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Introduction & Components of Removable Partial Dentures Department of Prosthodontics & Implantology, SRM KDC&H
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Introduction Components Removable Partial · PDF fileTreatment Options in Partial Edentulism • No Replacement • Fixed Partial Denture (FPD) • Removable Partial Denture (RPD)

Feb 05, 2018

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Page 1: Introduction Components Removable Partial · PDF fileTreatment Options in Partial Edentulism • No Replacement • Fixed Partial Denture (FPD) • Removable Partial Denture (RPD)

Introduction & Components of  Removable Partial Dentures

Department of Prosthodontics & Implantology, SRM KDC&H

Page 2: Introduction Components Removable Partial · PDF fileTreatment Options in Partial Edentulism • No Replacement • Fixed Partial Denture (FPD) • Removable Partial Denture (RPD)

Removable

Complete Dentures

Removable Partial

Dentures

MaxillofacialCongenital ConditionsCleft palate

Acquired Conditions- Injuries- Cancer

Facial & IntraoralProstheses

ProsthodonticsRestoration or replacement

of missing teeth & contiguous tissues

Implants

Fixed

Crowns, Onlays

Fixed Partial Dentures(Bridges)

Page 3: Introduction Components Removable Partial · PDF fileTreatment Options in Partial Edentulism • No Replacement • Fixed Partial Denture (FPD) • Removable Partial Denture (RPD)

Partial edentulism

Page 4: Introduction Components Removable Partial · PDF fileTreatment Options in Partial Edentulism • No Replacement • Fixed Partial Denture (FPD) • Removable Partial Denture (RPD)

Treatment Options in

Partial Edentulism

• No Replacement

• Fixed Partial Denture (FPD)

• Removable Partial Denture (RPD)

• Implant crowns/FPD

• Extractions & Complete Denture

Page 5: Introduction Components Removable Partial · PDF fileTreatment Options in Partial Edentulism • No Replacement • Fixed Partial Denture (FPD) • Removable Partial Denture (RPD)

Treatment Option: No Replacement

• Patients can function with as few as 20 occluding teeth

• No significant difference in 

– chewing– discomfort

Page 6: Introduction Components Removable Partial · PDF fileTreatment Options in Partial Edentulism • No Replacement • Fixed Partial Denture (FPD) • Removable Partial Denture (RPD)

Treatment Options Partial Dentures

• Prosthesis replacing one or more, but not all teeth 

• Supported by teeth (abutments) and/or mucosa

• May be fixed or removable

Page 7: Introduction Components Removable Partial · PDF fileTreatment Options in Partial Edentulism • No Replacement • Fixed Partial Denture (FPD) • Removable Partial Denture (RPD)

Fixed Partial Denture (FPD)

Removable Partial Denture (RPD)

Page 8: Introduction Components Removable Partial · PDF fileTreatment Options in Partial Edentulism • No Replacement • Fixed Partial Denture (FPD) • Removable Partial Denture (RPD)

Treatment Option: FPD

• Patients prefer to RPD

• Porcelain ± Metal

• Cemented 

• Need tooth (abutment) at either end

Page 9: Introduction Components Removable Partial · PDF fileTreatment Options in Partial Edentulism • No Replacement • Fixed Partial Denture (FPD) • Removable Partial Denture (RPD)

Treatment Option: FPD

Page 10: Introduction Components Removable Partial · PDF fileTreatment Options in Partial Edentulism • No Replacement • Fixed Partial Denture (FPD) • Removable Partial Denture (RPD)

Treatment Option: FPD

Page 11: Introduction Components Removable Partial · PDF fileTreatment Options in Partial Edentulism • No Replacement • Fixed Partial Denture (FPD) • Removable Partial Denture (RPD)

Treatment Option: FPD

Page 12: Introduction Components Removable Partial · PDF fileTreatment Options in Partial Edentulism • No Replacement • Fixed Partial Denture (FPD) • Removable Partial Denture (RPD)

• Must prepare (grind down abutments)

• If too long, flexes, loosens or breaks

• more expensive

• If too long, flexes, loosens or breaks

Page 13: Introduction Components Removable Partial · PDF fileTreatment Options in Partial Edentulism • No Replacement • Fixed Partial Denture (FPD) • Removable Partial Denture (RPD)

Treatment Option: RPD

• Can be removed & replaced by patient

• Less expensive

Page 14: Introduction Components Removable Partial · PDF fileTreatment Options in Partial Edentulism • No Replacement • Fixed Partial Denture (FPD) • Removable Partial Denture (RPD)

Indications for RPD

• Edentulous area too long for fixed prosthesis

• Longer than 4 units is more complex

Page 15: Introduction Components Removable Partial · PDF fileTreatment Options in Partial Edentulism • No Replacement • Fixed Partial Denture (FPD) • Removable Partial Denture (RPD)

Indications for RPD

No posterior abutment for a fixed prosthesis

Page 16: Introduction Components Removable Partial · PDF fileTreatment Options in Partial Edentulism • No Replacement • Fixed Partial Denture (FPD) • Removable Partial Denture (RPD)

Other Indications for RPD

• Need for immediate replacement of extracted teeth

• Cost/patient desire considerations

• Cross‐arch stabilization of teeth needed

Page 17: Introduction Components Removable Partial · PDF fileTreatment Options in Partial Edentulism • No Replacement • Fixed Partial Denture (FPD) • Removable Partial Denture (RPD)

Treatment Option: Complete Dentures

Remaining teeth are hopeless

Other options are too complex/expensive

Page 18: Introduction Components Removable Partial · PDF fileTreatment Options in Partial Edentulism • No Replacement • Fixed Partial Denture (FPD) • Removable Partial Denture (RPD)

Treatment Option: Implant Prostheses

Implant Crowns

Implant Bridges

Implant Dentures

Page 19: Introduction Components Removable Partial · PDF fileTreatment Options in Partial Edentulism • No Replacement • Fixed Partial Denture (FPD) • Removable Partial Denture (RPD)

Types of RPDs

Definitive- Cast partial denture

Interim- Acrylic partial denture

Page 20: Introduction Components Removable Partial · PDF fileTreatment Options in Partial Edentulism • No Replacement • Fixed Partial Denture (FPD) • Removable Partial Denture (RPD)

Interim Denture 

Page 21: Introduction Components Removable Partial · PDF fileTreatment Options in Partial Edentulism • No Replacement • Fixed Partial Denture (FPD) • Removable Partial Denture (RPD)

Transitional Denture

• Prosthesis to which teeth will be added

• Replaced after post‐extraction tissue changes 

• Made with intention of subsequently altering it

Page 22: Introduction Components Removable Partial · PDF fileTreatment Options in Partial Edentulism • No Replacement • Fixed Partial Denture (FPD) • Removable Partial Denture (RPD)
Page 23: Introduction Components Removable Partial · PDF fileTreatment Options in Partial Edentulism • No Replacement • Fixed Partial Denture (FPD) • Removable Partial Denture (RPD)

Components of RPD

Major connectorMinor connectorDirect retainers

Indirect retainersRests

Denture base Artificial teeth

Page 24: Introduction Components Removable Partial · PDF fileTreatment Options in Partial Edentulism • No Replacement • Fixed Partial Denture (FPD) • Removable Partial Denture (RPD)

Components of an RPD

Major Connector

• Connects parts together

• Principal functions:

• Unification 

• Rigidity 

Page 25: Introduction Components Removable Partial · PDF fileTreatment Options in Partial Edentulism • No Replacement • Fixed Partial Denture (FPD) • Removable Partial Denture (RPD)

Components of a RPD

•Minor Connector • Connects other 

components to the major connector

• Principle functions: • Unification 

• Rigidity

Page 26: Introduction Components Removable Partial · PDF fileTreatment Options in Partial Edentulism • No Replacement • Fixed Partial Denture (FPD) • Removable Partial Denture (RPD)

Components of an RPD

•Direct Retainer• Provides 

retention against dislodging forces.

Page 27: Introduction Components Removable Partial · PDF fileTreatment Options in Partial Edentulism • No Replacement • Fixed Partial Denture (FPD) • Removable Partial Denture (RPD)

Components of an RPDDirect Retainer

'Clasp' or 'clasp unit' composed of:

Rest

Retentive arm

Reciprocal arm 

Minor connector

Page 28: Introduction Components Removable Partial · PDF fileTreatment Options in Partial Edentulism • No Replacement • Fixed Partial Denture (FPD) • Removable Partial Denture (RPD)

Components of an RPD

•Denture Base

•Covers the residual ridges

•Supports the denture teeth

Page 29: Introduction Components Removable Partial · PDF fileTreatment Options in Partial Edentulism • No Replacement • Fixed Partial Denture (FPD) • Removable Partial Denture (RPD)

Components of an RPD

•Artificial teeth

•Replaces missing teeth