A positive dental treatment outcome depends on building a positive relationship between the dentist and patient. Several options exist for partial dentures that replace missing teeth while minimizing the visibility of metal wires, including using crowns to hide the retention mechanism. Combining crowns and partial dentures can provide natural-looking and comfortable treatment.

1. A Positive Dental Treatment Outcome is Based on a
Positive Doctor to Patient Relationship
Energy Square Prosthodontics
Riverside Dental
Alberta
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2. Partial Dentures
• Partial dentures are removable dental
appliances designed to replace missing teeth
and are commonly retained and supported
by the remaining natural teeth.
• Retention often involves wire retention
around the natural teeth and these wires are
often visible.

3. Varieties of Partial Dentures
• Partial dentures using wire retention are the
most common variety
• There are a number of other varieties that
are available for patients who do not wish to
see the wire retention.

4. Standard Partial Denture
retained with Wires
 In many circumstances, these partial dentures provide acceptable
treatment to replace missing teeth with a minimal financial
commitment.
 However, many patients are unhappy with the display of the wires
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5. Case #2 Partial Denture On Casts
 This case illustrates a combination of an upper and lower partial denture.
 This case is limited. All of the posterior and anterior teeth on one side of the
mouth are missing. This requires the placement of wire retention on the
anterior teeth on the other side of the mouth.
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6. Case #3
Wire
Retention
 This case involves an upper denture combined with a lower partial
denture.
 The wires used to retain the partial denture are designed to minimize
the display of metal. The patient’s lower lip will cover the wires.
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7. Case #4
 This case combines crowns with a partial denture.
 This combination provides the opportunity to hide the retention
mechanism.
 No wires are visible when finished.
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8. Case #5
 This is another variety of a partial denture combining crowns and a
partial denture with a hidden retention mechanism.
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9. Case #6
 This is another variety of a partial denture combining crowns and a
partial denture with a hidden retention mechanism.
 Frame #1 Crowns on a cast.
 Frame #2 Crowns combined with partial denture
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10. Case #6 The same case seated in
The mouth
 Again recognize the lower partial denture is seated and we cannot see
any wire retention.
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11. Case #6 The same case seated in
The mouth
 Again recognize the lower partial denture is seated and we cannot see
any wire retention.
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12. Before & After with Frames
Case #7
 This case combines crowns on the upper teeth with a standard partial
denture on the lower teeth.
 The lower partial denture was placed as a temporary measure.
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13. Case #7 Before and After Frames
 All upper teeth restored with Crowns
 Lower posterior teeth restored with a standard partial denture
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14. Case #7 Before and After Frames
 Same case illustrating the lower partial denture on the biting surface.
 Second frame illustrating the partial denture from the right side.
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