Prosthodontist Day 2019

An Unconventional Approch
to avoid disadvantages of
FPD and RPD
Burdwan Dental College & Hospital
Dept. Of Prosthodontics
By Dr.Jahar Roy
Dr. Aquila Aini Anwar
 INTRODUCTION
No single design philosophy can be
considered “ correct” above all others.
Variations are possible as long as diagnostic
information and good mechanical principles
form the basis of the design which
determines the outcome and long term
success of the treatment.

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 Disadvantages
RPD FPD
Expensive Expensive
High preparation skill Extensive tooth reduction
Time consuming mouth Subgingival finish line make it
preparation prone to periodontal problems
Highly complex design technique Chances of loss of tooth vitality
Visible metal cast Sensitivity
Weight
Extensive coverage

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The essential requirements for a
properly constructed prosthesis
Support (Resistance to vertical seating forces)
Retention(Resistance to Vertical Displacing forces)
Stability (via bracing action ,resistance to horizontal forces)
Esthetics
Function with forces operating within the physiological
means of supporting tissues
Preservation of remaining tissues of oral cavity

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The components of FPD which fulfills
the different mechanical requirements
of prosthesis
Parallelism - (via guide plane and proximal plate for
rpd and mutual parallelism in path of insertion for
fpd)
Stability – ( via major connector and clasp
encirclement for rpd and proper axial
length,functional cusp bevel and tooth preparation
done on surfaces for fpd)
Retention-( via direct and indirect retainer for rpd
and low convergence taper,length ,surface area and
roughness to fitting surface,single withdrawl path)
Support- (via occlusal rest for rpd and preparartion
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length and from adjoining abutments)
Different types of clasp combination
(accomodation Type)
Rpi
By Kratochvvil
Use of mesial rest or rest away
from abutment
I junction bar direct retainer
Long distal guide plane upto
tooth tissue junction
Rpa
By Elison
Mesial rest towards abutment
engaging mesial undercut
Circumferential clasp arm arising
from the superior portion of
proximal plate
Short guide plane
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Design Principles implemented in the
following prosthesis designs
First any type of non accomodating clasp like circumferential or
embrassure clasp is used. But we have changed them by adding a
long proximal plate .thus we have guide lines in each of the
adjoining teeth which facilitates parallelism and single path of
withdrawl.
Second we are using linguoplate or horse shoe major connector
that provides intimate bracing without extensive coverage
Instead of minor connector we are extending the clasp from major
connector via proximal plate thus providing more than 180
degree embracement principle along with the rest .
Even as per the case situation we are using mesial n distal rests.
Thus the principles of the conventional clasp designs have been
brought together to bring this design prosthesis into fruition.

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Advantages
Ease in preparation
no complexity in design like cast RPD
no extensive tooth preparation like FPD
Cost effective
No damage to supporting tooth structures

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Case 1#
A 50 year old woman came with missing teeth from left canine to
right canine. Initially she was experiencing pus and discharge from
her anterior teeth for which she underwent periapical surgery.
However the problem persisted and she had to extract them. She
preferred an non invasive means of tooth replacement with fpd like
results.

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Here guide planes were constructed keeping it parallel to the
premolars of either side and also to that prepared on molar.
No minor connector used.But major connector gives way to
the embrassure clasp and rest and thus fufill the 180
encirclement principle. Here reduction interproximally done
to provide the space for the proximal plates on each side of
the tooth.
Both distal and mesial rests used.the occlusal force
distribution was even.
No extensive palatal coverage done.

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*Case Report 2
*The following case reports describes an
alternative technique of complete
rehabilitation of a patient aged 19 years
male with Oligodontia with chewing
insufficiency. Extra oral examination
revealed no significant disproportionation
and deformity. Intraoral and radiographic
examination revealed presence of only
two central incisors , canines , and first
permanent molars in upper jaw while in
lower jaw it was primary molars in place
of permanent. He also sought an non
expensive means of tooth replacement.
 In order to improve the appearance, mastication, and
speech, the treatment plan included a removable cast
partial denture in both jaw with some design alternatives
described below.
*With molars as abutments circumferential clasps with
proximal plate in the edentulous space given have been.
Occlusal rest sit preparation was done on distal proximal
side
*linguoplate provides the necessary encirclement clasp
engages mesiobuccal undercut from distal side .
*Occlusal check records has been taken and for lower jaw
same design considerations was taken. Necessary indirect
retention was provided by clasps on premolar engaging
mesiobuccal undercut .
*Occlusion has been established accordingly.
 * A 24 yr old female patient came to the
Case Report 3 department of Prosthodontics & Crown & Bridge
of Burdwan Dental College & Hospital on
January 2016, with a complain of upper right
anterior edentulous space. A complete medical
and dental history was obtained. History
revealed that she had lost her upper right
lateral incisor & canine 15 yr ago due to
trauma. Initially patient had a fixed prosthesis
in her mouth in that region for a period of 5/6
yrs taking the central incisor & 1st premolar as
the abutment. But few months back there is pain
and discharge of pus from the 1st premolar while
the central incisor became non vital. So the
former tooth was extracted and the later one is
endodontically treated.
Working Model And
Undercut blocking
Here reduction of upper
right central incisor was
done fr parallelism,taper
and aesthetics.Then a
temporary prosthesis given.
Fabricated temporary prosthesis in patients mouth without
mouth preparation that is adequately retentive as well as
prevent the dislodgement forces
Model after mouth preparation
Another view
Thank You