RPD Lecture 10 Flashcards
what are types of temporary PRDPs?
interim
transitional
treatment
what are interrim RPD indications?
young patients that suffer from post traumatic tooth loss, rapid caries, hereditary partial anodontia
Health: Older patents with compromised medical conditions
TIme: A prosthesis needs to be completed ASAP
what are the uses for interim PRDPS?
maintain space
RE ESTABLISH occlusion
replace missing teeth (duh)
Service during perio or implant therapy
Condition patient to their fate of a definitive PRDP
what are interim RPDS?
these have wrought/ortho wire, ball clasps
interproximal acrylic struts
surface tension
adhesives
describe the hard tissue support for interim?
ball clasps,
wrought/ortho wire rests
cingulum, occlusal rests in acrylic
interproximal, marginal ridge support
describe the soft tissue support for Interim?
same as full dentures in distal extension patients
pterygomax notch
retromolar pad and tuberosity coverage
this is often used as an immediate replacement for teeth removed during a surgical appointment
interim PRDPs
how often should you check stability and replacement of an INTERIM PRDP?
stability and retention should be checked every 3-6 months
soft tissue conditions or chaired reline are essential and needed to compensate for tissue changes as a result of post surgical healing
so interim is like immediate denture?
what are transitional RPDS?
used for patient in making that transition to complete dentures
-used to avoid immediate extractions when some or all of the teeth are hopeless, but the patient is not physiologically ready for CDs
teeth are added o the RPD as they’re lost.
relining performed as needed.
no absolute restriction on the use of this prosthesis
what are other uses of RPD?
vehicle FOR TISSUE CONDITIONING
- splint to establish a new VDO or occlusal relationship and evaluate the patient’s progress like TMD therapy
- as an occlusal guard to correct or control undesirable oral habits
what is the best way to replace a tooth, extend a saddle, change a clasp, repair a broken clasp, add teeth, etc?
make a PICK UP ALGINATE impression.
- pour cast with the PRDP in the impression
- then, remove the PRDP from the cast to make the repairs
how to you perform a reline?
RPDP relines are accomplished similar to the CD relines.
K1 and K11 saddles are treated as altered cast impression trays, wash impression is made, rests/clasps engaged.
performa clinical remount to finalize the occlusion
what are the 6 reasons for interrims?
- Sake of appearance
- Maintenance of a space
- Reestablishment of occlusal relationships
- Conditioning of teeth and residual ridges
- Interim restoration during treatment
- Conditioning the patient for wearing a prosthesis