Treatment Sequence for Partial Dentures

Treatment Sequence for Partial Dentures

If an RPD is part of planned Treatment:
PLAN THE RPD BEFORE BEGINNING ANY OTHER TREATMENT

•  Survey, tripod, heights of contour
•  Draw design on surveyed cast
•  Design approved before any treatment started:

o Affects direct restorations
o Can influence need for/preparations for crowns
o Insures RPD can be completed successfully
o NO EXCEPTIONS

CLINICAL STEPS
1. Diagnosis, Treatment Plan, Hygiene
2. Diagnostic Casts
3. Draw design & list abutment modifications on Prosthesis Design page
4. Instructor Approval
5. Complete Phase 1 treatment
6. Abutment modifications
7. Preliminary impression to check abutment modifications
8. Crown or Fixed partial denture’s for removable partial denture abutments (if necessary)
9. Final Framework Impression (must include hamular notches/retromolar pads for distal
extension removable partial dentures
10. Make two casts
11. Draw design on 2nd cast
12. Instructor approval/corrections
13. Complete RPD Framework Prescription (instructor signature required)
a. Second poured cast with design sent to Lab with 1st pour
14. Inspect wax-up
15. Framework Adjustment
16. Altered Cast impression, if needed
17. Try-in with teeth in wax
18. Process, deliver to patient

Category: Prosthodontics, WIKI