2016-2017

1 Course Syllabus

Kingdom of Saudi Arabia

Prince Sattam Bin Abdulaziz University

College of Dentistry

DSP 331

Preclinical Removable Prosthodontics

Course Syllabus

Course director

Dr. Tushar Bhagat, MDS

7508tvb@gmail.com

2016 - 2017

2016-2017

2 Course Syllabus

SEQUENCE:

DSP 331 is a one-year course during the 3rd year. It is an introductory

course to removable prosthodontics and is pre-clinical.

COURSE DESCRIPTION:

This course is the first course in Removable Prosthodontics. It consists

of didactic and practical components that cover both complete and partial

removable dentures. The first half of the year is devoted for complete

dentures while the second half is devoted for removable partial dentures. The

practical component covers the technical aspect of complete denture

construction from the start to finish in the first half of the year and the

technical aspect of removable partial denture construction in the second half

of the year.

During the course, various exercises that simulate the clinical treatment

of the patient are also employed. The course, in general, is designed to prepare

the student to understand the biological, mechanical as well as the aesthetic

aspect of complete and partial denture treatment. And make them prepared for

clinical removable course in the 4th year.

COURSE CREDIT: 6 Credit Hours

2 Credit Hours: Didactic: one hour lecture weekly for two semesters

4 Credit Hours Practical: Three hours twice weekly for two semesters

COURSE OBJECTIVES

1. The primary goal of this course is to familiarize the student with the

biological and technical aspects of complete and partial removable

dentures and their integration with the clinical procedures to be taught in

the successive clinical prosthodontic courses.

2. The student should demonstrate the abilities and skills to do all the

laboratory procedures related to the construction of complete dentures.

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3 Course Syllabus

3. The student should be able to identify and describe the various components

of a removable partial denture.

4. The student should be able to illustrate the basic knowledge of how to

design a removable partial denture framework.

5. The student should demonstrate the basic knowledge and fundamentals of

the various laboratory procedures related to the construction of a

removable partial denture.

6. The student should be able to identify the different materials, instruments

and devices involved in the construction of complete and removable partial

dentures as well as their uses.

COURSE EVALUATION

60% Continuous Assessment: 1.

a) 1st Assessment theory exam = 05%

b) 2nd Assessment theory exam = 05%

c) 3rd Assessment theory exam = 05%

d) 1st Practical Assessment Examination = 05% 60%

e) 2nd Practical Assessment Examination = 05%

f) 3rd Practical Assessment Examination = 05%

g) 4th Practical Assessment Examination = 05%

h) Quiz =10%

i) Logbook (1st sem5% + 2nd sem5%) = 15%

40% Final Examination: 2.

a) Final Practical Assessment Examination = 15%

b) Final theory exam = 25% 40%

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NOTE:

1) A minimum of 75 % attendance is compulsory in lectures as well

as in practical sessions.

2) Students are expected to complete each exercise by the assigned

date. (Late submission of laboratory projects will receive 02

marks).

3) To obtain a passing grade of this course, the student must pass

both Practical and Didactic separately.

4) A Final Written and Practical Examinations will be held at the end

of the Year.

5) The quiz will be arranged every after two lecture / or completion of

that particular topic. And IT WILL BE SURPRIZE QUIZ, NO

PRIOR INFORMATION WILL BE GIVEN. MAKE NOTE.

REFERENCES

A. Stewart’s Clinical Removable Prosthodontics. 4th Edition. Quintessence

Publishing Co, Inc

B. McCracken’s Removable Prosthodontics, 10th Edition 2000 by McGivney

GP, Carr AB. The C.V. Mosby Co., St. Loius.

C. Hassaballa, M.H. and Talic, Y.F. Principles of Complete Denture

Prosthodontics. 1st Edition. King Saud University-Academic Publishing

and Press 2004.

D. Dental Laboratory Procedures (Removable Partial Dentures) Morrow,

Rudd, Eissman, Vol. III 2nd Edition, 1986. The C.V. Mosby Co., St. Loius.

A- Stewart’s B- McCracken’s C- Hassaballa D- Morrow & Rudd

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2nd Semester Syllabus:

A. Removable Partial Dentures lectures:

No. Topics

1 Introduction to Removable Partial Dentures. Components and functions of a

removable partial denture.

2 Classification of partially edentulous arches

3 Dental Cast Surveyor & Surveying of partially edentulous casts

4 Major connector & Minor connector. (Part I & II)

5 Rest Seat & Rest Seat Preparation.

6 Direct Retainers (Part I & II)

7 Indirect Retainers & “I”-bar RPD & Denture base.

8 Principles of RPD designing.

9 Lab. Procedure for RPD & work authorization

10 Provisional / temporary RPD

11 Impression material & techniques / procedure for RPD.

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Lecture #1: Introduction to removable partial dentures. Components and functions

of a removable partial denture.

i. Consequences of tooth loss (B-p.5-6)

ii. Indication & Contraindication for RPD (A-p.6-8)

iii. Terms related with Removable partial prosthodontics (A-p.2-4; B-p.7-10.)

1) Abutment

2) Retainer

3) Height of contour, undercut area, suprabuldge & infrabuldge

4) Extracoronal & intracoronal retainers

5) Intracoronal retentive assemblies [patrix & matrix]

6) Tooth supported prosthesis

7) Tooth-tissue supported prosthesis

8) Tissue supported prosthesis

9) Metal frame work / cast framework

iv. Components of RPD (B-p.8)

1) Major connector

2) Minor connector

3) Direct retainer

4) Indirect retainer

5) Denture base

6) Artificial teeth

v. Tooth Supported & tooth & tissue supported prosthesis (B.p.no.11-14.)

vi. Phases of partial denture service (B. p.no.14-17)

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Lecture #2: Classification of partially edentulous arches.

i. Introduction of classification (B.p.no. 19-23, A.p.no.1)

ii. Requirements of an acceptable method of RPD classification (B-p.no. 9-10; A-

p.no.8)

iii. Kennedy classification of partially edentulous arches (A-p.8; B-p.20-23)

iv. Applegate’s modification for the Kennedy classification (A-p.10-13; B-p.20-23)

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Lecture #3: Dental Cast Surveyor & Surveying of partially edentulous casts.

i. Definition and objectives of surveying (B-p.165-166; A-p.205;)

ii. The component parts of a surveyor (A-p.205-206; B-p.166)

iii. Purposes of the surveyor(B-p.168-172)

iv. Survey process / Steps by step procedure (A-p.207-216; B-p.173-176)

a. Guide plane

b. Retentive area

c. Interference

d. Esthetics

v. Factors that determine the path of insertion (B-p.172-173)

vi. Path of insertion / Final path of placement (A-p.216-218)

vii. Tripoding the casts (A-p.218-220)

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Lecture # 4: Major Connectors & Minor Connector.

a. Requirement of major connector (A.p.no.22)

b. Maxillary Major connector (A.p.no.25-30)

c. Mandibular Major connector (A.p.no.30-36.)

d. Minor Connector, [Function(B.p.no.54); Location(B.p.no.54-60)

(A.p.no.37-42)

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Lecture # 5: Rest Seat (RS) & Rest Seat Preparation.

I. Definition of rest seat (B.p.no.67)

II. Purpose of rest seat (B.p.no.67)

III. Types of rest seat. Primary & Auxiliary Rest seat (A.p.no.44)

IV. Various forms of rest seat

a. Occlusal rest & rest seat (Proximal RS, Long occlusal RS, Embrasure

RS) (A.p.no.44-47; B.p.no.68-71)

b. Lingual or cingulum RS (Inverted “V” RS, Ledge RS, Ball RS) (A.p.no.47-

48; B.p.no. 76-78)

c. Incisal RS (A.p.no.48-49)

V. Re-contouring / Enameloplasty & Dimpling (Stewart’s-p.no.286)

a) Definition

b) Reasons for re-contouring

c) Dimpling

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Lecture # 6: Direct Retainers (Please follow refers as given below)

Direct retainer role in prosthesis movement control (McCraken.p.no.79)

1) Intra-coronal direct retainers (A.p.no.51-52)

2) Extra-coronal direct retainers. Classification of extra-coronal direct retainers

(A.p.no.53-56)

3) Structure / parts / components of Direct retainer(A.p.no.56-59)

i) Basic requirements of clasps [Retention, Stability, Support,

Reciprocation, Encirclement, Passivity](A.p.no.59)

ii) Comparison of infrabuldge & suprabuldge class assembly

(A.p.no.69)

iii) Suprabulge Direct Retainers (Simple circlet, Reverse circlet,

Multiple circlet, Embrasure, Ring Clasp, C-Clasp, Onlay Clasp, Wrought

wire) (A.p.no.70-78).

iv) Infrabuldge clasp, Design rule, type (T-clasp, Modified T-clasp, Y-

clasp, I-clasp) (A.p.no.78-82)

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Lecture #7: Indirect Retainers (ID), & Denture base. [Ref.: McCracken’s Chapter

8.Indirect retainer. P.no.119-124

a) Introduction

b) Definition

c) Principles of indirect retention (B.p.no.120-122)

d) Ideal location of the indirect retainer

e) Factors influencing the effectiveness of an indirect retainer

f) Forms of indirect retainers

g) Denture base (A.p.no.88)

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Lecture #8: Principles of RPD designing. [Ref.: McCracken’s chapter 10]

i) Factors determining the selection of a major connector

ii) Factors determining the selection of a particular clasp type/direct retainer

iii) Clasps used for tooth-supported vs those for tooth-tissue supported RPD

iv) Selection of a denture base for tooth-supported vs tooth tissue supported

RPD

v) Stabilizing components

vi) Guide plane

vii) Examples of systemic approach designing

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Lecture #9: Laboratory procedures of making RPD & Work Authorization. [Ref.:

McCracken’s Removable Partial Prosthodontics, Chapter (18), pp. 377-425]

a. Dentist lab relation

b. Drawing the RPD design on the master cast

c. Work authorization (B.p.no.357) & (A.p.no.314-316)

d. Infection control

e. Lab Procedure (tripoding the master cast, height of contour, design

transfer, blockout & relief, spruing, )

b. Beading the master cast

c. Wax blockout of the master cast

d. Duplication and construction of a refractory cast

e. Waxing-up the metal framework on the refractory cast

f. Spruing

g. Investing

h. Burnout of wax pattern

i. Metal casting

j. Finishing and polishing the metal framework

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Lecture #10: Provisional & Temporary Removable Partial Denture. (Ref.

McCracken’s

Removable Partial Prosthodontics, Chapter (9) pp. 153-168, Textbook of Complete

Dentures, Chapter (12), pp. 317-319).

a. Denture bases

i) Definition

ii) Types of denture base

iii) Acrylic resin denture bases – indications

iv) Acrylic resin denture bases – Advantages and Disadvantages

v) Metal denture bases – indications

vi) Metal denture bases – advantages and disadvantages

b. Artificial Teeth

i) Anatomic teeth – advantages and disadvantages

ii) Non-anatomic teeth – advantages and disadvantages

iii) Acrylic teeth advantages and disadvantages

iv) Tube teeth - advantages and disadvantages

v) Metal pontics

vi) Acrylic teeth with gold occlusals