CLINICAL REMOVABLE PARTIAL DENTURE

Diagnostic chart
I. Personal Data
Name: File. No:
Age: Sex: Occupation:
Phone no.:

II. Medical history

Diabetes Blood diseases Transmissible diseases Arthritis

Bone diseases Other diseases

III. Dental history

The date of last teeth extraction.

The reason of loss of natural teeth.

An evaluation of the last denture (if present).

The cause of failure of previous dentures.

The expectations of the patients, and reasons for requesting

new dentures.

Presence of gagging tendency or any abnormal habits as clenching, o

bruxism.

Missing teeth ______________________________________

Proposed design
Description of the RPD case:

Clinical Steps Chart

Date Clinical step Supervisor’s

Signature/Stamp
Patient history and diagnosis

Treatment planning

Primary impression for maxillary arch

Primary impression for mandibular arch

Abutment preparation

Final impression for maxillary arch

Final impression for mandibular arch

Try in of metallic framework

Jaw relation record

Trial insertion of waxed denture.

Delivery of maxillary/mandibular denture

Post insertion follow up

Final signature

Final assessment:

Signature