جامعـــة البصرة UNIVERSITY OF BASRAH
كليـة طـب االسنـــان COLLEGE OF DENTISTRY
فرعـ التعويضات االصطناعية Department of Prosthodontics
fourth Stage
ACADEMIC YEAR: 2019-2020
SCIENTIFIC REPORT
REPORT TITLE:
Mouth preparation for Removable partial denture
Under supervision:- Dr. Mohanad saleem
عبد العزيز محمد عبدالعزيز
Student's Mark
18
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جامعـــة البصرة UNIVERSITY OF BASRAH
كليـة طـب االسنـــان COLLEGE OF DENTISTRY
فرعـ التعويضات االصطناعية Department of Prosthodontics
Mouth preparation for Removal partial denture
INTRODUCTION
The preparation of the mouth is fundamental to a successful removable partial denture
service. Mouth preparation, perhaps more than any other single factor, contributes to
the philosophy that the prescribed prosthesis not only must replace what is missing but
also must preserve the remaining tissues and structures that will enhance the
removable partial denture.
Mouth preparation follows the preliminary diagnosis and the development of a
tentative treatment plan. Final treatment planning may be deferred until the response
to the preparatory procedures can be ascertained. In general, mouth preparation
includes procedures in four categories:
oral surgical
preparation
conditioning of
abused and
irritated tissues
periodontal
The objectives of the procedures involved in all four areas are to return the mouth to
optimum health and to eliminate any condition that would be detrimental to the
success of the removable partial denture.
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جامعـــة البصرة UNIVERSITY OF BASRAH
كليـة طـب االسنـــان COLLEGE OF DENTISTRY
فرعـ التعويضات االصطناعية Department of Prosthodontics
- Naturally, mouth preparation must be accomplished before the impression
procedures are performed that will produce the master cast on which the
removable
To establish a
partial denture will be fabricated. Oral surgical and periodontal procedures should
state of health in
precede abutment tooth preparation and should be completed far enough in advance
the supporting
to allow the necessary healing period. If at all possible, at least
and6contiguous
weeks, and
preferably 3 to 6 months, should be provided between surgicaltissues.
and restorative
To
dentistry procedures. This depends on the extent of the surgery and its eliminate
impact on the
overall support, stability, and retention of the proposed prosthesis. interferences or
obstructions to
the placement,
Objectives
removal and
function of
prosthesis.
Classification
To establish an
acceptable
occlusal
scheme.
To establish an
acceptable
occlusal plane.
To alter natural
tooth form to
accommodate
requirements of
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function of
prosthesis.
جامعـــة البصرة UNIVERSITY OF BASRAH
كليـة طـب االسنـــان COLLEGE OF DENTISTRY
فرعـ التعويضات االصطناعية Department of Prosthodontics
Mouth
preparation
Prosthodontic Non prosthodontic
procedures procedures
Procedures related to •Oral surgery
Occlusion •Orthodontics
•Restorative dentistry
•Periodontics
(fixed partial
dentures) •Endodontics
NON-PROSTHODONTIC PREPARATION
Relief of pain and infection
- Teeth that are causing pain or discomfort due to caries or defective restoration
and infection should be treated to eliminate pain Scaling, root planning, and
prophylaxis should be performed, and a rigorous oral hygiene program should
be established and carefully monitored.
Oral surgical preparation
- Should be completed as early as possible. Longer the interval between surgery
& impression procedure, more complete the healing & more stable the denture
bearing area. The important consideration is that the patient should not be
deprived of any treatment that would enhance the success of the removable
partial denture.
EXTRACTION
planned extractions should occur early
in the treatment regimen but not before
P a g e a| careful
4 and thorough evaluation of
each remaining
.tooth in the dental arch is completed
جامعـــة البصرة UNIVERSITY OF BASRAH
كليـة طـب االسنـــان COLLEGE OF DENTISTRY
فرعـ التعويضات االصطناعية Department of Prosthodontics
Removal of Residual Roots
All retained roots or root fragments
should be removed
particularly if they are in close
proximity to the tissue surface or
if there is evidence of associated
.pathologic finding
Residual roots adjacent to
abutment teeth may contribute to
.progression of periodontal pockets
Impacted Teeth
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جامعـــة البصرة UNIVERSITY OF BASRAH
كليـة طـب االسنـــان COLLEGE OF DENTISTRY
فرعـ التعويضات االصطناعية Department of Prosthodontics
All impacted teeth including those in
edentulous areas as well as those adjacent
.to abutment teeth should be removed
Asymptomatic impacted teeth in elderly
that are covered with bone with no
evidence of pathologic condition should
be left to preserve arch morphology
Malposed Teeth
The loss of individual teeth or groups of
teeth may lead to extrusion, drifting or
combinations of malpositioning of the
.remaining teeth
The alveolar bone supporting the extruded
teeth is also carried
.occlusally in some instances
In such situations, individual tooth or
groups of teeth and their
supporting alveolar bone can be surgically
e|6
P a grepositioned if
.orthodontic treatment is not possible
جامعـــة البصرة UNIVERSITY OF BASRAH
كليـة طـب االسنـــان COLLEGE OF DENTISTRY
فرعـ التعويضات االصطناعية Department of Prosthodontics
Cysts and Odontogenic Tumors
Panoramic radiographs should be
taken for ruling out unsuspected
.pathology
Radiolucency and radiopacities
noted in the radiograph should be
investigated, and the diagnosis
should be confirmed through
.biopsy
.Surgical removal should be done
Exostoses and Tori
The existence of abnormal
bony enlargements should not be
allowed to compromise the design of
.the removable partial denture
Mucosa covering these bony
protuberances is usually thin and
.liable to ulcerate
Denture design may be modified to
accommodate the exostosis but could
Page | result
7 in additional stress to the
supporting elements and compromised
.function
If so surgical removal of exostosis and
جامعـــة البصرة UNIVERSITY OF BASRAH
كليـة طـب االسنـــان COLLEGE OF DENTISTRY
فرعـ التعويضات االصطناعية Department of Prosthodontics
Hyperplastic Tissue
Hyperplastic tissues are seen in the
form of fibrous tuberosities, soft flabby
ridges, folds of redundant tissue in the
vestibule or floor of the mouth, and
.palatal papillomatosis
All these forms of excess tissue should
be removed to provide a firm base for
.the denture
Tissue conditioning
Conditioning of the tissue is required if:
Periodontal preparation
- Periodontal preparation usually follows
- Denture-bearing mucosa is irritated or inflamed.
- Anatomical structures like rugae, incisive papillaorand
is performed
retromolar simultaneously
pad with
are distorted. oral surgical procedures and is
completed
- Burning sensation in tongue, ridge area, cheeks and lips. before restorative procedure.
The success of the prosthesis depends
directly on the health and integrity of the supporting structures of the remaining
teeth.
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جامعـــة البصرة UNIVERSITY OF BASRAH
كليـة طـب االسنـــان COLLEGE OF DENTISTRY
فرعـ التعويضات االصطناعية Department of Prosthodontics
Endodontic and restorative treatment
- Teeth with pulpal involvement and root end pathology are candidates for
endodontic therapy. Restorative therapy like - crowns, inlays, onlays,
restoration of carious lesions and replacement of defective restorations should
be integrated with endodontic treatment.
- Use of pulpless teeth as an abutment It is considered when pulpless teeth that
has been treated endodontically is presented as a potential abutment in mouth of
patient for whom a removable partial denture is to be made.
Orthodontic treatment
:Orthodontic preparation is carried out to achieve the following
- Reduce the need for prosthetic teeth as much as possible.
- Position the teeth to allow the most natural prosthetic replacement of teeth.
- Create sufficient vertical height to allow room for placement of artificial teeth.
- Allow sufficient occlusal guidance on natural teet
CONCLUSIO
N
The success or failure
of a removable partial
denture depends on References
how well the mouth
preparations were
Stewart’s clinical removable partial
prosthodontics, 3rd ed
McCrackens removable partial prosthodontics, 12th ed
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جامعـــة البصرة UNIVERSITY OF BASRAH
كليـة طـب االسنـــان COLLEGE OF DENTISTRY
فرعـ التعويضات االصطناعية Department of Prosthodontics
Removable partial dentures-A Practitioners’ Manual, Olcay Şakar
McCracken, W. L: Mouth Preparations for Partial Dentures, J. Pros. Den.
6:39-52, 1956
Mills M. Mouth preparation for removable partial dentures. J Am Dent
Assoc 1960; 60:154-159
Glann G.W, Ralph C. Mouth preparation for removable partial dentures.
J. Pros Den 1950:10:698-706
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