Design principles for RPD's Flashcards
What are the reasons for it to be advantageous for the clinician to design the denture for the patient? (4 points)
Clinicians have seen the patient:
- Tooth coniditon
- Periodontal condition
- Motivation
- Cost
We must always consider alternative treatments to dentures. What are examples of these? (3 points)
- No active treatment
- Fixed prosthesis (co nventional, resin-bonded)
- Implants
What is the process of designing a denture? (7 points)
- Saddles
- Support
- Retention
- Indirect retention
- Bracing
- Connectors
- Review and simplify
What is meant by ‘saddles’?
- The teeth being replaced
What is Kennedy class 1?
- Bilateral free-end saddle
What is kennedy class II?
Unilateral free-end saddle
What is Kennedy class III?
- Bounded saddle
What is Kennedy class IV?
- Anterior bounded saddle crossing the midline
What is meant by ‘support’?
- The resistance of the denture to occlusally directed load
What is class 1 Craddock’s classification?
Tooth borne
What is class 2 Craddock’s classification?
- Mucosa borne
What is class 3 Craddock’s classification?
Tooth and mucosa borne
What is meant by ‘retention’?
- Resistance of the denture to vertical displacement (lifting away from the tissues)
What are different methods of retention? (6 points)
- Clasps
- Soft tissue undercuts
- Adhesion (maxillary plates)
- Friction (guide-planes)
- Path of insertion
- Precision attackments/implants
What is ‘indirect retention’?
- Resistance to rotational displacement
- (do you have things on both sides of the axis of rotation)