Clinical RPD Treatment, Clinical Forms Flashcards
Prior to removable prosthetic clinical treatment, students complete:
- 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
what is done at the patients first appointment
- medical and dental history
- panoramic and periapical radiographs of potential abutment teeth- must be within previous year
- complete periodontal and restorative charting
- diagnostic casts
- pulpal evaluations of potential abutment teeth
what is done at the patients second appointment
- review radiographs
- any additional radiographs are taken
- identify any additional teeth requiring extraction
- pulp test potential abutments, if not previously done
- identify teeth requiring endo tx
- need for perio therapy already determined
what restorations might need to be done before RPD
- amalgams, composites
- single crowns, FPDs, RPDs , complete denture
- survey crowns: abutment
when are survey crowns done
- with large amalgams
- extensive caries
- inappropriate contours: not determined until diagnostic cast surveyed
what parts of the patients dentition needs to be evaluated at second appointment
- soft tissue, residual ridge support
- vertical space: patient in occlusion, diagnostic cast
- bony interferences: tuberosity
- supra erupted teeth
what is a pier abutment
stand alone tooth with edentulous spaces on either side
pier abutments should not be:
clasped
what should you do to pier abutments
use a FPD to close modification space
what is the RPD tx plan
- consultation with pros faculty
- survey diagnostic cast
- quality assurance worksheet
- consultation with pros faculty
what should be done prior to consult with pros faculty
mounted preliminary casts
how do you survey the cast
- determine potential path of insertion: potential guide planes, retentive undercut of indicated abutments
- mark survey line of abutments: measure and mark retentive undercut
- tripod sides of the cast
- indicate modification areas
what does the quality assurance worksheet require
pros faculty signature
what parts of the tx should be entered in axium
- indicate types and order of necessary treatment by appointment
- begin with disease control procedures first
- periodontic, surgical, endodontic treatment
- restorative prior to RPD tx: amalgams, composites, FPD, surveyed crowns
RPD guide plane preparations ______ the crown prep
may precede
