Introduction To Removable Partial Dentures
Introduction To Removable Partial Dentures
Partial Dentures
Prosthodontics
Treatment Options for Partially Edentulous
Types of RPD’s
RPD Classification
Clinical Anatomy Tour
Prosthodontics
Restoration or replacement
of missing teeth & contiguous tissues
Maxillofacial
Fixed Removable
Congenital Conditions
Complete Dentures Cleft palate
Crowns, Onlays
Removable Partial Acquired Conditions
Fixed Partial Dentures Dentures - Injuries
(Bridges) - Conventional - Cancer
- Attachment
Facial & Intraoral
Prostheses
Implants
Treatment Objectives
Oral Health
Restore and/or improve mastication
Restore health and comfort
Improve Quality of Life
Treatment Options
Partial Edentulism
• No Replacement
• Fixed Partial Denture (FPD)
• Removable Partial Denture (RPD)
• Implant crowns/FPD
• Extractions & Complete Denture
Treatment Option: No
Replacement
Shortened Dental Arch (SDA)
• Patients can function
with as few as 20
occluding teeth
• No significant
difference in
• chewing
• discomfort
• This concept suggests that the minimum number of
occluding pairs of teeth required to provide satisfactory
levels of oral function may vary according to age and
other factors:
No posterior abutment
for a fixed prosthesis
Indications for RPD's
•Esthetics
•Mastication
•Occlusal support
Interim Denture
Major Connector
Connects parts together
Principal functions:
Unification
Rigidity
Components of a RPD
Minor Connector
Connects other components to
the major connector
Principle functions:
Unification
Rigidity
Components of an RPD
Direct Retainer
Provides retention
against dislodging
forces.
Components of RPD
Direct Retainer
Denture Base
Covers the residual
ridges
Supports the denture
teeth
Partially Edentulous Arch
Classification
May be over 65,000
possible combinations of
teeth and edentulous
spaces.
Facilitates communication
between dentists
Kennedy Classification
Class I
Bilateral edentulous areas
located posterior to all
remaining teeth
Kennedy Classification
Class II
Unilateral edentulous area
located posterior to all
remaining teeth
Kennedy Classification
Class III
Unilateral edentulous area
bounded by anterior &
posterior natural teeth
Kennedy Classification
Class IV
Single, but bilateral
(crossing the midline)
edentulous area located
anterior to remaining teeth
Applegate's Rules for the
Kennedy Classification
Rule 1:
Classification should follow rather
than precede extraction
Applegate's Rules for the
Kennedy Classification
Rule 2:
If 3rd molar is missing &
not to be replaced, it is not considered
in the classification
Applegate's Rules for the
Kennedy Classification
Rule 3:
If the 3rd molar is present and
to be used as an abutment, it is
considered in the classification
Applegate's Rules for the
Kennedy Classification
Rule 4:
If the second molar is
missing and not to be
replaced, it is not considered
in the classification
Applegate's Rules for the
Kennedy Classification
Rule 5:
The most posterior edentulous area
determines the classification
Applegate's Rules for the
Kennedy Classification
Rule 6:
Edentulous areas other than
those determining
classification are called
modification spaces
Applegate's Rules for the
Kennedy Classification
Rule 7:
The extent of the modification is not
considered, only the number
Applegate's Rules for the
Kennedy Classification
Rule 8: