An interim removable partial denture (RPD) addresses patients’ concerns regarding esthetics and function and helps them adjust to the edentulous condition until a more definitive form of treatment can be rendered.
4. Introduction
4
An interim removable partial denture (RPD) addresses patients’
concerns regarding esthetics and function and helps them adjust
to the edentulous condition until a more definitive form of
treatment can be rendered.
The prosthesis is often fabricated prior to the establishment of a
definitive treatment plan to monitor the prognosis of a
questionable potential abutment tooth for a definitive prosthesis.
5. 5
Temporary partial dentures- a dental prosthesis to be used for a
short interval of time for aesthetics, mastication, occlusal support
or convenience or to condition the patient to the acceptance of an
artificial substitute for missing natural teeth until more definitive
prosthetic therapy can be provided. GPT
6. 6
Interim partial denture- a prosthesis designed to enhance
aesthetics, stabilization and/or function for a limited period of
time, after which it is to be replaced by a definitive dental
prosthesis-GPT7
7. Indications
7
Young patients
Elderly patients
Lack of available time for definitive care
Esthetics
Space maintenance
Reestablishment of occlusal
relationship
Conditioning of teeth and residual
ridges
Conditioning patient for wearing a
prosthesis
9. Selection of wrought wire
9
Precious alloys and non Precious alloys
Molar and premolar-18 gauge PGP/ 19 gauge cobalt-chromium
Active clasp length-<8mm-gauge is reduced
->12mm-guage is increased
14. Lab procedures
14
Hand articulated
If jaw relation is needed occlusal rims are fabricated and articulated
Designing the extent of denture base
Fabricating temporary denture base
shellac Auto-polymerizing resin
16. 16
Finishing and polishing
Correction of occlusal errors by re-articulating
Preparation of stone matrix
Aesthetic try-in of anterior teeth
Arranging artificial teeth
20. 20
Instructions and care of prosthesis
Delivery of interim partial denture
Pressure
indicating
paste
Blanching of
soft tissue by
flange
Free from contact/light occlusal
contact/normal occlusal conttact
21. Transitional partial denture
21
A removable partial denture serving as a temporary prosthesis to
which artificial teeth will be added as natural teeth are lost and
which will be replaced after post-extraction tissue changes have
occurred.GPT
22. Indications
22
All or some teeth need to be extracted but can’t be done
immediately (medically compromised patient)
Patient is not psychologically prepared to loose all the teeth at
one time.
23. Addition of teeth
23
If existing denture is of acrylic, freshly mixed auto polymerising
acrylic is added to the denture.
If existing denture is of metal, major connector is modified (by
soldering loops, drilling holes) to receive additional tooth which is
attached with the help of auto-polymerising resin
24. Design considerations
24
Design should be such that teeth may be added to original
framework to prevent remaking the denture after every extraction.
As the teeth are extracted, metal retention loops are soldered to
the lingual plate and artificial teeth are attached to them or holes
are drilled through lingual plate to act as point of retention.
Existing RPD can also be used as original framework and teeth
added to it.
25. Procedure
25
Teeth to be extracted are cut away from cast,2mm concave depression
are prepared
Cast poured-dental stone
Undercut areas in denture base areas are blocked
The RPD is seated and an alginate over impression is made with an
over sized tray.
27. 27
Follow up after 24 hrs, every 3 months.
During insertion, excessive pressure is relived by pressure indicating
paste
Trim denture teeth to fit in denture, attach teeth to metal retentive loops
using auto polymerising resin
Retention of artificial teeth by means of soldered wire loops, perforations
on lingual plate, directly adding teeth using auto-polymerising resin in
acrylic RPD
29. Modification of interim removable partial denture using
thermoplastic
vacuum-formed matrix J Prosthet Dent 2008;99:492-493
29
This article describes a method of modifying an existing interim
RPD to replace an extracted tooth using auto polymerizing tooth-
colored acrylic resin and a thermoplastic vacuumformed matrix.
31. A technique to fabricate a customized
interim removable partial denture (J Prosthet Dent
2009;102:187-190)
31
Patient presented with maxillary right
central incisor
fractured at gingival level.
Use previously made diagnostic cast with tooth intact
tooth as reference to fabricate interim removable
partial denture.
Diagnostic waxing of missing tooth can also serve
same purpose.
32. 32
Fabricate facial matrix guide using light-
polymerizing
acrylic resin on facial surface of diagnostic
cast, covering missing/fractured tooth and
extending to at least one adjacent tooth on
either side. Modify cast: remove fractured tooth
or waxing, block out most of
undercut, and apply separating
agent.
33. 33
Adapt light-polymerizing provisional material
against matrix.
Apply light-polymerizing denture base material on
palatal of maxillary teeth and polymerize.
34. 34
Facial view of completed interim removable partial
denture on cast. Evaluate and adjust occlusion at both
maximal intercuspal position and protrusion.
Insert interim removable partial denture in place to
achieve satisfactory esthetic result.
35. Treatment partial denture
35
A dental prosthesis used for the purpose of treating or
conditioning the tissue which are called upon to support and
retain a denture base-GPT
36. Indications
36
As a vehicle to carry tissue treatment material
To increase or restore vertical dimension on a temporary basis
As a splint following oral surgical procedures
As a night guard to protect teeth from trauma due to oral habits
37. Tissue conditioner
37
It’s a soft material which is applied temporarily to tissue surface of
a partial denture.
Non irritating non toxic soft elastic
A new denture can be constructed or pt’s existing partial denture
can be used
Supplied as powder & liquid
Powder- acrylic polymer of ethylmethacrylate
Liquid –ethanol+aromatic ester
Setting –polymerization reaction
38. Mode of action
38
Dissipates forces occurring against denture –permitting soft
tissue to return to its normal form and function
Produce intimate tissue contact –messaging the tissue
Reduces inflammation –increasing blood flow to the abused
tissue
Replaced every 4-5 days
40. 40
Seat denture –apply light pressure-border manipulation tongue
movements
Tissue conditioner is mixed with a creamy consistency-evenly applied to
tissue surface
Working time 1 min
External polished surface of rpd –separating medium
42. 42
Trim excess material
Wash under cool running water once smooth tissue surface is
obtained
Denture is removed
Voids filled with new
material
Exposed surface-trimmed-new material added
Gently bite for 4-5 min till gel stage is reached
44. To establish a new vertical dimension
44
Verified against articulated cast
Inter occlusal record-invested flasked processed
Remounting of mandibular cast against inter occlusal record
Wax record is fitted over maxillary cast
Inter occlusal wax record
Face-bow transfer---mounting of casts in semi-adjustable articulator
46. Overlay Removable Partial Denture - Case Report Journal
of Dental Specialities, Vol. 2, Issue 2, September 2014
46
47. 47
Primary impressions were made in alginate
Diagnostic casts were mounted using a centric relation record at
an increased vertical dimension.
An interim acrylic occlusal splint was given to assess her
adaptability to an increase in the VDO, which she was advised to
wear for three weeks prior to commencement of the mouth
preparation for final impressions.
Mouth preparation consisted of minimal occlusal reduction and
beveling of functional cusps of all posterior teeth.
48. 48
Maxillary and mandibular elastomeric impressions were made
after mouth preparation
A bite registration record was made in bite registration elastomer
at the required vertical dimension.
49. Design of the Partial Overlay Dentures
49
Maxillary Arch : Kennedy Class II -open horse shoe major
connector, with the major connector plate overlying the occlusal
surfaces of maxillary posteriors and the lingual surfaces of
maxillary anteriors.
Mandibular arch Kennedy Class III – The chrome –cobalt
framework was designed to cover the occlusal aspect of
mandibular premolars and molars
A lingual bar major connector was planned. Metal pontics were
designed as part of the overlay denture to replace the missing
premolars.
51. Surgical splints
51
Protect and to improve healing of post-operative surgical sites
Retention-clasps or holes in inter proximal extensions so that
sutures can be used to tie the splint to adjacent teeth
Can be lined with tissue conditioner
Acrylic splint is fabricated using sprinkle on method
Master cast is scraped off to desired configuration
Impression made with irreversible hydrocolloid
52. Immediate partial denture
52
A complete removable partial denture constructed for insertion
immediately following the removal of natural teeth
Advantages
Anterior replacement-immediate aesthetics & improves patient
psychology
Posterior replacement-prevents migration of teeth into edentulous
spaces
Acts as splint and controls haemorrhage & swelling
Classification
Temporary Immediate partial denture
53. 53
Arrangement of artificial teeth, acrylized without try-in
Teeth to be replaced are cut in maser cast
Cast poured
Impression is made
54. Trimming Procedure For Anterior Teeth
J.Prosthet.Dent 16(6): 1048 – 1051, 1999
54
According to Frank.C JERBI, and that of Kelly’s“Rule of Thirds” technique where labial
aspect of tooth was divided into three equal bands of space between gingival line
and depth of vestibular space, i.e., the gingival, middle and vestibular bands
55. 55
First step is to cut away those parts of the crowns of the teeth
that are visible i.e., at free marginal gingiva
Step two is to trim the cast so that the sites of previously
removed crowns are recessed approximately 1mm.
56. 56
Third step is to make a flat cut across the facial surface of the ridge,
that extends from the labial depth of length of the crown to the
junction of the gingival and middle third of facial surface of the ridge.
Step four is another flat cut across facial portion of the ridge.
This cut begins at crest of ridge and extends to the mid width
point of cut made in step three.
57. 57
The fifth step is to trim that part of the cast which is lingual to the
teeth.
The last step is to shape and smooth the surface of the cast that have
been trimmed in the previous steps.
58. Cast modification for immediate complete dentures: Traditional
and contemporary considerations with an introduction of spatial
modelingRodney D. Phoenix and Jeffrey D. Fleigel J Prosthet Dent 2008;100:399-
405
58
Cast modification technique proposed by Standard. A, Cross-sectional view of
cast in posterior region. B, Coronal segment is removed using saw or laboratory
engine. C, Subsequent cut joins lingual gingival margin to intermediate line on
facial surface of cast. Intermediate line is parallel and 2 mm apical to facial
gingival margin. D, Stone contours are gently rounded at facial and lingual
surfaces. On facial surface, rounding extends to soft tissue height of contour. E,
Resultant reduction is shown. Dotted line indicates premodification contours. F,
Cross-sectional view of tooth placement and denture base contours proposed
A B C D E F
59. 59
Cast modification technique proposed by Jerbi.
A, Cross-sectional view of cast in posterior region. B, Coronal segment is
removed using saw or laboratory engine. C, One-mm-deep recess is
created in area occupied by root
A B C
60. 60
D, Vertical cut extending from facial extent of prepared socket to line denoting
junction of cervical and middle thirds of facial surface. E, Cut extending from
faciolingual center of socket to midway point of cut. F, Floor of prepared socket is
extended lingually. G, Stone contours are gently rounded at facial and lingual
surfaces. H, Resultant reduction is shown. I, Cross-sectional view of tooth
placement and denture base contours proposed by Jerbi.
D E F G H I
61. 5 Cast modification based upon spatial
modeling.
61
A, Bone levels superimposed upon cross-section of a representative
posterior segment. B, Coronal segment is removed using saw or
laboratory engine. C, Two lines are placed on surface of cast. One line
arcs from mesiofacial line angle to distofacial line angle, and is located 2
mm lingual to midfacial surface. Second line is parallel to and 4 mm from
gingival margin. D, Sharp blade or laboratory engine is used to connect
lines drawn in Figure 5, C.
62. 62
E, Two lines also guide lingual reduction. One line arcs from mesiolingual line
angle to distolingual line angle, and is located 2 mm facial to midlingual surface.
Second line is parallel to and 2 mm from gingival margin. F, Sharp blade is used to
connect lines , E. G, Sharp angles and lines are eliminated, thereby creating
gently rounded faciolingual contour. H, Foregoing cast modifications permit natural
collapse of soft tissues into extraction site to minimize likelihood of binding or
tissue compression during placement of prosthesis.
63. 63
I,Resultant reduction shown. Broken line indicates premodification contours. J,
Cross-sectional view of tooth placement and denture base contours as
determined by spatial modeling. K, Mesiodistal cross-section of cast with
osseous contours superimposed. Papillae are shortened and rounded to
simulate collapse that occurs following extraction of adjacent teeth. Broken line
indicates premodification contours. L, Papillae may collapse due to their
relationships with underlying interradicular bone. Papillae also may “roll” as
depicted in Figure 5, H.
64. Interim Prosthodontic Management of
Surgery-Induced Dental Agenesis: A Clinical
Report of 8 Years of Treatment
Journal of Prosthodontics. 2013 Jul;22(5):408-12.
64
The prosthodontic management of a child with missing teeth
needs to follow a systematic protocol involving a multidisciplinary
dental team and a close follow-up.
67. CONCLUSION
67
Simple and easily modified removable appliances serve as a
vehicle for the delivery of orthodontic services and direct the
eruption and arrangement of the permanent teeth.
In the present report, the first interim RPD was modified to
guide the settlement of the permanent dentition. While the
patient was going through her mixed dentition stage, the
permanent teeth were directed to occlude in the desirable
OVD, assessed by both orthodontic and prosthodontic
criteria.
68. 68
The subsequent interim RPDs prevented the natural teeth
from attaining unfavorable positions and preserved the
edentulous space. They also provided the young patient with
much-needed functional and esthetic improvement.
The restoration of function and, most importantly, esthetics is
beneficial to the social and psychological maturation of a
child with a handicap from the early school years through
adolescence.
69. Restoration of the Occlusal Vertical
Dimension with an Overlay Removable
Partial Denture: A Clinical Report
Journal of Prosthodontics. 2016 Oct;25(7):585-8
69
This clinical report reviews restoration of a severely resorbed
dentition with overlay removable partial denture.
70. 70
Classical situations involving tooth wear:
(A) initial conditions of tooth wear and OVD loss; (B)
restorative solution for case A; (C) initial condition of tooth
wear without OVD loss; and (D) periodontal surgical
procedures and restorative treatment for correction.
72. 72
Virtual planning performed to assist
in the predictability of the restorative
procedure
Incisal restoration of the anterior teeth
and the occlusal rest seat.
75. Concluion
75
The overlay RPD treatment seems to be satisfactory, restoring
the OVD and esthetics and providing greater muscle comfort for
the patient with low cost and shorter working time.
Further randomized clinical trials are suggested to compare the
longterm effectiveness of different treatment options for the worn
teeth associated with OVD loss.
76. Adaptation of an interim partial removable
dental prosthesis as a radiographic template
for implant placement. Journal of Prosthetic Dentistry.
2016 Jul 1;116(1):147-8.
76
The use of radiographic guides allows the transfer of the
prosthodontic plan to a CBCT scan, which combined with the
enhanced assessment of the alveolar ridge, allows the
clinician to determine the best position for implant placement.
79. 79
The technique converts an existing laboratory processed IPRDP
into a radiographic template for implant placement.
The advantages include:
Minimal chairside and laboratory time
Cost savings because prosthesis duplication and additional
adjustment appointments are not needed
Fidelity of the radiographic guide versus duplication distortion of
the surgical guide
Ability to create a modifiable surgical guide after duplicating the
IPRDP/radiographic template
80. Removable Partial Denture in Combination
with a Milled Fixed Partial Prosthesis as
Interim Restorations in Long-Term Treatment.
Journal of Prosthodontics: Implant, Esthetic and Reconstructive Dentistry.
2010 Jan;19(1):77-80.
80
Many complex situations require fixed and removable prostheses
in the same arch, significantly increasing chair time and the
length of treatment. Consequently, interim restorations must be
adequate for long-term use.
This report describes a protocol for rehabilitation of the maxillary
or mandibular arch with an interim acrylic resin-milled fixed
prosthesis and RPD with metallic framework in the first phase of
rehabilitation treatment.
81. Technique
81
1. Make a full-arch impression with irreversible hydrocolloid.
Record a facebow transfer and centric relation, obtaining the
diagnostic casts eto be mounted in a semiadjustable articulator.
2. Formulate an interdisciplinary treatment plan with the aid of clinical
and radiographic examination and diagnostic casts.
3. On the diagnostic cast, cut the teeth scheduled for extraction,
contour the cast in this area, and prepare the remaining teeth to serve
as abutments.
4. Construct the interim fixed prosthesis with milled surfaces, using the
dental surveyor to assist in determining the path of insertion for the
RPD. This restoration should demonstrate a straight emergence profile
with optimal termination.
5. After the construction of interim fixed restorations, cast the
framework of the removable partial prosthesis using a base metal (Cr–
Co) alloy.
6. Verify the adaptation of the metallic framework on the interim acrylic
82. 82
Interim removable partial prosthesis in combination with
milled fixed prosthesis. The arrows indicate the lingual
rests.
83. 83
7. Surgical procedures should be performed after prosthetic
procedures to avoid contamination of the surgical site.
8. Seat the interim-milled-fixed restorations and removable partial
prosthesis.
Reline margins of interim-fixed restorations with autopolymerizing
resin to readapt them to the preparations.
Next, seat the fixed and removable restorations together to maintain
the path of insertion and reduce torque on the terminal abutment.
9. Remove excess material before complete setting of the provisional
material to prevent potential undercuts from locking the crown into
place; allow curing, then refine margins and repolish restorations.
10. The denture base over the area of the extractions can be lined with
a soft material to aid healing of the planned extractions.
11. Verify occlusal adjustment and marginal fit before cementation.
12. Cement the interim restoration with a temporary luting agent and fit
it precisely together with the RPD to determine the accurate path of
insertion.
84. 84
Occlusal view of interim prostheses. Note the
precise fit of the clasps and rests on the teeth.
85. 85
(A) Initial view of the case. (B) Frontal view of interim prosthesis
placement.
86. Concluion
86
The procedure described is indicated for lengthy restorations,
when the dental treatment involves complex and extensive
procedures such as surgical, periodontal, or endodontic
treatments and when fixed prostheses and removable partial
prostheses are needed in the same arch.
87. 87
The advantage of such interim restorations is that they are
stronger and more resistant than conventional interim
restorations.
Thus, less time is spent repairing interim prostheses as a result of
fractures.
Interim restorations also provide arch stabilization, preserve the
path of insertion, maintain vertical dimension and denture-
supporting structures, enhance the esthetic appearance and
comfort of the patient, and may be used as a template for the
definitive restorations.
88. 88
One disadvantage of this procedure is that it can be more
expensive and require a more experienced professional.
Over the long term, however, the procedure is advantageous
because fewer visits for repair are needed, and the interim
restorations fracture less often.
The clasps of the RPD may cause wear on the surface of an
acrylic resin-fixed prosthesis, but this occurs rarely.
89. Immediate Vacuum Formed Overdenture for a
Pediatric Patient with Ectodermal Dysplasia.
Journal of Dentistry for Children. 2018 Sep 15;85(3):139-42
89
The purpose of this clinical report was to present a simple, fast,
and cost-effective technique to re-establish a pleasant smile of an
eight-year-old male patient with hypohydroticED.
A vacuum-formed overdenture prosthesis is described, which is
recommended as an immediate interim restorative treatment in
the maxillary arch with excellent stability and retention.
90. 90
Initial presentation smile.
Panoramic X-ray showing oligodontia and eruption of the
permanent central incisors in the maxillary arch, and
anodontia in the mandibular arch.
91. 91
The treatment plan goal was oriented to immediately restore the
esthetics of the anterior segment using a different appliance design
to improve the retention and function.
Abnormal morphology of the maxillary permanent
central incisors.
92. 92
Working model with pontics and facial acrylic
veneers to restore the smile arc.
Vacuum formed overdenture before insertion.
93. 93
Occlusal view of the vacuum form
overdenture in place.
Close up smile with the interim prosthesis.
94. Concluion
94
Different techniques have been proposed for the oral
rehabilitation of patients with ED, including fixed prostheses,
removable partial or complete dentures, and dental implants.
The use of an immediate vacuum-formed overdenture was an
effective way to restore the esthetics of the anterior segment in
one visit, with minimum adjustments and excellent retention.
The patient will be seen every three months to monitor the
eruption of the permanent incisors and to allow the timely
remaking of the interim overdenture as needed.
95. Site development interim removable dental
prosthesis. The Journal of prosthetic dentistry. 2016 Nov
1;116(5):663-740.
95
Transitioning a patient with partial edentulism through hard and
soft tissue grafting to an implant restoration with an interim
removable dental prosthesis (IRDP) presents a challenge to the
restorative dentist.
The management of grafted sites requires care, and without the
appropriate design, an IRDP may impede surgical outcomes and
place the graft at risk for displacement or necrosis.
A site development IRDP (SDIRDP) for a grafted site must fulfill
restorative goals and promote the surgical objectives for site
development.
96. Technique
96
1. With a diagnostic cast, consult with the surgeon to quantify the
extent of site augmentation and review the planned design for the
SDIRDP.
2. Prepare the SDIRDP abutment teeth as needed, such as the
addition of composite resin rest seats for support or the
enhancement of undercuts to aid in retention.
97. 97
3. Make an impression with an elastomeric impression material,
select a suitable tooth shade, and make the appropriate
interocclusal records necessary to mount the casts.
4. Pour the impression in dental stone and remove the teeth
planned for extraction from the cast.
5. Add block-out wax to the cast in the area of the planned graft.
The first wax application should reflect the desired definitive
contour of the ridge augmentation.
98. 98
A second wax addition should be 2 mm thicker than the
planned definitive contour of the ridge. The additional room
will allow the surgeon to overbuild the site to compensate for
shrinkage of the graft and to accommodate postoperative
edema during the healing process. The block-out should
extend approximately 8 to 10 mm lingual from the free
gingival margins of the teeth planned for extraction and
continue laterally to the 2 adjacent teeth. The block-out
should end in a 35-degree bevel, tapered to the lingual
surface.
99. 99
6. After the block-out is complete, duplicate the cast with an
elastomeric impression material and pour the impression in dental
stone.
7. If clasps and/or rests are planned, bend orthodontic wires to the
desired size and shape.
Care should be taken to avoid placing the proximal ends of the
wires in areas over the sites planned for augmentation, because the
acrylic resin in these areas will likely require adjustment.
8. Adjust the selected denture teeth to be used in the prosthesis and
set them in the desired position with baseplate wax.
100. 100
10. Complete the waxing by adding a 2- to 3-mm thickness of
baseplate wax in all areas of the planned denture base.
11. Invest the completed waxing in a denture flask and process
with the preferred processing method.
12. Complete a laboratory remount.
13. Section the cast, finish, and polish the prosthesis
14. Deliver the SDIRDP at the time of surgery. Relieve the
prosthesis as needed in the area of the grafted site.
15. Monitor healing of the grafted site and adjust the SDIRDP as
needed.
101. 101
Intaglio surface of site development interim removable dental
prosthesis showing relief to specification in area of ridge
augmentation.
104. Concluion
104
A technique has been described for the design and fabrication of
an IRDP that facilitates surgical procedures for site development
while maintaining prosthetic goals.
Although the technique offers many advantages, in certain
situations, the opposing occlusion may preclude the use of an
SDIRDP.
Although a fixed interim restoration using adjacent abutment
teeth, transitional implants, or definitive implants is often
preferred, it is not always available or possible as a treatment
option, and the clinician may be forced to use an interim
removable dental prosthesis (IRDP).
105. References
105
McCracken’s removable partial prosthodontics
Stewart’s clinical removable partial prosthodontics
Dental laboratory procedures removable partial dentures-Rudd and
Morrow
Clinical dental prosthodontics – H.R.B Fenn
Cast modification for immediate complete dentures: Traditional and
contemporary considerations with an introduction of spatial modeling
Rodney D. Phoenix and Jeffrey D. Fleigel J Prosthet Dent
2008;100:399-405
Trimming Procedure For Anterior Teeth
J.Prosthet.Dent 16(6): 1048 – 1051, 1966
Overlay Removable Partial Denture - Case Report Journal of Dental
Specialities, Vol. 2, Issue 2, September 2014
106. 106
Restoration of the Occlusal Vertical Dimension with an Overlay
Removable Partial Denture: A Clinical Report Journal of Prosthodontics.
2016 Oct;25(7):585-8
Adaptation of an interim partial removable dental prosthesis
as a radiographic template for implant placement. Journal of Prosthetic
Dentistry. 2016 Jul 1;116(1):147-8.
Removable Partial Denture in Combination with a Milled Fixed Partial
Prosthesis as Interim Restorations in Long-Term Treatment. Journal of
Prosthodontics: Implant, Esthetic and Reconstructive Dentistry. 2010
Jan;19(1):77-80.
Immediate Vacuum Formed Overdenture for a Pediatric Patient with
Ectodermal Dysplasia. Journal of Dentistry for Children. 2018 Sep
15;85(3):139-42
Site development interim removable dental prosthesis. The Journal of
prosthetic dentistry. 2016 Nov 1;116(5):663-740.
107. 107
A technique to fabricate a customized
interim removable partial denture (J Prosthet Dent 2009;102:187-190)
Interim Prosthodontic Management of Surgery-Induced Dental
Agenesis: A Clinical Report of 8 Years of Treatment
Journal of Prosthodontics. 2013 Jul;22(5):408-12.
Tissue conditioner is mixed to a creamy consistency-evenly applied to tissue surface
Vertical dimension should be altered incrementally
Agenesis is defined as the absence, failure of formation, or imperfect development of any body part
the provision
of a series of interim removable partial dentures (RPDs) until
the end of the growth period. The goals of the prosthodontic intervention
were to improve comfort and esthetics and to prevent
further deterioration of the oral structures and function.
thickness of the onlay, approximately 1.5 mm,
The denture was regularly modified to accommodate and direct the eruption of the permanent teeth.
The former supports the notion of bone compensation, especially in the lower jaw. In this way, occlusal bone remodeling and growth would promote passive tooth eruption while there is wear.4 The latter indicates that the bone would not be remodeled,5 leading to a loss in the OVD and facial alterations.