rpd Flashcards
KC1
bilat FES
tooth & tissue borne
KC2
unilat FES
tooth & tissue borne
KC3
pos bounded saddle
tooth borne rpd
KC4
single ant saddle
tooth borne rpd
objective of surveying
- determine best POI & POW
- identify which undercuts to block out (palatal/lingual, M/D)
- identify which undercuts to be used to aid retention (on buccal side)
where are GP placed
vertical parallel surfaces of abutment teeth
~1/2 - 1/3 axial height of tooth
what is resting position
habitual postural position when md of pt resting comfortably in an upright neutral position
FWS
space btwn md and mx in resting position. ~2-4mm
RVD
amt of seperation btwn mx md when md in resting position
OVD
amt of separation btwn mx and md when teeth in MI
RVD - FWS = OVD
consequences of too little FWS
- trauma to denture bearing tissues
- clicking during speech
- difficulty w phonetics
- strained appearance
- TMD
consequences of too much FWS
- lack facial support
- difficulties w mastication
- dribbling of saliva
- angular cheilitis
- cheek biting
- TMD
saddle
caries artificial teeth, covers alveolar ridges
rest
provides support
direct retention
clasps
indirect retention
rests placed opposite side of fulcrum line
connectors
units all components of RPD
what components provide support
rests, flanges
what components provide retention
clasps, gp
what components provide bracing
flange, connectors
steps to design denture
- outline saddle
- what kind of support (rests, gp)
- connector
- retention (clasps)
- reciprocators for CoCr
FES use what retention
rpi for cocr
rpr for acrylic (wrought wire can’t bend into an i bar)
types of enamel mod
rest seats ocl channel gp modify unfavourable undercut modifying ocl plane
3 mechanisms of retention
- physical forces (surfaces forces from saliva adhesion, fluid forces, atmp forces for border seal)
- muscular retention
- mechanical retention (direct and indirect retainers)