Clinical and laboratory procedure to treat partially edentulous patients with the

removable partial denture.

Six phases of partial Appointment Clinical procedure Laboratory procedure

denture service
1.Education of 1st visit History taking, Diagnostic cast
patient Extra- and Intra-oral fabrication with stone.
examination, Recording base if needed.
Radiographic
examination,
Preliminary
impression with
hydrocolloid,
Consultation with
other specialties.
2nd visit Face-bow transfer, Mounting the diagnostic
Centric relation casts to the semi-
record adjustable articulator,
Surveying and designing
diagnostic casts.
Diagnostic wax-up and
set-up.
2.Diagnosis,treatment 3rd visit Diagnosis and Interim removable partial
planning, treatment Definitive Treatment denture fabrication.
sequencing, and Plan presented to the
mouth preparation patients
4th visit Preparation of mouth
for removable partial
denture(caries and
plaque control,
endodontic,
periodontal, and oral
surgery should be
planned)

Provisionalization

1
 5th visit Preparation of Master cast fabrication
abutment teeth. Surveying and designing
on the master cast
Final impression for Block out and relief on
the metal framework. the master cast
Duplicating the master
cast to make the
refractory(investment)
cast
Preparing the refractory
cast(Bees wax soaking)
Waxing the partial denture
framework
Spruing, investing,
burnout, casting, and
finishing of the partial
denture framework
3.support for distal 6th visit Try-in of the metal Individual trays attached
extension denture framework. to the denture framework.
bases Altered cast Altered(corrected) master
technique of cast fabrication
impression making
4.Establishment and 7th visit Maxillo-mandibular Mounting the casts and
verification of relationship. arranging the
occlusal relations and artificial(denture) teeth.
tooth arrangements Selection of artificial
teeth.
8th visit Try-in of partial Gingival festooning,
denture. investing the partial
denture, Processing the
denture
Laboratory remounting
for selective grinding,
Polishing the denture.
5.Initial placement 9th visit Initial placement,
procedures adjustment, and
instruction to the
patient.
6.Periodic recall 10th visit Recare and Relining and rebasing the
maintenance. removable partial denture
if needed.