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PROSTHODONTICS – PARTIAL DENTURE (Dr Hayati)

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

Indication & Contraindication

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)

Preference RPD FPD


1 Length of edentulous span Longer – to take support from the Short – produce excessive
tissues along the ridge & distribute force on abutment tooth
forces evenly
2 Age Old Young –large dental pulps, lack
clinical height
3 Abutment tooth No tooth posterior to edentulous If only present a posterior
space tooth for support
4 Periodontal support remaining Poor periodontal support Only good
teeth
5 Cross-arch stabilization Major connectors help to provide Provide only antero-posterior
cross-arch stabilization stabilization, limited lateral or
buccolingual stabilization
6 Esthetics Better esthetic – appearance of Less
natural tooth of arising from gingival,
easily to satisfy phonetic
7 Immediate teeth replacement Relining can be done as resorption Further ridge resorption will
after extraction occurs produce unesthetic
appearance
8 Excessive bone loss Provide good lip and cheek support, Difficult to place in ideal
establish normal facial contour position
9 Emotional problem Appointment is shorter & less Expensive & tedious dental
demanding procedure
10 Patient desires Economy Expensive

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