Professional Documents
Culture Documents
Definition
RPD: The replacement of missing teeth and supporting tissues with a prosthesis designed to be removed by the
wearer
FPD: A partial denture that is cemented to natural teeth or roots which furnish the primary support to the
prosthesis
Fixed prosthesis: A restoration or replacement which is attached by cementing medium to natural teeth (bridge),
roots (crown) or implants
RPD FPD
Indication 1. More than 2 posterior teeth or 4 1. Short span edentulous arches
anterior teeth are missing 2. Presence of sound teeth that can
2. If canine and 2 of its adjacent teeth are support adjacent to edentulous space
missing 3. Ridge resorption, RPD unstable &
3. When there is no distal abutment unretentive
tooth 4. Patient’s preference
4. Presence of multiple edentulous 5. Cannot maintain RPD –
spaces mental/physical handicapped
5. Adjacent tooth are tipped – cannot be
used for FPD
6. Periodontal weakened abutment
7. Short clinical crown teeth
8. Insufficient number of abutment
9. Severe loss of tissue & edentulous
space
10. Old patient
Contraindication 1. Large amount of bone loss
2. Very young patient
3. Very old patient
4. Periodontally compromised abutments
5. Long span edentulous space
6. Bilateral edentulous space
7. Congenitally malformed teeth
8. Mentally sensitive patient – cannot
cooperate with invasive treatment
procedure
9. Medically compromised patients –
leukemia & hypertension
10. Distal extension denture base in class I
& II
Advantage Implant supported denture
- Permanent replace full set of teeth
- Feel like own natural teeth
Disadvantage Accelerate bone loss Implant supported denture
Instability - Expensive
Eventually lose their fit Bridge
Increase risk of caries & periodontitis
- Require to sacrifice healthy hard tissue
Treatment planning (EOB 2012/2013)