Identify Kennedy classification o Class I BILATERAL edentulous area o Class II UNILATERAL edentulous area o Class III Unilateral bounded by teeth on both sides (like a bridge) o Class IV Single but bilateral (crossing midline) edentulous area located in the anterior Survey and design cast o Rules to remember: Maxillary Major Connectors 6mm from FGM Palatal strap at least 8mm wide Mandibular Major Connectors 3mm from FGM Lingual Bar 4-6mm in width (Need 7mm from FMG to vestibule) RPI I-bar i. Comes up at a 90 degree angle ii. 3mm of space from bar to FGM iii. 1mm of space from FGM to undercut iv. 2mm of space from undercut to height of contour R = rest on MESIAL P = proximal plate 0.01” Clasps o Arm that engages undercut: Begins above HOC Last 1/3 engages undercut, under HOC o Arm that is bracing: Never goes below HOC TISSUE STOP for distal extension!!! Prep rest-seats and guide planes o Molars / Premolars Rounded triangular shape 1/3 facio-lingual tooth width Marginal ridge lowered & rounded Floor inclined towards center o Cingulum Inverted “V” M/D length 2.5-3 mm F/L width 1 mm o Guiding Planes 3-4 mm B/L width 2-4 mm in height on tooth supported segment 1.5-2 mm in height on distal extension AKA ALWAYS GO WITH 2mm!!! Indicate any other necessary items for design Write Rx 2. Pediatric SSC #A o Page 163-169 in manual Class II MO #T Amalgam (prep only) o Page 156-161 in manual 3. Complete Removable Prosthodontics Fabricate maxillary custom impression tray using triad resin o Page 6 in manual o Mark on cast: Center of incisive papilla Center of posterior ridge Midline o Mark depth of vestibule in blue & outline of tray in red Red line 2mm shorter than blue but extend over back palate o Block out undercuts with wax & on rugae o Apply Vaseline on cast o Place traid in palate and adapt around o Trim material to red line o Smooth borders o Maxillary tray handle (page 8): 10-15 mm wide mesio-distally in anterior teeth region 3-5 mm thick bucco-lingually 22 mm long Inclined slightly labially o Cure for 4 mins o Take off cast & cure again
Fabricate mandibular record base & wax occlusal rim
o Page 29 in manual o Mark on cast: Retromolar pad posteriorly Upper 2/3 of retromolar pad Ascending ramus of mandible Center of posterior ridge o Record Base: Block out undercuts with wax Apply Vaseline on cast Cut V-shaped wedge out of middle of triad (pink triad) Adapt to cast and smooth edges Cure for 4 Take off case & cure again Smooth edges o Occlusal Rim Height of rim 15-18 mm from anterior border of baseplate (depth of vestibule) to incisal edge Width: 3-5 mm in anteriors 5-7 mm in premolars 8-10 mm in molars Posterior intersects at retromolar pad 2/3 height & beveled posteriorly and inferiorly (pictures on page 36-37)