Advanced Removable Partial Dentures by James S. Brudvik

By James S. Brudvik

This article discusses the therapy of the partly edentulous sufferer with a mixture of mounted and detachable partial dentures on the complicated point: it truly is meant to lead normal practitioners and graduate scholars in prosthodontics in making a caliber RPD.

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Example text

If only a sillgle tooth is IX'ing replace d, special consklerat lon IU IISt be ~n' n to metal reten tion because the space is often res tricted. ,11 within the 30 sion ann addtttonaltooth loss. TIIl ~ Isolated posterior' ahl l l lllt~nt on th e tooth-borne side is On ('11 a weakene d teeth, both rcstorutivcly and pcriodontally, and lllay Hot last tlte Ii li ~ o f tln- partial. III aut tctpation of till' loss o f this tooth, tile partial should be designed as if it WCT{' a Class I RP D . with raised rctcntivc mesh, a mesial rest on the pre-molar that wo uld become the p rime ulmtun-nt 0 11 that side of t lu- arch , and with the potential for fll'xihle eh"pillg 011 the prime ahut uu-nt.

III the maxillary arch, the an terior edent ulous are a oft('11 (('(Illires an addi tional clasp to offset 36 the pul l of g ravity and sticky foods . \\"llt'n 100 Ig para lle l gllidi ng planes are obtainable adjacent to the edentulous area, the casting Illay he n -tenfive wi th out the third clasp. ' vi siblc ami possibly nnesthettc. ){" evaluated without the anterio r clasp. \\"11t'1l additiona l retention is requircd. t 'i a win- 1bar soldered to the casti ng. Tile mamhbnlar C lass IV wtllnot usually need a th ird clasp if guiding plane s arc well-planned 'lilt!

It is often im possible to m ake this ulignmc-nt wi thout c r owning the abutment t£'l'lh. Anothe r solution is to p lan 0 11 a sho rt nange only- one that extends just to the Iw ight of con tour of the edentulous ridge when tlw path of insert lon/rcmoval £\\ors the abutment teeth . Decisio ns O il this d ilemma are often based 0 11 the need for a full fl :lIlge to res tore lip su pport. (cnnerters M andi bular major connectors for this classiflcatio n offe r the same op tio ns as the other mandibular desih>1ls.

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