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Partially Dentate Patients

Dr. M.N.Saad

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Partially Dentate Patient

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1st Visit

Diagnosis

Treatment Plan

Address patients major complaint

Not be dictated by the patient

A treatment plan may not be achieved

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Diagnosis

Major Complaint

What does the patient want.

Function

Aesthetics

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Diagnosis

History

Patient has had 7 dentures made.

Patient has never had dentures.

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Diagnosis

Will your choice of treatment deliver

patients expectations

Is the patient the right candidate for your

treatment goals

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Diagnosis

Intra-oral Examination

Data Collection

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Diagnosis

Diagnostic Models

Radiographs

Periodontal Status

Restorative Status

Status of each tooth

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Diagnostic Models

Acceptable Impressions

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Diagnostic Models

Mounted Models

Hand Articulate

Trial Base and Wax rims

Putty or Compound Method

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Diagnostic Models

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Diagnostic Models

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Diagnostic Models

Mounted Models

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Diagnostic Models

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Mounted Models

Intra Oral Space

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Mounted Models

Plane of Occlusion

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Radiographs

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Radiographs

Potential Abutments

Suspect Teeth

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Periodontal Status

Pocket Depth

Radiographs

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Restorative Status

Charting

Status of existing restorations

What needs to be redone

Active disease

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Status of each Tooth

On its own

Abutment Potential

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DiagnosisProblem List

Number of missing teeth

Supra-erupted, rotated teeth

Intra-oral space

Occlusion

Failing restorations

Hopeless teeth

Periodontal, operative, endo requirements

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Treatment Plan

Partial Denture

Discard fixed options.why?

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Treatment Plan

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Treatment Plan

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FPD or RPD

The total root surface area of the abutments

should be equal or greater than the root

surface area of the replaced tooth/teeth.

Antes Law

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Antes Law

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Antes Law

Exceptions

Opposing mucosa borne dentition

Optimal periodontal health

Robust root forms

Minimal span curvature

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FPD or RPD

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FPD or RPD

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Treatment Plan

Removable Partial Denture

Immediate Partial DentureTransitional Partial Denture

Definitive Partial Denture

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Type of Partial Denture?

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Transitional Partial Denture

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Definitive Partial Denture

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Diagnostic Problem List

Number of missing teeth

Supra-erupted, rotated teeth

Intra-oral space

Occlusion

Failing restorations

Hopeless teeth

Periodontal, operative, endo requirements

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Treatment Plan

Selection of Abutment Teeth

Typically teeth adjacent to an edentulous area

to be restored will be abutment teeth.Some other teeth in the arch maybe used

according to your design.

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Selection of Abutment Teeth

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Selection of Abutment Teeth

What are you looking for in your abutment

teeth?

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Selection of Abutment Teeth

Abutment Teeth

Radiographic Requirement

Periapical X-rays of all potential abutmentsOpposing Arch Status

Periodontal Status

Restorative Status

Endodontic Status

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Occlusal Status

Opposing natural teeth

Opposing partial denture

Opposing complete dentures

How long is the edentulous span?

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Occlusal Status

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Periodontal Status

Crown/Root ratio

Pocket Depths

Bone Support

Furcation

Mobility

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Periodontal Status

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Periodontal Status

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Restorative Status

Rests on Amalgams?

Should I do a surveyed crown?

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Restorative Status

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Endodontic Status

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1st Patient Visit - Prosthodontics

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1st Visit

Prosthodontic Examination

Verifying your prior findings

Do you need any pre-prosthetic work-up?

Present treatment plan to patient

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Pre-Prosthetic Requirements

Surgical

Periodontal

Restorative

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Surgical

Extraction of

hopeless teeth

Tori

Frenum

Bony projections

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Periodontics

Scaling

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Periodontics

Pocket elimination

Crown lengthning

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Present Treatment Plan

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Treatment Plan

Based on diagnostic information

Based on patient requirements

Based on evaluation of all the teeth