REMOVABLE
PARTIAL DENTURES
Prosthesis
Artificial appliance that
replaces any missing part of
the human body,
eg. Eye prosthesis.
leg prosthesis.
Dentulous :
A condition in which natural teeth
are present in the mouth.
Edentulous:
A condition in which the mouth is
without teeth.
Edentulous Patients
COMPLETE DENTURE
Partially Edentulous Patients
•Patients with partial loss of natural
teeth.
Removable Partial Denture = R.P.D Fixed bridge= F.P.D
Implant
Removable Partial Denture, R.P.D Fixed bridge
Implant
Removable Partial Denture (RPD)
• Removable dental
(appliance)
• Any prosthesis
THAT replacing
one or more
natural teeth and
associated oral
structures
Free End Edentulous Area (Distal extension
edentulous area): An edentulous area, which has
an abutment tooth on one side only .
Bounded Edentulous Area: An edentulous area,
which has an abutment tooth on each end
(side).
Abutment: A tooth, a portion of a tooth, or
that portion of a dental implant that serves
to support and/or retain a prosthesis.
Retainer: A component of a partial denture
that provides both retention and support
for the partial denture.
INDICATIONS FOR REMOVABLE
PARTIAL DENTURES
1- No abutment tooth posterior to
edentulous space (Free end edentulous area)
INDICATIONS FOR REMOVABLE PARTIAL DENTURES
2- Long edentulous bounded span, too
extensive for fixed restoration
INDICATIONS FOR REMOVABLE PARTIAL DENTURES
3- Periodontally weak teeth not sufficiently sound
to support fixed- partial denture.
Free end edentulous area
Periodontally weak teeth
4- Excessive loss of residual bone, the use of
flange or need to restore lost tissues.
INDICATIONS FOR REMOVABLE PARTIAL DENTURES
5- After recent extraction, usually done only to
improve esthetics, or for patient satisfaction.
6- Need of bilateral
bracing (cross
arch stabilization)
7- Young age (less than 17 years).
Young Old
Young age (less than 17 years)
has a high pulp horn
7- Enhancing esthetics in anterior region.
8-Economic considerations.
OBJECTIVES OF REMOVABLE PARTIAL DENTURES
Preservation of the Remaining Tissues
A- Preservation of the health of the
remaining teeth.
B- Prevention of muscles and TMJ
Dysfunction.
C-Preservation of the residual ridge.
D- Preservation of the tongue contour
and space.
Replacement of lost teeth prevents the migration
of teeth into the edentulous area following the
loss of the natural dentition
Migration of teeth
into the edentulous
area following the
loss of the natural
teeth
Change the pattern of mandibular closure as
a result of loss of some teeth
OBJECTIVES OF REMOVABLE PARTIAL DENTURES
Restore the Continuity of the Dental Arch
to Improve Masticatory Function
OBJECTIVES OF REMOVABLE PARTIAL DENTURES
Improvement of Esthetics, and
Providing Support to the Paraoral
Muscles, Lips and Cheeks
Enhance psychological comfort
*Restoration of anterior teeth
improves and restores appearance
*RPD should provide socially
acceptable esthetics
Restoration of Impaired speech
HAZARDS OF IMPROPERLY
DESIGNED PARTIAL DENTURES
Stagnation of food causes tooth
decay
Induce stresses on abutment teeth and
tissues Inflammation
Bone resorption
Improper occlusion cause T.M.J.
disorders.
Tooth decay
Inflammatory
changes of
soft tissues
HAZARDS OF IMPROPERLY DESIGNED PARTIAL DENTURES
Ill fitting denture Inflammation, ulceration ,gingival
recession, bone resorption
Sensitivity
from acryl
ADVANTAGES OF REMOVABLE PARTIAL
DENTURE OVER FIXED PARTIAL DENTURE
1- RPD constructed for any case whilst FPD
are confined to short spans bounded by
healthy teeth and with a normal occlusion.
2- Cheaper than fixed partial denture
3- They are more easily cleaned
4- They are more easily repaired
5- No tooth reduction is required
ADVANTAGES OF REMOVABLE PARTIAL
DENTURE OVER FIXED PARTIAL DENTURE
ﻣﺎ ﻫﻭ ﺍﻟﺷﻰء ﺍﻟﺫﻱ ﻳﺣﺎﻛﻰ
ﻛﻝ ﺍﻟﻧﺎﺱ ﻭﻟﻳﺱ ﻟﻪ ﺭﻭﺡ
ﻭﻻﻳﻌﻳﺵ ﺇﻻ ﺑﻘﻁﻊ ﺍﻟﺭﺃﺱ؟
CLASSIFICATION OF PARTIALLY
EDENTULOUS ARCHES
I- Classification According to the
LOCATION of the edentulous area
(kennedy classification).
Class I: Bilateral edentulous areas located posterior to the
remaining natural teeth.
Class II: Unilateral edentulous area located posterior to
the remaining natural teeth.
Class III: Unilateral edentulous area with natural teeth,
both anterior and posterior to it
Class IV: Single, bilateral edentulous area located anterior
to the remaining natural teeth.
Class I Class II
Class III Class IV
Kennedy Class I:
Bilateral edentulous areas located
posterior to the remaining natural
teeth.(Bilateral distal extension)
Kennedy Class II:
Unilateral edentulous area located
posterior to the remaining natural
teeth .
( Unilateral distal extension)
Kennedy Class III:
Unilateral edentulous area with
natural teeth remaining both
anterior and posterior to it .
Kennedy Class IV:
Single, bilateral (crossing the midline),
edentulous area located anterior to the
remaining natural teeth.
kennedy classification
Kennedy Class III Kennedy Class IV
Applegate's rules for applying Kennedy
classification
Rule1
Classification should follow mouth
preparations, since further extractions
may alter the class
If the left molar is extracted class III becomes class II
Rule1
Applegate's rules for applying
Kennedy classification
Rule2
If the third molar is missing
and not to be replaced, it is not
considered in the classification
Applegate's rules for applying
Kennedy classification
Rule3
If the third molar is present
and to be used as an
abutment, it is considered in
the classification
Rule3
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Applegate's rules for applying
Kennedy classification
Rule4
If the second molar is missing
and not to be replaced, because
the opposing second molar is
also missing, it is not
considered in the classification
Applegate's rules for applying
Kennedy classification
Rule5
The most
posterior
edentulous
area (or areas)
always
determines the
classification
Applegate's rules for applying
Kennedy classification
Rule 6
Additional
edentulous areas
other than those
determining the
class are referred
to as modification
spaces and are
designated by their
number
Applegate's rules for applying
Kennedy classification
Rule7
The extent of the modification
is not considered, only the
number of additional edentulous
areas
Applegate's rules for applying
Kennedy classification
Rule 8
There can be no modification areas in
class IV arches, because if there is a
posterior edentulous area beside the
anterior one, the posteroir will determine
the class and the anterior edentulous
area will be a modification to the class
Rule 8
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What about the following cases ?
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Kennedy’s
Class III
Kennedy’s Class III, Modification 2
Kennedy Class II Kennedy Class I mod. 1
Kennedy Class II mod. 1
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CLASSIFICATION OF PARTIALLY
EDENTULOUS ARCHES
II- Classification According to the
type of support of the R.P.D.:
1-Tooth and Tissue Supported RPD
(Tooth and tissue borne)
2- Tooth Supported RPD (Tooth-
borne) removable partial denture
3-Tissue Supported RPD (Tissue borne)
Tooth and Tissue Supported RPD
*Tissue Supported RPD Tooth Supported RPD
Tissue supported RPD
Non Metal As Acrylic Resin
(Temporary Acrylic Removable Partial Dentures)
Tooth-Tissue Supported RPD
Tooth Supported RPD
The Component Parts
of Removable Partial Dentures
Denture Base
Artificial Teeth
Supporting Rests
Connectors: Major Connectors
Retainers Minor Connectors
Direct retainers
Indirect Retainers
Parts of a Removable Partial Denture
Rests
Major Connectors
Proximal Plates/
Minor Connector
Denture Base Connectors
Retainers
Components Parts of a
Removable Partial Denture
• Denture bases.
• Rests and similar
components.
• Direct retainers.
• Indirect retainers.
• Major and minor
connectors.
• Stress breakers.
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