs
Visual aids
Treatment plan
4
Appointments for a Partial Denture
Partial Denture
Patient Examination
Consultation
Final impressions
Try-in and adjustment
Delivery
Adjustments
5
5
Advantages of a Removable Partial
Easily repaired
and adjusted
Restores
function when
no distal teeth
present
Fewer intraoral
procedures
than fixed pros.
Restores
long span
of lost
dentition
Easier for good
oral hygiene of
abutments
Stabilizes
the arches
May support
periodontally
involved teeth
Proper occlusal
plane is
maintained
Less expensive
than fixed
prostheses
6
Contraindications for a Partial
Lack of sufficient number of natural
teeth properly located in the arch
Lack of teeth with adequate root
support to retain the appliance
Rampant caries or gross periodontal
conditions of remaining teeth
Poor oral hygiene with no motivation
to improve oral conditions
7
Kennedy Classification
Class I
Bilateral edentulous areas
located posterior to all
remaining teeth
Kennedy Classification
Class II
Unilateral edentulous area
located posterior to all
remaining teeth
Kennedy Classification
Class III
Unilateral edentulous area
bounded by anterior & posterior
natural teeth
Kennedy Classification
Class IV
Single, but bilateral (crossing
the midline) edentulous
area located anterior to
remaining teeth
Components of a Partial Denture
12
Part B: Removable Complete Denture
• Edentulous
patient
• Denture
supported by
alveolar bone
and oral
mucosa
13
Indications for a Complete Denture
Extensive bone
loss and
periodontal
disease
Edentulous
patient
Lack of
motivation or
ability to
maintain teeth
Gross decay or
abscesses
Lack of financial
Patient refused resources for
alternative
partial dentures
treatments
14
Components of a Complete Denture
Denture
base
Non-anatomical
teeth
Saddle
Complete
denture
Anatomical
teeth
Flange
15
Appointments for a Complete Denture
Examination
Consultation
Oral surgery
Jaw relationship
Final impressions
Denture delivery
First follow-up
Adjustments
16
Final Impressions
• Impression
compound
• Border molding
• Muscle trimming
17
Construction of Complete Dentures
• Baseplate
– Represents denture
base
• Bite rim
– Simulates space
provided by height of
teeth
• Vertical dimension
– Occlusal relationship
18
Jaw Relationship Set-up
• Baseplates and bite
rims
• Centric occlusion
– Retrusion
– Protrusion
– Lateral movement
• Vertical dimension
• Shade
• Mold
19
Try-in Appointment
• Denture teeth
mounted in wax
• Evaluate
– Esthetics
– Retention
– Comfort
– Speech articulation
20
Delivery Appointment
• Evaluation
• Adjustments
• Instructions
– Insertion and removal
– Daily maintenance
21
REFERENCE BOOKS
• McCracken's Removable
Partial Prosthodontics
• Boucher's prosthodontic
treatment for edentulous
patients
22