Advanced Removable Partial Dentures by James S. Brudvik

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By James S. Brudvik

Univ. of Washington, Seattle. textual content, for graduate scholars, at the detachable partial denture. Covers sufferer review, analysis, and remedy making plans; denture layout; mouth coaching; ultimate impressions and casts; laboratory building of the framework; upkeep, additions, and relines; protheses; attachments; and implants. Illustrated. DNLM: Denture, Partial, detachable.

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Extra resources for Advanced Removable Partial Dentures

Example text

11 within the 30 sion ann addtttonaltooth loss. TIIl ~ Isolated posterior' ahl l l lllt~nt on th e tooth-borne side is On ('11 a weakene d teeth, both rcstorutivcly and pcriodontally, and lllay Hot last tlte Ii li ~ o f tln- partial. III aut tctpation of till' loss o f this tooth, tile partial should be designed as if it WCT{' a Class I RP D . with raised rctcntivc mesh, a mesial rest on the pre-molar that wo uld become the p rime ulmtun-nt 0 11 that side of t lu- arch , and with the potential for fll'xihle eh"pillg 011 the prime ahut uu-nt.

Since the edentulous area is apt to lw extensive, ie . greate r tha n that which would normally be replaced with a fixed partial denture, rotational movements around a n axts that will run between the most uu-sial rigid contact of the Framework ami the an te rior abutment o n each side can be expected. ;e toward the tissue ta ke s place , allY po rtion of the major connector that is posteri or 10 this fulcr um will have a tendcncv to mo ve awav . From tl. t\ tissue (Fig 2~32 ). The further pos~ ter ior the casting extends , the gn 'ate r the pote-ntial for breaking contact wit h the so ft tissue.

In truth. fore mou th pre paratio n begins. tres:.. relief for the Class II RPD because the n-muiniug teeth. if prope rly contacred 011 p repared surfaces (and ill parti cular 011 gu id ing plane surfaces), will be able to SllppOrt the teeth IWing replaced as a can tileve r (F ig 2-25). ; food part id es, so the distal extension side will receive only minor load ing, O nly when the abutuu-nts are we ak and few in nu mber must we conside r red ucing tile length of the guiding planes and functional relief of the casti ng to allow limited rotation and partial loading of the edentulous ridge.

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