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  • RPD Clinical Protocol Summary

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    bkprostho
    50 tayangan30 halaman
    The document outlines the clinical protocol for removable partial dentures (RPDs) which involves 15 steps: 1) diagnosis and treatment planning; 2) diagnostic casts; 3) drawing the design and modifying abutment teeth; 4) taking final impressions; 5) pouring master casts; 6) fabricating the metal framework; 7) trying in the framework; 8) making any necessary modifications; 9) taking an altered cast impression; 10) adding artificial teeth; 11) processing the denture; and 12) delivering the final RPD to the patient. Key steps include abutment modifications, border molded impressions using polyvinyl siloxane, and framework try-ins to ensure proper fit.

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    Clinical Protocol

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    The document outlines the clinical protocol for removable partial dentures (RPDs) which involves 15 steps: 1) diagnosis and treatment planning; 2) diagnostic casts; 3) drawing the design and modifying abutment teeth; 4) taking final impressions; 5) pouring master casts; 6) fabricating the metal framework; 7) trying in the framework; 8) making any necessary modifications; 9) taking an altered cast impression; 10) adding artificial teeth; 11) processing the denture; and 12) delivering the final RPD to the patient. Key steps include abutment modifications, border molded impressions using polyvinyl siloxane, and framework try-ins to ensure proper fit.

    Hak Cipta:

    © All Rights Reserved
    Unduh sebagai PPTX, PDF, TXT atau baca online dari Scribd
    Tandai sebagai konten tidak pantas
    50 tayangan30 halaman

    RPD Clinical Protocol Summary

    Diunggah oleh

    bkprostho
    The document outlines the clinical protocol for removable partial dentures (RPDs) which involves 15 steps: 1) diagnosis and treatment planning; 2) diagnostic casts; 3) drawing the design and modifying abutment teeth; 4) taking final impressions; 5) pouring master casts; 6) fabricating the metal framework; 7) trying in the framework; 8) making any necessary modifications; 9) taking an altered cast impression; 10) adding artificial teeth; 11) processing the denture; and 12) delivering the final RPD to the patient. Key steps include abutment modifications, border molded impressions using polyvinyl siloxane, and framework try-ins to ensure proper fit.

    Hak Cipta:

    © All Rights Reserved
    Unduh sebagai PPTX, PDF, TXT atau baca online dari Scribd
    Tandai sebagai konten tidak pantas
    dari 30

    Removable Partial Dentures:

    Clinical protocol for RPD


    Dr. Haroon Rashid Baloch
    Department of Prosthodontics
    Ziauddin College of Dentistry

    RPD Protocol Summary


    1.
    2.
    3.
    4.
    5.
    6.
    7.

    Diagnosis, Treatment Plan, Hygiene


    Diagnostic Casts
    Draw Design & list abutment modifications
    Abutment modifications
    Preliminary impression to check modifications
    Final Framework Impression
    Pour two casts

    RPD Protocol Summary


    9.
    10.
    11.
    12.
    13.
    14.
    15.

    Draw design on 2nd cast


    Cast to Lab with 1st pour & prescription
    Inspect framework wax-up
    Framework Adjustment
    Altered Cast impression, if needed
    Try-in with teeth in wax
    Process, deliver to patient

    Diagnosis & Treatment


    Planning
    Gather diagnostic info
    Make preliminary impressions
    Pour diagnostic casts
    Survey

    the cast

    Formulate Treatment Plan

    Overall Treatment Plan


    Specific RPD Treatment
    Plan
    Select abutments, direct

    retainers
    Major connectors
    Position of rests, retentive and
    reciprocal arms

    Abutment modification
    Prepare

    rest seats and guide planes

    Final Impressions for Partial


    Dentures

    Framework Impression
    Altered Cast Impression

    Framework Impression
    Border Molded Custom Tray
    Tray that is made for
    patient
    Mold tray periphery with
    thermoplastic compound

    Framework Impression
    Material

    of Choice

    Polyvinyl Siloxane

    Framework Impression

    Polyvinyl siloxanes
    Excellent dimensional stability
    Good tear strength
    No taste
    Glove contamination
    Relatively hydrophobic -

    improved

    Prior to the Final Impression


    No plaque or calculus
    Healthy soft tissues
    Initial therapy complete

    Evaluating the Impression


    Mandible
    Record measurements
    Transfer to cast - inferior

    framework border

    Evaluating the Impression


    Impression

    integrity

    No significant tears
    Not separated from tray

    Evaluating the Impression


    Critical Anatomy Recorded
    Vestibular depths
    Hamular notches (marked)
    Vibrating line (marked)
    Retromolar pads
    Frenal attachments
    Floor of mouth (measured)

    Preparation for Impression


    Practice

    inserting & removing

    tray
    Dry tissues

    Preparation for Impression

    Block out
    large embrasures
    bridge pontics

    Dont cover occluding or framework surfaces

    Preparation for Impression


    Teeth

    stick

    must be DRY for wax to

    Framework Impression

    Syringe low viscosity


    material
    Around abutment teeth
    Over occlusal surfaces

    Use care in rest seats


    Do not over fill trays
    - overextension

    Framework Impression
    Medium

    viscosity in tray

    Increased filler content


    less shrinkage
    Less displacement of soft

    tissues than high


    viscosities

    Evaluating the Impression

    Absence of Significant Voids


    Any area where metal contacts
    abutment (e.g. rests, minor
    connectors)
    Any area where major or minor
    connectors contact soft tissue

    Evaluating the Impression

    Peripheries well defined


    Accurately records supporting

    tissues
    Allows for all elements of design

    Master Cast
    Box the impression and pour in
    improved dental stone
    Vacuum mix stone
    Allow to set at least 1 hour

    strength to resist fracture

    Master Casts
    No significant bubbles or
    flaws
    Teeth not fractured from
    cast
    Includes all anatomical
    surfaces of final
    impressions

    Master Cast
    Base parallel ridge
    12 mm (.5) thick (minimum)
    Evidence of a dense stone surface
    Clean

    & well trimmed (keep wet while


    trimming)

    Framework Impression
    Draw design
    Send to Lab with

    Work

    Authorization for
    framework fabrication

    Framework

    Trying in of framework

    Altered cast technique

    Trying in with teeth in


    wax

    Insertion

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