Introduction to
RPD
&
Terminology
Presented by-:
Aakriti Kaushal(1)
Aditya Mittal(2)
Adya Baranwal (3)
Aishwarya Singh(4)
Contents
Introduction
PROSTHODONTICS
“Prosthodontics is a branch of dentistry pertaining to the
diagnosis, treatment planning, rehabilitation and
maintenance of the oral function, comfort, appearance and
health of the patients with clinical conditions associated
with missing or deficient teeth and/or maxillofacial tissues
using biocompatible substitutes.”
(GPT10)
BRANCHES OF
PROSTHODONTICS
Prosthodontics
Removable Fixed Maxillofacial Implant
Partial Complete
Removable Prosthodontics
• “The branch of prosthodontics concerned with the replacement of
teeth and contiguous structures for edentulous or partially
edentulous patients by artificial substitutes that are readily
removable from the mouth by the patient.”
(GPT8)
Removable Partial Denture (RPD)
• It is defined as any prosthesis that replaces some teeth in a partially
dentate arch. It can be removed from the mouth and replaced at will
– also called partial removable dental prosthesis
(GPT8)
Parts of RPD Major
connector
Minor
connector
Rest
RPD Direct
retainer
Indirect
retainer
Denture base
Artificial
teeth
Components of RPD
Types of RPD
1.Acrylic partial denture
Temporary dentures
2.Cast partial denture
Acrylic partial denture
without clasps.
1. Acrylic partial
dentures:
Made of acrylic resin with clasps of
wrought wire.
Commonly referred to as ‘flippers’.
They are entirely tissue supported and
cause gingival recession with long term
use.
Acrylic
partialpartial
denturedenture with cla
with clasps
2. Cast partial dentures
These are mainly fabricated by the lost wax casting method.
The teeth and denture base are made of acrylic resin.
These are of two types-
i. Clasp retained – uses cast metal clasps for retention
ii. Attachment retained partials – uses prefabricated attachments for
retention
Attachments placed on 14 and 25 crowns
Attachment-retained cast partial
Clasp retained cast partial denture
denture
An RPD may be intracoronal or extracoronal depending on its type
of retention.
Temporary RPD - They are used where tissue changes are imminent.
They may be of three types:-
a) Interim denture
• Enhance the esthetics, stabilization and/or function for a limited
time
• Later replaced by definitive prosthesis
b)Transitional denture
• An interim denture in which artificial teeth are added as natural
teeth lost
c) Treatment denture
• Used for the purpose of treatment or conditioning of tissue
Tooth-supported RPD:
A dental prosthesis or part of a prosthesis that
depends entirely on the natural teeth for support
Tooth-supported RPD
Distal extension base RPD:
A removable dental prosthesis that is supported and retained
by natural teeth only at one end of the denture base
segment and in which a portion of the functional load is
carried by the residual ridge
Distal extension base RPD
TERMINOLOGIES USED IN RPD
Appliance
“It is a device worn by a patient in the course of treatment.”
e.g. orthodontic appliance , surgical ,space maintainer.
Abutment
“Any tooth or a portion of a tooth ,or that portion of a dental implant
that serves to support and or retain a prosthesis.”
Retainer
“The fixation device ,or any form of attachment applied directly to an
abutment tooth and used for the fixation of a prosthesis , is called
retainer.”
e.g. Clasps
Extracoronal partial denture
the retention of this prosthesis depends on the exact
parallelism of the two retentive units.
Tooth supported RPD
a partial denture that receives support from the natural
teeth at each end of the edentulous space or spaces.
Tooth tissue supported RPD
The denture base that extends anteriorly/ posteriorly and is
supported by teeth at one end and tissue on the other end –
distal extension partial dentures.
• Centric relation
it is the most posterior relation of mandible to the
maxilla at the established vertical dimension from which
lateral movements could be made.
Intracoronal partilal denture
Indications for RPD
Length of edentulous: -RPD preferred for longer edentulous arches.
Age:
Abutment tooth: when there is no tooth posterior to the
edent.space to act as an abutment, a RPD is preferred.
Periodontal support of remaining teeth: when it is poor RPD is
preferred because it requires less support from the abutment teeth.
Cross arch stabilization: when a remaining teeth have to be
stabilized against lateral and anterior-posterior forces, a RPD is
indicated.
Excessive bone loss.
Aesthetics.
Immediate tooth replacement after
extraction.
Emotional problems
RPD is generally preferred in the following conditions
• When more than 2 posterior teeth or 4 anterior teeth are
missing.
• If the canine & two of its adjacent teeth are missing.
• When there is no distal abutment tooth.
• Presence of multiple edent.spaces.
• If the teeth adjacent to edent.spaces are tipped ,they cannot
be used as an abutment for a fixed prosthesis.
•• If periodontally
Teeth with shortweakened teeth are present near the
clinical crowns.
edent.spaces.
• Insufficient no:of abutments
• Severe loss of tissue on the
edent.space.
• Old patients
Removable Partial Denture is Generally
Avoided in the following Cases -
Patients with a large tongue which tends to push the denture away.
Patient attitude: Mentally retarded patients cannot maintain a
removable prosthesis.
Poor oral hygiene: In such cases,any prosthesis is better avoided.
References
McCraken’s Removable partial prosthodontics A.B Carr David T Brown
12th edition
Stewart's - Clinical Removable Partial Prosthodontics - 3rd Edition
Textbook of Prosthodontics- Deepak Nallaswamy 2nd edition
V Rangarajan & TV Padmanabhan - Textbook of Prosthodontics- 2nd
Edition
