Intro To RPD

Introduction to
Removable Partial
Dentures (RPDs)
Prosthodontics
Definitions
Treatment Options for Partially
Edentulous
Treatment Sequence for RPDs
RPD Classification
Clinical Anatomy Tour
Prosthodontics
Restorationorreplacement
ofmissingteeth&contiguoustissues
Fixed
Crowns,Onlays
FixedPartialDentures
(Bridges)
Removable
CompleteDentures
RemovablePartial
Dentures
Conventional
Attachment
Implants
Maxillofacial
CongenitalConditions
Cleftpalate
AcquiredConditions
Injuries
Cancer
Facial&Intraoral
Prostheses
Treatment Objectives
Oral Health
Preserve remaining teeth & tissues
Restore/improve:
Mastication
Esthetics & Phonetics
Health & comfort
Quality of Life
Treatment Options
Partial Edentulism
No Replacement
Implant crowns/FPD
Fixed Partial Denture (FPD)

Removable Partial Denture
(RPD)
Extractions & Complete
Denture
Treatment Option: No Replacement

Shortened Dental Arch (SDA)
Patients can function

with as few as 20
occluding teeth
No significant
difference in
chewing
discomfort
JCDA Sept 07, 73:5934
No Replacement
Shortened Dental Arch
(SDA)
Require Anterior teeth + 4-6
occlusal units
Opposing PMs = 1 occlusal

unit
Opposing Ms = 2 occlusal
units
Symmetric loss need 4 units

Assymetric loss need 6 units
Treatment
Options Partial
Prosthesis replacing
Dentures
one or more, but not
all teeth
Supported by teeth
(abutments) and/or
mucosa
May be fixed or
removable
Fixed Partial Denture (FPD)
Removable Partial Denture (RPD)
Treatment Option: FPD
Patients prefer to RPD

Porcelain Metal
Cemented
Need tooth (abutment) at
either end
Treatment Option:
FPD
Must prepare (grind down

abutments)
If too long, flexes, loosens or

breaks
More expensive
If too long, flexes, loosens or
breaks
Treatment Option: RPD
Removed & replaced

by patient
Less expensive
Wont necessarily
improve function if
patient has 4
occlusal units
Indications for
RPD's
Edentulous area too
long for fixed
prosthesis
Longer than 4 units
is more complex
Indications for RPD's

No posterior
abutment for a
fixed prosthesis

Excessive alveolar
bone loss (esthetic
problem)

Poor prognosis for
complete dentures due
to residual ridge
morphology
Indications
for RPD's
Reduced periodontal
support of remaining
teeth
Won't support a fixed

prosthesis)
Other Indications for

RPD's
Need for immediate replacement of

extracted teeth
Cost/patient desire considerations

Cross-arch stabilization of teeth
needed
Treatment Option: Complete

Dentures
Remaining teeth
are hopeless
Other options are

too
complex/expensiv
e
Treatment
Option: Implant
Prostheses
Implant Crowns
Implant Bridges
Implant
Dentures
Partially Edentulous Treatment

Options?
Types of
RPDs
Interim
Definitive (permanent?)
Interim Denture
(Provisional; Temporary)
Used for short time to provide:
Esthetics
Mastication
Occlusal support
Interim Denture
Partial denture
made while
crowns are being
fabricated for a
definitive RPD)
Transitional Denture
Prosthesis to which teeth
will be added
Replaced after postextraction tissue changes
Made with intention of
subsequently altering it
Definitions
Retention: Resistance to removal from
the tissues or teeth
Stability: Resistance to movement in a

horizontal direction (anteriorposteriorly or medio-laterally
Support: Resistance to movement

towards the tissues or teet
Definitions
Abutment: A tooth that
supports a partial denture.
Retainer: A component of
a partial denture that

provides both retention
and support for the partial
denture
Components of an RPD
Major Connector
Connects parts together

Principal functions:
Unification
Rigidity
Components of a RPD
Minor Connector
Connects other
components to the
major connector
Principle functions:
Unification
Rigidity
Direct Retainer
Provides retention
against dislodging
forces.
Components of an
RPD
Direct Retainer
'Clasp' or 'clasp unit'

composed of:
Rest
Retentive arm
Reciprocal arm
Minor connector
Denture Base
Covers the residual

ridges
Supports the denture

teeth
Treatment Sequence for

RPDs
PLAN RPD BEFORE ANY OTHER TREATMENT

BEGINS
Dx & Trt Plan, mounted casts

Draw design on surveyed cast, list abutment
modifications
Instructor Approval of design prior to any treatment,

other than emergencies
Partially Edentulous Arch

Classification
May be over 65,000
possible combinations
of teeth and edentulous
spaces.
Facilitates
communication
between dentists
Kennedy Classification
Class I
Bilateral edentulous areas
located posterior to all
remaining teeth
Class II
Unilateral edentulous area
located posterior to all
remaining teeth
Class III
Unilateral edentulous area
bounded by anterior &
posterior natural teeth
Class IV
Single, but bilateral
(crossing the midline)
edentulous area located
anterior to remaining
teeth
Applegate's Rules for the

Rule 1:
Classification should follow rather
than precede extraction

Rule 2:
If 3rd molar is missing &
not to be replaced, it is not
considered in the classification

Rule 3:
If the 3rd molar is present and
to be used as an abutment, it is
considered in the classification

Rule 4:
If the second molar is
missing and not to be
replaced, it is not considered
in the classification

Rule 5:
The most posterior edentulous
area determines the
classification

Rule 6:
Edentulous areas other than
those determining
classification are called
modification spaces

Rule 7:
The extent of the modification is not
considered, only the number

Rule 8:
There is no modification space in Class
IV
Classify the
Following Arches

Intro To RPD

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Introduction to

Fixed Partial Denture (FPD)

Treatment Option: No Replacement

Patients can function

Opposing PMs = 1 occlusal

Symmetric loss need 4 units

Fixed Partial Denture (FPD)

Removable Partial Denture (RPD)

Treatment Option: FPD

Patients prefer to RPD

Must prepare (grind down

If too long, flexes, loosens or

Treatment Option: RPD

Removed & replaced

Indications for RPD's

Indications for RPD's

Indications for RPD's

Won't support a fixed

Other Indications for

Need for immediate replacement of

Cost/patient desire considerations

Treatment Option: Complete

Other options are

Partially Edentulous Treatment

Stability: Resistance to movement in a

Support: Resistance to movement

supports a partial denture.

a partial denture that

Connects parts together

'Clasp' or 'clasp unit'

Covers the residual

Supports the denture

Treatment Sequence for

PLAN RPD BEFORE ANY OTHER TREATMENT

Dx & Trt Plan, mounted casts

Instructor Approval of design prior to any treatment,

Partially Edentulous Arch

Applegate's Rules for the

Applegate's Rules for the

Applegate's Rules for the

Applegate's Rules for the

Applegate's Rules for the

Applegate's Rules for the

Applegate's Rules for the

Applegate's Rules for the

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