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Indications
Large pulps (cant fabricate bridge) Clinical crowns too short No usable undercuts
Indications
Children - permanent prosthesis would be quickly outgrown Temporary space maintenance (caries, trauma, congenitally missing teeth)
Indications
Temporary time or financial constraints Sudden loss of teeth, before sufficient healing has occurred (accidents, after extractions)
Indications
Transitional Denture Transition to a complete denture Teeth need to be extracted but not immediately (medically compromised) Patient is not psychologically prepared
Indications
Treatment Denture Improve a condition before a definitive denture
Indications
Treatment Denture Tissue conditioning
Indications
Treatment Denture Implant healing
Indications
Treatment Denture Alteration of vertical dimension / occlusion Determine how patient will respond to changes (TMD) Surgical Splint Removal of palatal tori
Design
Clasps (Wrought wire 0.02) Circumferential
Design
Clasps (Wrought wire 0.02) Ball clasps Rest and retentive elements
Design
Clasps (Wrought wire 0.02) Adams clasps Rest and retentive elements
Design
Bracing Lingual/palatal major connector provides bracing Contacts teeth at the heights of contour
Design
Rests Usually wrought wire Acrylic may be used over cingulum rest seats Longer term use - cast retainers
Design
Major Connectors Full palatal coverage increases strength & stability Extend denture to first molar Retentive clasps embedded into major connector
Prescription Writing
Mark teeth to be extracted on the cast & write the teeth number on the prescription Draw a line around the teeth where the cast should be surgerized
Prescription Writing
Survey the cast & mark height of contour & retention areas (0.02) Indicate type of retentive clasp, rest & bracing
Prescription Writing
Indicate where rests, retention arms & bracing are to be placed, state tooth # & surface Draw the outline of the denture on the cast Identify shade & mould of teeth selected State the type of occlusion required
Adjustment
Commonly adjust:
interproximal extensions (A) where clasp exits from resin (B) tissue undercuts (C)
(McCracken's Removable Partial Prosthodontics, 11th Ediion. Elsevier, 2005)
Flipper
Slang - No Clasps