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    Principle Partial Dent Design

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    San
    1) When designing a removable partial denture, minimize the number of framework elements and connectors to reduce complications. 2) Ensure the design provides broad tissue base support through stress distribution, resistance to displacement, and avoiding overextension of the framework. 3) Utilize the existing anatomical structures and avoid altering tissues when possible with the design.

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    Principle Partial Dent Design

    Uploaded by

    San
    83 views37 pages
    1) When designing a removable partial denture, minimize the number of framework elements and connectors to reduce complications. 2) Ensure the design provides broad tissue base support through stress distribution, resistance to displacement, and avoiding overextension of the framework. 3) Utilize the existing anatomical structures and avoid altering tissues when possible with the design.

    Original Description:

    Principles of partial Denture designing.

    Original Title

    10. Principle Partial Dent Design

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    1) When designing a removable partial denture, minimize the number of framework elements and connectors to reduce complications. 2) Ensure the design provides broad tissue base support through stress distribution, resistance to displacement, and avoiding overextension of the framework. 3) Utilize the existing anatomical structures and avoid altering tissues when possible with the design.

    Copyright:

    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    83 views37 pages

    Principle Partial Dent Design

    Uploaded by

    San
    1) When designing a removable partial denture, minimize the number of framework elements and connectors to reduce complications. 2) Ensure the design provides broad tissue base support through stress distribution, resistance to displacement, and avoiding overextension of the framework. 3) Utilize the existing anatomical structures and avoid altering tissues when possible with the design.

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    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    of 37

    Principles of Removable

    Partial Denture Design


    Minimize Framework Elements
    • Minimal coverage of soft and
    hard tissues
    Minimize Framework Elements
    • Fewest number of minor connectors
    • Use single minor connector for adjacent
    direct and indirect retainers
    Minimize Framework Elements
    • Cingulum rests join proximal plates,
    rather than having separate minor
    connectors, whenever possible

    ✔ ✘ ✘
    Broad Tissue Base Support

    • Stress distribution
    • Resistance to displacement
    • Not overextended - more stress
    to abutments
    Distal Extension Bases

    • Extended to :
    – Retromolar pads
    – Hamular Notches
    Utilize What’s Present

    • Select a design that fits the


    hard and soft tissues, rather
    one that requires tissue
    alteration, when possible
    Plan for the Future
    • Partial denture can be adapted
    if abutment is lost
    • Design crownds with rest seats
    and guiding planes
    Don’t Design Using Cast Alone

    • Can’t assess:
    – abutment mobility
    – compressibility of mucosa
    – floor of mouth, prominent frena
    – occlusion
    • Check tissues intraorally
    • Mounted models to assess occlusion
    Rests
    • Tooth Borne (Cl III & IV)
    – Immediately adjacent edent space
    • Tooth & Tissue Borne (Cl I & II)
    – Mesial prefered
    – Distal if:
    • Tooth rotated
    • Mesial centic stop or heavy occlusion
    • Large mesial restoration
    Rests

    • Ensure sufficient rest seat depth (1.5mm)


    • Avoid incisal rests
    – Esthetic
    – Increased tilting
    – Use bonded cingulum rests, if no prominent
    cingulum
    Avoid Rests on Restorations
    • Avoid when possible (not always)
    • Amalgam
    – High creep, low yield strength
    ensure adequate remaining bulk,
    adequate restoration
    • If restoration fails, restoration will
    be more complex, expensive
    Avoid Rests in Areas of Heavy
    Occlusal Contact
    • Extruded, tilted teeth
    • Check for clearance for maxillary
    cingulum rests (intraorally, and on cast)
    Indirect Retainers

    • Class I & II
    – As far from primary fulcrum
    line as possible (90°)
    – Normally not required for tooth
    borne RPD’s
    – Don’t overuse
    Direct Retainers
    Cl III & IV

    • Clasp of Choice: Cast Circumferential


    • If can’t use tooth next to edentulous space:
    Double Embrasure
    • If Tilted:
    – Cast Circumfertial with lingual retention
    – Ring Clasp
    Direct Retainers
    Cl I & II

    • Clasp of Choice: RPI


    • If can’t use I-bar space: RPA
    – Frena, soft tissue undercut, shallow vestibule
    • If can’t use mesial rest: Combination Clasp
    – Restoration, heavy occlusion, rotated tooth
    Direct Retainers

    • Minimize need for direct retention


    – Broad, intimate denture base
    adaptation
    – Use of minor soft tissue undercuts
    – Guiding planes
    – Indirect retainers
    Direct Retainers

    • Consider caries susceptibility


    – Cast clasps contact more tooth
    surface than wrought
    – RPI or other hygienic designs
    Design Retentive Arm Correcctly

    Incorrect Incorrect Correctly Designed


    But below H of C
    S-shaped Too Straight
    - lower height of contour
    Retentive Undercuts

    • If retentive tip too close to gingiva


    – Prepare undercut (moves clasp higher)
    – Add composite resin to raise height of
    contour
    Abutment Mobility
    • Use stress releasing retainers
    – More load transferred to
    residual ridge

    Combination
    RPI RPA Clasp
    I-bars
    • Gently curve from the gridwork
    • Originate from the gridwork
    posterior to the first replacement
    tooth
    • Do not use L-bars (less flexible)
    • Do not flatten retentive end of the
    I-bar
    I-bars

    correct incorrect incorrect

    I bar I bar L bar


    Number of Direct Retainers

    • 4 - Greatest amount of retention


    – (e.g. Cl. III, mod 1)
    – Clasps can be omitted, if
    supplemental retention is substituted
    • 3 - Less retentive, (Class II)
    • 2 - Absolute minimum (Class I)
    If Omit a Direct Retainer

    • Find some other factor to


    supstitute for missing retention
    – Long guideplanes
    – Many guideplanes
    – More soft tissue coverage
    – Use soft tissue undercuts
    Major Connectors

    • Assess tori, height of floor of


    mouth, frenal attachments,
    which may affect major
    connector choice
    Major Connectors

    • Maxilla
    – Tooth borne: Palatal Strap
    – Distal Extension
    • A-P Strap
    • Full palatal plate if extensive, or
    need extra stability or retention
    Major Connectors

    • Mandible
    – Lingual Bar if possible
    – Lingual Plate if:
    • High frenum, floor of mouth
    • Want to stabilize teeth
    • May need to add teeth to partial
    • Want to avoid torus
    Maxillary Major Connectors
    • Posterior extensions of distal
    extension framework should point
    to hamular notches
    Major Connectors
    • Avoid abrupt changes of contour or
    bulky contours, particularly at
    junctions with the acrylic denture
    bases
    Minor Connectors

    • Unless using plating, do not


    wrap cingulum rest minor
    connectors into embrasures

    Correct Incorrect
    Consider Soft Tissue Variables

    • Frenal Attachments
    • Vestibular depth / undercuts
    – Mark extent on cast
    • Compressibility of attached
    mucosa
    Consider Hard Tissue
    Variables
    • Opposing occlusion (mark)
    • Tori
    • Access to embrasures
    • Positions of undercuts
    • Mobilities
    • Restorations
    Design Sequence

    • Path of insertion
    • Rests
    • Major connector
    • Minor connectors
    • Direct retainers
    • Indirect retainers
    Drawing the Design

    • Red
    – Retentive undercut
    – Wrought wire arms
    • Blue
    – All other elements
    – WW Retentive undercut
    Drawing the Design
    • Absolute Accuracy
    – Technician to place elements in
    proper position & proportions
    Drawing the Design

    • Absolute Accuracy
    – Single distinct lines
    – No guessing involved

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