TREATMENT PLAN IN PARTIAL DENTURES

INDIAN DENTAL ACADEMY
Leader in continuing dental education
www.indiandentalacademy.co...
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Introduction
Definitions
Indications & Contraindications
Advantages & Disadvantages
Basic requirements...
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The use of provisional denture is one of the
critical phase…….
Although often regarded as merely serving a
temporary...




There is much confusion in the terminology of
interim dentures.
Temporary dentures, transitional dentures,
provision...
Definitions
 Temporary partial denture; Interim denture;
provisional denture – A dental prosthesis to be
used for a short...




Transitional denture: A removable partial
denture serving as a temporary prosthesis to
which artificial teeth will b...


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To restore the vertical dimension on a
temporary basis.
As a splint following oral surgical procedures.
As a nig...
Advantages:


Allows more rapid placement of denture.

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Allows natural tooth position to be duplicated.



Allows toot...
Basic Requirements:
 Patient comfort and function.
 Positional stability.
 Periodontal health.
 Acceptable aesthetics ...
Patient comfort and function:
 Treatment partial denture is an effective
appliance for preparing a patient
psychologicall...
Positional stability:
 Removable partial denture should maintain an
even contact with the opposing dentition…
 The optim...
Periodontal health:
 During fabrication and after insertion of a
transitional RPD, the state of health of both
hard and s...
Establishment of proper occlusion:
 The transitional RPD is an important trial
appliance for establishing the vertical
di...
Continual Evaluation during treatment:


The transition RPD should allow the denture
practitioner to evaluate the facts s...


Types of treatment partial denture:

Spoon shape denture

Every dentures

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Flippers

Cusil

Nesbit

Mucosal supported denture

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Role of Treatment partial denture:
Appearance
 The treatment RPD is capable of providing
acceptable cosmetics……..



If ...
Space maintenance:
 When a space results from recent extraction or
traumatic loss of teeth….
 In younger patient the spa...
Basic requirements:
 Be stable and strong enough to function in the
process of chewing.
 Restore esthetics.
 Prevent ov...


Advantages:
Facial profile as well as function and esthetics are
improved.
 It facilitates the cleaning of adjacent te...
Reestablishing occlusal
relationship:
 The transitional RPD is an
important trial appliance
for establishing the vertical...




This appliances are similar to cap splints that
cover the teeth. They distribute the occlusal
stress evenly to preve...
www.indiandentalacademy.com
Conditioning teeth and residual ridge:
 O.C.
Applegate has emphasized the
advantages of conditioning edentulous area
to p...


Conditioning residual ridge……



Conditioning teeth:


Tooth that is to be used as an abutment for a RPD
has been out...
Interim restoration during treatment:
 In some instances an existing RPD can be used
with modification as an interim RPD....
Surgical splints:
 Surgical splints are used to protect
postoperative surgical sites in the oral cavity to
improve healin...


Night guards and mouth protective devices:
It acts as an occlusal protective device.
 It is used to protect the teeth ...


As a vehicle for tissue treatment material
Existing removable partial denture can be used for this
purpose , the tissue...


REPAIR
Repair procedures for RPD varies according
to the damage component.
Denture base repair
The broken segments are ...
Replacement of denture teeth:
 An accurate opposing cast and a jaw relation
record is necessary.
 The tooth of same moul...
Multiple teeth replacement:
 If multiple teeth are to be replaced, a mounting
cast is poured against the tissue surface o...
Maintenance of RPD:
 The need for strict oral hygiene and diet control
must be clearly understood while an treatment
part...




The utilization of properly
fabricated provisional
prosthodontic appliances
will permit a higher rate of
success of ...












Henderson D., McGivney G.P., Castleberry D.J. :
McCracken’s removable partial prosthodontics, 11th
Edn. ...
www.indiandentalacademy.com
Leader in continuing dental education

www.indiandentalacademy.com
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Discuss the role of treatment plan in partial denture /certified fixed orthodontic courses by Indian dental academy

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Discuss the role of treatment plan in partial denture /certified fixed orthodontic courses by Indian dental academy

  1. 1. TREATMENT PLAN IN PARTIAL DENTURES INDIAN DENTAL ACADEMY Leader in continuing dental education www.indiandentalacademy.com www.indiandentalacademy.com
  2. 2.          Introduction Definitions Indications & Contraindications Advantages & Disadvantages Basic requirements of removable partial denture Role of treatment partial denture - Appearance - Space maintenance - Reestablishing the occlusal relationship - Conditioning teeth and residual ridge - Interim restoration during treatment - Surgical splint - Night guard and mouth protecting devices - As a vehicle for tissue treatment material Repair & Maintenance Summary and conclusion References www.indiandentalacademy.com
  3. 3.   The use of provisional denture is one of the critical phase……. Although often regarded as merely serving a temporary function, use of an interim prosthesis will generate specific information regarding the functional and aesthetic requirements of the definitive restoration. www.indiandentalacademy.com
  4. 4.   There is much confusion in the terminology of interim dentures. Temporary dentures, transitional dentures, provisional dentures, interim dentures and treatment dentures. www.indiandentalacademy.com
  5. 5. Definitions  Temporary partial denture; Interim denture; provisional denture – A dental prosthesis to be used for a short interval of time for aesthetics, mastication, occlusal support or convenience or to condition the patient to the acceptance of an artificial substitute for missing natural teeth until more definitive prosthetic therapy can be provided – GPT8 www.indiandentalacademy.com
  6. 6.   Transitional denture: A removable partial denture serving as a temporary prosthesis to which artificial teeth will be added as natural teeth are lost, and which will be replaced after post-extraction tissue changes have occurred. Treatment denture: A dental prosthesis used for the purpose of treating or conditioning the tissues which are called upon to support and retain a denture base. www.indiandentalacademy.com
  7. 7.     To restore the vertical dimension on a temporary basis. As a splint following oral surgical procedures. As a night guard to protect the teeth. To condition the teeth and residual ridge tissue to support better the partial denture to follow. www.indiandentalacademy.com
  8. 8. Advantages:  Allows more rapid placement of denture.  Allows natural tooth position to be duplicated.  Allows tooth position to be altered.  Permits a test period for change in the tooth position before definitive RPD are made.  Requires simple technical procedures during construction. Disadvantages:  Poorly made or badly maintained, they can result in much dissatisfaction for both patient and dentist even though it is an interim service. www.indiandentalacademy.com
  9. 9. Basic Requirements:  Patient comfort and function.  Positional stability.  Periodontal health.  Acceptable aesthetics and phonetics.  Establishment of proper occlusion.  Continual evaluation during treatment. www.indiandentalacademy.com
  10. 10. Patient comfort and function:  Treatment partial denture is an effective appliance for preparing a patient psychologically, as well as physically, for the future insertion of definitive RPD.  It can be used as a trial appliance for the patient who have never worn any removable appliances previously. www.indiandentalacademy.com
  11. 11. Positional stability:  Removable partial denture should maintain an even contact with the opposing dentition…  The optimal occlusal and proximal contacts prevents…… www.indiandentalacademy.com
  12. 12. Periodontal health:  During fabrication and after insertion of a transitional RPD, the state of health of both hard and soft tissue must be maintained optimally.  The transitional RPD must be designed….. Acceptable aesthetics and phonetics:  It should provide acceptable cosmetics. www.indiandentalacademy.com
  13. 13. Establishment of proper occlusion:  The transitional RPD is an important trial appliance for establishing the vertical dimension of occlusion.  Once established, this becomes the template from which the definitive or secondary prosthesis is derived. www.indiandentalacademy.com
  14. 14. Continual Evaluation during treatment:  The transition RPD should allow the denture practitioner to evaluate the facts such as:  Vertical dimension of occlusion.  The chosen scheme of occlusion.  The aesthetics and phonetics.  Psychologic aspects during the ongoing treatment. www.indiandentalacademy.com
  15. 15.  Types of treatment partial denture: Spoon shape denture Every dentures www.indiandentalacademy.com
  16. 16. Flippers Cusil Nesbit Mucosal supported denture www.indiandentalacademy.com
  17. 17. Role of Treatment partial denture: Appearance  The treatment RPD is capable of providing acceptable cosmetics……..  If the result is acceptable by the patient and the practitioner, it can be duplicated in definitive RPD. www.indiandentalacademy.com
  18. 18. Space maintenance:  When a space results from recent extraction or traumatic loss of teeth….  In younger patient the space should be maintained until the adjacent teeth have reached sufficient maturity.  In adult patient the maintenance of space prevents ………….. www.indiandentalacademy.com
  19. 19. Basic requirements:  Be stable and strong enough to function in the process of chewing.  Restore esthetics.  Prevent over eruption of opposing teeth or drift of the adjacent teeth.  Be easily and economically fabricated with minimal tooth preparation. www.indiandentalacademy.com
  20. 20.  Advantages: Facial profile as well as function and esthetics are improved.  It facilitates the cleaning of adjacent teeth.  Material costs are minimal.   Disadvantages: There is complete dependence on patient and parent cooperation.  Failure to maintain good oral hygiene produces pathologic changes and gingival inflammation. Increased caries can be expected.  www.indiandentalacademy.com
  21. 21. Reestablishing occlusal relationship:  The transitional RPD is an important trial appliance for establishing the vertical dimension of occlusion.  It is a reversible means of determining a patient’s tolerance to an increase or a decrease in vertical dimension of occlusion.  Once established, this becomes the template from which the definitive or secondary prosthesis is www.indiandentalacademy.com derived.
  22. 22.   This appliances are similar to cap splints that cover the teeth. They distribute the occlusal stress evenly to prevent any tooth submergence. They should occlude in centric relation and centric occlusion to prevent the supraeruption. www.indiandentalacademy.com
  23. 23. www.indiandentalacademy.com
  24. 24. Conditioning teeth and residual ridge:  O.C. Applegate has emphasized the advantages of conditioning edentulous area to provide stable support for distal extension RPD.  This is accompanied by having the patient wear a treatment partial denture for a period of time before fabrication of final denture. www.indiandentalacademy.com
  25. 25.  Conditioning residual ridge……  Conditioning teeth:  Tooth that is to be used as an abutment for a RPD has been out of occlusion for sometime.  Immediately on applying an occlusal load to the tooth sufficient to support any RPD, some intrusion of the tooth will occur…….  Abutment teeth can be conditioned either through occlusal coverage or through occlusal rest.  When a temporary RPD is worn, such abutment teeth have an opportunity to became stabilized under the loading of the temporary restoration. www.indiandentalacademy.com
  26. 26. Interim restoration during treatment:  In some instances an existing RPD can be used with modification as an interim RPD.  It may include relining and adding teeth and clasps to the existing denture.  Converted to the transitional complete denture for immediate placement. www.indiandentalacademy.com
  27. 27. Surgical splints:  Surgical splints are used to protect postoperative surgical sites in the oral cavity to improve healing.  They are most commonly used on maxillary arch and the lingual side of the mandibular ridge. www.indiandentalacademy.com
  28. 28.  Night guards and mouth protective devices: It acts as an occlusal protective device.  It is used to protect the teeth from damage due to habits like bruxism and from cases with acute TMJ disorders.  It can also be used to prevent abnormal mandibular closure.  In sports it is used to protect the teeth from trauma.  www.indiandentalacademy.com
  29. 29.  As a vehicle for tissue treatment material Existing removable partial denture can be used for this purpose , the tissue surface of the denture beneath the area of the tissue irritation should be relieved by giving space to carry treatment material. Mode of action -evenly distributes the occlusal load over the denture - produces an intimate tissue contact and has a massaging effect on the soft tissue - increases the blood flow and reduces the inflammation www.indiandentalacademy.com
  30. 30.  REPAIR Repair procedures for RPD varies according to the damage component. Denture base repair The broken segments are available and can be accurately repositioned, the sections are held together and luted with sticky wax along the fracture line.  Dental stone is poured against the tissue side of the denture base:  The denture is seperated.  The fracture margins are dovetailed.  The pieces of denture are assembled and held in position.  Autopolymerizing resin is added along the fracture line.  www.indiandentalacademy.com
  31. 31. Replacement of denture teeth:  An accurate opposing cast and a jaw relation record is necessary.  The tooth of same mould and same shade is selected.  The ridge lap area should be relieved.  The tooth is luted to the denture base with a sticky wax.  Autopolymerizing resin is added. www.indiandentalacademy.com
  32. 32. Multiple teeth replacement:  If multiple teeth are to be replaced, a mounting cast is poured against the tissue surface of the RPD.  The cast is articulated with the opposing cast.  Teeth to be replaced are positioned and finally the denture base is relieved.  Gingival contours are waxed and denture is flasked, packed and processed. www.indiandentalacademy.com
  33. 33. Maintenance of RPD:  The need for strict oral hygiene and diet control must be clearly understood while an treatment partial denture is being worn.  Adequate prophylactic measures must be taken to prevent decalcification and caries in the teeth contacted.  It should never be worn continuously.  Periodic dental visit should be advised for followup. www.indiandentalacademy.com
  34. 34.   The utilization of properly fabricated provisional prosthodontic appliances will permit a higher rate of success of the definitive treatment. This phase of restorative treatment should not be merely considered a temporary treatment but as a template for the ensuing prosthesis. www.indiandentalacademy.com
  35. 35.       Henderson D., McGivney G.P., Castleberry D.J. : McCracken’s removable partial prosthodontics, 11th Edn. St. Louis ; CV Mosby Co Dental Clinics of North America: Full mouth reconstruction – fixed removable.1987 Dental Clinics of North America:removable prosthodontics .1984 Henderson D., McGivney G.P., Castleberry D.J. : McCracken’s removable partial prosthodontics, 6th Edn. St. Louis ; CV Mosby Co R . J Methewson - fundamentals of paediatric dentistry.3rd edn S J Davies , R M Gray , J F McCord – good occlusal practice in removable prosthodontics. BDJ 2001:10;191 www.indiandentalacademy.com
  36. 36. www.indiandentalacademy.com Leader in continuing dental education www.indiandentalacademy.com

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