Removable Partial Denturei.

Identify this prosthesis- RPD

ii.

Given surveyor: a. Name it and importance To identify the undercut. To trace the bulbous contour of tooth and soft tissue. To record the cast in position in relation to the selected path of insertion for further reference. Determine placement of clasp and artificial teeth.

iii.

Function of each parts: a. Analyzing rod: To determine relative parallelism of surface on a dental cast.
b. Undercut gauges: To identify the position of desired undercuts.

c. Carbon marker: to mark the height of contour. d. Sheath: to prevent carbon marker from brake apart e. Wax trimmer: to trim excess wax during blockout procedures.
f. Taper tools: 20 and 60

iv.

Tripoding a. Function So that it can be repositioned for surveying

v.

2 objectives of measuring cast? To know the undercut area.

To get measurement line

vi.

Cast with blocking of unnecessary undercuts and applying wax relief: - Preparation of master cast - Following process : duplication of master cast

a. Function of relief wax - Space for acrylic to flow in GAC and protect underlying material

b. Duplication of master cast - Pouring the investment cast / refractory cast - Marking wax pattern according to design - Spruing - Investing the sprued wax pattern - Burn out - Casting - Removing the casting from the investment - Finishing and polishing

vii.

Cast with undercuts blocked:

a. Whats function of the wax placed on the cast? To stabilize placement of clasp and to block undercuts

viii. -

Why should have space? For acrylic to flow in and protect lower mucosa

ix.

Parts of partial denture a. Saddle :

Part in RPD that rests on and covers the alveolar ridge (of edentulous area) Includes the artificial teeth and gumwork Important or appearance and function of the denture

b. Support (rest) : Resistance to vertical movement of the denture base towards the ridge / mucosa

c. Retention (clasp) : Resistance to displacement of the denture base away from the ridge

d. Bracing Resisted horizontal forces against vertical surfaces of the teeth and the residual ridges.

e. Connector : connects all components Minor connector join the small components, eg. Rests and claps to the saddles and major connector. Major connector links the saddles and unifies the structure of the denture.

x.

Given components: a. Name components rest, clasp, lingual bar.

b. if gingival area <7mm, what is alternative for lingual bar? Plate and sublingual bar

c. Functions of rest: Support Separate the force of load Keep the denture location on the respective position As a barrier between teeth and denture.

xi. -

Types of rest as support component Occlusal rest Cingulum rest Incisal rest

xii. -

Connector Connects all components

a. Types of connector : minor nad major connector Minor connector join the small components, eg. Rests and clasps to the saddles and major connector. Major connector - links the saddles and unifies the structure of the denture.

b. Characteristics of the major connector Alloy compatible with oral tissues, must not cause allergic reaction Rigid and uses the principles of broad distribution of stress. Does not interfere with and is not irritating to the tongue Does not impringe on oral tissues when denture is placed, is removed or rotation tendencies in function Cover no more tissues than absolutely necessary Does not contribute to the retention of trapping food particles. Has support from other elements of the framework to minimize rotation tendencies in function. Contribute to the support of the prosthesis.

c. Types of maxillary major connector Palatal plate : single strap palatal major connector Single broad palatal major connector Full palatal coverage Ring connector or anterior-posterior bar type Anterior-posterior palatal strap U-shaped/ horseshoe shaped palatal major connector

d. Types of mandibular major connector Sublingual bar

Lingual bar Kennedy bar and dental bar Lingual plate Labial bar/ buccal bar

xiii.

Gingival approaching clasp and occlusal clasp a. GSC : I bar, Jbar, T bar OAC : C clasp, circumference clasp

b. GAC vs OAC 1/3 end of OAC (retentive arm/ flexible) should cross the survey line, enter u/c GAC contacts the tooth surface only at its tip, the remainder clasp arm is free of contact with mucosa of sulcus and gingival margin GAC : premolar , OAC : molar

c. Characteristics of GAC More retentive because trip action Less contribute to trap food debris (more hygiene) Not used for bracing

xiv. -

Kennedy classification Kennedy Class I - Bilateral edentulous areas located posterior to the remaining natural teeth. Kennedy Class II A unilateral edentulous area located posterior to the remaining natural teeth Kennedy Class III (bounded sadoles) A unilateral edentulous area with natural teeth anterior and posterior to it. Kennedy Class IV A single edentulous area located anterior to the remaining teeth.

Rebasing-

i. ii. iii. -

Indication: Looseness and instability of dentures Food trap under tissue surface of the denture Loss of vertical dimension Underextended peripheries Importance: Replace whole denture base material of an existing prosthesis with new denture base material. Differences between rebase and reline : Rebasing : the laboratory process of replacing the entire denture base material of an existing prosthesis with new denture base material Relining : resurface the fitting surface of the denture with a new material

Repair Denturei. Why the denture break? Stress of denture base Poor denture design Denture base is too thin Denture is not stable

ii. -

How to make a stronger denture to avoid fracture? Use resin with high impact. Use Co-Cr as base plate

iii.

Name the stage Rejoin using sticky wax and wooden stick.

Co-Cr Denturei. Picture showing corrosion at Co-Cr denture a. Other metals that can be used Type 4 Gold and stainless steel

ii. -

Characteristic: Less monomer content. Do not cause irritation, maintain health of mucosa. Good thermal diffusity. Rigid, radiopaque, high polish, light. More comfortable because it is thinner. Less density

iii. -

Component used: Rest, clasp C, lingual bar Alternative for lingual bar if gingival area is short from 7mm : lingual plate or sublingual bar.

iv. -

How to polish: Polish with electrolysis process. Felt mops and vosa polishing compound. Final buffing with CrO

Immediate Denturei. Function: Denture is placed at where the tooth is extracted after the ttoth extraction on the same day.

ii. -

3 types: Full flange Partial flange Open flange