SlideShare a Scribd company logo
Design of a Removable Partial Denture
By Taseef Hasan Farook, BDS (final
year, University of Dhaka)
Denture Design: A planned visualization of the
form and extent of a dental prosthesis
arrived at after a study of all factors involved
- GPT
Kennedy’s Classification of partially
edentulous jaw
• Classification I- bilateral edentulous area situated
posterior to natural teeth
• Classification II- unilateral edentulous area situated
posterior to natural teeth
• Classification III- edentulous space bounded on both
side by natural teeth
• Classification IV- A single, but bilateral edentulous area
located anterior to the natural teeth
Applegate‘s 8 rules are used in diagnosing a case
according to Kennedy’s classification
Types of partially edentulous jaw According to the Classification
by Edward Kennedy in 1923:
Basic Considerations
Biomechanics at play within the oral cavity must be
taken into consideration and the denture design
must be made in accordance, to counteract the
mechanical forces/stress acting within the oral
cavity.
Forces to consider: 1. Vertical – Displacing
- Dislodging forces
2. Horizontal forces
3. Torsion
Biomechanics and Types of RPD
Most common mechanical forces at play:
1. Lever principle (all Kennedy Class I and II cases)
2. Inclined principle (all rest and retainers)
3. Wheel and axle principle (rotation)
the prosthesis constructed can either be:
1. Tooth supported- (all Kennedy Class III dentures)
2. Tissue supported (Kennedy Class I & II dentures)
Wheel & Axle Principle
Lever and Fulcrum Principle
Inclined plane principle
Tooth Supported prosthesis Tissue Supported Prosthesis
(Kennedy Class III) Kennedy Class I & II)
Biological factors to consider during
design
• Length of edentulous span
• Type of oral mucosa
• Quality of ridge support
• Clasp design – (type, length, flexibility,
material used)
• Occlusal harmony
Initial Step is Surveying of the cast
• To determine path of insertion
• To mark the height of contour
• Mark undercuts otherwise not visible to the
naked eye
Survey Lines: line produced on a cast of a tooth by
a surveyor or scriber marking the greatest
height of contour in relation to the chosen path
of insertion of a planned restoration- GPT
Survey Lines
Types of survey lines: 1. High
2. Medium
3. Low
4. Diagonal
1. Path of insertion
• Kennedy Class I case: may have multiple paths of
insertion. A single path obtained by additional
guiding planes on the lingual surface
• Kennedy Class II: Path of insertion depends on
the modification space and their guiding plane
• Kennedy Class III: Single path of insertion
depending on the proximal abutment teeth
• Kennedy Class IV: Single path of insertion
Factors influencing Path of insertion
• Retentive undercuts
• Interference
• Guiding plane
• Denture Base
Guiding plane: Two or more vertically parallel surfaces
of abutment teeth so oriented as to direct the path of
placement of removable partial denture- GPT
Use short guiding planes for Class I & II cases, use long
guiding planes for Class III and IV cases
2. Height of Contour
Line encircling a tooth designating its greatest
circumference at a selected position – GPT
The area below the height of contour is a
potential undercut and if feasible, can be used
for designing the retentive components of an
RPD.
3. Undercuts
The area enclosed by the vertical drop and
horizontal surface of any given structure.
Lingual
Undercut
After Surveying, the next step is to
DESIGN THE COMPONENTS of the RPD
Parts:
• Major connectors
• Minor Connectors
• Rests
• Retainers
• Denture base
Kennedy Class II modification I cast partial denture
Major connectors
Basic Design principles:
• The borders should be 6mm (maxillary) and 3mm
(mandibular) away from the marginal gingiva
• The borders should be parallel to the gingival
margin
• The metal framework should cross the gingival
margin only at 90 degree (right angle) and cross
the palate in a straight line
• Anterior border of maxillary major connectors
should not lie on the crest of the palatal rugae
Maxillary major connectors: (and their
uses)
• Single posterior palatal bar (Kennedy Class III)
• Palatal Strap (bilateral short span Class III)
• Palatal plate (Kennedy class I)
• Antero-posterior palatal bars ( Class II and IV)
• Horse shoe shaped plate ( Class I and II)
• Complete palate (Kennedy Class I)
PALATAL BAR PALATAL STRAP ANTERO-POSTERIOR
PALATAL STRAP
PALATAL PLATE HORSESHOE PLATE COMPLETE PALATE
Mandibular major connectors
• Lingual bar
• Lingual Plate
• Double lingual bar/ Kennedy bar
• Sublingual bar
• Mandibular cingulum bar
• Labial bar
LINGUAL BAR LINGUAL PLATE
DOUBLE LINGUAL BAR SUBLINGUAL BAR
Major Connectors of Choice
For maxillary arches: broad palatal plate connector
Modifications: 1. L-beam priniciple
2. Circular configuration
3. Strut configuration
For mandibular
arches, lingual
plate with
retainers can help
distribute stress.
Circular
configuration
Minor Connectors
These are the connecting links between the major
connector and clasps, retainers and rests.
Basic Design principles:
• Broad bucco-lingually, thin mesio-distally
• Triangular cross-section with thickest portion near the
lingual line angle
• If not placed on the abutment teeth, the connector
should be placed in the embrasure.
• Should NEVER be placed on the convex lingual surface
• The area to hold the connector should be devoid of
undercuts and parallel to path of insertion
• Mandibular distal extension should cover 2/3rd the
length of the edentulous ridge
Types of minor connectors
• Lattice work
• Meshwork
• Bead, wire or nail head
LATTICE WORK MESHWORK NAIL HEAD TYPE
Finish Line
The term denotes the junction between the acrylic denture base
and the major connector.
Types:
• Internal finish line: metal to tissue surface
• External finish line: acrylic to metal surface
Internal finish line
External Finish line
Finish Line Design
• Acrylic around lattice or meshwork minor
connectors should be smooth and present
with internal and external finish lines
• Bead type minor connectors require only
external finish line
Rests
Rest: rigid stabilizing extension of a partial denture
which contacts a remaining tooth/teeth to
dissipate vertical and horizontal forces
Types:
1. External 2. Internal
– Occlusal rest
– Incisal rest
– Cingulum rest
– Lingual rest
Rest seat
That portion of natural tooth or a cast
restoration of a tooth selected or prepared to
receive an occlusal, incisal, lingual, internal
or semiprecision rest - GPT
Design of an occlusal rest seat
• Triangular shape with apex at the centre of the
tooth and base at the marginal ridge
• ½ buccolingual width
• 1/3 mesiodistal width
• Angle between floor of the prosthesis and
proximal surface of tooth <90 degree
• 0.5mm thick at thinnest point and 1-1.5 mm
thick at margin.
Design of lingual and cingulum rest
• 2.5-3mm mesiodistal length
• 2mm labiolingual width
• 1.5mm deep
• V-shaped notch- labial inclination parallel to labial
surface, lingual inclination perpendicular to the labial
incline
• Apex of the V directed incisally
Direct retainer
• Component of a removable partial denture
that is used to retain and prevent
dislodgement consisting of a clasp, assembly
or precision attachment – GPT
Types:
Extra-coronal Intra-coronal
Occlusal Approach Internal Attachment
- Aker’s Clasp External Attachment
Gingival Approach Stud attachment
- Bar Clasp Bar attachment
Special attachment
Design of a clasp
• The retentive arm terminal 1/3rd should be
flexible to engage undercuts
• The proximal 1/3rd of the retentive arm to be
placed above the height of contour
• The rigid components are to be placed in the
non retentive areas of the tooth
• The retentive part must make use of the
retentive undercuts present on the tooth
Design of clasp
Selection of clasp material according to the
buccolingual width of the undercut: (more
flexible material is required to facilitate insertion
of the RPD into deeper undercuts)
• 0.010 inch undercut- cast chrome alloy
• 0.015 inch undercut- gold and its alloys
• 0.020 inch undercut- wrought wire
-The longer the clasp arm, greater the flexibility.
-The clasp arm should be tapered towards the tip
Types of Clasp
• Circumferential Clasp/ Aker’s Clasp
– Simple circlet (NOT used for distal extension cases)
– Reverse circlet (used in distal extension cases)
– Multiple circlet (used for abutment with weak
periodontal support)
– Modified crib clasp (used in Kennedy Class II and III
without any modifications)
– Ring clasp (used in distolingual undercuts and
lingually tipped molars)
Other types of circumferential clasps
• Fish hook clasp (used when undercut is adjacent
to an edentulous area)
• Onlay clasp (used when abutment teeth are
below occlusal level. Thus the onlay restores
occlusal harmony while the clasp provides
retention)
• Combination clasp (wrought wire retentive arm
and cast wire bracing arm)
• Vertical reciprocal, horizontal retentive arm clasp
VRHR-(Used in posterior teeth with high survey
lines)
Bar clasps
• T-clasp (used in distal extension cases. Should
NOT be used in terminal abutments with
undercuts facing away from the edentulous
space)
• Modified T clasp (used in canine and
premolars for better aesthetics)
• Y-clasp (used for high heights of contour)
• I-clasp- (used on distobuccal surface of canine
with only tip in contact with the tooth
Gingival Approach:
Bar type of clasps
Occlusal Approach:
Circumferential clasp
Clasp design configuration
Quadrilateral Configuration: Usually
seen in Kennedy Class III with a
modification on the opposite side of
the arch
Tripod Configuration: Usually seen in
Kennedy Class II arches
Clasp design configuration
Bilateral configuration:
Used in case of Kennedy
Class I cases
I-bar system (RPI system)
• Modified type of roach clasp designed to
reduce tooth contact
• R –Rest P -Proximal plate I -I-bar clasp.
I-bar system (RPI system)
I-bar system (RPI system)
Modifications in the RPI system
• RPA system- When the i-bar is replaced by an
Aker’s clasp.
• Mesial rest modification
• Proximal modification
– Design modification I, II, III
Mod. I Mod. II Mod. III
Fulcrum Line
• An imaginary line around which a partial
denture tends to rotate- GPT
• This is a line joining the two posterior most
rests
Indirect retainer
• Part of a removable partial denture which assists
the direct retainers in preventing displacement of
the distal extension denture bases by functioning
through lever action on the opposite side of the
fulcrum- GPT
Design of Indirect retainer
• Ideally, the indirect retainer should be located
at a point perpendicular to the midpoint of
the fulcrum line
• Should be placed as far away from the
fulcrum line as possible
• Should generally be made of rigid material.
(Flexibility loses efficacy)
• Inclined or weak abutment teeth should NOT
be used.
The indirect retainer should be
perpendicular to the fulcrum
line
The indirect retainer should be as
far away from the fulcrum line as
possible
Types of indirect retainer
1. Auxiliary occlusal rest –
-Used on 1st premolars bilaterally for
Kennedy Class I cases
-Used on 1st premolar of opposite side for
Kennedy Class II cases
2. Canine Extension- When premolars must act
as a primary abutment
3. Canine rest
Types of indirect retainer
4. Continuous lingual bar/plate retainers –
Used for Kennedy Class I and II cases. The bar
should be placed above the middle 1/3rd of
the tooth to prevent unwanted tooth
movement
5. Rugae support
6. Direct-indirect retention (from the
reciprocating arm anterior to fulcrum line)
7. Indirect retention from the major connectors
When to use indirect retainer?
• Kennedy Class I: indirect retainers are
necessary and should be placed as far away
from fulcrum line as possible
• Kennedy Class II: indirect retainer on both
sides of the arch
• Kennedy Class III: indirect retainer is NOT
required
Denture Base
• Types:
– Metallic
– Non Metallic (acrylic, plastic, etc.)
– Combination
Design of denture base
• Should have long flanges to resist horizontal
forces
• Distal extension should extend onto the
retromolar pad or cover the entire tuberosity
• Since metallic dentures can be made rigid in thin
sections, mandibular dentures benefit greatly by
the thin rigid plate.
• Maxillary dentures benefit from non metallic
denture materials due to the aesthetic form
factor although lack the good thermal
conductivity that metallic dentures offer.
Tooth selection for the denture
(According to Deepak Nallaswamy)
• Anterior teeth replacement
– Acrylic teeth
– Porcelain teeth
– Metal teeth with facing
– Tube teeth
– Reinforced acrylic pontic
Posterior teeth replacement
-porcelain teeth
- metal teeth
- acrylic teeth
- metal teeth with acrylic window
In summary
• Design consideration depends on a variety of
factors.
• Design of a removable partial denture changes
with respect to some form of edentulous
classification. We prefer to follow the
classification proposed by Edward Kennedy.
Kennedy Classification I
• Direct retainer: essential. The position of the
undercut determines the type of retainer (i.e
gingival/occlusal approach)
• Clasp: 2 clasps on terminal abutments
bilaterally. This follows bilateral configuration
• Rest: to be prepared on tooth with maximum
support
• Indirect retainer: 2 retainers are needed
• Major connector: Palatal Plate, complete palate,
horse shoe palates, lingual plate, cingulum plate.
Kennedy Classification I Design
Kennedy Classification I Design
Kennedy Classification II
• Direct retainer: essential. The position of the undercut
determines the type of retainer (i.e gingival/occlusal
approach)
• Clasp: 3 retentive clasps are required, 1 clasp on the
edentulous side and 2 on the dentulous side. Should
follow Tripod configuration
• Rest should be placed on tooth with maximum support
• Indirect retainer: 1 retainer on the dentulous side is
sufficient
• Major connector: horse shoe shaped palatal connector,
antero-posterior palatal bar, lingual bar,
Kennedy Classification II modification 1
Design
Kennedy Classification II modification 1
Design
Kennedy Classification III
• Direct retainer: position of undercut is NOT
critical in designing the prosthesis since
damage to abutment is minimal
• Clasp: 4 clasps should be placed for
quadrilateral design in case of modification of
class III.
• Indirect retainer: not needed
• Major connector: single posterior palatal bar,
palatal strap, lingual bar
Kennedy Classification III, Modification 1 Design
Kennedy Classification III, Modification 1 Design
Kennedy Classification IV
• In case of short edentulous spans, the need
for retainers and clasps are very limited.
• In case of long span edentulous areas,
– 4 clasps can be placed for quadrilateral
configuration
– Indirect retainer to be placed posterior to the
fulcrum line
Kennedy Classification IV Design
Reference
• A textbook of prosthodontics, Deepak Nallaswamy,
reprint 2005.
• McCracken’s removable partial Prosthodontics, 11th
edition.
• Principles of designing in Removable partial denture,
Shebin Abraham, online presentation, uploaded on
11/2/2016, slideshare.net.
• Designing removable partial dentures, Dr Ting Ling
Chang, UCLA, online presentation, ffofr.org.
• Presentations by Indian dental academy
• Pictures from the internet
Designing a Removable Partial Denture (Kennedy's Classification)

More Related Content

What's hot

RPI & RPA system
RPI & RPA systemRPI & RPA system
RPI & RPA system
Jehan Dordi
 
Major Connectors
Major ConnectorsMajor Connectors
Major Connectors
Apurva Thampi
 
Pre Prosthetic Surgery
Pre Prosthetic SurgeryPre Prosthetic Surgery
Pre Prosthetic Surgery
Dr. Anshul Sahu
 
Principles of tooth preparation in Fixed Partial Dentures
Principles of tooth preparation in Fixed Partial DenturesPrinciples of tooth preparation in Fixed Partial Dentures
Principles of tooth preparation in Fixed Partial Dentures
Vinay Kadavakolanu
 
Principles of tooth preparation
Principles of tooth preparationPrinciples of tooth preparation
Principles of tooth preparation
rakeshrakz
 
Class II Inlay
Class II InlayClass II Inlay
Class II Inlay
Deepthi P Ramachandran
 
posterior palatal seal
 posterior palatal seal posterior palatal seal
posterior palatal sealParth Thakkar
 
impression techniques of complete denture
impression techniques of complete dentureimpression techniques of complete denture
impression techniques of complete dentureakanksha arya
 
Jaw relation
Jaw relationJaw relation
Jaw relation
IAU Dent
 
Cast partial denture design
Cast partial denture designCast partial denture design
Cast partial denture design
Aamir Godil
 
Bevels and flares in dental restoration
Bevels and flares in dental restorationBevels and flares in dental restoration
Bevels and flares in dental restoration
Dr. Mayank Nahta
 
Principle of tooth preparation
Principle of tooth preparationPrinciple of tooth preparation
Principle of tooth preparation
Apurva Thampi
 
5.full metal crown
5.full metal crown5.full metal crown
5.full metal crown
Lama K Banna
 
RPD Major Connectors
RPD Major Connectors RPD Major Connectors
RPD Major Connectors
Weam Faroun
 
Endodontic hand files
Endodontic hand filesEndodontic hand files
Endodontic hand files
Shankar Hemam
 
Obturation techniques
Obturation techniquesObturation techniques
Obturation techniques
Maulee Sheth
 
Mandibular Major Connectors
Mandibular Major ConnectorsMandibular Major Connectors
Mandibular Major Connectors
Aamir Godil
 

What's hot (20)

RPI & RPA system
RPI & RPA systemRPI & RPA system
RPI & RPA system
 
Major Connectors
Major ConnectorsMajor Connectors
Major Connectors
 
Pre Prosthetic Surgery
Pre Prosthetic SurgeryPre Prosthetic Surgery
Pre Prosthetic Surgery
 
Principles of tooth preparation in Fixed Partial Dentures
Principles of tooth preparation in Fixed Partial DenturesPrinciples of tooth preparation in Fixed Partial Dentures
Principles of tooth preparation in Fixed Partial Dentures
 
RPI system
RPI systemRPI system
RPI system
 
Principles of tooth preparation
Principles of tooth preparationPrinciples of tooth preparation
Principles of tooth preparation
 
Class II Inlay
Class II InlayClass II Inlay
Class II Inlay
 
posterior palatal seal
 posterior palatal seal posterior palatal seal
posterior palatal seal
 
Minor connectors
Minor connectorsMinor connectors
Minor connectors
 
impression techniques of complete denture
impression techniques of complete dentureimpression techniques of complete denture
impression techniques of complete denture
 
Jaw relation
Jaw relationJaw relation
Jaw relation
 
Cast partial denture design
Cast partial denture designCast partial denture design
Cast partial denture design
 
Bevels and flares in dental restoration
Bevels and flares in dental restorationBevels and flares in dental restoration
Bevels and flares in dental restoration
 
Principle of tooth preparation
Principle of tooth preparationPrinciple of tooth preparation
Principle of tooth preparation
 
Overdenture
OverdentureOverdenture
Overdenture
 
5.full metal crown
5.full metal crown5.full metal crown
5.full metal crown
 
RPD Major Connectors
RPD Major Connectors RPD Major Connectors
RPD Major Connectors
 
Endodontic hand files
Endodontic hand filesEndodontic hand files
Endodontic hand files
 
Obturation techniques
Obturation techniquesObturation techniques
Obturation techniques
 
Mandibular Major Connectors
Mandibular Major ConnectorsMandibular Major Connectors
Mandibular Major Connectors
 

Similar to Designing a Removable Partial Denture (Kennedy's Classification)

Matricing and tooth separation
Matricing and tooth separationMatricing and tooth separation
Matricing and tooth separation
Deepashri Tekam
 
COMPLEX AMALGAM RESTORATIONS.pptx
COMPLEX AMALGAM RESTORATIONS.pptxCOMPLEX AMALGAM RESTORATIONS.pptx
COMPLEX AMALGAM RESTORATIONS.pptx
DrDithykk
 
Direct and indirect retainers
Direct and indirect retainersDirect and indirect retainers
Direct and indirect retainers
dellasain
 
Pontic and pontic designs
Pontic and pontic designsPontic and pontic designs
Pontic and pontic designs
Rajvi Nahar
 
7.CLASS II INLAY CAVITY PREPARATION.pptx
7.CLASS II INLAY CAVITY PREPARATION.pptx7.CLASS II INLAY CAVITY PREPARATION.pptx
7.CLASS II INLAY CAVITY PREPARATION.pptx
AditeeAgrawal3
 
TOOTH Preparation for posterior tooth.pptx
TOOTH Preparation for posterior tooth.pptxTOOTH Preparation for posterior tooth.pptx
TOOTH Preparation for posterior tooth.pptx
62ShrabaniThakurIDS3
 
Direct Retainers II
Direct Retainers IIDirect Retainers II
Direct Retainers II
Dr.Rohit Mistry
 
Parts of fixed partial denture
Parts of fixed partial dentureParts of fixed partial denture
Parts of fixed partial denture
sarahahmad07
 
Parts of fixed partial denture
Parts of fixed partial dentureParts of fixed partial denture
Parts of fixed partial denture
sarahahmad07
 
Atypical Tooth Preparation.pdf
Atypical Tooth Preparation.pdfAtypical Tooth Preparation.pdf
Atypical Tooth Preparation.pdf
OSamaTarek11
 
Posterior tooth preparationscertified fixed orthodontic courses by Indian den...
Posterior tooth preparationscertified fixed orthodontic courses by Indian den...Posterior tooth preparationscertified fixed orthodontic courses by Indian den...
Posterior tooth preparationscertified fixed orthodontic courses by Indian den...
Indian dental academy
 
Onlay
OnlayOnlay
Major connectors
Major connectorsMajor connectors
principles of tooth preparation - ann george final.pptx
principles of tooth preparation - ann george final.pptxprinciples of tooth preparation - ann george final.pptx
principles of tooth preparation - ann george final.pptx
Himanshu Tiwari
 
principles of tooth preparation - ann george final.pptx
principles of tooth preparation - ann george final.pptxprinciples of tooth preparation - ann george final.pptx
principles of tooth preparation - ann george final.pptx
DrHIMANSHUTIWARI1
 
Contacts and Contours in Conservative Dentistry
Contacts and Contours in Conservative DentistryContacts and Contours in Conservative Dentistry
Contacts and Contours in Conservative Dentistry
Aneetinder Kaur
 
Matrices, retainers and wedges /certified fixed orthodontic courses by India...
Matrices, retainers and wedges  /certified fixed orthodontic courses by India...Matrices, retainers and wedges  /certified fixed orthodontic courses by India...
Matrices, retainers and wedges /certified fixed orthodontic courses by India...
Indian dental academy
 
Curettes
CurettesCurettes
mejor connectors in removable partial dentures
mejor connectors in removable partial denturesmejor connectors in removable partial dentures
mejor connectors in removable partial dentures
Anil Goud
 
Basic Principles of RPD design I & II.pdf
Basic Principles of RPD design I & II.pdfBasic Principles of RPD design I & II.pdf
Basic Principles of RPD design I & II.pdf
jentothesky
 

Similar to Designing a Removable Partial Denture (Kennedy's Classification) (20)

Matricing and tooth separation
Matricing and tooth separationMatricing and tooth separation
Matricing and tooth separation
 
COMPLEX AMALGAM RESTORATIONS.pptx
COMPLEX AMALGAM RESTORATIONS.pptxCOMPLEX AMALGAM RESTORATIONS.pptx
COMPLEX AMALGAM RESTORATIONS.pptx
 
Direct and indirect retainers
Direct and indirect retainersDirect and indirect retainers
Direct and indirect retainers
 
Pontic and pontic designs
Pontic and pontic designsPontic and pontic designs
Pontic and pontic designs
 
7.CLASS II INLAY CAVITY PREPARATION.pptx
7.CLASS II INLAY CAVITY PREPARATION.pptx7.CLASS II INLAY CAVITY PREPARATION.pptx
7.CLASS II INLAY CAVITY PREPARATION.pptx
 
TOOTH Preparation for posterior tooth.pptx
TOOTH Preparation for posterior tooth.pptxTOOTH Preparation for posterior tooth.pptx
TOOTH Preparation for posterior tooth.pptx
 
Direct Retainers II
Direct Retainers IIDirect Retainers II
Direct Retainers II
 
Parts of fixed partial denture
Parts of fixed partial dentureParts of fixed partial denture
Parts of fixed partial denture
 
Parts of fixed partial denture
Parts of fixed partial dentureParts of fixed partial denture
Parts of fixed partial denture
 
Atypical Tooth Preparation.pdf
Atypical Tooth Preparation.pdfAtypical Tooth Preparation.pdf
Atypical Tooth Preparation.pdf
 
Posterior tooth preparationscertified fixed orthodontic courses by Indian den...
Posterior tooth preparationscertified fixed orthodontic courses by Indian den...Posterior tooth preparationscertified fixed orthodontic courses by Indian den...
Posterior tooth preparationscertified fixed orthodontic courses by Indian den...
 
Onlay
OnlayOnlay
Onlay
 
Major connectors
Major connectorsMajor connectors
Major connectors
 
principles of tooth preparation - ann george final.pptx
principles of tooth preparation - ann george final.pptxprinciples of tooth preparation - ann george final.pptx
principles of tooth preparation - ann george final.pptx
 
principles of tooth preparation - ann george final.pptx
principles of tooth preparation - ann george final.pptxprinciples of tooth preparation - ann george final.pptx
principles of tooth preparation - ann george final.pptx
 
Contacts and Contours in Conservative Dentistry
Contacts and Contours in Conservative DentistryContacts and Contours in Conservative Dentistry
Contacts and Contours in Conservative Dentistry
 
Matrices, retainers and wedges /certified fixed orthodontic courses by India...
Matrices, retainers and wedges  /certified fixed orthodontic courses by India...Matrices, retainers and wedges  /certified fixed orthodontic courses by India...
Matrices, retainers and wedges /certified fixed orthodontic courses by India...
 
Curettes
CurettesCurettes
Curettes
 
mejor connectors in removable partial dentures
mejor connectors in removable partial denturesmejor connectors in removable partial dentures
mejor connectors in removable partial dentures
 
Basic Principles of RPD design I & II.pdf
Basic Principles of RPD design I & II.pdfBasic Principles of RPD design I & II.pdf
Basic Principles of RPD design I & II.pdf
 

Recently uploaded

.Metabolic.disordersYYSSSFFSSSSSSSSSSDDD
.Metabolic.disordersYYSSSFFSSSSSSSSSSDDD.Metabolic.disordersYYSSSFFSSSSSSSSSSDDD
.Metabolic.disordersYYSSSFFSSSSSSSSSSDDD
samahesh1
 
一比一原版纽约大学毕业证(NYU毕业证)成绩单留信认证
一比一原版纽约大学毕业证(NYU毕业证)成绩单留信认证一比一原版纽约大学毕业证(NYU毕业证)成绩单留信认证
一比一原版纽约大学毕业证(NYU毕业证)成绩单留信认证
o6ov5dqmf
 
Surgery-Mini-OSCE-All-Past-Years-Questions-Modified.
Surgery-Mini-OSCE-All-Past-Years-Questions-Modified.Surgery-Mini-OSCE-All-Past-Years-Questions-Modified.
Surgery-Mini-OSCE-All-Past-Years-Questions-Modified.
preciousstephanie75
 
CANCER CANCER CANCER CANCER CANCER CANCER
CANCER  CANCER  CANCER  CANCER  CANCER CANCERCANCER  CANCER  CANCER  CANCER  CANCER CANCER
CANCER CANCER CANCER CANCER CANCER CANCER
KRISTELLEGAMBOA2
 
GURGAON Call Girls ❤8901183002❤ #ℂALL# #gIRLS# In GURGAON ₹,2500 Cash Payment...
GURGAON Call Girls ❤8901183002❤ #ℂALL# #gIRLS# In GURGAON ₹,2500 Cash Payment...GURGAON Call Girls ❤8901183002❤ #ℂALL# #gIRLS# In GURGAON ₹,2500 Cash Payment...
GURGAON Call Girls ❤8901183002❤ #ℂALL# #gIRLS# In GURGAON ₹,2500 Cash Payment...
ranishasharma67
 
Introduction to Forensic Pathology course
Introduction to Forensic Pathology courseIntroduction to Forensic Pathology course
Introduction to Forensic Pathology course
fprxsqvnz5
 
HEAT WAVE presented by priya bhojwani..pptx
HEAT WAVE presented by priya bhojwani..pptxHEAT WAVE presented by priya bhojwani..pptx
HEAT WAVE presented by priya bhojwani..pptx
priyabhojwani1200
 
Antibiotic Stewardship by Anushri Srivastava.pptx
Antibiotic Stewardship by Anushri Srivastava.pptxAntibiotic Stewardship by Anushri Srivastava.pptx
Antibiotic Stewardship by Anushri Srivastava.pptx
AnushriSrivastav
 
Essential Metrics for Palliative Care Management
Essential Metrics for Palliative Care ManagementEssential Metrics for Palliative Care Management
Essential Metrics for Palliative Care Management
Care Coordinations
 
Telehealth Psychology Building Trust with Clients.pptx
Telehealth Psychology Building Trust with Clients.pptxTelehealth Psychology Building Trust with Clients.pptx
Telehealth Psychology Building Trust with Clients.pptx
The Harvest Clinic
 
R3 Stem Cells and Kidney Repair A New Horizon in Nephrology.pptx
R3 Stem Cells and Kidney Repair A New Horizon in Nephrology.pptxR3 Stem Cells and Kidney Repair A New Horizon in Nephrology.pptx
R3 Stem Cells and Kidney Repair A New Horizon in Nephrology.pptx
R3 Stem Cell
 
Navigating Challenges: Mental Health, Legislation, and the Prison System in B...
Navigating Challenges: Mental Health, Legislation, and the Prison System in B...Navigating Challenges: Mental Health, Legislation, and the Prison System in B...
Navigating Challenges: Mental Health, Legislation, and the Prison System in B...
Guillermo Rivera
 
CHAPTER 1 SEMESTER V - ROLE OF PEADIATRIC NURSE.pdf
CHAPTER 1 SEMESTER V - ROLE OF PEADIATRIC NURSE.pdfCHAPTER 1 SEMESTER V - ROLE OF PEADIATRIC NURSE.pdf
CHAPTER 1 SEMESTER V - ROLE OF PEADIATRIC NURSE.pdf
Sachin Sharma
 
The Importance of Community Nursing Care.pdf
The Importance of Community Nursing Care.pdfThe Importance of Community Nursing Care.pdf
The Importance of Community Nursing Care.pdf
AD Healthcare
 
Leading the Way in Nephrology: Dr. David Greene's Work with Stem Cells for Ki...
Leading the Way in Nephrology: Dr. David Greene's Work with Stem Cells for Ki...Leading the Way in Nephrology: Dr. David Greene's Work with Stem Cells for Ki...
Leading the Way in Nephrology: Dr. David Greene's Work with Stem Cells for Ki...
Dr. David Greene Arizona
 
Navigating Women's Health: Understanding Prenatal Care and Beyond
Navigating Women's Health: Understanding Prenatal Care and BeyondNavigating Women's Health: Understanding Prenatal Care and Beyond
Navigating Women's Health: Understanding Prenatal Care and Beyond
Aboud Health Group
 
CHAPTER 1 SEMESTER V PREVENTIVE-PEDIATRICS.pdf
CHAPTER 1 SEMESTER V PREVENTIVE-PEDIATRICS.pdfCHAPTER 1 SEMESTER V PREVENTIVE-PEDIATRICS.pdf
CHAPTER 1 SEMESTER V PREVENTIVE-PEDIATRICS.pdf
Sachin Sharma
 
the IUA Administrative Board and General Assembly meeting
the IUA Administrative Board and General Assembly meetingthe IUA Administrative Board and General Assembly meeting
the IUA Administrative Board and General Assembly meeting
ssuser787e5c1
 
Yemen National Tuberculosis Program .ppt
Yemen National Tuberculosis Program .pptYemen National Tuberculosis Program .ppt
Yemen National Tuberculosis Program .ppt
Esam43
 
ventilator, child on ventilator, newborn
ventilator, child on ventilator, newbornventilator, child on ventilator, newborn
ventilator, child on ventilator, newborn
Pooja Rani
 

Recently uploaded (20)

.Metabolic.disordersYYSSSFFSSSSSSSSSSDDD
.Metabolic.disordersYYSSSFFSSSSSSSSSSDDD.Metabolic.disordersYYSSSFFSSSSSSSSSSDDD
.Metabolic.disordersYYSSSFFSSSSSSSSSSDDD
 
一比一原版纽约大学毕业证(NYU毕业证)成绩单留信认证
一比一原版纽约大学毕业证(NYU毕业证)成绩单留信认证一比一原版纽约大学毕业证(NYU毕业证)成绩单留信认证
一比一原版纽约大学毕业证(NYU毕业证)成绩单留信认证
 
Surgery-Mini-OSCE-All-Past-Years-Questions-Modified.
Surgery-Mini-OSCE-All-Past-Years-Questions-Modified.Surgery-Mini-OSCE-All-Past-Years-Questions-Modified.
Surgery-Mini-OSCE-All-Past-Years-Questions-Modified.
 
CANCER CANCER CANCER CANCER CANCER CANCER
CANCER  CANCER  CANCER  CANCER  CANCER CANCERCANCER  CANCER  CANCER  CANCER  CANCER CANCER
CANCER CANCER CANCER CANCER CANCER CANCER
 
GURGAON Call Girls ❤8901183002❤ #ℂALL# #gIRLS# In GURGAON ₹,2500 Cash Payment...
GURGAON Call Girls ❤8901183002❤ #ℂALL# #gIRLS# In GURGAON ₹,2500 Cash Payment...GURGAON Call Girls ❤8901183002❤ #ℂALL# #gIRLS# In GURGAON ₹,2500 Cash Payment...
GURGAON Call Girls ❤8901183002❤ #ℂALL# #gIRLS# In GURGAON ₹,2500 Cash Payment...
 
Introduction to Forensic Pathology course
Introduction to Forensic Pathology courseIntroduction to Forensic Pathology course
Introduction to Forensic Pathology course
 
HEAT WAVE presented by priya bhojwani..pptx
HEAT WAVE presented by priya bhojwani..pptxHEAT WAVE presented by priya bhojwani..pptx
HEAT WAVE presented by priya bhojwani..pptx
 
Antibiotic Stewardship by Anushri Srivastava.pptx
Antibiotic Stewardship by Anushri Srivastava.pptxAntibiotic Stewardship by Anushri Srivastava.pptx
Antibiotic Stewardship by Anushri Srivastava.pptx
 
Essential Metrics for Palliative Care Management
Essential Metrics for Palliative Care ManagementEssential Metrics for Palliative Care Management
Essential Metrics for Palliative Care Management
 
Telehealth Psychology Building Trust with Clients.pptx
Telehealth Psychology Building Trust with Clients.pptxTelehealth Psychology Building Trust with Clients.pptx
Telehealth Psychology Building Trust with Clients.pptx
 
R3 Stem Cells and Kidney Repair A New Horizon in Nephrology.pptx
R3 Stem Cells and Kidney Repair A New Horizon in Nephrology.pptxR3 Stem Cells and Kidney Repair A New Horizon in Nephrology.pptx
R3 Stem Cells and Kidney Repair A New Horizon in Nephrology.pptx
 
Navigating Challenges: Mental Health, Legislation, and the Prison System in B...
Navigating Challenges: Mental Health, Legislation, and the Prison System in B...Navigating Challenges: Mental Health, Legislation, and the Prison System in B...
Navigating Challenges: Mental Health, Legislation, and the Prison System in B...
 
CHAPTER 1 SEMESTER V - ROLE OF PEADIATRIC NURSE.pdf
CHAPTER 1 SEMESTER V - ROLE OF PEADIATRIC NURSE.pdfCHAPTER 1 SEMESTER V - ROLE OF PEADIATRIC NURSE.pdf
CHAPTER 1 SEMESTER V - ROLE OF PEADIATRIC NURSE.pdf
 
The Importance of Community Nursing Care.pdf
The Importance of Community Nursing Care.pdfThe Importance of Community Nursing Care.pdf
The Importance of Community Nursing Care.pdf
 
Leading the Way in Nephrology: Dr. David Greene's Work with Stem Cells for Ki...
Leading the Way in Nephrology: Dr. David Greene's Work with Stem Cells for Ki...Leading the Way in Nephrology: Dr. David Greene's Work with Stem Cells for Ki...
Leading the Way in Nephrology: Dr. David Greene's Work with Stem Cells for Ki...
 
Navigating Women's Health: Understanding Prenatal Care and Beyond
Navigating Women's Health: Understanding Prenatal Care and BeyondNavigating Women's Health: Understanding Prenatal Care and Beyond
Navigating Women's Health: Understanding Prenatal Care and Beyond
 
CHAPTER 1 SEMESTER V PREVENTIVE-PEDIATRICS.pdf
CHAPTER 1 SEMESTER V PREVENTIVE-PEDIATRICS.pdfCHAPTER 1 SEMESTER V PREVENTIVE-PEDIATRICS.pdf
CHAPTER 1 SEMESTER V PREVENTIVE-PEDIATRICS.pdf
 
the IUA Administrative Board and General Assembly meeting
the IUA Administrative Board and General Assembly meetingthe IUA Administrative Board and General Assembly meeting
the IUA Administrative Board and General Assembly meeting
 
Yemen National Tuberculosis Program .ppt
Yemen National Tuberculosis Program .pptYemen National Tuberculosis Program .ppt
Yemen National Tuberculosis Program .ppt
 
ventilator, child on ventilator, newborn
ventilator, child on ventilator, newbornventilator, child on ventilator, newborn
ventilator, child on ventilator, newborn
 

Designing a Removable Partial Denture (Kennedy's Classification)

  • 1. Design of a Removable Partial Denture By Taseef Hasan Farook, BDS (final year, University of Dhaka)
  • 2. Denture Design: A planned visualization of the form and extent of a dental prosthesis arrived at after a study of all factors involved - GPT
  • 3. Kennedy’s Classification of partially edentulous jaw • Classification I- bilateral edentulous area situated posterior to natural teeth • Classification II- unilateral edentulous area situated posterior to natural teeth • Classification III- edentulous space bounded on both side by natural teeth • Classification IV- A single, but bilateral edentulous area located anterior to the natural teeth Applegate‘s 8 rules are used in diagnosing a case according to Kennedy’s classification
  • 4. Types of partially edentulous jaw According to the Classification by Edward Kennedy in 1923:
  • 5.
  • 6. Basic Considerations Biomechanics at play within the oral cavity must be taken into consideration and the denture design must be made in accordance, to counteract the mechanical forces/stress acting within the oral cavity. Forces to consider: 1. Vertical – Displacing - Dislodging forces 2. Horizontal forces 3. Torsion
  • 7.
  • 8. Biomechanics and Types of RPD Most common mechanical forces at play: 1. Lever principle (all Kennedy Class I and II cases) 2. Inclined principle (all rest and retainers) 3. Wheel and axle principle (rotation) the prosthesis constructed can either be: 1. Tooth supported- (all Kennedy Class III dentures) 2. Tissue supported (Kennedy Class I & II dentures)
  • 9. Wheel & Axle Principle Lever and Fulcrum Principle Inclined plane principle
  • 10. Tooth Supported prosthesis Tissue Supported Prosthesis (Kennedy Class III) Kennedy Class I & II)
  • 11. Biological factors to consider during design • Length of edentulous span • Type of oral mucosa • Quality of ridge support • Clasp design – (type, length, flexibility, material used) • Occlusal harmony
  • 12. Initial Step is Surveying of the cast • To determine path of insertion • To mark the height of contour • Mark undercuts otherwise not visible to the naked eye Survey Lines: line produced on a cast of a tooth by a surveyor or scriber marking the greatest height of contour in relation to the chosen path of insertion of a planned restoration- GPT
  • 13. Survey Lines Types of survey lines: 1. High 2. Medium 3. Low 4. Diagonal
  • 14. 1. Path of insertion • Kennedy Class I case: may have multiple paths of insertion. A single path obtained by additional guiding planes on the lingual surface • Kennedy Class II: Path of insertion depends on the modification space and their guiding plane • Kennedy Class III: Single path of insertion depending on the proximal abutment teeth • Kennedy Class IV: Single path of insertion
  • 15. Factors influencing Path of insertion • Retentive undercuts • Interference • Guiding plane • Denture Base Guiding plane: Two or more vertically parallel surfaces of abutment teeth so oriented as to direct the path of placement of removable partial denture- GPT Use short guiding planes for Class I & II cases, use long guiding planes for Class III and IV cases
  • 16. 2. Height of Contour Line encircling a tooth designating its greatest circumference at a selected position – GPT The area below the height of contour is a potential undercut and if feasible, can be used for designing the retentive components of an RPD.
  • 17. 3. Undercuts The area enclosed by the vertical drop and horizontal surface of any given structure. Lingual Undercut
  • 18. After Surveying, the next step is to DESIGN THE COMPONENTS of the RPD Parts: • Major connectors • Minor Connectors • Rests • Retainers • Denture base Kennedy Class II modification I cast partial denture
  • 19. Major connectors Basic Design principles: • The borders should be 6mm (maxillary) and 3mm (mandibular) away from the marginal gingiva • The borders should be parallel to the gingival margin • The metal framework should cross the gingival margin only at 90 degree (right angle) and cross the palate in a straight line • Anterior border of maxillary major connectors should not lie on the crest of the palatal rugae
  • 20. Maxillary major connectors: (and their uses) • Single posterior palatal bar (Kennedy Class III) • Palatal Strap (bilateral short span Class III) • Palatal plate (Kennedy class I) • Antero-posterior palatal bars ( Class II and IV) • Horse shoe shaped plate ( Class I and II) • Complete palate (Kennedy Class I)
  • 21. PALATAL BAR PALATAL STRAP ANTERO-POSTERIOR PALATAL STRAP PALATAL PLATE HORSESHOE PLATE COMPLETE PALATE
  • 22. Mandibular major connectors • Lingual bar • Lingual Plate • Double lingual bar/ Kennedy bar • Sublingual bar • Mandibular cingulum bar • Labial bar
  • 23. LINGUAL BAR LINGUAL PLATE DOUBLE LINGUAL BAR SUBLINGUAL BAR
  • 24. Major Connectors of Choice For maxillary arches: broad palatal plate connector Modifications: 1. L-beam priniciple 2. Circular configuration 3. Strut configuration For mandibular arches, lingual plate with retainers can help distribute stress. Circular configuration
  • 25. Minor Connectors These are the connecting links between the major connector and clasps, retainers and rests. Basic Design principles: • Broad bucco-lingually, thin mesio-distally • Triangular cross-section with thickest portion near the lingual line angle • If not placed on the abutment teeth, the connector should be placed in the embrasure. • Should NEVER be placed on the convex lingual surface • The area to hold the connector should be devoid of undercuts and parallel to path of insertion • Mandibular distal extension should cover 2/3rd the length of the edentulous ridge
  • 26. Types of minor connectors • Lattice work • Meshwork • Bead, wire or nail head LATTICE WORK MESHWORK NAIL HEAD TYPE
  • 27. Finish Line The term denotes the junction between the acrylic denture base and the major connector. Types: • Internal finish line: metal to tissue surface • External finish line: acrylic to metal surface Internal finish line External Finish line
  • 28. Finish Line Design • Acrylic around lattice or meshwork minor connectors should be smooth and present with internal and external finish lines • Bead type minor connectors require only external finish line
  • 29. Rests Rest: rigid stabilizing extension of a partial denture which contacts a remaining tooth/teeth to dissipate vertical and horizontal forces Types: 1. External 2. Internal – Occlusal rest – Incisal rest – Cingulum rest – Lingual rest
  • 30. Rest seat That portion of natural tooth or a cast restoration of a tooth selected or prepared to receive an occlusal, incisal, lingual, internal or semiprecision rest - GPT
  • 31. Design of an occlusal rest seat • Triangular shape with apex at the centre of the tooth and base at the marginal ridge • ½ buccolingual width • 1/3 mesiodistal width • Angle between floor of the prosthesis and proximal surface of tooth <90 degree • 0.5mm thick at thinnest point and 1-1.5 mm thick at margin.
  • 32. Design of lingual and cingulum rest • 2.5-3mm mesiodistal length • 2mm labiolingual width • 1.5mm deep • V-shaped notch- labial inclination parallel to labial surface, lingual inclination perpendicular to the labial incline • Apex of the V directed incisally
  • 33. Direct retainer • Component of a removable partial denture that is used to retain and prevent dislodgement consisting of a clasp, assembly or precision attachment – GPT Types: Extra-coronal Intra-coronal Occlusal Approach Internal Attachment - Aker’s Clasp External Attachment Gingival Approach Stud attachment - Bar Clasp Bar attachment Special attachment
  • 34.
  • 35. Design of a clasp • The retentive arm terminal 1/3rd should be flexible to engage undercuts • The proximal 1/3rd of the retentive arm to be placed above the height of contour • The rigid components are to be placed in the non retentive areas of the tooth • The retentive part must make use of the retentive undercuts present on the tooth
  • 36. Design of clasp Selection of clasp material according to the buccolingual width of the undercut: (more flexible material is required to facilitate insertion of the RPD into deeper undercuts) • 0.010 inch undercut- cast chrome alloy • 0.015 inch undercut- gold and its alloys • 0.020 inch undercut- wrought wire -The longer the clasp arm, greater the flexibility. -The clasp arm should be tapered towards the tip
  • 37. Types of Clasp • Circumferential Clasp/ Aker’s Clasp – Simple circlet (NOT used for distal extension cases) – Reverse circlet (used in distal extension cases) – Multiple circlet (used for abutment with weak periodontal support) – Modified crib clasp (used in Kennedy Class II and III without any modifications) – Ring clasp (used in distolingual undercuts and lingually tipped molars)
  • 38. Other types of circumferential clasps • Fish hook clasp (used when undercut is adjacent to an edentulous area) • Onlay clasp (used when abutment teeth are below occlusal level. Thus the onlay restores occlusal harmony while the clasp provides retention) • Combination clasp (wrought wire retentive arm and cast wire bracing arm) • Vertical reciprocal, horizontal retentive arm clasp VRHR-(Used in posterior teeth with high survey lines)
  • 39. Bar clasps • T-clasp (used in distal extension cases. Should NOT be used in terminal abutments with undercuts facing away from the edentulous space) • Modified T clasp (used in canine and premolars for better aesthetics) • Y-clasp (used for high heights of contour) • I-clasp- (used on distobuccal surface of canine with only tip in contact with the tooth
  • 40. Gingival Approach: Bar type of clasps Occlusal Approach: Circumferential clasp
  • 41. Clasp design configuration Quadrilateral Configuration: Usually seen in Kennedy Class III with a modification on the opposite side of the arch Tripod Configuration: Usually seen in Kennedy Class II arches
  • 42. Clasp design configuration Bilateral configuration: Used in case of Kennedy Class I cases
  • 43. I-bar system (RPI system) • Modified type of roach clasp designed to reduce tooth contact • R –Rest P -Proximal plate I -I-bar clasp.
  • 44. I-bar system (RPI system)
  • 45. I-bar system (RPI system)
  • 46. Modifications in the RPI system • RPA system- When the i-bar is replaced by an Aker’s clasp. • Mesial rest modification • Proximal modification – Design modification I, II, III Mod. I Mod. II Mod. III
  • 47. Fulcrum Line • An imaginary line around which a partial denture tends to rotate- GPT • This is a line joining the two posterior most rests
  • 48. Indirect retainer • Part of a removable partial denture which assists the direct retainers in preventing displacement of the distal extension denture bases by functioning through lever action on the opposite side of the fulcrum- GPT
  • 49. Design of Indirect retainer • Ideally, the indirect retainer should be located at a point perpendicular to the midpoint of the fulcrum line • Should be placed as far away from the fulcrum line as possible • Should generally be made of rigid material. (Flexibility loses efficacy) • Inclined or weak abutment teeth should NOT be used.
  • 50. The indirect retainer should be perpendicular to the fulcrum line The indirect retainer should be as far away from the fulcrum line as possible
  • 51. Types of indirect retainer 1. Auxiliary occlusal rest – -Used on 1st premolars bilaterally for Kennedy Class I cases -Used on 1st premolar of opposite side for Kennedy Class II cases 2. Canine Extension- When premolars must act as a primary abutment 3. Canine rest
  • 52. Types of indirect retainer 4. Continuous lingual bar/plate retainers – Used for Kennedy Class I and II cases. The bar should be placed above the middle 1/3rd of the tooth to prevent unwanted tooth movement 5. Rugae support 6. Direct-indirect retention (from the reciprocating arm anterior to fulcrum line) 7. Indirect retention from the major connectors
  • 53. When to use indirect retainer? • Kennedy Class I: indirect retainers are necessary and should be placed as far away from fulcrum line as possible • Kennedy Class II: indirect retainer on both sides of the arch • Kennedy Class III: indirect retainer is NOT required
  • 54. Denture Base • Types: – Metallic – Non Metallic (acrylic, plastic, etc.) – Combination
  • 55. Design of denture base • Should have long flanges to resist horizontal forces • Distal extension should extend onto the retromolar pad or cover the entire tuberosity • Since metallic dentures can be made rigid in thin sections, mandibular dentures benefit greatly by the thin rigid plate. • Maxillary dentures benefit from non metallic denture materials due to the aesthetic form factor although lack the good thermal conductivity that metallic dentures offer.
  • 56. Tooth selection for the denture (According to Deepak Nallaswamy) • Anterior teeth replacement – Acrylic teeth – Porcelain teeth – Metal teeth with facing – Tube teeth – Reinforced acrylic pontic Posterior teeth replacement -porcelain teeth - metal teeth - acrylic teeth - metal teeth with acrylic window
  • 57. In summary • Design consideration depends on a variety of factors. • Design of a removable partial denture changes with respect to some form of edentulous classification. We prefer to follow the classification proposed by Edward Kennedy.
  • 58. Kennedy Classification I • Direct retainer: essential. The position of the undercut determines the type of retainer (i.e gingival/occlusal approach) • Clasp: 2 clasps on terminal abutments bilaterally. This follows bilateral configuration • Rest: to be prepared on tooth with maximum support • Indirect retainer: 2 retainers are needed • Major connector: Palatal Plate, complete palate, horse shoe palates, lingual plate, cingulum plate.
  • 61. Kennedy Classification II • Direct retainer: essential. The position of the undercut determines the type of retainer (i.e gingival/occlusal approach) • Clasp: 3 retentive clasps are required, 1 clasp on the edentulous side and 2 on the dentulous side. Should follow Tripod configuration • Rest should be placed on tooth with maximum support • Indirect retainer: 1 retainer on the dentulous side is sufficient • Major connector: horse shoe shaped palatal connector, antero-posterior palatal bar, lingual bar,
  • 62. Kennedy Classification II modification 1 Design
  • 63. Kennedy Classification II modification 1 Design
  • 64. Kennedy Classification III • Direct retainer: position of undercut is NOT critical in designing the prosthesis since damage to abutment is minimal • Clasp: 4 clasps should be placed for quadrilateral design in case of modification of class III. • Indirect retainer: not needed • Major connector: single posterior palatal bar, palatal strap, lingual bar
  • 65. Kennedy Classification III, Modification 1 Design
  • 66. Kennedy Classification III, Modification 1 Design
  • 67. Kennedy Classification IV • In case of short edentulous spans, the need for retainers and clasps are very limited. • In case of long span edentulous areas, – 4 clasps can be placed for quadrilateral configuration – Indirect retainer to be placed posterior to the fulcrum line
  • 69. Reference • A textbook of prosthodontics, Deepak Nallaswamy, reprint 2005. • McCracken’s removable partial Prosthodontics, 11th edition. • Principles of designing in Removable partial denture, Shebin Abraham, online presentation, uploaded on 11/2/2016, slideshare.net. • Designing removable partial dentures, Dr Ting Ling Chang, UCLA, online presentation, ffofr.org. • Presentations by Indian dental academy • Pictures from the internet