Interim Removable Partial Dentures

Interim Removable Partial Dentures

Short period of time Prior to a definitive denture Acrylic major connector, wrought wire clasps

Indications
Large pulps (cant fabricate bridge) Clinical crowns too short No usable undercuts

Indications
Children - permanent prosthesis would be quickly outgrown Temporary space maintenance (caries, trauma, congenitally missing teeth)

Indications
Temporary time or financial constraints Sudden loss of teeth, before sufficient healing has occurred (accidents, after extractions)

Indications
Transitional Denture Transition to a complete denture Teeth need to be extracted but not immediately (medically compromised) Patient is not psychologically prepared

Indications
Treatment Denture Improve a condition before a definitive denture

Indications
Treatment Denture Tissue conditioning

Indications
Treatment Denture Implant healing

Indications
Treatment Denture Alteration of vertical dimension / occlusion Determine how patient will respond to changes (TMD) Surgical Splint Removal of palatal tori

Interim Prosthesis Fabrication

Preliminary impressions Design the definitive partial denture
(interim denture will use similar design)

Interim Prosthesis Fabrication

Optional Step (preferred) Tooth preparations for a definitive RPD New alginate impression

Interim Prosthesis Fabrication

Maxillo-mandibular relations Articulate casts

Design
Clasps (Wrought wire 0.02) Circumferential

Design
Clasps (Wrought wire 0.02) Ball clasps Rest and retentive elements

Design
Clasps (Wrought wire 0.02) Adams clasps Rest and retentive elements

Design
Bracing Lingual/palatal major connector provides bracing Contacts teeth at the heights of contour

Design
Rests Usually wrought wire Acrylic may be used over cingulum rest seats Longer term use - cast retainers

Design
Major Connectors Full palatal coverage increases strength & stability Extend denture to first molar Retentive clasps embedded into major connector

Prescription Writing
Mark teeth to be extracted on the cast & write the teeth number on the prescription Draw a line around the teeth where the cast should be surgerized

Prescription Writing
Survey the cast & mark height of contour & retention areas (0.02) Indicate type of retentive clasp, rest & bracing

Prescription Writing
Indicate where rests, retention arms & bracing are to be placed, state tooth # & surface Draw the outline of the denture on the cast Identify shade & mould of teeth selected State the type of occlusion required

Adjustment
Commonly adjust:
interproximal extensions (A) where clasp exits from resin (B) tissue undercuts (C)
(McCracken's Removable Partial Prosthodontics, 11th Ediion. Elsevier, 2005)

Flipper
Slang - No Clasps