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DENTURE BASE
CONSIDERATIONS in RPD
www.asiandentalacademy.org
DENTURE BASE :
Denture Base Used to designate that part of a
Prosthesis that rests on the residual bone
covered by soft tissue and to which the teeth
are attached
BASAL SEAT OR DENTURE
FOUNDATION AREA :-
The oral tissues and structures of residual ridge
supporting a denture base are referred to as the
Basal Seat or Denture foundation area
• www.asiandentalacademy.org
According to the Design of Denture or
Prosthesis Denture Base are Two Types:-
1. TOOTH – SUPPORTED PARTIAL
DENTURE BASE
2. DISTAL EXTENSION PARTIAL
DENTURE BASE
• www.asiandentalacademy.org
DISTAL EXTENSION DENTURE BASES
• www.asiandentalacademy.org
TOOTH SUPPORTED PARTIAL DENTURE
• www.asiandentalacademy.org
FUNCTIONS OF DENTURE BASES:
1. The Denture base supports artificial
teeth and effects the transfer of
occlusal forces to supporting Oral
Structures
2. Stimulation of the underlying tissues
of the residual ridge
3. The denture base also may add to the
cosmetic effect of the replacement
and reproducing natural – looking
contours
• www.asiandentalacademy.org
IDEAL DENTURE BASE MATERIAL:
Requirements :-
Accuracy of adaptation to the tissue,
with minimal volume change
1. Dense, nonirritating surface capable
of receiving and maintaining a good
finish
2. Thermal conductivity
3. Low specific gravity; light weight in
the mouth
• www.asiandentalacademy.org
5. Sufficient strength; resistance to
fracture of distortion
6. Easily kept clean
7. Esthetic acceptability
8. Potential for future relining
9. Low initial cost • www.asiandentalacademy.org
ADVANTAGES OF METAL BASES
1. Accuracy and permanence of form :
Ex: Gold, Chrome, or Titanium alloys used
2. Comparative tissue response :
Inherent Cleanliness –
Greater Density and the bacteriostatic activity
contributed by Ionization and Oxidation of the
Metal Base
3. Thermal Conductivity :
Temperature changes are transmitted through
metal base contributes to the patient’s
acceptance of a denture
4. Weight and Bulk :
Metal alloy may be cast much thinner than
acrylic resin and still have adequate strength
and rigidity • www.asiandentalacademy.org
DISADVANTAGES OF METAL BASES:-
1. Recent extraction ridges metal base
is not preferred
2. Difficult to make adjustment and
corrections
3. Difficult to Reline
• www.asiandentalacademy.org
METAL DENTURE BASE
• www.asiandentalacademy.org• www.asiandentalacademy.org
METHODS OF ATTACHING ARTIFICIAL TEETH
:
1. With Acrylic Resin
2. With Cement
3. Processed directly to metal
4. Cast with the frame work
5. Chemical Bounding
• www.asiandentalacademy.org
• www.asiandentalacademy.org
STRESS BREAKER
(Stress Equalizer)
A device that allows some movement
between the denture base or its
supporting frame work and the direct
retainers, whether Intra coronal or
Extra coronal in design
• www.asiandentalacademy.org
Types:
1. Those having a movable joint between the direct
retainer and the denture base
They permit both vertical movement and hinge action
of distal extension bases
Ex:-
Hinges
Ball & Socket Devices
Sleeves & Cylinders
Swiss made Dalbo attachments
Crismani attachment
ASC 52 attachment
• www.asiandentalacademy.org
HINGE – TYPE STRESS - BREAKER
• www.asiandentalacademy.org
DALBO AND CRISMANI ATTACHMENTS
• www.asiandentalacademy.org
ASC – 52 RETAINER
• www.asiandentalacademy.org
2. Those designs having a flexible connection
between the direct retainer and the denture
base
Ex:-
- Wrought – wire connectors
- Divided major connectors
- Flexible devices for permitting movement of
distal extension base
- Those having a movable joint between two
major connectors
• www.asiandentalacademy.org
ADVANTAGES OF STRESS BREAKERS
1. Horizontal forces acting on abutment teeth are
minimized, the alveolar support of these teeth
are preserved
2. It is possible to obtain a balance of stress
between abutment and residual ridge
3. Intermittent pressure of the denture bases
massages the mucosa provides physiologic
stimulation – minimizes bone resorption
4. If relining is needed but not done, the abutment
teeth are not damaged as quickly
5. Splinting of weak teeth by the denture base is
made possible • www.asiandentalacademy.org
DISADVANTAGES OF STRESS
BREAKERS
1. More difficult to fabricate and therefore more
costly
2.Vertical and horizontal forces are
concentrated on residual ridge, resulting in
bone resorption
3. Effectiveness of indirect retainer is reduce or
eliminated
4. Less tolerance by patient
5. Careless handling leads to bending and
distortion of flexible connectors
• www.asiandentalacademy.org
METHODS OF ESTABLISHING
OCCLUSAL RELATIONSHIPS FOR R.P.D.
FIVE METHODS :-
1. Direct apposition of casts
when there are sufficient apposing teeth that
remain in contact. (when only few teeth are to be
replaced)
2. Inter occlusal record with posterior teeth
remaining :-
Kennedy’s Class III & IV
EX:-
Inter Occlusal Wax record
Metal – Reinforced wafer strip
• www.asiandentalacademy.org
3. Occlusal Relations using Occlusal rims on record bases :-
Kennedy’s Class I & II
Ex:- Denture Base – Visible light cured composite, auto
polymerizing Resin
4. Jaw Relation Records made entirely on Occlusal Rims :-
- When no occlusal contact between remaining Natural
Teeth
5. Establishing Occlusion by the recording of occlusal path
ways
EX:- Occluding Template
Functional Occlusal Record
• www.asiandentalacademy.org

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Denture base considerations in removable partial denture /RPD

  • 1. DENTURE BASE CONSIDERATIONS in RPD www.asiandentalacademy.org
  • 2. DENTURE BASE : Denture Base Used to designate that part of a Prosthesis that rests on the residual bone covered by soft tissue and to which the teeth are attached BASAL SEAT OR DENTURE FOUNDATION AREA :- The oral tissues and structures of residual ridge supporting a denture base are referred to as the Basal Seat or Denture foundation area • www.asiandentalacademy.org
  • 3. According to the Design of Denture or Prosthesis Denture Base are Two Types:- 1. TOOTH – SUPPORTED PARTIAL DENTURE BASE 2. DISTAL EXTENSION PARTIAL DENTURE BASE • www.asiandentalacademy.org
  • 4. DISTAL EXTENSION DENTURE BASES • www.asiandentalacademy.org
  • 5. TOOTH SUPPORTED PARTIAL DENTURE • www.asiandentalacademy.org
  • 6. FUNCTIONS OF DENTURE BASES: 1. The Denture base supports artificial teeth and effects the transfer of occlusal forces to supporting Oral Structures 2. Stimulation of the underlying tissues of the residual ridge 3. The denture base also may add to the cosmetic effect of the replacement and reproducing natural – looking contours • www.asiandentalacademy.org
  • 7. IDEAL DENTURE BASE MATERIAL: Requirements :- Accuracy of adaptation to the tissue, with minimal volume change 1. Dense, nonirritating surface capable of receiving and maintaining a good finish 2. Thermal conductivity 3. Low specific gravity; light weight in the mouth • www.asiandentalacademy.org
  • 8. 5. Sufficient strength; resistance to fracture of distortion 6. Easily kept clean 7. Esthetic acceptability 8. Potential for future relining 9. Low initial cost • www.asiandentalacademy.org
  • 9. ADVANTAGES OF METAL BASES 1. Accuracy and permanence of form : Ex: Gold, Chrome, or Titanium alloys used 2. Comparative tissue response : Inherent Cleanliness – Greater Density and the bacteriostatic activity contributed by Ionization and Oxidation of the Metal Base 3. Thermal Conductivity : Temperature changes are transmitted through metal base contributes to the patient’s acceptance of a denture 4. Weight and Bulk : Metal alloy may be cast much thinner than acrylic resin and still have adequate strength and rigidity • www.asiandentalacademy.org
  • 10. DISADVANTAGES OF METAL BASES:- 1. Recent extraction ridges metal base is not preferred 2. Difficult to make adjustment and corrections 3. Difficult to Reline • www.asiandentalacademy.org
  • 11. METAL DENTURE BASE • www.asiandentalacademy.org• www.asiandentalacademy.org
  • 12. METHODS OF ATTACHING ARTIFICIAL TEETH : 1. With Acrylic Resin 2. With Cement 3. Processed directly to metal 4. Cast with the frame work 5. Chemical Bounding • www.asiandentalacademy.org
  • 14. STRESS BREAKER (Stress Equalizer) A device that allows some movement between the denture base or its supporting frame work and the direct retainers, whether Intra coronal or Extra coronal in design • www.asiandentalacademy.org
  • 15. Types: 1. Those having a movable joint between the direct retainer and the denture base They permit both vertical movement and hinge action of distal extension bases Ex:- Hinges Ball & Socket Devices Sleeves & Cylinders Swiss made Dalbo attachments Crismani attachment ASC 52 attachment • www.asiandentalacademy.org
  • 16. HINGE – TYPE STRESS - BREAKER • www.asiandentalacademy.org
  • 17. DALBO AND CRISMANI ATTACHMENTS • www.asiandentalacademy.org
  • 18. ASC – 52 RETAINER • www.asiandentalacademy.org
  • 19. 2. Those designs having a flexible connection between the direct retainer and the denture base Ex:- - Wrought – wire connectors - Divided major connectors - Flexible devices for permitting movement of distal extension base - Those having a movable joint between two major connectors • www.asiandentalacademy.org
  • 20. ADVANTAGES OF STRESS BREAKERS 1. Horizontal forces acting on abutment teeth are minimized, the alveolar support of these teeth are preserved 2. It is possible to obtain a balance of stress between abutment and residual ridge 3. Intermittent pressure of the denture bases massages the mucosa provides physiologic stimulation – minimizes bone resorption 4. If relining is needed but not done, the abutment teeth are not damaged as quickly 5. Splinting of weak teeth by the denture base is made possible • www.asiandentalacademy.org
  • 21. DISADVANTAGES OF STRESS BREAKERS 1. More difficult to fabricate and therefore more costly 2.Vertical and horizontal forces are concentrated on residual ridge, resulting in bone resorption 3. Effectiveness of indirect retainer is reduce or eliminated 4. Less tolerance by patient 5. Careless handling leads to bending and distortion of flexible connectors • www.asiandentalacademy.org
  • 22. METHODS OF ESTABLISHING OCCLUSAL RELATIONSHIPS FOR R.P.D. FIVE METHODS :- 1. Direct apposition of casts when there are sufficient apposing teeth that remain in contact. (when only few teeth are to be replaced) 2. Inter occlusal record with posterior teeth remaining :- Kennedy’s Class III & IV EX:- Inter Occlusal Wax record Metal – Reinforced wafer strip • www.asiandentalacademy.org
  • 23. 3. Occlusal Relations using Occlusal rims on record bases :- Kennedy’s Class I & II Ex:- Denture Base – Visible light cured composite, auto polymerizing Resin 4. Jaw Relation Records made entirely on Occlusal Rims :- - When no occlusal contact between remaining Natural Teeth 5. Establishing Occlusion by the recording of occlusal path ways EX:- Occluding Template Functional Occlusal Record • www.asiandentalacademy.org