Removable partial dentures (RPDs) replace missing teeth and are part of prosthodontic treatment. RPDs are designed to provide support from teeth and tissues, retention to prevent displacement, and stability to resist lateral forces. They are made of biocompatible materials and connected by major connectors like lingual bars that provide cross-arch support and stability. RPDs are classified based on location of missing teeth to aid in proper design of retainers, rests, and other components.
1. REMOVABLE PARTIAL
REMOVABLE PARTIAL
DENTURE
DENTURE
RPDs are components of prosthodontics
RPDs are components of prosthodontics
) branch of Dentistry( pertaining to the
) branch of Dentistry( pertaining to the
restorations and maintenance of oral
restorations and maintenance of oral
function, comfort, appearance, and
function, comfort, appearance, and
health of the) pt( by replacement the
health of the) pt( by replacement the
missing teeth and craniofacial tissues
missing teeth and craniofacial tissues
with artificial substitute
with artificial substitute
.
.
2. The Basic Objectives of
The Basic Objectives of
prosthodontic Treatment
prosthodontic Treatment
1.
1. Elimination of oral disease.
Elimination of oral disease.
2.
2. Preservation of the health and
Preservation of the health and
relationship of the teeth, and the
relationship of the teeth, and the
health of the oral and
health of the oral and para-oral
para-oral
structure.
structure.
3.
3. Restoration of oral function (comfort,
Restoration of oral function (comfort,
esthetic, speech).
esthetic, speech).
3. Consequences of Tooth Loss
Consequences of Tooth Loss
1.
1. Aesthetics
Aesthetics
2.
2. Speech.
Speech.
3.
3. Drifting, tilting, over-eruption.
Drifting, tilting, over-eruption.
4.
4. Loss of masticatory efficiency.
Loss of masticatory efficiency.
5.
5. Loss of vertical dimension.
Loss of vertical dimension.
6.
6. Deviation of mandible.
Deviation of mandible.
7.
7. Loss of alveolar bone.
Loss of alveolar bone.
4. P.D may:
P.D may:
2.
2. Give support to periodontally diseased teeth.
Give support to periodontally diseased teeth.
3.
3. Restore vertical facial dimension.
Restore vertical facial dimension.
4.
4. Prevent T.M.J problems.
Prevent T.M.J problems.
5.
5. Prevent tooth drifting or over eruption.
Prevent tooth drifting or over eruption.
6.
6. Stimulate non-used tissues.
Stimulate non-used tissues.
7.
7. Support collapsed structure (muscles of lips
Support collapsed structure (muscles of lips
and cheeks).
and cheeks).
8.
8. Prevent attrition of remaining teeth.
Prevent attrition of remaining teeth.
9.
9. Improve oral hygiene by preventing stagnation
Improve oral hygiene by preventing stagnation
of food in disused areas.
of food in disused areas.
5. Classification Of Partially
Classification Of Partially
Edentulous Arches
Edentulous Arches
The most familiar classification are those
The most familiar classification are those
proposed by Kennedy, Cummer, and
proposed by Kennedy, Cummer, and
Bailyn, Beckett,…
Bailyn, Beckett,…
The recent classification has been
The recent classification has been
proposed for partial edentulism that is
proposed for partial edentulism that is
based on diagnostic criteria.
based on diagnostic criteria.
6. Requirement Of an Acceptable
Requirement Of an Acceptable
Method Of Classification
Method Of Classification
1.
1. It should permit immediate visualization
It should permit immediate visualization
of the type of partially edentulous arch.
of the type of partially edentulous arch.
2.
2. It should permit immediate
It should permit immediate
differentiation b/w tooth- supported and
differentiation b/w tooth- supported and
the tooth and tissue-supported.
the tooth and tissue-supported.
3.
3. Universally acceptable.
Universally acceptable.
7. Kennedy Classification
Kennedy Classification
4 basic classes.
4 basic classes.
Edentulous areas other than those
Edentulous areas other than those
determining the basic classes were
determining the basic classes were
designated as modification spaces.
designated as modification spaces.
Class I : Bilateral edentulous areas located
Class I : Bilateral edentulous areas located
posterior to the natural teeth.
posterior to the natural teeth.
Class II : A unilateral edentulous area
Class II : A unilateral edentulous area
posterior to the remaining natural teeth.
posterior to the remaining natural teeth.
8. Kennedy Classification
Kennedy Classification
Class III: Unilateral edentulous area with
Class III: Unilateral edentulous area with
natural teeth remaining both ant and post
natural teeth remaining both ant and post
to it.
to it.
Class IV : A single, but bilateral (crossing
Class IV : A single, but bilateral (crossing
the midline), edentulous area located
the midline), edentulous area located
anterior to the remaining natural teeth.
anterior to the remaining natural teeth.
9. Principal Advantage
Principal Advantage
It permits immediate visualization of the
It permits immediate visualization of the
partially edentulous arch and allows easy
partially edentulous arch and allows easy
distinction bw tooth-supported versus
distinction bw tooth-supported versus
tooth-tissue supported prostheses.
tooth-tissue supported prostheses.
10. Applegate's
Applegate's Rules for Applying
Rules for Applying
the Kennedy Classification
the Kennedy Classification
Rule 1 : The classification should follow, not
Rule 1 : The classification should follow, not
precede extractions.
precede extractions.
Rule 2 : If a 3
Rule 2 : If a 3rd
rd
molar is missing and not to
molar is missing and not to
be replaced, it is not considered in the
be replaced, it is not considered in the
classification.
classification.
Rule 3 : If a3rd molar is present and not to
Rule 3 : If a3rd molar is present and not to
be used as an abutment, it is not
be used as an abutment, it is not
considered in the classification.
considered in the classification.
11. Applegate's
Applegate's Rules
Rules
Rule 4 : If a 2
Rule 4 : If a 2nd
nd
molar is missing and not to
molar is missing and not to
be replaced, it is not considered in the
be replaced, it is not considered in the
classification.
classification.
Rule 5 : The most posterior area always
Rule 5 : The most posterior area always
determines the classification.
determines the classification.
Rule 6 : Edentulous areas other than those
Rule 6 : Edentulous areas other than those
determining the classification are referred
determining the classification are referred
to as modifications and designated by
to as modifications and designated by
their No.
their No.
12. Applegate's
Applegate's Rule
Rule
Rule 7 : The extent of the modifications is
Rule 7 : The extent of the modifications is
not considered, only the No. of additional
not considered, only the No. of additional
edentulous areas.
edentulous areas.
Rule 8 : There are no modification in Class
Rule 8 : There are no modification in Class
IV.
IV.
13. Principal Of Partial Denture
Principal Of Partial Denture
Design
Design
Stresses acting on RPDs are transmitted
Stresses acting on RPDs are transmitted
to the teeth, and to the tissues of the
to the teeth, and to the tissues of the
residual ridges.
residual ridges.
The stresses, which tend to move the PD
The stresses, which tend to move the PD
in different directions are:
in different directions are:
3.
3. Masticatory stress( Tissue ward movt).
Masticatory stress( Tissue ward movt).
4.
4. Gravity( Tissue away movt).
Gravity( Tissue away movt).
5.
5. Sticky food pull the denture occlusaly
Sticky food pull the denture occlusaly
(Tissue-away movt).
(Tissue-away movt).
14. 4. Muscles and tongue tend to displace
4. Muscles and tongue tend to displace
denture from its foundation.
denture from its foundation.
5. Intercuspation of the teeth may tend to
5. Intercuspation of the teeth may tend to
produce horizontal and rotational
produce horizontal and rotational
stresses unless occlusal is adjusted.
stresses unless occlusal is adjusted.
15. Properly Constructed PD Must
Properly Constructed PD Must
:Have
:Have
1.
1. Support: Resistance to vertical seating
Support: Resistance to vertical seating
forces( provided by teeth and mucosa).
forces( provided by teeth and mucosa).
2.
2. Retention: Resistance to vertical
Retention: Resistance to vertical
displacing forces.
displacing forces.
3.
3. Stability( bracing) resistance to
Stability( bracing) resistance to
horizontal and lateral displacement.
horizontal and lateral displacement.
All the above should be within the
All the above should be within the
physiological limits of the tissue involved.
physiological limits of the tissue involved.
A
A
16. Designing Support
Designing Support
a. Tooth support: When abutment teeth available
a. Tooth support: When abutment teeth available
at both ends of the denture base( bounded
at both ends of the denture base( bounded
saddle). It most commonly obtained by
saddle). It most commonly obtained by
occlusal rests.
occlusal rests.
b. Mucosa support: (mucoperiosteum covering
b. Mucosa support: (mucoperiosteum covering
residual alveolar bone). It allows varying
residual alveolar bone). It allows varying
degree of displacement.
degree of displacement.
The amount of displacement( tissue ward
The amount of displacement( tissue ward
movt) will depend on:
movt) will depend on:
4.
4. The amount of pressure applied.
The amount of pressure applied.
5.
5. The nature of the mucosa (thickness).
The nature of the mucosa (thickness).
17. 3. Area covered by the denture( the wider
3. Area covered by the denture( the wider
the area the less the displacement).
the area the less the displacement).
4. Fit of the denture base.
4. Fit of the denture base.
5. Type of impression( anatomical,
5. Type of impression( anatomical,
functional, or selective pressure).
functional, or selective pressure).
c. Tooth-mucosa support: ( Bilateral free
c. Tooth-mucosa support: ( Bilateral free
end saddle).
end saddle).
Posterior tissue support, and anterior
Posterior tissue support, and anterior
tooth support.
tooth support.
18. Designing Retention
Designing Retention
Retention should be designed to counter act
Retention should be designed to counter act
dislodging forces( sticky food, muscle at
dislodging forces( sticky food, muscle at
periphery of the denture, intercuspation,
periphery of the denture, intercuspation,
gravity).
gravity).
Retention is gained by mechanical means
Retention is gained by mechanical means
1. direct retainers:
1. direct retainers:
a. Intercoronal( clasps).
a. Intercoronal( clasps).
b. intracronal(percision attachment).
b. intracronal(percision attachment).
2. Indirect retainers.
2. Indirect retainers.
19. Physical factors( cohesion, adhesion,
Physical factors( cohesion, adhesion,
atmospheric pressure, surface tension). it
atmospheric pressure, surface tension). it
play a minor role RBD.
play a minor role RBD.
20. Designing Bracing and Stability
Designing Bracing and Stability
Bracing( providing resistance to lateral
Bracing( providing resistance to lateral
movt.of RBD).
movt.of RBD).
Causes of tipping, rocking and
Causes of tipping, rocking and
rotation of P.D.
rotation of P.D.
3.
3. Quality of supporting structure.
Quality of supporting structure.
21. 2. The tissue-ward movt.
2. The tissue-ward movt. Of the free end
Of the free end
base create an axis of rotation around
base create an axis of rotation around
which this appliance is rotated.
which this appliance is rotated.
This axis of rotation is called a fulcrum line
This axis of rotation is called a fulcrum line
(it is imaginary line extending between
(it is imaginary line extending between
the two main abutment.
the two main abutment.
22. How to counteract lateral shifting?
How to counteract lateral shifting?
1.
1. Bracing the sides of the teeth by means
Bracing the sides of the teeth by means
of rigid clasp arms.
of rigid clasp arms.
2.
2. Use of continuous bar resting on the
Use of continuous bar resting on the
lingual surfaces of the natural standing
lingual surfaces of the natural standing
teeth.
teeth.
23. Components Of RPDs
Components Of RPDs
1.
1. Major connectors.
Major connectors.
2.
2. Minor connectors.
Minor connectors.
3.
3. Rests.
Rests.
4.
4. Direct retainers.
Direct retainers.
5.
5. Stabilizing or reciprocal components
Stabilizing or reciprocal components
(part of clasp assembly).
(part of clasp assembly).
6.
6. Indirect retainers( if prosthesis has distal
Indirect retainers( if prosthesis has distal
extension).
extension).
24. Major Connecters
Major Connecters
Major connector is component of the PD
Major connector is component of the PD
which connect all parts of the prosthesis
which connect all parts of the prosthesis
directly or indirectly.
directly or indirectly.
It provides the cross-arch stability to help
It provides the cross-arch stability to help
resist displacement by functional stresses.
resist displacement by functional stresses.
25. Characteristics Of Major Connectors
Characteristics Of Major Connectors
1.
1. Made from material compatible with oral
Made from material compatible with oral
tissue.
tissue.
2.
2. It is rigid.
It is rigid.
3.
3. Doesn't alter the natural contour of the
Doesn't alter the natural contour of the
lingual surfaces of the mandibular
lingual surfaces of the mandibular
alveolar ridge or of the palatal vault.
alveolar ridge or of the palatal vault.
4.
4. Doesn't impinge on oral tissue in
Doesn't impinge on oral tissue in
(insertion, withdrawal. Or in function).
(insertion, withdrawal. Or in function).
26. 6. Cover no more tissue than is absolutely
6. Cover no more tissue than is absolutely
necessary.
necessary.
7. Doesn't contribute to the trapping of food
7. Doesn't contribute to the trapping of food
particles.
particles.
8. Has support from other elements of the
8. Has support from other elements of the
frame work to minimize rotation in
frame work to minimize rotation in
function.
function.
9. Contribute to the support of the
9. Contribute to the support of the
prosthesis.
prosthesis.
27. Mandibular Major Connectors
Mandibular Major Connectors
1.
1. Lingual bar.
Lingual bar.
2.
2. Linguoplate.
Linguoplate.
3.
3. Sublingual bar.
Sublingual bar.
4.
4. Lingual bar with cingulum bar (continuous
Lingual bar with cingulum bar (continuous
bar).
bar).
5.
5. Cingulum bar (continuous bar).
Cingulum bar (continuous bar).
6.
6. Labial bar.
Labial bar.
Lingual bar and Linguopslate are most
Lingual bar and Linguopslate are most
common used.
common used.
28. 1.
1. Mandibular lingual Bar
Mandibular lingual Bar
Indication: Where sufficient space exist
Indication: Where sufficient space exist
b/w elevated alveolar lingual sulcus and
b/w elevated alveolar lingual sulcus and
the lingual gingival tissue.
the lingual gingival tissue.
Location:
Location:
3.
3. Half-pear shaped, with bulkiest portion
Half-pear shaped, with bulkiest portion
inferiorly.
inferiorly.
4.
4. Superior border tapered, located at least
Superior border tapered, located at least
4mm inferior to gingival margin.
4mm inferior to gingival margin.
29. 4. Inferior border located at site of the
4. Inferior border located at site of the
alveolar lingual sulcus where the pt
alveolar lingual sulcus where the pt´s
´s
tongue is elevated.
tongue is elevated.
Finishing line: Butt-type joints with minor
Finishing line: Butt-type joints with minor
connector for retention of denture base.
connector for retention of denture base.
30. .2
.2Mandibular Sublingual Bar
Mandibular Sublingual Bar
It is modification of lingual bar used when
It is modification of lingual bar used when
the existing space not allow placement of
the existing space not allow placement of
lingual bar.
lingual bar.
The shape remain the same but placement
The shape remain the same but placement
is inferior and posterior to site of lingual
is inferior and posterior to site of lingual
bar.
bar.
31. Contraindication:
Contraindication:
Remaining natural anterior teeth severely
Remaining natural anterior teeth severely
tilted toward the lingual.
tilted toward the lingual.
Characteristics and location:
Characteristics and location:
4.
4. Half-pear shaped same like the lingual
Half-pear shaped same like the lingual
bar except
bar except that the bulkiest portion is
that the bulkiest portion is
located to the lingual and the tapered
located to the lingual and the tapered
portion is toward the labial.
portion is toward the labial.
32. 2. The superior border of the bar should be
2. The superior border of the bar should be
at least 3mm from the free gingival
at least 3mm from the free gingival
margin of the teeth.
margin of the teeth.
3. The inferior border is located at height of
3. The inferior border is located at height of
the alveolar lingual sulcus when the pt
the alveolar lingual sulcus when the pt´s
´s
tongue is elevated.
tongue is elevated.
4. Functional impression is most.
4. Functional impression is most.
Finishing line: Butt-type joints with minor
Finishing line: Butt-type joints with minor
connectors for retention of denture base.
connectors for retention of denture base.
33. .3
.3Mandibular Linguoplate
Mandibular Linguoplate
Indication for use:
Indication for use:
2.
2. No sufficient space for lingual bar.
No sufficient space for lingual bar.
3.
3. The residual ridge undergone a vertical
The residual ridge undergone a vertical
resoption which offer minimal resistance
resoption which offer minimal resistance
to horizontal rotation.
to horizontal rotation.
4.
4. Periodontally weakened teeth.
Periodontally weakened teeth.
5.
5. When future replacement of one or more
When future replacement of one or more
incisor teeth will be facilitated.
incisor teeth will be facilitated.
34. Characteristics and location:
Characteristics and location:
2.
2. Half-pear shaped with bulkiest portion located.
Half-pear shaped with bulkiest portion located.
3.
3. Thin metal apron extending superiorly to
Thin metal apron extending superiorly to
contact cingulum of ant. Teeth.
contact cingulum of ant. Teeth.
4.
4. Apron extended interproximally to the height
Apron extended interproximally to the height
of contact points.
of contact points.
5.
5. Inferior border at ascertained height of the
Inferior border at ascertained height of the
alveolar lingual sulcus where the pt
alveolar lingual sulcus where the pt´s tongue
´s tongue
is slightly elevated.
is slightly elevated.
35. .4
.4Mandibular Lingual Bar with
Mandibular Lingual Bar with
Continuous Bar) Cingulum Bar
Continuous Bar) Cingulum Bar
(
(
Indication for use:
Indication for use:
2.
2. When Linguoplate is indicated but the
When Linguoplate is indicated but the
axial alignment of ant. Teeth prevent .
axial alignment of ant. Teeth prevent .
3.
3. When wide diastema b/w mandibular
When wide diastema b/w mandibular
ant. Teeth.
ant. Teeth.
36. Characteristics and location:
Characteristics and location:
2.
2. Shaped and located same as lingual bar.
Shaped and located same as lingual bar.
3.
3. Thin, narrow(3mm) metal strap located
Thin, narrow(3mm) metal strap located
on a cingula of anterior teeth. Scalloped
on a cingula of anterior teeth. Scalloped
to follow interproximal embrasures.
to follow interproximal embrasures.
4.
4. Originated bilaterally from incisal, lingual,
Originated bilaterally from incisal, lingual,
or occlusal rests of adjacent principal
or occlusal rests of adjacent principal
abutment.
abutment.
37. 5
5
Mandibular Labial Bar .
Mandibular Labial Bar .
Indication for use:
Indication for use:
2.
2. When a lingual inclination of remaining
When a lingual inclination of remaining
MPM and incisors teeth cannot be
MPM and incisors teeth cannot be
corrected.
corrected.
3.
3. Severe lingual tori cannot be removed.
Severe lingual tori cannot be removed.
4.
4. Severe tissue undercut.
Severe tissue undercut.
38. Characteristics and location:
Characteristics and location:
2.
2. Half –pear shaped with bulkiest portion
Half –pear shaped with bulkiest portion
inferiorly located
inferiorly located on the labial and buccal
on the labial and buccal
aspect of the mandible.
aspect of the mandible.
3.
3. Superior border tapered to soft tissue.
Superior border tapered to soft tissue.
4.
4. Superior border located at least 4mm inferior
Superior border located at least 4mm inferior
to labial and buccal gingival margins and more
to labial and buccal gingival margins and more
if possible.
if possible.
5.
5. Inferior border located in the labial buccal
Inferior border located in the labial buccal
vestibule.
vestibule.
39. Maxillary Major Connectors
Maxillary Major Connectors
A. Single palatal strap
A. Single palatal strap
Characteristics and Location:
Characteristics and Location:
3.
3. Anatomic replica form.
Anatomic replica form.
4.
4. Ant. Border follow the valleys b/w rugae at
Ant. Border follow the valleys b/w rugae at
right angle to median suture line.
right angle to median suture line.
5.
5. Posterior border at right angle to median
Posterior border at right angle to median
suture line.
suture line.
6.
6. Strap should be 8mm wide.
Strap should be 8mm wide.
7.
7. Confined with in an area bounded by the four
Confined with in an area bounded by the four
principal rests.
principal rests.
40. B.
B. Single Broad Palatal Major
Single Broad Palatal Major
Connector
Connector
Indication:
Indication:
3.
3. Class I.
Class I.
4.
4. V or U shaped palate.
V or U shaped palate.
5.
5. Strong abutments.
Strong abutments.
6.
6. 6 remaining ant teeth.
6 remaining ant teeth.
7.
7. No interfering tori.
No interfering tori.
41. Characteristics and location:
Characteristics and location:
2.
2. Anatomic replica form.
Anatomic replica form.
3.
3. Anterior border following valleys of rugae
Anterior border following valleys of rugae
and at right angle to median suture line
and at right angle to median suture line
and extending anterior to occlusal rests
and extending anterior to occlusal rests
or in direct retainer.
or in direct retainer.
42. 3. Posterior border located at junction of
3. Posterior border located at junction of
hard and soft palate. And extended to
hard and soft palate. And extended to
pterygomaxillary notches.
pterygomaxillary notches.
43. C.
C. Anterior-posterior Strap
Anterior-posterior Strap
Indication
Indication:
:
3.
3. Class I and II.
Class I and II.
4.
4. Long edentulous span class II MOD 1
Long edentulous span class II MOD 1
arches.
arches.
5.
5. Class IV.
Class IV.
6.
6. Palatal tori.
Palatal tori.
44. Characteristics and location:
Characteristics and location:
2.
2. Parallelogram shaped and open in center
Parallelogram shaped and open in center
portion.
portion.
3.
3. Relatively broad(8-10mm) ant. And post.
Relatively broad(8-10mm) ant. And post.
Palatal strap.
Palatal strap.
4.
4. Lateral palatal strap (7-9mm) parallel to
Lateral palatal strap (7-9mm) parallel to
curve of arch. 6mm from gingiva of
curve of arch. 6mm from gingiva of
remaining teeth.
remaining teeth.
45. 4. Anterior palatal strap; ant border not
4. Anterior palatal strap; ant border not
placed further interiorly than ant rests and
placed further interiorly than ant rests and
never closer than 6mm to lingual gingival
never closer than 6mm to lingual gingival
cervices.
cervices.
46. D.
D. Complete Palatal Coverage
Complete Palatal Coverage
Indication for use:
Indication for use:
3.
3. Situation in which only some or ant teeth
Situation in which only some or ant teeth
remains.
remains.
4.
4. Class II arch with large posterior
Class II arch with large posterior
modification space and some missing
modification space and some missing
anterior teeth.
anterior teeth.
47. 3. Class I arch with 1-4 PM and some or all
3. Class I arch with 1-4 PM and some or all
ant teeth remaining, abutment support is
ant teeth remaining, abutment support is
poor, residual ridge extremely resorbed,
poor, residual ridge extremely resorbed,
direct retention is difficult to obtained
direct retention is difficult to obtained
4. No tori.
4. No tori.
48. Characteristics and location:
Characteristics and location:
2.
2. Anatomic replica form supported anteriority by
Anatomic replica form supported anteriority by
rests seats.
rests seats.
3.
3. Palatal Linguoplate supported anteriorly and
Palatal Linguoplate supported anteriorly and
designed for the attachment of acrylic resin
designed for the attachment of acrylic resin
extension posteriorly.
extension posteriorly.
4.
4. Contact all of the teeth remaining in the arch.
Contact all of the teeth remaining in the arch.
5.
5. Posterior border, terminates at the junction of
Posterior border, terminates at the junction of
the hard and soft palate, extended to hasmular
the hard and soft palate, extended to hasmular
notch areas.
notch areas.
49. D.
D. U-shaped Palatal Major Connector
U-shaped Palatal Major Connector
Is used only in which inoperable tori
Is used only in which inoperable tori
extended to the posterior limit of the hard
extended to the posterior limit of the hard
palate.
palate.
It is the least favorable design of all
It is the least favorable design of all
palatal major connector( lack rigidity).
palatal major connector( lack rigidity).
50. Rests and Rest seats
Rests and Rest seats
Vertical support provided by rests
Vertical support provided by rests
(occlusal, incisal, or cingulum).
(occlusal, incisal, or cingulum).
Rests located on properly prepared tooth
Rests located on properly prepared tooth
surface .
surface .
The prepared surface of an abutment to
The prepared surface of an abutment to
receive the rest is called the rest seat.
receive the rest is called the rest seat.
51. The primary purpose of the rest is to provide
The primary purpose of the rest is to provide
vertical support for PD. It also does the
vertical support for PD. It also does the
following:
following:
2.
2. Maintain components in planned position.
Maintain components in planned position.
3.
3. Maintained established occlusal relationship.
Maintained established occlusal relationship.
4.
4. Prevent impingement of soft tissue.
Prevent impingement of soft tissue.
5.
5. Direct and distribute occlusal loads to
Direct and distribute occlusal loads to
abutment teeth.
abutment teeth.
52. Form Of Occlusal Rest and Rest
Form Of Occlusal Rest and Rest
Seats
Seats
1.
1. The outline form of the occlusal rest
The outline form of the occlusal rest
should be rounded, triangular shaped
should be rounded, triangular shaped
with the apex toward the center of
with the apex toward the center of
occlusal surfaces.
occlusal surfaces.
2.
2. It should be as long as it is wide. The
It should be as long as it is wide. The
base is 2.5mm for M and PM.
base is 2.5mm for M and PM.
3.
3. Reduction in marginal ridge is 1.5mm.
Reduction in marginal ridge is 1.5mm.
53. 4. It should be concave and spoon shaped
4. It should be concave and spoon shaped
(no sharp edges or line angle).
(no sharp edges or line angle).
5. The angle formed by the occlusal rest and
5. The angle formed by the occlusal rest and
the vertical minor connector from which
the vertical minor connector from which
its originate should be less than 90
its originate should be less than 90*.
*.
54. Extended Occlusal Rest
Extended Occlusal Rest
In mesially inclined abutment
In mesially inclined abutment the rest
the rest
extend more than one half of the mesio-
extend more than one half of the mesio-
distal width.
distal width.
In severely tilted abutment the extended
In severely tilted abutment the extended
occlusal rest may take the form of an only
occlusal rest may take the form of an only
to restore the occlusal plane.
to restore the occlusal plane.
55. Interproximal Occlusal rests.
Interproximal Occlusal rests.
Intra-coronal Rest: It is used for both occlusal
Intra-coronal Rest: It is used for both occlusal
support and horizontal stabilization.
support and horizontal stabilization.
Horizontal stabilization is derived from the near
Horizontal stabilization is derived from the near
vertical walls of this type of rest seat.
vertical walls of this type of rest seat.
The form of the rest should be parallel to path of
The form of the rest should be parallel to path of
placement, slightly tapered occlusaly, and
placement, slightly tapered occlusaly, and
slightly dove-tailed to preve3nt dislodgement
slightly dove-tailed to preve3nt dislodgement
proximally.
proximally.
56. The main advantages of the internal rest
The main advantages of the internal rest
are that it facilitates the elimination of the
are that it facilitates the elimination of the
visible clasp arm.
visible clasp arm.
57. Direct Retainer
Direct Retainer
It is a clasp or attachments applied to an
It is a clasp or attachments applied to an
abutment tooth for the purpose of holding RPD
abutment tooth for the purpose of holding RPD
in position.
in position.
Classification
Classification:
:
3.
3. Extracronal direct retainer
Extracronal direct retainer)
) casted clasp,
casted clasp,
wrought wire clasp).
wrought wire clasp).
a/ Occlusaly approaching clasp
a/ Occlusaly approaching clasp
(circumferential) .
(circumferential) .
b/ Gingivally approaching clasps (Bar clasps)
b/ Gingivally approaching clasps (Bar clasps)
58. 2. Intracronal direct retainer( attachments):
2. Intracronal direct retainer( attachments):
a/ Internal attachment.
a/ Internal attachment.
b/ External attachment.
b/ External attachment.
c/ Special attachment.
c/ Special attachment.
Component parts of the clasp:
Component parts of the clasp:
1. Retentive terminal 2. Retentive arm
1. Retentive terminal 2. Retentive arm
3. Reciprocal arm 4. Occlusal rest
3. Reciprocal arm 4. Occlusal rest
5. Shoulder 6. Body 7. Minor connector
5. Shoulder 6. Body 7. Minor connector
59. Height of contour: is greatest convexity
Height of contour: is greatest convexity
of tooth.
of tooth.
The basic principle of clasp design is
The basic principle of clasp design is
encirclement to obtain more than 180
encirclement to obtain more than 180* of
* of
continuous contact.
continuous contact.
Types of cast Circumferential clasps:
Types of cast Circumferential clasps:
4.
4. Simple circlet clasp: widely used, tooth
Simple circlet clasp: widely used, tooth
supported PD, approach the undercut
supported PD, approach the undercut
from edentulous space. Not used for
from edentulous space. Not used for
distal extension.
distal extension.
60. 2
2. Reverse clasp.
. Reverse clasp.
3. Multiple circlet clasp) combination of two
3. Multiple circlet clasp) combination of two
circlet clasps(.
circlet clasps(.
4. Embrasure clasp
4. Embrasure clasp
5. Ring clasp; no buccal undercut. Isolated
5. Ring clasp; no buccal undercut. Isolated
abutment, lingually tipped molar, from
abutment, lingually tipped molar, from
disto- buccal to disto-lingual undercut.
disto- buccal to disto-lingual undercut.
6. Hairpin clasp. when undercut is near to
6. Hairpin clasp. when undercut is near to
edentulous space.
edentulous space.
7
7. Combination clasp.
. Combination clasp.
61. Bar clasp: Composed of two parts
Bar clasp: Composed of two parts
( Gingivally approaching and retentive
( Gingivally approaching and retentive
tip)
tip)
2.
2. Approach arm: It is a minor connector.
Approach arm: It is a minor connector.
Semi circular in cross section, cross the
Semi circular in cross section, cross the
gingival margin at right angle.
gingival margin at right angle.
3.
3. Retentive terminal : it should end below
Retentive terminal : it should end below
undercut.
undercut.
62. Advantages:
Advantages:
2.
2. Easy to insert and difficult to remove.
Easy to insert and difficult to remove.
3.
3. More aesthetic, cover less tooth
More aesthetic, cover less tooth
structure.
structure.
– Types of Bar clasps:
Types of Bar clasps:
5.
5. T-Bar clasp.
T-Bar clasp.
6.
6. Y- Bar clasp.
Y- Bar clasp.
7.
7. I- Bar clasp.
I- Bar clasp.
63. Indirect Retainer
Indirect Retainer
Apart of RPD which assists the direct
Apart of RPD which assists the direct
retainers in preventing displacement of
retainers in preventing displacement of
distal extension denture base by
distal extension denture base by
functioning through lever action on the
functioning through lever action on the
opposite side of the fulcrum line.
opposite side of the fulcrum line.
64. Types of indirect retainer:
Types of indirect retainer:
2.
2. Auxiliary occlusal rest, most frequently
Auxiliary occlusal rest, most frequently
used, located far as possible from distal
used, located far as possible from distal
extension base, placed perpendicular to
extension base, placed perpendicular to
the mid point of the fulcrum line. If this
the mid point of the fulcrum line. If this
perpendicular line ends on the incisal
perpendicular line ends on the incisal
area it is a voided, instead it transfers to
area it is a voided, instead it transfers to
PM in both sides.
PM in both sides.
65. 2. Canine extension from occlusal rest,
2. Canine extension from occlusal rest,
finger like extention(lug seat) from the PM
finger like extention(lug seat) from the PM
rest is placed on the lingual slope of
rest is placed on the lingual slope of
adjacent canine.
adjacent canine.
3. Canine rest.
3. Canine rest.
4. Continuous bar retainers and Linguoplate.
4. Continuous bar retainers and Linguoplate.
66. Denture Base
Denture Base
Denture base defined as that part of a
Denture base defined as that part of a
denture which rests on the oral mucosa
denture which rests on the oral mucosa
and to which teeth are attached.
and to which teeth are attached.
Ideal requirements:
Ideal requirements:
3.
3. Accurate tissue adaptation with minimal
Accurate tissue adaptation with minimal
change in volume.
change in volume.
4.
4. Thermal conductivity.
Thermal conductivity.
5.
5. Sufficient strength to resist fracture or
Sufficient strength to resist fracture or
distortion under function.
distortion under function.
67. 4. Cleansability.
4. Cleansability.
5. Ability to be relined if necessary.
5. Ability to be relined if necessary.
6 Cost effective.
6 Cost effective.
7. Low specific gravity.
7. Low specific gravity.
8. Ability to achieve a good finish.
8. Ability to achieve a good finish.
68. Types of denture base:
Types of denture base:
2.
2. Acrylic
Acrylic
3.
3. Metal.
Metal.
4.
4. Combination.
Combination.
Acrylic Resin denture base; mainly used
Acrylic Resin denture base; mainly used
for distal extension PD- attached to the
for distal extension PD- attached to the
frame work by minor connector-with
frame work by minor connector-with
1.5mm thick to have a adequate
1.5mm thick to have a adequate
strength.
strength.
69. Advantages:
Advantages:
2.
2. Anterior teeth can be replaced at their
Anterior teeth can be replaced at their
original position (aesthetic level).
original position (aesthetic level).
3.
3. Restore the contour of the edentulous
Restore the contour of the edentulous
ridge.
ridge.
4.
4. Brings out the normal contour of the lip
Brings out the normal contour of the lip
and cheeks.
and cheeks.
5.
5. Can be relined.
Can be relined.
70. Disadvantages:
Disadvantages:
2.
2. May break on usage.
May break on usage.
3.
3. Tend to accumulate mucous deposits
Tend to accumulate mucous deposits
and food debris.
and food debris.
4.
4. Soft tissue irritation.
Soft tissue irritation.
5.
5. Allergy.
Allergy.
71. Metal denture base: mainly used for tooth
Metal denture base: mainly used for tooth
supported PD.
supported PD.
Advantages:
Advantages:
3.
3. Accurate tissue adaptaion( better retention).
Accurate tissue adaptaion( better retention).
4.
4. Easy to clean.
Easy to clean.
5.
5. Strong even in thin section.
Strong even in thin section.
6.
6. Heat conductivity( physiologic tissue
Heat conductivity( physiologic tissue
stimulation).
stimulation).
72. Disadvantage:
Disadvantage:
2.
2. Difficult to trim and adjust.
Difficult to trim and adjust.
3.
3. Over extension can injure the soft tissue.
Over extension can injure the soft tissue.
4.
4. Poor aesthetic.
Poor aesthetic.
5.
5. Difficult to reline and rebase.
Difficult to reline and rebase.