OUTLINE

Prescription writing for : Removable partial denture Removable complete denture Fixed partial denture & crown implant

DESIGN PRESCRIPTION IN PROSTHODONTICS

Definition

A written direction for the preparation and use of an appliance .

REMOVABLE PARTIAL DENTURE

RPD DESIGN DIAGRAM

A satisfactory work authorization for an RPD design takes the form of an annotated diagram of the design produced after a thorough assessment of both the patient and of surveyed, often articulated , study casts.

COMPUTERIZED RPD DESIGN

Good quality coloured annotated design diagrams can quickly be produced using a computerized knowledge-based(or expert) system for RPD design. The development of such computerized RPD systems introduces the possibility of online discussion between dentist and dental technician of RPD design via the internet.

W h e n p r o d uci n g a d e s i g n d i a g r am i t i s h e l p f ul to u s e a p r o fo r m a , s u c h a s t h e ex a m p l e h e r e : P a t i e n t - n am e ; r e g i s t r a t io n n u m b e r D e n t a l p r a c t ic e p r a c t ic e a d d r e s s , te l e p h o n e ,f a x , em a i l, c l i ni c i a n s n a m e D a te o f n ex t a p p o i n t me n t D e n t a l l a b o r ato r y - l a b o r a to r y a d d r e s s , te l e p h o n e , f a x ,e m ai l ,j o b n u m b er, te c h n i ci a n s n a m e RPD design diagram R P D c o m p o n e n t s , m a te r i al s , s p e c i fi c i n s t r uc t i o n s , e . g . t y p e o f a r t i c ula to r A ny s t a te m e n t b y c u r r e n t l e g i s l a t i o n , e . g . t h o s e s t i p ula te d b y m e d i c al d ev i c es a g e n c y

 However well the design is produced, it still suf fers from the significant limitation of being two -dimensional representation of a three dimensional object. Designs that appear entirely satisfactory in two -dimensions can be obviously in need of modification when seen in three dimensions. Also subsequent transfer of two dimensional information by the technician from the paper diagram to the three dimensional cast can lead to error of interpretation. Therefore it is desirable for the dentist to draw on both prescription form and study cast before sending to the technician

SEQUENCE FOR DESIGN PRESCRIPTION

1. 2. 3. 4. 5. 6. 7. Saddles Support Retention Bracing and reciprocation Connector Indirect retention Review of completed design

COLOUR CODES FOR DESIGN PRESCRIPTION

Saddles Support Retention Bracing and reciprocation Connector Indirect retention

cast

surveying Saddles & support

Retention

Bracing & reciprocation

connector

DESIGN ON A CAST

COMPLETED FRAMEWORK OF A PARTIAL DENTURE

COMPLETE DENTURE

PRESCRIPTION FORM

FIXED PARTIAL DENTURE AND CROWN

IMPLANT SUPPORTED FIXED PARTIAL DENTURE

REFERENCE
British dental journal