RPD II

Mouth preparation

Mouth preparation

(Optimal health)

Mouth preparation

1. Treatment of oral lesions

2. Relief of pain, inflammation and infection
3. Completion of Required Surgical Procedures
4. Correction of Occlusal Plane Discrepancies
5. Re-establishment of Arch Continuity
6. Abutment teeth preparation

1.Treatment of oral lesions

Lichen planus , Leukoplakia , Erythroplakia

2. Relief of pain, inflammation and infection

Oral mucosal condition

Dental condition
Gingival and Periodontal tissue condition

2. Relief of pain, inflammation and infection

Oral mucosal condition
Denture stomatitis

candida , poor oral hygiene, ill-fitting
denture , immuno-compromised
Tx. Antifungal drugs
( ) , tissue
conditioner

2. Relief of pain, inflammation and infection

Inflammatory Papillary Hyperplasia

Tx.
tissue conditioner
Surgery
Denture Irritation Hyperplasia
Over extension
Tx.
Epulis Fissuratum

Tx. ,Tissue conditioner, Surgery

2. Relief of pain, inflammation and infection

- extention
-
-
- tissue
conditioner
-Surgery
Tissue conditioner
- tissue surface 2mm.
- 3-4
weeks

2. Relief of pain, inflammation and infection

Dental condition

- caries
-caries exposed pulp RCT

Gingival & Periodontal tissue

- SRP
-Periodontal surgery
-OHI
-Recall

3. Completion of Required Surgical Procedures

Surgical removal : impacted / embed tooth, cyst
Implant placement
Ridge Augmentation
Vestibular extention
Eliminate Torus or Exostosis
Frenectomy
Fibrous tuberosity

4. Correction of Occlusal Plane Discrepancies

Supraeruption

-Enameloplasty
- Inlay/onlay
- RCT
- Extraction
Tipped Molar

-
-
-
- RCT
- extraction

5. Re-establishment of Arch Continuity

= close space between teeth

6. Abutment teeth preparation

Laboratory procedure for RPD

skeleton

Design Transfer
Blockout and duplication
Relief
Wax pattern
Spruing investing and casting
Metal framework finishing

1. Design Transfer
Master cast Survey, Design

Study cast scoring, tripod

2. Blockout and duplication

Parallel block-out block path of

insertion
Ledge block-out block
Arbitrary block-out block
undercut

Parallel block-out

Ledge block-out

Arbitrary block-out

3. Relief
Torus

Retentive framework

Acrylic
Acrylic

4. Duplication
Dup. Agar

Investment

Refractory cast 1000

5. Wax pattern
Refractory cast Wax

Design

6. Spruing investing and casting

Spru Investment

7. Metal framework finishing

Investment Wax

>>>>>>>>>>

Electropolishing
Rubber polishing point

Electropolishing

Skeletal framework trial

1.
2. Clinical procedure
2.1 Fit the framework to the teeth
2.2 Check occlusion

1.

design

:

Major connector :

External & Internal finishing line

2. Clinical procedure
2.1) Fit the framework to the teeth
- Disclosing media
-Disclosing wax
-PIP
-Fit checker
-Artispot, Artispray
- Explorer




rest
shoulder of circumferential clasp
embrassure clasp

Interproximal extention of lingual plate


- Heatless stone
- Carborundum disc
- Brown and white stone

2. Clinical procedure
2.2) Adjust the framework to the opposite occlusion

-check centric & eccentric

-

- Articulating paper Plastic strip
check

Functional impression & Altered

cast

Impression
Preliminary impression

Functional impression

Functional impression


Kennedy classI,II,IV(
)



1. Elastomer
polysulfide polyether silicone
2. Zinc oxide eugenol

3. Mouth temperature wax


2
1. Special tray

2. Altered cast method

1. Special tray
tray CD tray
vestibule 2 mm. border
mold

- TP with Wrought wire clasp APD

- RPD
denture base



1. stop
2. pink wax

3.
4. acrylic resin

5. , stability,



1.

2. Border molding edentulous area

3. adhesive
4.

5.
6.

2. Altered cast method

1.

retentive framework
2.
3.

rest major connector

CD
4.


1. Functional relining method **
2. Selective tissue impression method **
3. Fluid-wax functional method

2.1 Functional relining method

- tray outline vestibule 2 mm.

- Border mold adhesive

- internal finishing line

- cast special tray

- cast boxing
CD

2.2 Selective tissue impression method

close

fitting tray

space
tray



- cast

sticky wax

- Boxing

- improve stone
- acrylic dental stone