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SDS 321 Clinical Removable Prosthodon c 1

SEQUENCE:
ThiscourseisaoneyearcourseduringtheThirdyearofthedentalcurriculum.Itisthe
firstofthreeclinicalcoursesinRemovableProsthodonticsrequiredforgraduationasadentist.

PREREQUISITE: SDS 211

COURSE DESCRIPTION:
This course is the first course in Clinical Removable Prosthodontics. It consists of
didactic, clinical, and laboratory components. The course is limited to the teaching of
conventionalcompleteandRemovablePartialDentures.
The didac c component is delivered in 30 lectures. It covers the theore cal
backgroundfordifferentphasesoftreatmentwithRemovablePartialandCompleteDentures.
Syllabusincludesdiagnosis,treatmentplanning,treatmentprocedures,andfollowupofthe
treatment. Lectures focus on the basic concepts, principles, indications, and limitations of
theseclinicalprocedures.
Theclinicalcomponentcomprisesof30sessionsheldforoneacademicyear(oncea
week),utilizedtopracticecommonclinicalproceduresforpatientsexamination,motivation,
andtreatmentwithcompleteandremovablepartialdentures.
During laboratory sessions (held once a week), students are instructed to do all the
laboratoryworkrequiredforRPDandCDfabricationfortheirclinicalcases,withtheexception
of"frameworkfabrication",andprocessingofacrylicdentures.Thesestepswillbedoneby
thecentrallaboratorypersonnel.
COURSE CREDIT: 6 Credit Hours
2CreditHoursTheore cal=onehourlectureweeklyfortwosemesters
2CreditHoursClinical=threehoursweeklyfortwosemesters
2CreditHoursPractical=threehoursweeklyfortwosemesters
COURSE OBJECTIVES:
To familiarize the student with clinical management of edentulous and partially
edentulouspatients,throughteachingbasicclinicalproceduresandtheirintegrationwiththe
procedurestaughtinthepreclinicalcourseSDS211.
1

At the completion of the course, the student should be competent in the basic
scientific knowledge pertaining to the treatment of edentulous and partially edentulous
patients; skilled in all laboratory procedures used in the construction of conventional
complete and removable partial dentures; and proficient in the clinical management of
uncomplicatedcasesrequiringcompleteandremovablepartialdentures.

COURSE METHODOLOGY:
1. DIDACTIC:

A weekly lecture for one academic year covers the fundamental

principlesofRemovablePartialandCompleteDentureconstruction.

2. CLINICAL:

One weekly session where the student will be given demonstrations

bythefaculty,followedbypracticeoftheseclinicalproceduresbythe
studentsonpatients.

3. LABORATORY:

Thelaboratorysessionshavebeenstructuredasfollows:

a. StudentsarerequiredtocarryoutalllaboratoryproceduresfortheCompleteand
Removable Partial Denture construction following their clinical sessions every
week;exceptRPDframeworkcastingandprocessingofremovabledentures.
b. At the end of each lab session, the students should submit the completed
laboratoryprocedureoftheirclinicalcasestohisinstructorforgrading.Students
willbegradedforthequalityofthelaboratoryandclinicalproceduresperformed
andfortheircompletionontime.
i) Students will be provided with a model of Class III set up, in addition to a
lecture and they will then perform the arrangement of teeth for complete
denturesinClassIIIjawrelationontheirown.Theinstructorsmayonlyguide
thestudentsduringthesetup.
ii) Students will practice the designing of the RPD on their own and submit the
worktotheirinstructorsforassessment.
COURSE EVALUATION:
i) Minimum requirements to pass this Course are to fabricate prostheses for:
1. Twopartiallyedentulousarches.Singleshortedentulousspacesarenotaccepted.
2. Twocompletelyedentulousarches.

NOTE:Studentswhofailtofulfilltheminimumrequirementswillbegradedasincomplete.

ii) Grading
1. ContinuousAssessment:60%
a. LaboratoryandPracticalAssessment:(20%)
Two(2)LabExamina ons

a. Mastercastsforpartialdenturecases=10%;tobesurveyed,scored,
2

and lab authorization forms prepared including the drawing of the

design
b. SetupforcompletedenturesinclassIIIocclusion=10%
b. Theore calKnowledge:(20%)
One(1)Wri enExamattheendofthe1stSemester=10%(MidYear
Exam)
ContinuousOralExamintheClinic=10%
c. Gradeforthequalityofclinical/laboratoryprocedures:(20%)
1stsemester=10%
2ndsemester=10%
2. FinalExams:40%
WrittenExam=30%

FinalClinicalPracticalExam=10%

NOTE: Every student will fabricate a 2nd set of record blocks for his complete denture
patientandobtainthejawrelationrecordsafterthecompletionofwaxtryinstagewithout
supervision. The timing of this final exam will coincide with the timing of the student
trea ngthecompletedenturepa ent(i.e.,eitherduringthe1stsemesteror2ndsemester).
REFERENCES:
1. Hassaballa,M.ClinicalCompleteDentureProsthodon cs,1sted.,KingSaudUniversity
AcademicPublishingandPress,2004.
2. HeartwellandRahn:TextbookofCompleteDentures,5thed.,WilliamsandWilkinsCo.,
1993.
3. Zarb, Bolender, Hickey and Carlsson: Bouchers Prosthodontic Treatment for
EdentulousPa ents.11thed.,TheCVMosbyCo.,St.Louis,1997.
4. McGivneyandCarr:McCrackensRemovablePartialProsthodontics.TheCVMosbyCo.,
St.Louis,2003.
5. Stewart,Rudd,Kuebker:ClinicalRemovablePartialProsthodontics.TheCVMosbyCo.,
St.Louis,1992.

COURSE OUTLINE:
No.
1
2&
3

LectureTopics
Introductiontothecourse.
Diagnosisandtreatmentplanningfordentulousandedentulouspatient.
Objectives:
Thislecturefocusesattentiontothebasicelementsofdiagnosisandotherdiagnostic
factorsinthesuccessandfailuresofdenturetreatment.Thestepbystepproceduresthat
areessentialforexaminingthepatientarestressed.Itisorganizedinthefollowingformat:
1.Healthques onnairefordentuloussubjects
2.Psychologicalconsidera onedentuloussubjects
References:
o Stewart,Rudd&Kuebker,ClinicalRemovablePar alProsthodon cspp.113124
o HassaballaM.ClinicalCompleteDentureProsthodontics,KSU,AcademicPublishingand
Press2004,Chap.4,pp.4574.
3.Pastdentalhistoryfordentuloussubjects
4.Extraoralexamina onedentuloussubjects
5.Intraoralexamina on(foredentulouspa ent)
References:
o Stewart,Rudd&Kuebker,ClinicalRemovablePartialProsthodon cspp.113124
o BouchersProsthodon ctreatmentforedentulouspa ents.pp.7296
6. Intraoralexamination(fordentulouspatient)
7. Radiologicalexamination(rootmorphology,crownrootratio,boneheightand
quality,reactionofbonetostress)
8. Studycast(requirementsanduses,castanalysisarticulatorocclusalplane,
interridgespace,interocclusalspace,occlusalinterferences)
Reference:
o Phoenix,Cagna,andDeFreest,StewartsClinicalRemovablePar alProsthodon cs,3rd
ed.pp127168&169213
MouthpreparationforRPD.
Objectives:
Thislecturefocusesattentiontothevariousclinicalproceduresthatbringthemouth
tooptimalhealth.EachtreatmentisdiscussedasitrelatestoRPDdesign.Thematerialis
organizeaccordingtotheformat:
I. Surgicalproceduressuchasextractions,etc.,alveoplastyofhyperplastictissue
II. Periodontaltherapy
III. Occlusaladjustment
IV. Endodonticprocedures
V. Orthodonticprocedures
VI. Treatmentofabusedtissue
VII. Overallreview
Reference:
o Phoenix,Cagna,andDeFreest,StewartsClinicalRemovablePar alProsthodon cs,3rd
ed.pp.273308

COURSE OUTLINE (CONTD)

No.

LectureTopics

Surgicalandnonsurgicalpreparationforcompletedentureservice.
Objectives:
Thislecturefocusesattentiononthevarioustreatmentprocedurestoimprovethe
dentalfoundation.Thesubjectmatterisarrangedinthefollowingformat:
SurgicalProcedures:
Softtissueprocedure
- Epulis
- Denturefissuratum
- Pressureonmentalforamen
Removalofhyperplastictissues
Frenalattachments
Surgicalproceduresforhardtissues
- Bonyprominences
- Tori
- Bonyspicules
- Spinyridge
Enlargementofdenturebearingarea
- Vestibuloplasty
- Ridgeaugmentation
Correctionofjawrelations
Prescribingdentalimplants
NonsurgicalProcedures:
Nutrition
Conditioningthemucosabyprovidingrestandusingtissueconditioners
References:
o TextbookofCompleteDenturesbyRahn&Heartwell.5thed..,pp.171193
o McCracken'sRemovablePar alProsthodon cs,10thed.,pp.259284
o HassaballaM.ClinicalCompleteDentureProsthodontics,KSU,AcademicPublishingand
Press2004,Chap.7,pp.7598.

Impressionprocedureforpartiallyedentulouspatients.
Objectives:
ThislecturedealswiththeprinciplesinvolvedinimpressionmakingforRPD.The
materialandtechniquesfordeterminingtheimpressionandformingthecasts.This
lectureisorganizedasfollows:
I. Techniquesofimpressionmaking
II. Impressionmaterials
a. Irreversiblehydrocolloid
b. Impressionprocedures(final)
c. Managementofpatientswithgagreflex
d. Careofimpressions
e. Methodofformingacasttrimmingthecast
Reference:
o McCracken'sRemovablePar alProsthodon cs,10thed.,Chapter14,pp.306323

COURSE OUTLINE (CONTD)

No.

Lecture Topics

Principles and objectives of impression making for complete dentures.

Objectives:
Thislecturefocusesattentionontheanatomicandphysiologicfactorsofbasalseat
areasofthedenturesinrelationtoimpressiontechniques.Theobjectivesofimpression
areexplained.Variousimpressiontechniques,theirprinciplesandphilosophiesare
presented.Stepbystepproceduresofselectivecompressionimpressiontechniqueis
described.Thesubjectmatterispresentedinthefollowingtopicheadings:
I. Impression Objectives:
Preservation
Support
Stability
Retention(physicalfactors,physiologicalfactorsandanatomicalfactors)
Esthetic
II. Preliminary Impressions:
Equipment
Seatingthepatient
Impressionofthemandibulararch
Impressionofthemaxillaryarch
III. The Final Impression Materials and Techniques.
Classificationofimpressiontechniques
MucostaticAdvantagesanddisadvantages
FunctionalimpressionAdvantagesanddisadvantages
SelectivepressuretechniqueAdvantagesanddisadvantages
IV. Final impression Step by step Clinical Procedures (Border Molding):
Finalimpressionofmaxillaryarch
Finalimpressionofmandibulararch
Managementofaseveregagger
V. Final impression materials; their advantages and disadvantages:
Z.O.E.impression
Elastomericimpression
Impressionplaster
References:
o Boucher'sProsthodon cTreatmentforEdentulousPa ents,10thed.,Chapters.8&10,
pp.169193,224242
o HassaballaM.ClinicalCompleteDentureProsthodontics,KSU,AcademicPublishingand
Press2004,Chap.6,pp.99135.

COURSE OUTLINE (CONTD)

No.

Lecture Topics

Recording maxillomandibular relations (complete dentures).

Objectives:
Thislecturedescribestheclinicalproceduresofrecordingverticaldimensionofrest
positionandverticaldimensionofocclusion.Thevariousclinicalaidsusedtorecordthe
centricjawrelationareexplained.Themethodsandpurposesofmakingeccentricjaw
relationsareaddressed.Theprocedureofestablishingthehorizontalcondylarguidanceon
articulatorisdescribed.Thesubjectmatterispresentedinthefollowingformat:
Orientation of Occlusal Plane Vertical Jaw Relation Record:
Recordingphysiologicrestposition
Recordingverticaldimensionsofoclcusion
Evaluatingverticaldimensionsofocclusion
Preextractionrecords
Centric Jaw Relation Record:
MethodsofrecordingCR
Interocclusalcheckrecordmethod
References:
o Boucher'sProsthodon cTreatmentforEdentulousPa ent,10thed.,Chapters1213,pp.
272295
o HassaballaM.ClinicalCompleteDentureProsthodontics,KSU,AcademicPublishingand
Press2004,Chap.9,pp.189224.

The metal framework tryin and dual impression technique.

Objectives:
Thislecturedealswiththeproceduresthathavetobefollowedinfittingthemetal
frameworktothepatient'smouth.Thislectureexplainstherationaleoffunctionalbasing
ofadistalextendedmandibularpartialdenture.Methodsofaccomplishingfunctional
basingandonetechnique,thealteredcastmethodisdescribedindetail.Impression
materials,whichmaybeusedtomakeafunctionalimpression,arecompared.Thesubject
matterisarrangedinthefollowingformat.
Checkingtheframeworkonthecastandoutofcast.
Fittingthemetalframeworktotheteethofthepatient.
Correctionoradjustingtheframeworktotheopposingteeth.
Checking the metal framework on the cast and out of cast.
Dothecomponentsareinproperpositionasindicatedinthedesign.
Examiningthetissuesideofthemetalframework.
Fitting the metal framework to the teeth of the patient.
Adjustingtheclasps
Adjustingforoverextensionofthemetalframework
Wedgingeffect
Adjusting the framework to the opposing teeth.
Objectives
Equilibrationofocclusionmaterialsandmethodsemployed.
o References:Phoenix,Cagna,andDeFreest,StewartsClinicalRemovablePartial
Prosthodon cs,3rded.Chapter11,pp.337349&Chapter12,pp.352366

COURSE OUTLINE (CONTD)

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Lecture Topics

10

Jaw relation records and techniques for RPD.

Objectives:
Thislecturedealswiththeclinicalmethodsforrecordingjawrelationforpartially
edentuloussubjects.Thesubjectmatterdealswithcentricocclusion,restoringlostvertical
dimensionindistalextensionpartialdentures.Thematterisorganizedinthefollowing
format.
I. Methods of establishing the occlusion
II. Vertical dimension of occlusion
III. Altering the vertical dimension of occlusion
IV. Establishing the horizontal relation for the partial denture that opposes
edentulous arch
V. Facebow records
Reference:
o McCracken'sRemovablePar alProstho,9thed.,Chapter16,pp.345356,363365
o Phoenix,Cagna,andDeFreest,StewartsClinicalRemovablePar alProsthodon cs,3rd
ed.,pp.367383.

11

Methods of selection of Anterior teeth for Complete Dentures.

Objectives:
Thislecturedealswiththeanatomic,mechanicalandestheticfactorsfortheselection
ofanteriorteethandposteriorteethandthedifferencebetweennaturalandartificial
occlusion.Thesevenanatomicentitiesusedfortheselectionofanteriorteethis
presented.Sizeandformofposteriorteethanditscompositionofmaterialare
mentioned.Thesubjectmatterisarrangedinthefollowingorder:
Anatomic Factors for Anterior Tooth Selection and Posterior teeth:
Sizeoftheface
Sizeofmaxillaryarch
Incisivepapillaandcuspideminence
Maxillomandibularrelations(ClassI,ClassIIandClassIII)
Contourofresidualridges
Interridgespace
Thelip
Factors Related to Anterior Teeth:
Size,formandshade
Reference:
o Boucher'sProsthodon cTreatmentforEdentulouspa ent,Chapter16,pp.330343

12

Selection of Posterior Teeth for Complete Dentures:

Formofposteriorteeth
Sizeandshade
Materialcomposition
Reference:
o Boucher'sProsthodon cTreatmentforEdentulouspa ent,Chapter16,pp.343351

COURSE OUTLINE (CONTD)

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13

LectureTopics
Selection and Arrangement of Teeth for RPD and the Denture Base.
Objectives:
Thislectureisconcernedwiththeselectionandarrangementoftheteeth,bothanteriorand
posteriorfordifferenttypesofpartiallyedentulousarches.Thedesignandmaterialofdenturebase
ispresented.Thesubjectmatterisorganizedinthefollowingformat.
I. Types of posterior teeth
II. Selection of teeth for Class IV partial denture
III. Selection of posterior teeth
IV. Rules for arranging posterior teeth
V. Method of attaching artificial teeth
References:
o McCracken'sRemovablePar alProsthodon cs,Chapter8,pp.145148;
o Phoenix,Cagna,andDeFreest,StewartsClinicalRemovablePar alProsthodon cs,3rdedpp.
384395.
o HassaballaM.ClinicalCompleteDentureProsthodontics,KSU,AcademicPublishingandPress
2004,Chap.11,pp.235254.

14

Retention and Stability of Removable Dentures.

Physicalfactorsofsaliva
- Atmosphericpressure
- Oralandfacialmusculature
- Healthofbasalseattissue
- Primarystressbearingandretentiveareas
References:
o BoucherProsthodon cTreatmentforEdentulousPa ents,10thed.,Chapter8,pp.169175.
o McCracken'sRemovablePar alProsthodon cs,Chap.15,pp.324332

15

Occlusal concepts and occlusal schemes for complete dentures.

Objectives:
Thislecturedefinesthetermsnamely;philosophy,theory,concept,andschemeofocclusion.
Thelectureexplainstheocclusalconceptswhichfallintotwobroaddisciplines,balancedandnon
balancedocclusion.Theocclusalschemesareexplained.Thislecturefocusesattentiononthe
advantagesanddisadvantagesofvariousocclusalconceptsandocclusalschemes.Lingualized
balancedocclusionisdescribed.Aclinicalfactorthatmaybeevaluatedinanobjectivemannerto
decideaspecificocclusalconceptandschemeisaddressed.Thesubjectmatterisorganizedinthe
followingformat:
TheoriesofOcclusion:
i. BonwillsTheoryii.SphericalTheory
PhilosophyofOcclusion
i.ConceptofOcclusion
Definition
Balancedocclusion
Nonbalancedocclusion
Advantages

ii.OcclusalSchemes
Definition
Anatomic(30or33degreeteeth)
Semianatomic(20degreeteeth)
Rationale(zerodegreeteeth)

References:
o Rahn&Heartwell.TextbookofCompleteDentures,5thed.,Chapter16,pp.357366
o Essen alsofCompleteDentureProsthodon csbySheldonWinkler,W.B.Saunders,1979,pp.360
380

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Lecture Topics

15

LingualizedOcclusion(BalancedOcclusionConcept)
MonoplaneOcclusion(NonBalancedOcclusionConcept)
Indicationofvariousocclusalconceptsandschemes
References:
o Essen alsofCompleteDentureProsthodon csbySheldonWinkler,W.B.Saunders,1979,
pp.360369&Handouts
o HassaballaM.ClinicalCompleteDentureProsthodontics,KSU,AcademicPublishingand
Press2004,Chap.14,pp.286300.
Arrangement of teeth for abnormal jaw relationship.
a) Definition
b) Class II jaw relations
i.Anteriorjawconsiderations
ii.Posteriorjawconsiderations
c) Class III jaw relations
i.Anteriorjawconsiderations
ii.Posteriorjawconsiderations
d) Arrangement of artificial teeth for Class II jaw relations
i.Anteriorteetharrangement
ii.Posteriorteetharrangement
e) Arrangement of artificial teeth for Class III jaw relations
i.Anteriorteetharrangement
ii.Posteriorteetharrangement
References:
o Essen alsofcompletedentureProsthodon csbyWinkler1979,Chap.14,pp.360380.
o GoyalBK,BhargavaK.Arrangementofartificialteethinabnormaljawrelations:
Maxillaryprotrusionandwiderupperarch.JProsthetDent.1974;32:107111.
o GoyalBK,BhargavaK.Arrangementofartificialteethinabnormaljawrelations:
Mandibularprotrusionandwiderlowerarch.JProsthetDent.1974;32:458461.
Principles of Partial Denture Design.
Objectives:
Thislecturewillexplainthebiomechanicalprinciplesthatformthebasisforthedesign
oftheremovablepartialdenture.Theleveragefactor,whichisinherent,isdiscussedand
variousmethodsofcontrollingleverageinducedstressesaredescribedandanalyzed.The
subjectmatterisorganizedinthefollowingformat:
i. The types of leverages are present in a RPD, its classification, mechanical
advantages related to stress on abutment teeth?
ii. Distribution of load to each part of RPD.
iii. Factors that influence the magnitude of the stress that is transmitted to the
abutment tooth.
iv. Design consideration in controlling leverage induced stress. Summary of the basic
principles.
Reference:
o McCracken'sRemovablePar alProsthodon cs,9thed.,Chapter9,pp.160187,5460

(cont.)

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17

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19

Lecture Topics
Stress consideration in distal extension partial dentures.
Objectives:
Thislecturedealswiththevariousmaterialsusedintheclaspconstructionandthe
varioustypesofclaspdesignsthatmaybeusedforaparticularclinicalsituation.Basic
principlesofclaspdesignarediscussedastheyrelatetotheclaspintendedfunction.The
variouscriteriausedinselectingthemostsuitableclasptosatisfythevarietyofclasp
requirementsareoutlined.Thechapterisorganizedinthefollowingformat:
i. Basis for clasp selection.
ii. Clasp mechanics and the effect of various designs on the supporting structures.
iii. Design consideration of the reciprocal components.
iv. Advantages, disadvantages, indications and contraindications of stress releasing
clasps.
o Reference:Phoenix,Cagna,andDeFreest,StewartsClinicalRemovablePartial
Prosthodon cs,3rded.,Chapter4,pp.103126
Wax Tryin of Complete Dentures.
Objectives:
Thislectureexplainsthepurposeanddescribestheclinicalprocedureoftryinof
completedentures.Thetryinprocedureconsistsofthreephasesnamely,verificationof
jawrelationrecords,appearanceandmakingeccentricjawrelationrecordstoarrangethe
posterior.Thesubjectmatterisarrangedinthefollowingformat:
Verification of Centric Relation Record:
Tactilemethod(intraorally)
Provingthearticulator
Verticalrelation
Remounting
Eccentric Records:
Protrusiverecord
Adjustingthehorizontalcondylarguidances
Lateralrecords
Adjustingthehorizontalcondylarguidances
Hanauformulaforadjustingthehorizontalcondylarguidances
The Appearance Phase:
Anteriorteeth
Inclination
Anteroposteriorposition
Individualtoothposition
Superinferiorposition
Size,formandshadeofteeth
Midlineposition
Posterior Teeth:
Positions
Size,mouldandshade
Conceptofocclusionandshapeofpolishedsurfaceofthedentures
References:
o Boucher'sProsthodon cTreatmentforEdentulousPa ents.Chapter18,pp373381and
Chapter20,pp.425436
o Fenn,Liddlow&Gimson,ClinicalDentalProsthe cs,2nded.,Chapter11,pp.309325
o HassaballaM.ClinicalCompleteDentureProsthodontics,KSU,AcademicPublishingand
Press2004,Chap.15,pp.307330.

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Lecture Topics

20

Various techniques for posterior palatal seal.

Definition
Purpose
Anatomy
Physiologicmethodusingmouthtemperaturewax
Biomechanicalmethods
Combinationphysiologicandbiomechanicalmethods
References:
o Boucher'sProsthodon cTreatmentforEdentulousPa ents,10thed.,pp.433436;
SyllabusofCompleteDenturespp.191192,462463
o HassaballaM.ClinicalCompleteDentureProsthodontics,KSU,AcademicPublishingand
Press2004,Chap.12,pp.257264.
Wax Tryin of waxed partial denture.
Objectives:
Thislecturedealswiththeclinicalappointmentatwhichthepatientfirstviewsthe
estheticarrangementofanteriorteeth.Theimportanceofcorrecttoothsize,tooth
positionandshadeisexplained.Thesecondobjectivefocusesontheverification
ofjawrelationsincertainsituations.Makingwaxverificationrecordsandprocedureof
verifyingtheaccuracyofarticulatormountingisdescribed.Thesubjectmatteris
organizedunderthesefollowingsubheadings:
IndicationsoftryinwaxedP.D.
Esthetics
Verificationofjawrelations
a. IftheP.D.isopposedbyacompletedenture
b. Ifalltheposteriorteethinbotharchesarebeingreplaced
c. Iftherearenoopposingnaturalteethincontact
Reference:
o Phoenix,Cagna,andDeFreest,StewartsClinicalRemovablePar alProsthodon cs,3rd
ed,Chapter14,pp.397430
Complete Denture Placement & Clinical Remount Procedures.
Objectives:
Thelecturefocusesattentiononthedefiniteclinicalsequenceofdentureinsertion.It
isbroadlydividedintothefollowingdisciplinesnamely,evaluatingtissuesurface,border
extensions,retentionandstability,dentureremount,selectivegrinding,instructionsand
recallappointments.Thelectureemphasisthatdentureinsertionisanextensive
painstakingclinicalprocedure.Thesubjectmatterisorganizedunderthesubheadingsthat
follows:
InitialInsertion:
a. Evaluationoftissuesurface
b. Evaluationofborderextensions
c. Evaluationofretentionandstability
d. Evaluationofestheticandfacialcontours
e. Centricrelationrecords

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22
cont..

23

24

Lecture Topics
The Clinical Remount.
Objectives:
Thislectureconcernedtheclinicalstepsoftheclinicalremount,itsimportanceandthe
rulesofselectivegrinding.
DentureRemountandSelectiveGrinding
FinalIntraoralCheckUp:
Instructions to Patients and Recall Appointments:
Firstoralfeelings,excessivesalivation,speech
Maintainingtissuehealth
Completedenturehygiene
References:
o TextbookofCompleteDenturesbyRahn&Heartwell,,5thed.,Chapter18,pp.387400
o Boucher'sProsthodon cTreatmentofEdentulousPa ents,10thed.,Chapter23,pp.474
508
o HassaballaM.ClinicalCompleteDentureProsthodontics,KSU,AcademicPublishingand
Press2004,Chap.17,pp.337341.
Postinsertion problems and management of complete dentures.
Objectives:
Thislectureisconcernedwiththeproblemsarisingduetodentureuse.Itfocuses
upontheidentificationofthecauseorcausesoftheproblemassociatedwithfunctionand
itscorrelation.Thesubjectmatterispresentedunderthesubheadingsthatfollows:
Common Problems:
Basaltissueirritationdetectionandcorrection
Occlusaldiscrepanciesdetectionandcorrection
Defectivedentureretentiondetectionandcorrection
Gaggingitscausesandcorrection
Poormasticationandphoneticdefects
References:
o TextbookofCompleteDenturesbyRahn&Heartwell,5thed.,Chapter19,pp.404425.
o HassaballaM.ClinicalCompleteDentureProsthodontics,KSU,AcademicPublishingand
Press2004,Chap.20,pp.367388.
RPD Denture Placement, counseling, complaints and adjustments.
Objectives:
ThislecturedealswithfittingorinsertionofRPD,counselingofthepatient,the
complaintsresultingfromtheuseoftheprosthesis.Anadjustmentofthedenturesand
instructionsformaintenanceofdenturesandrecallappointmentsandtheimportanceof
examiningtheoraltissuesatleastonceayearareexplained.Thesubjectmatteris
organizedunderthesubheadingsthatfollows:
i. Fittingoftheprosthesis,itsprocedures
ii. Counselingthepatient
iii. Postinsertionfollowup
iv. Commoncomplaintsofthepartialdenturewearer
v. Factorsinassessingtheneedforadjustments
vi. Inflammationcausedbytheprosthesisthatoftenelicitnocomplaint

o References:Phoenix,Cagna,andDeFreest,StewartsClinicalRemovablePartial
Prosthodon cs,3rdedChapter15,pp.431449andChapter16,pp.451461.

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Lecture Topics

25

Provisional removable partial dentures.

Definitions
Indicationsfor:
1. Interimremovablepartialdentures
2. Transitionalremovablepartialdentures
3. Treatmentremovablepartialdentures
Clinicalproceduresandnumberofpatientvisitsfor:
1. Interimremovablepartialdenture
2. Transitionalremovablepartialdentures
3. Treatmentremovablepartialdentures(includinguseoftissueconditioners)
Placement(insertion)visit
References:
o McCrackenRemovableProsthodon cs,Chapter22pp463469
o Phoenix,Cagna,andDeFreest,StewartsClinicalRemovablePar alProsthodon cs,3rd
edCh.18p475491.
Immediate Complete dentures. (Part 1)
Definition
1. Conventionalimmediatecompletedenture
2. Interim(temporary)immediatecompletedenture
Indicationsandadvantagesofimmediatedentureservice
Contraindicationsforimmediatedentureservice
Clinicalstepsandlaboratoryproceduresforconventionalimmediatecomplete
dentures
1. Visit1:Initialconsultvisit,orderingradiographs,diagnosticimpressions
2. Visit2:Historytaking,comprehensiveexamination,schedulingposterior
teethextractions,verbal&writtenexplanations
3. Visit3:(shortclinicalvisit)Newimpressionafterposteriorteethextractions
Laboratoryprescription:fabricatefullarchorsectionalcustom
impressiontrays
4. Visit4:Fittingcustomtrays,bordermoldingandfinalimpressions
Laboratoryprescription:Fabricaterecordbasesandwaxocclusionrims
5. Visit5:Maxillomandibularjawrecords,posteriorpalatalseal,shadeand
mouldselectionsLaboratoryprescription:Instructionsforarticulator
mounting(facebowandcentricrelationrecord),andsettingofartificialteeth
Note:Atryinvisitoftheposteriorteethandaprotrusiverecordmaybe
recommendedbyyourinstructor.
6. Verifyingtheacceptabilityofthefinishedimmediatecompletedenture
(beforeplacement)
Clinicalandlaboratorytechniquefortheinterim(temporary)complete
denture
References:
o TextbookofCompleteDentures,Chapter22,ImmediateCompleteDentureConstruc on
Procedures,5thed.,1993p.453480.
o Note:IncludeChapter21,pp.437451ImmediateCompleteDenturesGeneral
Considerations
o HassaballaM.ClinicalCompleteDentureProsthodontics,KSU,AcademicPublishingand
Press2004,Chap.21,pp.301414.

26

14

COURSE OUTLINE (CONTD)

No.
27

Lecture Topics
Immediate Complete dentures.(Part2)
ImmediateCompleteDentures(Con nua onoflecture6)
a. Visit6:Placement(insertionvisitforimmediatedentures
1. Extractionofremainingteeth
2. Placement(insertion)procedures
3. Verbalandwritteninstructiontopatient
b. Postplacementvisits
1. Followingdayvisit
2. Futurepostplacementvisits
c. Patientcomplaintsandsolutionsassociatedwithimmediatecompletedentures
1. Estheticsandspeech
2. Dentureandflangethickness
3. Softtissueirritation
4. Retentionandstability
5. Chewingdifficulties
d. Stabilizationofimmediatecompletedenturesduringthesoftandhardtissuehealing
period
1. Typesoftemporaryliningmaterialsanduses
2. Timelengthoffinalhardtissueremodelingperiod
e. Permanentrelining(hardacrylic)ofconventionalimmediatecompletedentures
1. Timeframeforremodelingofalveolarbone
2. Reliningprocedures(alsorefertolectureNo.8,"Reliningcompletedentures"
f. Preextractioncasts
1. Preextractionrecordpurposes
2. Medicolegalrecord
Reference:
o TextbookofCompleteDentures,Chapter22,ImmediateCompleteDentureConstruc on
Procedures,5thed.,1993p.453480.
o Note:IncludeChapter21,pp.437451ImmediateCompleteDenturesGeneral
Considerations

15

CLINICAL AND LAB SESSIONS

(Complete Dentures)
WEEK SESSION
ACTIVITY
CLINICAL Demo&practice:examinationofcompletelyedentulouspatients
1
LAB
ConstructionofR.B.forlabexam
Demo:primaryimpressions;trayselection,impressionmaking
CLINICAL
Practice:makingupperandlowerprimaryimpressionsinalginateandpouring
2
LAB
Constructionofcustomtrays
Demo:upperfinalimpressions;checkingtrays,bordermolding,impressionmaking
CLINICAL
Practice:makinglowerfinalimpressionandboxingin
3
LAB
Constructionofupperrecordblock
Demo:lowerfinalimpressions;checkingcustomtrays,bordermolding,impression
CLINICAL making
4
Practice:makinglowerfinalimpressionandboxingin
LAB
Constructionoflowerrecordblock
Demoandpractice:recordingcentricjawrelation;checkingupperrecordbase
CLINICAL
intraorally,recordingofocclusalverticaldimension,checkingoftonguespace
5
LAB
Mountingthecastsoflabexam
Demoandpractice:recordingcentricjawrelation;checkinglowerocclusalplane,
CLINICAL
recordingcentricjawrelation,facebowrecord,selectionofteeth
6
LAB
Settingupperandloweranteriorteeth
Demoandpractice:trialofwaxedcompletedenture;checkinganteriorteeth,
CLINICAL
verificationofCRmakingprotrusiverecord
7
LAB
Settingupperandloweranteriorteeth
CLINICAL Demoandpractice:trialofposteriorteeth,scoringtheposteriorpalatalsealarea
8

CLINICALEXAM:FINALIMPRESSION
LAB
Waxupofcompletedenture
CLINICAL Demoandpractice:laboratoryremounts
9
LAB
Preparingmountedjawrelationforlabexam
CLINICAL Demoandpractice:dentureinsertion,clinicalremount
10
LAB
Selectivegrinding
CLINICAL Demoandpractice:dentureinsertion
11
LAB
PracticeonarrangementofteethforClassIIIrelation
CLINICAL Demoandpractice:firstinspection
12
LAB
PracticeonarrangementofteethforClassIIIrelation
CLINICAL Demoandpractice:secondinspection
13
LAB
LABEXAM:SETTINGTEETHFORCLASSIIJAWRELATION
Demoandpractice:examinationofpartiallyedentulouspatient,makingprimary
CLINICAL
impressionsinalginate
14
LAB
Constructionofsectionalrecordblocks
CLINICAL Demoandpractice:facebowandCRfordiagnosticcasts

MIDYEAREXAM
15
Mountingdiagnosticcasts(splitcasts)
LAB
Surveyingandpreparationofabutmentpreparationlist

16

CLINICAL AND LAB SESSIONS

(Partial Denture)
WEEK SESSION
1

CLINICAL
LAB

3
4
5
6
7
8
9
10
11
12
13

CLINICAL
LAB
CLINICAL
LAB
CLINICAL
LAB
CLINICAL
LAB
CLINICAL
LAB
CLINICAL
LAB
CLINICAL
LAB
CLINICAL
LAB
CLINICAL
LAB
CLINICAL
LAB
CLINICAL
LAB
CLINICAL
LAB

ACTIVITY
Demo&practice:examinationofpartiallyedentulouspatients,making
primaryimpressionsinpalate
Constructionofsectionalrecordblocks
Demoandpractice:facebowandCRfordiagnosticcases,mounting
diagnosticcasts(splitcasts)andwritingtreatmentplan
Surveyingandpreparationofabutmentpreparationlist
Demoandpractice:abutmentpreparation,checkimpression
Constructionofcustomtray,fillinglabauthorizationform(upperarch)
Demoandpractice:finalimpressionofupperarch
Constructionofcustomtray,fillinglabauthorizationform(lowerarch)
Demoandpractice:finalimpressionoflowerarch
Preparationofcustomtraysforexam
CLINICALEXAM:FINALIMPRESSIONS,POURINGFINALIMPRESSIONS
Tutorialbycoordinatorsfordifferentdesigns
Demoandpractice:fittingmetalframework
Constructionofsectionallowercustomtray
Demoandpractice:sectionalcorrectiveimpression
Constructionofocclusionrims
Demoandpractice:jawrelation,selectionofshade
Settingartificialteeth
Demoandpractice:trialofwaxeddentures
WaxupofRPD
Demoandpractice:insertionofdentures
Tutorialbycoordinatorsfordifferentdesigns
Demoandpractice:firstinspection
LABEXAM:CASTSURVEYINGANDDESIGNING
Demoandpractice:secondinspection
Examinationandprimaryimpressionwithcompletelyedentulouspatient

17

SCHEDULE OF COURSE CONTRIBUTORS 321SDS (DUC)

Academic Year 20072008 (14281429H)
Lecture
No.

Date

120907

Dr.Aleem

IntroductiontotheCourse;Clinical&Laboratory
Protocol&Forms.

190907

Dr.Akeel

Diagnosisandtreatmentplanningfordentulousand
edentulouspatientPartI

26907

Dr.Akeel

Diagnosisandtreatmentplanningfordentulousand
edentulouspatientPartII

31007

Prof.Fahmi

MouthpreparationforRPD

241007

Prof.Fahmi

Surgicalandnonsurgicalpreparationofthemouthfor
completedentureservice

311007

Dr.Aleem

Impressionprocedureforpartiallyedentulouspatients

71107

Dr.Aleem

Principlesandobjectivesofimpressionmakingfor
completedentures

Faculty

41007 to 191007

Lectures

RAMADAN EID HOLIDAYS

141107

Dr.Aleem

Recordingmaxillomandibularrelations(complete
dentures)

211107

Dr.AlBaker

Themetalframeworktryinanddualimpression
technique.

10

281107

Dr.AlBaker

JawrelationrecordsandtechniquesforRPD

11

51207

Dr.Z.AlSowygh

Selectionofanteriorartificialteethvariousmethods
andrelatedanatomicfactors(completedentures)

12

121207

Dr.Z.AlSowygh

Selectionofposteriorartificialteethvariousmethods
andrelatedanatomicfactors(completedentures)

13

2108

Dr.AlBaker

SelectionandarrangementofteethforRPDThe
denturebase.

14

9108

Dr.Aleem

Retentionandstabilityofcompletedentures.

15

16108

Dr.Aleem

Philosophyofocclusion,Occlusalconceptsandocclusal
schemesforcompletedentures

131207to281207
16

23108

Dr.Aleem

17

31108

Dr.Aleem

6208to15208

HADJ HOLIDAY
MidYear Examination
Arrangementofteethforabnormaljawrelationship
MIDYEAR BREAK

18


Lecture
No.

Date

18

20208

Dr.Aleem

Principlesofpartialdenturedesign

19

27208

Dr.Aleem

Stressconsiderationindistalextensionpartialdentures

20

5308

Dr.Aleem

WaxTryinofCompleteDentures

21

12308

Dr.Aleem

Varioustechniquesforposteriorpalatalseal.

22

19308

Dr.Aleem

WaxTryinofRemovablePartialDentures

23

26308

Dr.Aleem

CompleteDentureplacements,clinicalremount
procedures

24

2408

Dr.Z.AlSowygh

Postinsertionproblemsandmanagementofcomplete
dentures

25

9408

Dr.AlBaker

RPDdentureplacement,counseling,complaintsand
adjustment

Faculty

10408to18408

Lectures

MIDSUMMER BREAK

26

23408

Dr.Farraj

Provisionalremovablepartialdentures

27

30408

Dr.AlBaker

Immediatecompletedentures(Part1)

28

70508

Dr.AlBaker

Immediatecompletedentures(Part2)

19