32

Removable Prosthodontics

2

Removable Prosthodontics

• Artificial structures replacing teeth and tissues

• Restore lost functions– Stabilize arch– Improve aesthetics

• Additional training necessary

3

Patient Considerations

• Good communication

• Patient should be in good health, have a positive attitude, and be cooperative

• Fluctuations in the patient’s weight may alter fit of prosthesis

• Good oral hygiene is a must

4

Role of the Dental Assistant

• Prepare materials

• Record measurements and details

• Patient education and support

• Laboratory procedures

5

Diagnosis and Treatment Planning

• Patient examination

• Medical history reviewed

• Patient’s desire

• Consultation appointment

6

The Consultation Appointment

• Study models of patient’s mouth

• Radiographs mounted on a viewbox

• Patient’s photographs

• Visual aids to explain types

• Proposed treatment plan

7

Removable Partial Denture

• Advantages– Repairs and adjustments are easy– Fewer appointments– Easier to clean– Supports remaining teeth– Less expensive than the fixed model

8

Removable Partial Denture

• Considerations– Adequate root structure of remaining teeth

9

Components of Removable Partial Denture

• Metal framework• Rests• Connectors• Retainer• Denture base• Artificial teeth

RestsMetal framework

Clasp placement

Partial in place

10

Partial Denture Procedure

• Appointment schedule– Examination– Consultation– Final impressions– Try-in adjustment– Delivery– Adjustment

11

The Complete Denture

• Fabricated to replace all natural teeth

• Considerations– Bone loss – Lack of motivation to retain natural teeth– Remaining teeth have gross decay,

disease– Patient is edentulous– Lack of alternatives

12

Denture Components

Denture teethDenture base

13

Appointments for Complete Denture

• Examination• Consultation• Oral surgery• Final impressions

• Jaw relationships• Denture delivery• First follow-up• Adjustments

14

Denture Reline and Repair

• Chairside relining– Saves patient time– Patient will not be without dentures– Temporary solution

15

Denture Reline and Repair

• Repair– Always disinfect it before repair process– Some repairs will need lab work– Impressions may need to be made

16

Polishing the Removable Prostheses

• Dental lathe used to polish

• Do not overheat dentures!

17

The Overdenture

• Implants become anchors

• Retention and stability