Principles of RPD Design
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Transcript of Principles of RPD Design
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Principles of RPD Design
Dr. Rola Shadid
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1. The manner in which each is supported2. The method of impression registration and
jaw record required for each3. The need for some kind of indirect retention4. The denture base material5. Differences in Clasp Design
Differentiation between tooth-supported and tooth-tissue supported partial denture
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Distortion of tissues over edentulous ridge will be approximately 500 microm under 4 newtons of force, whereas abutment teeth
will demonstrate approximately 20 microm of intrusion under the same load.
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1. Tooth support & ridge support2. Major & minor connectors3. Direct retainers4. Stabilizing components5. Guiding planes6. Indirect retainers
Components of Partial Denture Design
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the body of an extracoronal direct retainer, the stabilizing arm of a direct retainer the minor connector portion of an indirect retainer or by a minor connector specifically designed to
contact the guiding plane surface.
Guiding Plane
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Use short guideplanes on Class I & II Use long guideplanes on Class III & IVUse short guideplanes on Class I & II Use long guideplanes on Class III & IV
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Guiding Plane
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Guiding Plane
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Guiding Plane
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Direct Retainer Selection
Class I & II (Tooth & Tissue-Borne)– Stress releasing direct retainers
Class III & IV (Tooth-Borne)– Non-stress releasing direct
retainers
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Rest Placement: Tooth-Borne RPD’s
Adjacent Edentulous Space–Most effective placement of support–Ease of preparation –Reduces minor connectors–Very rare exceptions
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Retainer Selection: Tooth-Borne RPD’s
Minimal rotation Stress release usually unnecessary Choose non-stress releasing retainers:
–Cast Circumferential *–Ring Clasp–Embrasure Clasp (Double Akers)–Reverse Action (‘C’) Clasp
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Tooth-Borne Direct Retainers
Cast suprabulge clasps Exceptions
– Use stress-releasing clasps when:– Esthetics
• use infrabulge or w.w.– Poor prognosis for posterior abutment
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Class III Removable Partial Denture
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Tooth- Tissue Borne Cases
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Stress-Releasing Direct Retainers
2 strategies are adopted to either
1. change the fulcrum location and subsequently the "resistance arm" engaging effect (mesial rest concept)
2. use of flexible arm (wrought-wire retentive arm).
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Stress-Releasing Direct Retainers
Mesial Rest Concept– Rotation: retentive tip, proximal plate– Move mostly down (and forward)– Into more undercut (release of tooth)
a
fulcrum
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Non-Stress-Releasing Direct Retainers
Distal Rest– Rotation: retentive tip, proximal plate– Move mostly forward (tip rotates up)– Toward height of contour (activate or
bind)
a
fulcrum
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Distal Rest Concept Long Guiding Planes
– Binding, torque– Not advisable
Short Guiding Planes– proximal plate moves
into space, escape of rest– Acceptable, if mesial
rest not possible
a
A B
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Retainer Selection: Tooth-Tissue Borne RPD’s
Stress-releasing Clasps–RPI Clasp *–RPA Clasp–Combination Clasp
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RPI Clasp "R" Rest (always mesial) "P" Proximal Plate (distal) "I" I - Bar (buccal) *
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RPA Clasp
"R" Rest (always mesial)
"P" Proximal Plate (distal)
"A" Aker's retentive arm (always wrought wire)
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Combination Clasp
Wrought-wire retentive clasp arm & cast reciprocal clasp arm
Bracing and retentive arms originate from distal rest
Guiding plane must not run entire occluso-gingival height
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C
D E
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Kennedy Class II, modification 1
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Kennedy Class II, modification 1
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Kennedy Class II, modification I
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Other Alterations of Axial Contours
Lowering Heights of Contour– In order not to interfere with
opposing occlusion– Not to increase occlusal table– Improve esthetics– Decrease tipping forces
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Post Is More Readily Removed by Application of Force Near Its Top Than by Applying Same Force Nearer Ground Level
Lowering Heights of Contour
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Other Alterations of Axial Contours
Raising Heights of Contour– Insufficient retention in gingival
1/3 (at least 1mm from gingiva)– Prepare undercut– Add resin above to create
undercut
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Preparing Retention
Axial surface must be close to parallel the path of insertion
XX
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Retentive Preparation Shape
Follows the path of designed retentive tip
XX XX
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Creating Undercuts with Bonded Resins
Axial surface must be close to parallel the path of insertion
XX
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Summary of Abutment Modifications
After RPD Designed– Guideplanes– Lower heights of contour to
eliminate interferences & improve esthetics
– Create undercuts if absolutely necessary (raising heights of contour)
– Rest seat preparation
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McCracken’s Removable Prosthodontics, 11th Edition 2005 by McGivney GP, Carr AB. Chapter 10
Dalhousie continual education