Adjusting a Removable Partial Denture Metal Framework

Adjusting a Removable Partial Denture Metal Framework

There should be no clicking sound when a Removable Partial Denture metal framework is being seated inside the patient’s mouth. Clicking sound is a sign of excessive force applied on the abutments. The clasps should engage the abutments passively. There should be no pressure or force to the abutments especially when there’s no dislodging forces applied to the Removable Partial Denture. Below is a simple procedure to adjust a casted upper Removable Partial Denture framework.

Correction fluid is used to check pressure points or areas on the framework.

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Removable Partial Denture with Metal Framework Case 2

Removable Partial Denture with Metal Framework Case 2

Removable Partial Denture with Cobalt Chromium Framework with premature contact on the occlusal and cingulum rests.


In Removable Partial Denture one piece casting, it is necessary to check and adjust everything in wax pattern stage before the metal framework is casted. It is difficult to adjust the metal framework without disrupting its fit.

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Flexible Lower Removable Partial Denture Case 2

Flexible Lower Removable Partial Denture Case 2

A lower flexible removable partial denture was fabricated for a 31 years old male patient. Missing teeth are 31, 33 and 41 FDI Two-Digit Notation, lower left central incisor, lower left cuspid and lower right central incisor. Flexite was used for the RPD flexible framework.

Lower Flexible Removable Partial Denture - Occlusal Side

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Fixed Partial Denture – Endodontically Treated Tooth

Fixed Partial Denture – Endodontically Treated Tooth

Tooth preparation for endodontically treated teeth for Fixed Partial Denture

Preop Periapical X Ray Showing Endo Treated Central and Lateral Incisor

Root canal

Remove only minimal tooth structure. Overenlargement can perforate or weaken the root. The thickness of the remaining dentin is the prime variable in fracture resistance of the root.

Coronal

As much of the coronal tooth structure should be conserved as possible.

Provisional Dental Crowns

Procedure

Tooth preparation for endodontically treated teeth is a 3 stage operation
1. Removal of the root canal filling material to the appropriate depth.
2. Enlargement of the canal.
3. Preparation of the coronal tooth structure.

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Removable Partial Denture with Metal Framework

Removable Partial Denture with Metal Framework

Cobalt Chromium Framework for Upper and Lower Removable Partial Dentures


A Removable Partial Denture with a framework of cobalt chromium is definitive denture treatment. Definitive in a sense that it has excellent mechanical qualities and offers denture design possibilities that consider periodontal health of the abutment teeth, esthetics and patient comfort. The design of the framework should be simple as possible, with bases and major and minor connectors avoiding contact with free gingiva and contacting alveolar ridge or the palate approximately 3 mm from the teeth.

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