By James S. Brudvik

ISBN-10: 0867153512

ISBN-13: 9780867153514

Univ. of Washington, Seattle. textual content, for graduate scholars, at the detachable partial denture. Covers sufferer overview, prognosis, and remedy making plans; denture layout; mouth coaching; ultimate impressions and casts; laboratory development of the framework; maintenance, additions, and relines; protheses; attachments; and implants. Illustrated. DNLM: Denture, Partial, detachable.

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Example text

If a full flange is desired , these soft tissue undercuts will have to d raw wi th the posterior gniding planes. It is often im possible to m ake this ulignmc-nt wi thout c r owning the abutment t£'l'lh. Anothe r solution is to p lan 0 11 a sho rt nange only- one that extends just to the Iw ight of con tour of the edentulous ridge when tlw path of insert lon/rcmoval £\\ors the abutment teeth . Decisio ns O il this d ilemma are often based 0 11 the need for a full fl :lIlge to res tore lip su pport.

Depending 0 11 the contact of the gllide plate, stres s relief ca n be created wi th this syste m for the Class I situation. \\'ht'll til(' l-bnr clasp is made of a suit able length and gauge of wire, additional advan tages are possible. Since the wire is added to th.. casting hy so ldering afte r the frame h:LS h~'~ ' 11 finished and po lished , it is possible to plan ' the clasp arm n"'ry close to tilt> buccal exte nsion of the guide pla te (Fig 2-17). \\'itll this distal posit ioning. the clasp ur tu become s shorte r an d mus t therefore 1)(' of a highe r gauge 10 retain flexibility (normally a 20-gauge wire wtll be chosen ).

The well-drawn design 011 the diagnostic cast rvmforces the level or quality desired in the final prosthesis. I\\11 Mouth Prepara tion Perhaps the most important step in th e coustructtou of a re movable parti al denture is the preparat ion of th e diagnostic cast. The process is broken down in to subtreetive mou th preparati on , that is, the red uctio n of existing to oth contours to SOHle p re determined klcal sta te , am i additive mouth preparat ion, the diagnostic waxing of co ntours that m ust h e altered with fixed appliances , be th ey crowns , bonded m etal gu iding planes or bonded composite res t sc ats.

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Advanced Removable Partial Dentures by James S. Brudvik

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