Partially Dentate Patients

Dr. M.N.Saad

Partially Dentate Patient

st 1

Visit

Diagnosis Treatment Plan

Address patients major complaint Not be dictated by the patient A treatment plan may not be achieved

Diagnosis
Major Complaint
What does the patient want.
Function Aesthetics

Diagnosis
History
Patient has had 7 dentures made. Patient has never had dentures.

Diagnosis
Will your choice of treatment deliver patients expectations Is the patient the right candidate for your treatment goals

Diagnosis
Intra-oral Examination
Data Collection

Diagnosis
Diagnostic Models Radiographs Periodontal Status Restorative Status Status of each tooth

Diagnostic Models
Acceptable Impressions

Diagnostic Models
Mounted Models
Hand Articulate Trial Base and Wax rims Putty or Compound Method

Diagnostic Models

Diagnostic Models

Diagnostic Models
Mounted Models

Diagnostic Models

Mounted Models
Intra Oral Space

Mounted Models
Plane of Occlusion

Radiographs

Radiographs
Potential Abutments Suspect Teeth

Periodontal Status
Pocket Depth
Radiographs

Restorative Status
Charting Status of existing restorations What needs to be redone Active disease

Status of each Tooth

On its own Abutment Potential

Diagnosis Problem List

Number of missing teeth Supra-erupted, rotated teeth Intra-oral space Occlusion Failing restorations Hopeless teeth Periodontal, operative, endo requirements

Treatment Plan
Partial Denture
Discard fixed options.why?

Treatment Plan

Treatment Plan

FPD or RPD
Antes Law

The total root surface area of the abutments should be equal or greater than the root surface area of the replaced tooth/teeth.

Antes Law

Antes Law

Exceptions Opposing mucosa borne dentition Optimal periodontal health Robust root forms Minimal span curvature

FPD or RPD

FPD or RPD

Treatment Plan
Removable Partial Denture
Immediate Partial Denture

Transitional Partial Denture

Definitive Partial Denture

Type of Partial Denture?

Transitional Partial Denture

Definitive Partial Denture

Diagnostic Problem List

Number of missing teeth Supra-erupted, rotated teeth Intra-oral space Occlusion Failing restorations Hopeless teeth Periodontal, operative, endo requirements

Treatment Plan
Selection of Abutment Teeth
Typically teeth adjacent to an edentulous area to be restored will be abutment teeth. Some other teeth in the arch maybe used according to your design.

Selection of Abutment Teeth

Selection of Abutment Teeth

What are you looking for in your abutment teeth?

Selection of Abutment Teeth

Abutment Teeth Radiographic Requirement Periapical X-rays of all potential abutments
Opposing Arch Status Periodontal Status Restorative Status Endodontic Status

Occlusal Status
Opposing natural teeth Opposing partial denture Opposing complete dentures How long is the edentulous span?

Occlusal Status

Periodontal Status
Crown/Root ratio Pocket Depths Bone Support Furcation Mobility

Periodontal Status

Periodontal Status

Restorative Status
Rests on Amalgams? Should I do a surveyed crown?

Restorative Status

Endodontic Status

st 1

Patient Visit - Prosthodontics

st 1

Visit

Prosthodontic Examination
Verifying your prior findings Do you need any pre-prosthetic work-up? Present treatment plan to patient

Pre-Prosthetic Requirements
Surgical Periodontal Restorative

Surgical
Extraction of hopeless teeth Tori Frenum Bony projections

Periodontics
Scaling

Periodontics
Pocket elimination Crown lengthning

Present Treatment Plan

Treatment Plan
Based on diagnostic information Based on patient requirements Based on evaluation of all the teeth