Prostho 3 (17-2-2022) 5 th Year Sara

Atiyah

Repairs and Additions to

removable partial denture
Denture surfaces: addition of 1 tooth for example in case of newly extracted tooth.

Different types of repair:

1. Repair of clasps
2. Repair of occlusal rests (very difficult)
3. Repair of major and minor connectors.
4. Repair should include either acrylic or
metallic.
5. Repair of loss of tooth (non-restorable
carious tooth) abutment or included in RPD
or not included.
6. How to include crown with the same RPD.

Repair of clasps:

Canine had gingival approach clasp which is

defected due to improper manipulation by the patient.

Instruct the patient to remove RPD from the end

of the base of denture and not from the clasp
(mishandling)

Displaced clasp must be corrected through

adjustment.

Casted clasp: flat towards the tooth and rounded outside (Co-Chr) I try to adapt my clasp and
bend bucco-lingually only.

Wrought wire clasp (ready-made) you can adjust in any direction since cross-section is circular.

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Prostho 3 (17-2-2022) 5 th Year Sara
Atiyah

Causes of fracture of clasp:

Nb 2: not well manufactured by the lab (porosities)

I remove
the broken part and I make reconstruction.

1. Over-all impression (I must make model where

the RPD will be seated on)

Either we make new clasp casted and attach it with

the base through self-cure

Or replace it with wrought wire and make

adaptation and bending with pliers inside the
denture base using self-cure.

Who is better? Wrought wire is better and easier

technique.

Wax pattern and then cast Co-Cr

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Prostho 3 (17-2-2022) 5 th Year Sara
Atiyah

Very difficult to solder casted clasp to occlusal rests.

Wrong design of clasp: occlusal rest must be mesially located (away

from the saddle area)

+ seond mistake: he used very rigid clasp that is aker clasp for free end
saddle case.

Patient is lucky since after clasp breakage, the dentist replaced it with
wrought wire.

Stress breaker (wrought wire is better)

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Prostho 3 (17-2-2022) 5 th Year Sara
Atiyah
Some companies make T-shaped wrought wires gingival approach (bending and adaptation)

To repair the clasp I need to:

1. Make loosening of the clasp on the other side a

little bit
2. Over-all impression using alginate
3. Replace broken clasp with wrought wire.

Case: clasp on the canine in the past and he took over-all

impression then introduced a wrought wire to the model.

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Prostho 3 (17-2-2022) 5 th Year Sara
Atiyah

Entrance of wire through palatal side for esthetic

purposes (in order to be hidden)

Can we make partial denture (metallic) without an occlusal

rest? Occlusal rest gives support to the denture

Wrought wire bended on tooth making half Jackson clasp

acts as an occlusal rest in acrylic denture

So, there is no denture without support (not necessary to

have classical occlusal rest).

Circumferential clasp doesn’t provide support.

If patient don’t have support from his teeth to his

denture, he will become a gum stripper (clasp strips on
his gum and makes pressure on tissues)

Breakage of major connectors:

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Prostho 3 (17-2-2022) 5 th Year Sara
Atiyah
Hold the 2 pieces together through sticky wax on the superficial layer (don’t put anything in the fracture
area)

And then make over-all impression.

Use sticky wax or black Gutta Percha

Tooth off: intact tooth but displacement occurred to it

and left the acrylic base (you must return it to the
same socket by self-cure acrylic resin)

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Prostho 3 (17-2-2022) 5 th Year Sara
Atiyah

Here we are not talking about tooth included in the design (no clasp is related to the broken tooth)

Insert Your RPD intra-oral

Select your stock tray and over-all alginate impression

Model obtained (make undercut by means of metallic loop

or grooves in metal framework, then select the appropriate
tooth and attach it to the loop using self-cure acryl.

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Prostho 3 (17-2-2022) 5 th Year Sara
Atiyah

If clasp on 4 and we were obliged to extract the 4, we have 2 problems:

1. I need to transfer the clasp to another tooth.

2. Replace a new tooth instead of the extracted one.

We are going to take over-all impression and pour models

Remove old clasp.

Add new tooth

Transfer the clasp to the neighboring.

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Prostho 3 (17-2-2022) 5 th Year Sara
Atiyah

Easier to add tooth to RPD (not included in the

design)

Difficult to extract tooth involved in RPD design and

replace it.

If you have an old RPD and want to transfer it into

complete denture, it is called transitional or interm or
treatment RPD (since the teeth remaining are mobile or
non-restorable anymore for example)

Also over-all impression.

Pour and fill the spaces of extracted teeth with acryl.

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Atiyah

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There is a certain technique through which we can make

crown with an existing RPD (since sound tooth is broken)

Preparation of crown

Seat of RPD

Inject light body rubber base

Then put
heavy body
overall

I must make crown with the same contour of the pre-

existing clasp.

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Prostho 3 (17-2-2022) 5 th Year Sara
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Impression of prepared tooth + dye for the crown.

Wax-up and try-in on the model every time.

Mostly metallic crown.

Crown must be adapted well to the framework that already

exists.

Survey crown: crown prepared to receive occlusal rest.

Rest seat done in the survey crown is called inset rest

seat.

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