RPD Manual 11 - Removable Prosthodontics - Dalhousie University

Summary of Design Principles for Removable Partial Dentures
General Principles
- Minimize framework elements (minimize minor connectors, plating, etc.) – more hygienic
Principles of Partial Denture Design - 69
- Obtain good base adaptation - better stress distribution; use altered cast for mand. distal extensions
- Use what is present (e.g. existing rest seats)
- Plan for the future (e.g. designing for continued use of RPD framework if a critical abutment is lost; placing
rest seats, guide planes and undercuts on crowns to allow fabrication of an RPD later)
- Never plan an RPD using a single cast alone. You can’t assess abutment mobility, compressibility of mucosa,
the level of the floor of the mouth, prominent frena, or occlusion. Use mounted models and assess these
features intraorally as you plan and check your design.
- Occlusion – AVOID:
o centric contacts on rests (also ensure no increase in OVD)
o heavy buccal contacts on denture teeth– causes more movement of removable partial denture
- When other dental treatment is planned, and an RPD will be made at the end of treatment – ALWAYS PLAN
THE RPD FIRST. You will see which abutment modifications will be needed, and will ensure the planned
RPD is feasible, prior to beginning treatment
Rest Seats/ Rests
Ensure sufficient depth, especially at junction of the rest & minor connector (1.5mm minimum)
Tooth Borne (Kennedy Class I & II) – place rests adjacent to edentulous space (both ends)
Tissue/Tooth Borne (Kennedy Class I & II)
- mesial rest preferred (less torquing of abutment)
- distal rest preferred when:
- abutment is rotated (limited access for minor connector to mesial)
- plunger cusp/heavy centric contact on mesial
- large restoration on mesial
- no long guiding planes with distal rests - potential torquing
- if tooth is severely weakened periodontally – sometimes move rest to the next tooth anterior
Incisal rests/rest seats
- don’t use - poor esthetics
- more tilting/torquing forces (long lever arm from center of rotation)
Cingulum rests/rest seats
- use composite build up, if no prominent cingulum (less dentinal sensitivity)
- size - min 1 mm (if deeper, chance of dentin exposure)
- ensure sufficient clearance from opposing occlusion for maxillary cingulum rests
Occlusal rests/rest seats
- size - 1/3 of B-L width of the tooth
- depth : 1.5 mm of clearance from opposing occlusion (critical at junction of rest & minor connector)
- line angle of the marginal ridge should be rounded
- deepest part should be located centrally (positive)
Indirect Retainers
- 90° from fulcrum line & as far away from primary abutment as possible
- none required on tooth borne (Cl III & IV) cases
- canine is usually the most anterior tooth used for indirect retention
- usually don’t use a lateral (root length) or central incisor (speech)
- also helpful for seating and support, but not always possible or necessary