Clinical RPD Treatment, Clinical Forms

Question 1

Prior to removable prosthetic clinical treatment, students complete:
(5)

Answer 1

• Comprehensive exam and oral diagnosis
• All necessary consults (medical and dental)
• Develop comprehensive treatment plan
• Survey articulated diagnostic casts
• Draw RPD design on diagnostic casts and have faculty approval

Question 2

Patient’s first appointment
(5)

Answer 2

• Medical & Dental History
• Panoramic & periapical radiographs of
  potential abutment teeth- must be within
  previous year.
• Complete periodontal & restorative
  charting
• Diagnostic Casts
• Pulpal evaluations of potential abutment
  teeth

Question 3

Patient’s second appointment
(6)

Answer 3

• Review radiographs
• Any additional radiographs taken
• Identify any additional teeth requiring
  extraction
• Pulp test potential abutments, if not
  previously done
• Identify teeth requiring endodontic treatment
• Need for periodontic therapy already
  determined

Question 4

Diagnose necessary restorations:
(4)

Answer 4

– Some identified at first visit
– Amalgams, composites
– Single crowns, FPDs, RPDs, complete
denture
– Surveyed crowns: abutment

Question 5

– Surveyed crowns: abutment
(3)

Answer 5

• Large amalgam
• Extensive caries
• Inappropriate contours: not determined until
  diagnostic cast surveyed

Question 6

Patient’s second appointment
– Soft tissue, residual ridge support
– Vertical space
(3)

Answer 6

• Patient in occlusion, Diagnostic cast
• Bony interference: tuberosity
• Supra-erupted teeth

Question 7

Patient’s second appointment
* Diagnostic Cast evaluation
– If necessary,

Answer 7

remake impression for
adequate extensions for final impression
trays

Question 8

Patient’s second appointment
If needed, — treatment of
remaining teeth

Answer 8

periodontal

– Also if periodontist advises to perform deep
scaling and root planing and re-evaluation: You
need to have the long-term prognoses of the
remaining teeth obtained prior to the restorative
consult.

Question 9

RPD Treatment Plan
1. Consultation with Prosthodontics Faculty:

Answer 9

• Preparation prior to Consultation:
  – Mounted preliminary casts

Question 10

RPD Treatment Plan
2. Survey Diagnostic Cast
(4)

Answer 10

–Determine potential path of insertion
* Potential guide planes, retentive
undercut of indicated abutments
–Mark Survey line of abutments:
Measure & mark retentive undercut
–Tripod sides of the cast
–Indicate modification areas

Question 11

RPD Treatment Plan
3.Quality Assurance Worksheet

Answer 11

• Prosthodontic faculty
  signature

Question 12

Treatment Planning Presentation
* All the treatments needed should be entered
in Axium:
(4)

Answer 12

– Indicate types and order of necessary treatment
by appointment
– Begin with disease control procedures first
– Periodontic, Surgical, Endodontic treatment
– Restorative
* Amalgams, composites, FPD
* Surveyed crowns:
– RPD Guide plane preparations may precede the crown
preparation

Question 13

Complete Clinical RPD Treatment Form
(8)

Answer 13

– RPD Mouth preparation
– Impression for Master cast
– Framework try-in
– Occlusal Record appointment
– Denture tooth try-in
– Final wax-up
– Delivery
– 24 and 72 hour adjustment