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Questions and Answers
What is the main purpose of a Removable Partial Denture (RPD)?
An edentulous patient is one who has some natural teeth remaining.
False
What does 'prosthodontics' refer to?
The branch of dental art and science that pertains to the replacement of missing teeth and oral tissues.
A _____ is an edentulous area with an abutment tooth on one side only.
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What is a common indication for using a Removable Partial Denture?
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Match the types of patients with their respective descriptions:
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Overeruption refers to the phenomenon where remaining teeth drift and rotate.
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What is meant by 'bounded edentulous area'?
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Which of the following is NOT an indication for removable partial dentures?
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Removable partial dentures are typically more expensive than fixed restorations.
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What is a primary component of removable partial dentures that provides support?
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Excessive loss of residual bone may necessitate the use of a ______ or the need to restore lost tissues.
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Match the following components of removable partial dentures with their functions:
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Which age group is often considered for removable partial dentures due to the presence of pulp horns?
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A single standing abutment is considered an indication for removable partial dentures.
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List one advantage of removable partial dentures over fixed partial dentures.
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Study Notes
Terminology
- Prosthetics: Replacing absent body parts
- Prosthesis: Artificial replacement of an absent body part
- Prosthodontics: Replacing missing teeth and oral tissues.
- Removable Partial Denture (RPD): A removable dental prosthesis replacing one or more missing teeth.
- Free End Edentulous Area: An edentulous area with an abutment tooth on one side only.
- Bounded Edentulous Area: An edentulous area with an abutment tooth on each end.
- Abutment: A tooth, portion of a tooth, or dental implant that supports and retains a prosthesis.
Purpose of RPDs
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Preservation of remaining teeth and tissues:
- Prevents drifting and rotation of teeth
- Prevents continuous eruption of unopposed teeth
- Prevents overclosure and protrusion of the mandible
- Prevents trauma to the oral mucosa
- Prevents facial or temporomandibular joint pain
- Improve masticatory function: RPDs help restore chewing ability
- Improve esthetics: Enhance the appearance of missing teeth
- Restoration of speech: RPDs assist in proper articulation
- Psychological benefits: Improve confidence and self-esteem
Indications for RPDs
- No abutment tooth posterior to edentulous space (free end edentulous area):
- Long edentulous bounded span too extensive for fixed restorations:
- Periodontally weak teeth not strong enough for fixed partial dentures:
- Excessive loss of residual bone: Requiring labial flange or restoration of lost tissues
- After recent extraction:
- Need for cross-arch stabilization:
- Young age (less than 17 years): When pulp horns are higher
- Economic considerations and patient preference:
Contraindications of RPDs
- Tooth-bounded short span:
- Single standing abutment:
- Poor abutments due to mobility and morphology:
- Chronically poor oral hygiene and rampant caries:
Advantages of Removable over Fixed Partial Dentures
- Wide range of indications:
- No loss of natural tooth substance:
- Cheaper than fixed restorations:
- Easier to add to or repair:
- Simplified oral hygiene:
Components of RPDs
- Denture bases and replacement teeth: Form the foundation and artificial teeth
- Rests: Provide support by contacting the abutment tooth surface
- Direct retainers (clasps): Hold the denture onto the tooth
- Indirect retainers: Prevent tipping or lifting of the denture
- Major connector: Connects the right and left sides of the RPD
- Minor connector: Connect components of the RPD
- Stress breaker: Reduce stress on abutment teeth
RPD Components and Functions
- Support: Provided by rests and denture bases
- Retention: Provided by direct retainers (clasps)
- Bracing: Provided by the major connector and clasps
- Reciprocation: Provided by the opposite side of the denture base and major connector
- Indirect Retention: Provided by indirect retainers
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