TOPIC: INSERTION, RELINING AND REBASING
🎯 KEY POINTS:
🔹Shim stocks are useful in verifying the presence and location of the occlusal contacts.
🔹Spoon denture is the maxillary interim RPD which is without clasp and whose palatal resin base resembles the shape of the spoon.
🔹It is usually used during periodontal treatment.
🔹RPD is preferred in periodontally compromised dentition as it provides cross-arch stabilization.
🔹Lingual plate prevents food impaction between the interproximal spaces between the teeth.
🔹Disjunct dentures are special type of stress breakers which consist of a bar and a slot.
🔹Spoon Denture resembles a spoon.
🔎 Troubleshooting During Metal Try-in And Fitting Of The Framework In Patient’s Mouth
👉 Troubleshooting during metal try-in of the framework
👉 Troubleshooting during fitting of the framework in the patient’s mouth
🔎 Post Insertion Instructions To The Partial Denture Patient
🔸The patient is advised for possibility of minor discomfort with the use of artificial prosthesis.
🔸The patient can have difficulty with speech and during eating.
🔸The patient is advised to maintain proper hygiene.
🔸After every meal, the dentures should be cleaned with a small stiff brush.
🔸The patient is advised to soak the dentures in cleansing solution for at least 15 min once daily.
🔸The patient should always remove the denture at night and place it in a water-filled container.
🔸The patient should follow strict follow-up regime.
🔸There may be a possibility of gagging with the new prosthesis.
🔸The patient should be taught the insertion and removal of the prosthesis in determined path of placement.
🔸The patient should never bite on the prosthesis to seat it.
🔎 Insertion And Postinsertion Problems And Their Management In Relation To RPD
🔸 To accurately fit the denture base to the edentulous ridge
🔸 To adjust the retentive clasps and correct occlusal discrepancies, if any
🔸 To instruct the patient on the maintenance of the prosthesis
✳️ Problems Encountered During Insertion
🔸Problems regarding correct fit of the denture base
🔸Occlusal discrepancies
🔸Problems with the retention of the prosthesis
✳️Problems During Post Insertion
⭐Irritation of the soft tissues
- Overextended denture base
- Tissue side of the denture base is rough
- Occlusal prematurities or discrepancies
⭐Irritation of the hard tissues
⭐Miscellaneous problems
- Gagging
- Cheek biting
- Tongue biting
- Pain on chewing
- Problems with phonetics
📌 RELINING: The procedure used to resurface the tissue side of the removable dental prosthesis with new base material, thus producing an accurate adaptation to the denture foundation area. (GPT 8th Ed)
💠 Inspected By Two Methods:
🔸Using thin mix of alginate
🔸Finger pressure
💠 Method Of Relining:
🔸Intraoral reline
🔸Laboratory reline
📌 SPECIAL REMOVABLE PARTIAL DENTURES
💡Guide Plane Removable Partial Denture
- Used to stabilize periodontally weakened teeth in three directions, i.e. mesiodistally, vertically and buccolingually.
- Guide plane RPD consists of multiple guide planes, multiple rests,clasps and rigid major and minor connectors
💡Role Of Lingual Plate
💡Disjunct Denture: Any component of the prosthesis that serves to allow movement between two or more parts. (GPT 8th Ed)
💡Spoon Denture: A maxillary provisional removable dental prosthesis, without clasps, whose palatal resin base resembles the shape of a spoon. (GPT 8th Ed)
💡Computer-aided RPD Designing
💡Flexible Dentures