TMD in Denture Treatment

TMD in Denture Treatment

Involvement of TMD in prosthodontics is oftentimes ignored. Denture treatment and other dental management usually concentrate on dentition and the surrounding structure setting aside the importance of temporo mandibular joint. We can not get away from the fact that the dental structure is at the interior segment of the mandible and the joint is at the posterior. Any manipulation or correction of the dentition is automatically reflects a certain degree of change at the joint area. Any kind of treatment approach without awareness of the joint’s existence may put the dentist at legal risk.

Fixed Partial Denture Treatment

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Treatment Removable Partial Denture

Treatment Removable Partial Denture

Lower Treatment Removable Partial Denture

A lower Treatment Removable Partial Denture for a 74 year old patient. Remaining teeth are 33, 32, 31, 43, 42 and 41. Cast clasps on abutment teeth 33 and 43. Treatment Removable Partial Denture, also known as Flipper, is a more affordable type of Partial Denture fabricated for temporary use.

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Single Tooth Removable Partial Denture

Single Tooth Removable Partial Denture

Single Tooth Removable Partial Denture in a Flexible Framework

Single Tooth Removable Partial Denture, also known as Nesbit, is a type of RPD to replace a missing tooth. It is composed of a single denture tooth and a flexible framework. Its clasps, rests and framework are all made of flexible plastic material.

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Unilateral Removable Partial Denture

Unilateral Removable Partial Denture

Photo of flexible unilateral removable partial denture


Unilateral Removable Partial Denture is fabricated using flexible framework. An example of this is valplast unilateral rpd. The flexible framework prevents the danger of damage to the lining of digestive systems in in cases of accidental swallowing of denture.

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Drawbacks in Removable Partial Dentures

Removable Partial Dentures allow versatility but when used to restore small spans they have the following drawbacks:

1. Problems of retention may take the denture unnecessarily complicated and bulky.
2. A removable denture does not always give the patient the confidence of one that is fixed.
3. There is a risk of accidental swallowing of a small removable partial denture.

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Occlusal Rests – Removable Partial Denture

Occlusal Rests – Removable Partial Denture

Occlusal Rests - Removable Partial Denture


Occlusal Rests and Lingual Rest of Removable Partial Dentures should be placed in well-prepared rest seats with rounded external borders. The thickness of Denture Rest should be about 1.5 mm to provide sufficient durability and rigidity. The occlusal rest should be placed in a region without contact with the opposing tooth. It is sometimes necessary to grind the opposing tooth to remove the contact.

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