RPD Manual 11 - Removable Prosthodontics - Dalhousie University

Table of Contents -iii
Principles of Partial Denture Design ......................................................................................... 63
Denture Bases ........................................................................................................................... 64
Direct Retainers ........................................................................................................................ 64
Number of Direct Retainers ...................................................................................................... 66
Indirect Retainers ...................................................................................................................... 66
Major Connectors ..................................................................................................................... 66
Distal Extension Case Considerations ...................................................................................... 67
General Considerations ............................................................................................................. 68
Drawing the Design .................................................................................................................. 66
Design Session ............................................................................................................................. 71
Clinical Protocol for Removable Partial Dentures .................................................................. 79
Diagnosis & Treatment Planning .............................................................................................. 79
Final Impressions for Partial Dentures ..................................................................................... 80
Framework Impressions ........................................................................................................ 80
Evaluating the Impression ........................................................................................................ 82
Removable Partial Denture Framework Fabrication ............................................................. 84
Partial Denture Framework Adjustment ................................................................................. 84
Pre-clinical Inspection and Adjustment .................................................................................... 84
Clinical Adjustment ................................................................................................................. 85
Occlusal Adjustments to the Framework .................................................................................. 87
Special Adjustments for Distal Extension Cases ...................................................................... 88
Finishing and Polishing of Adjusted Surfaces .......................................................................... 88
Maxillo-Mandibular Relations, Altered Cast Impressions and Wax Try-in Procedures .... 89
Altered Cast Impressions .......................................................................................................... 91
Interim Removable Partial Dentures ........................................................................................ 93
Indications ................................................................................................................................. 93
Fabrication ................................................................................................................................ 94
Interim Partial Denture Design ................................................................................................. 94
Coordinating Fixed and Removable Prosthodontics ............................................................... 95
Coordinating Complete and Removable Partial Dentures ........................................................ 96
RPD Checklist ............................................................................................................................. 97
Summary of RPD Design .......................................................................................................... 103