Removable Prosthodontics at a Glance

Dr James Field is a Senior Specialist Clinical Teacher in Restorative Dentistry, and an Honorary Consultant in Prosthodontics. He has extensive experience with delivering innovative teaching in restorative dentistry, which has received international acclaim. James holds a Master of Arts degree in Education and a National Teaching Fellowship. He is also a Fellow of the Academy of Medical Educators, a Fellow of the Faculty of Dental Trainers, and an active council member of the British Society of Prosthodontics.

Miss Claire Storey is a Consultant in Restorative Dentistry, Lead Consultant in Periodontics and Oncology Rehabilitation, Honorary Senior Lecturer in Restorative Dentistry (University of Sheffield). She has undertaken Masters degrees in Restorative Dentistry and Translational Medicine and Therapeutics at Newcastle University, and has taught extensively and internationally in Restorative Dentistry and is passionate about clinical teaching in primary and secondary care. She is Secretary of the British Society of Prosthodontics and sits on the British Society of Periodontology Council.

About the companion website viii


1 Introduction 2
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2 The function of removable prostheses 4
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3 Stability and retention 6
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4 Patient assessment for complete dentures 8
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5 Edentulous ridge presentations 10
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6 Patient assessment for partial dentures 12
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7 Factors complicating success 14
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8 Accessibility and operator position 16
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9 Pre-prosthetic treatment 1820 Prescribing the upper wax contour 40
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10 Revisiting the anatomy 20
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11 Making a primary impression - complete dentures 22
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12 Making a primary impression - partial dentures 24
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13 Special trays 26
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14 Compound and putty materials - handling and manipulation 28
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15 Recording an upper functional impression 30
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16 Recording a lower functional impression 32
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17 Managing fibrous ridges 34
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18 Denture bases 36
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19 Recording the maxillo-mandibular relationship 38
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20 Prescribing the upper wax contour 40
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21 Prescribing the lower wax contour 42
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22 Tooth selection and arrangement 44
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23 Occlusal dimensions and occlusal schemes 46
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24 Respecting the neutral zone 48
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25 Assessing trial prostheses 50
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26 Fitting and reviewing finished prostheses 52
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27 Copying features from existing prostheses 54
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28 Classifying partial prostheses and material choices 56
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29 Designing partial prostheses 58
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30 Saddles, rests and clasps 60
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31 Connectors and bracing 62
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32 Surveying and preparing guide planes 64
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33 Designing frameworks - case examples 66
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34 Precision attachments - the fixed-removable interface 68
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35 Dealing with frameworks and substructures 70
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36 The altered cast technique and the RPI system 72
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37 Swing-lock prostheses 74
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38 Gingival veneers 76
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39 Immediate and training prostheses 78
Claire Storey and James Field


40 Occlusal splints 80
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41 Implant-supported mandibular overdentures 82
Claire Storey and James Field


42 Principles of restoring maxillary defects 84
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43 Tissue conditioners, liners and re-basing 86
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44 Maintaining adequate oral hygiene 88
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45 Troubleshooting loose or painful dentures 90
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46 Gagging, other difficulties and making a referral 92
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47 Summary of procedural stages 94
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Appendices 97


Recommended and supplementary reading 106


Index 110