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Treatment Planning and Diagnosis for FPD

    • Introduction
    •   By using cast metal,  ceramic and metal ceramic restorations, large areas of missing coronal tooth structure can be replaced while that which remains is preserved and protected. Function can be restored and where required, a pleasing esthetic effect can be achieved. The successful use of these restorations is based on thoughtful treatment plan.
    •   In what circumstances should cemented restorations made from cast metal or ceramic be used instead of amalgam or composite restorations?
    • Removable Partial Denture
    •   RPD is generally indicated for edentulous patients greater than two posterior teeth, anterior spaces greater than four incisors or spaces that include a canine and two other continuous teeth, that is central incisor, lateral incisor and canine or lateral incisor, canine and first premolar or the canine and both premolars. An edentulous space with no distal abutment will usually require a removable partial denture. The requirements of an abutment for a RPD are not as stringent as those for a fixed partial denture abutment. Tipped teeth adjoining edentulous spaces and prospective abutments with divergent alignments may lend themselves more readily to utilization as RPD rather than FPD abutments. Periodontally weakened primary abutments may serve better in retaining a well designed RPD than in bearing the load of a FPD. If there has been a severe loss of tissue in the edentulous ridge, a RPD can more easily be used to restore the space both functionally and esthetically. For successful RPD treatment the patient should demonstrate acceptable oral hygiene and show signs of being a reliable recall candidate.

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