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Removable Partial Dentures

A Removable Partial Denture (RPD) is an artificial appliance designed to restore one or more missing natural teeth for partially edentulous patients. It can be classified based on material (definitive or acrylic) and the position of the edentulous area (distal extension or bounded). The document also discusses indications, contraindications, and the Kennedy classification system for partially edentulous arches.

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14 views33 pages

Removable Partial Dentures

A Removable Partial Denture (RPD) is an artificial appliance designed to restore one or more missing natural teeth for partially edentulous patients. It can be classified based on material (definitive or acrylic) and the position of the edentulous area (distal extension or bounded). The document also discusses indications, contraindications, and the Kennedy classification system for partially edentulous arches.

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REMOVABLE PARTIAL

DENTURE (RPD)
• Prosthesis:
Is an artificial replacement of an absent
part of the human body.

• Prosthetics:
The art and science of supplying an
artificial replacement for missing parts of
the human body.
• Prosthodontics:
The branch of dentistry which deal with
replacement of missing teeth and
associated structure by using artificial
devices to restore function and esthetic.
• Divided to :

1. Fixed prosthodontics.
2. Removable prosthodontics
(complete / partial).
• Dentulous Patients:
Patients having a complete set of natural teeth.

• Partially Edentulous Patient:


Patients having one or more but not their
entire
natural teeth missing.
Removable Partial Denture (RPD)

An appliance that restores one or more


but not all of the missing natural teeth
and associated oral structures for
partially edentulous patients and it
can be removed by the patient .
Abutment
• A tooth, a portion of a tooth, or that
portion of a dental implant that
serves to support and/or retain the
prosthesis.
Types of RPD:

1)According to material:
a- Definitive (metallic):
Cast metal framework to which denture
plastic (acryl) and artificial teeth are
attached.
b- Acrylic (temporary):
A dental prosthesis used for a short
time for reasons of esthetics,
mastication, occlusal support .
2) According to position of
edentulous area in relation to
abutments:
a. Distal extension RPD:
It replaces free end edentulous Area
(Distal extension edentulous area =An
edentulous area, which has an
abutment tooth on one side only)
b. Bounded RPD:

it replaces Bounded Edentulous Area


(=An edentulous area, which has an
abutment tooth on each end).
Indications for RPD:
1) Free end edentulous area.

2) After recent extraction.

3) Periodontally weak teeth.

4) excessive bone resorption .

5) Young age (less than 17 years)

6) Economic considerations
Contraindication of RPD:

1) Mentally retarded patient.


2) Poor oral hygiene.
CLASSIFICATION OF PARTIALLY
EDENTULOUS ARCHES
Importance of classification

1- Differentiate between different partial


denture.
2- Facilities writing partial denture designs ,
referral and laboratory communication.
3- Formulate good treatment plan.
4- Anticipate difficulties commonly to occur
for each class.
Kennedy's Classification

• Proposed by Dr. Edward Kennedy.

• It is the most popular classification.

• It is based on locations and number of


edentulous areas.
1- Kennedy Class I :

• Bilateral edentulous areas located


posterior to the remaining natural teeth
2- Kennedy Class II :

• A unilateral edentulous area located


posterior to the remaining natural
teeth
3- Kennedy Class III :
• A unilateral edentulous area
bounded by natural teeth on both
anterior and posterior sides.
4- Kennedy Class IV :
• A single edentulous area located
anterior to the remaining dentition
(crossing the midline)
Applegate's Rules for Applying
the Kennedy Classification

• Applegate has provided the following 8


rules governing the application of the
Kennedy system.
1- Rule One:
Classification should follow rather
than precede extractions that might
alter the original classification.
2-Rule Two:
If the third molar is missing and not
to be replaced, it is not considered in
the classification.
3- Rule Three:
If the third molar is present and is to be
used as an abutment, it is considered in
the classification.

4- Rule Four:
If the second molar is missing and is not
be replaced (missing opposing), it is not
considered in the classification.
5- Rule Five:
The most posterior edentulous area or
areas always determine the
classification.
6- Rule Six:
Edentulous areas other than those, which
determine the classification, are referred
to as modification spaces and are
designated by their number.
7- Rule Seven:
The extent of the modification is not
considered, only the number of additional
edentulous areas are considered.
8- Rule Eight:
There can be no modification areas in
class IV Because any additional
edentulous space will definitely be
posterior to it and will determine the
classification.
• Class IV Partial dentures especially
those having long edentulous areas are
considered mesial extension bases.
Any question
??

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