Acrylic Removable Partial Denture - Dentures
other types of Removable Partial Dentures
The patient did not have financial capacity for options #1, 2, or 3. The patient however was interested in option #4. The patient was informed that this was not the ideal treatment option and esthetics might be significantly compromised with this option. He was also informed that fabrication of his prostheses would require restoring his VDO with interim occlusal overlay prosthesis, and these interim prostheses would be required for at least 6 weeks prior to initiation of definitive cast partial dentures to determine if patient comfortable with the increased VDO. Patient was fully informed of all risks/benefits/alternatives and decided on therapy option #4.
Flipper (Interim Denture) | Wendel Dental
The maxillary interim acrylic partial denture and mandibular overlay partial denture were fabricated after minimally preparing the occlusal surfaces of mandibular anterior teeth minimally to allow flat, smooth surface for mandibular RPD framework adaptation. Impressions were made with alginate (Jeltrate, Dentsply International, York, PA, USA) to fabricate definitive casts for the interim dentures. The appropriate VDO was determined using interocclusal distance, vertical dimension of rest (VDR) and sibilant sound (Figs. -). These casts were crossed mounted with the diagnostic casts using occlusion rims and polyvinyl siloxane registration material (Regisil, Dentsply International, York, PA, USA) at the centric relation (CR) position. Wax setup of denture teeth were tried in to evaluate VDO using the VDR, interocclusal space, and phonetic methods. The interim dentures were then processed in heat-cured acrylic resin. Note that tooth color acrylic resin was used in the anterior portion of the mandibular interim denture. Laboratory remount and equilibration was performed prior to delivery. During the delivery visit, VDO and centric occlusion (CO) were verified. The dentures were adjusted to proper VDO and CO. The patient was instructed to wear these dentures all day and to remove them at night time. The patient was follow-up at one-, four-, and six-week postoperative visits. At each visit minor adjustment of the denture base was made. However, the patient reported no muscle or TMJ tenderness. He also reported that he was comfortable and functioned well with these prostheses.