Additional Information
Book Details
Abstract
The leading prosthodontics resource for more than 40 years, McCracken's Removable Partial Prosthodontics provides the information you need to successfully manage the replacement of missing teeth. It covers the basic principles of treatment planning and design, and discusses the newest techniques, procedures, and equipment. Well-known educators Alan B. Carr, DMD, MS, and David T. Brown, DDS, MS use an evidence-based approach that helps you diagnose, design, develop, and sequence a treatment plan. A new chapter in this edition explains how to select and use implants to improve prosthesis performance. From initial contact with the patient to post-treatment care, from basic concepts to advanced material, this full-color text provides a complete foundation in prosthodontic care.
- Colored boxes highlight the more advanced topics, so it's easy to focus on content that's appropriate for your level of experience.
- Evidence-based approach uses current research to help you diagnose, design, develop, and sequence a treatment plan.
- Various philosophies and techniques are presented, so you can select and incorporate applicable techniques on a case-by-case basis.
- Chapters are presented in three logically-sequenced sections to keep specific focus areas together:
- General Concepts/Treatment Planning
- Clinical and Laboratory
- Maintenance
- Additional information on the use of implants includes:
- New Considerations for the Use of Dental Implants with Removable Partial Dentures chapter, on improving prosthesis performance through increasing functional stability
- New section on impact of implants on movements of partial denture
- New section on implants as a rest
- New section on implants as direct retainers
- New section on implant considerations in design
- New full-color drawings and photographs show techniques, materials, and anatomical detail more accurately.
Table of Contents
| Section Title | Page | Action | Price |
|---|---|---|---|
| Title page | i | ||
| Copyright page | iv | ||
| Preface | v | ||
| About the Book | vi | ||
| NEW TO THIS EDITION | vi | ||
| KEY FEATURES | vi | ||
| Acknowledgments | vii | ||
| About the Authors | viii | ||
| Part 1: General Concepts/Treatment Planning | 13 | ||
| Chapter 1: Partially Edentulous Epidemiology, Physiology, and Terminology | 2 | ||
| Tooth Loss and Age | 3 | ||
| Consequences of Tooth Loss | 5 | ||
| Functional Restoration with Prostheses | 5 | ||
| Current Removable Partial Denture Use | 7 | ||
| Need for Removable Partial Dentures | 7 | ||
| References | 7 | ||
| Chapter 2: Considerations for Managing Partial Tooth Loss | 8 | ||
| Points of View | 8 | ||
| Tooth-Supported Prostheses | 9 | ||
| Tooth and Tissue–Supported Prostheses | 10 | ||
| Six Phases of Partial Denture Service | 12 | ||
| Reasons for Failure of Clasp-Retained Partial Dentures | 14 | ||
| Chapter 3: Classification of Partially Edentulous Arches | 16 | ||
| Requirements of an Acceptable Method of Classification | 17 | ||
| Kennedy Classification | 17 | ||
| Applegate’s Rules for Applying the Kennedy Classification | 20 | ||
| Reference | 20 | ||
| Chapter 4: Biomechanics of Removable Partial Dentures | 21 | ||
| Biomechanics and Design Solutions | 21 | ||
| Biomechanical Considerations | 22 | ||
| Possible Movements of Partial Dentures | 24 | ||
| Impact of Implants on Movements of Partial Dentures | 28 | ||
| Chapter 5: Major and Minor Connectors | 29 | ||
| Role of Major Connectors in Control of Prosthesis Movement | 30 | ||
| Minor Connectors | 46 | ||
| Finishing Lines | 49 | ||
| Reaction of Tissue to Metallic Coverage | 49 | ||
| Major Connectors in Review | 52 | ||
| Chapter 6: Rests and Rest Seats | 56 | ||
| Role of Rests in Control of Prosthesis Movement | 56 | ||
| Form of the Occlusal Rest and Rest Seat | 58 | ||
| Extended Occlusal Rest | 59 | ||
| Interproximal Occlusal Rest Seats | 59 | ||
| Internal Occlusal Rests | 61 | ||
| Support For Rests | 61 | ||
| Lingual Rests on Canines and Incisor Teeth | 63 | ||
| Incisal Rests and Rest Seats | 64 | ||
| Implants As a Rest | 66 | ||
| Chapter 7: Direct Retainers | 67 | ||
| Direct Retainer’s Role in Control of Prosthesis Movement | 67 | ||
| Basic Principles of Clasp Design | 68 | ||
| Types of Direct Retainers | 70 | ||
| Criteria for Selecting a Given Clasp Design | 71 | ||
| Types of Clasp Assemblies | 72 | ||
| Analysis of Tooth Contours for Retentive Clasps | 86 | ||
| Amount of Retention | 88 | ||
| Implants as Direct Retainers | 92 | ||
| Other Types of Retainers | 92 | ||
| Internal Attachments | 93 | ||
| Chapter 8: Indirect Retainers | 96 | ||
| Role of Indirect Retainers in Control of Prosthesis Movement | 96 | ||
| Factors Influencing Effectiveness of Indirect Retainers | 99 | ||
| Auxiliary Functions of Indirect Retainers | 99 | ||
| Forms of Indirect Retainers | 99 | ||
| Chapter 9: Denture Base Considerations | 103 | ||
| Functions of Denture Bases in Control of Prosthesis Movement | 103 | ||
| Methods of Attaching Denture Bases | 106 | ||
| Ideal Denture Base Material | 106 | ||
| Advantages of Metal Bases | 107 | ||
| Methods of Attaching Artificial Teeth | 109 | ||
| Need for Relining | 112 | ||
| Stress-Breakers (Stress Equalizers) | 114 | ||
| Chapter 10: Principles of Removable Partial Denture Design | 115 | ||
| Difference in Prosthesis Support and Influence on Design | 115 | ||
| Differentiation Between Two Main Types of Removable Partial Dentures | 116 | ||
| Essentials of Partial Denture Design | 119 | ||
| Components of Partial Denture Design | 120 | ||
| Implant Considerations in Design | 126 | ||
| Examples of Systematic Approach to Design | 126 | ||
| Additional Considerations Influencing Design | 128 | ||
| Chapter 11: Surveying | 130 | ||
| Description of Dental Surveyor | 131 | ||
| Purposes of the Surveyor | 132 | ||
| Factors that Determine Path of Placement and Removal | 137 | ||
| Step-By-Step Procedures in Surveying A Diagnostic Cast | 138 | ||
| Final Path of Placement | 141 | ||
| Recording Relation of Cast to Surveyor | 142 | ||
| Surveying the Master Cast | 143 | ||
| Measuring Retention | 143 | ||
| Blocking Out the Master Cast | 145 | ||
| Relieving the Master Cast | 146 | ||
| Paralleled Blockout, Shaped Blockout, Arbitrary Blockout, and Relief | 147 | ||
| Part 2: Clinical and Laboratory | 149 | ||
| Chapter 12: Diagnosis and Treatment Planning | 150 | ||
| Patient Interview | 150 | ||
| Clinical Examination | 151 | ||
| Diagnostic Findings | 164 | ||
| Chapter 13: Preparation of the Mouth for Removable Partial Dentures | 185 | ||
| Oral Surgical Preparation | 185 | ||
| Conditioning of Abused and Irritated Tissues | 191 | ||
| Periodontal Preparation* | 194 | ||
| Abutment Teeth Preparation | 200 | ||
| Chapter 14: Preparation of Abutment Teeth | 205 | ||
| Classification of Abutment Teeth | 206 | ||
| Sequence of Abutment Preparations on Sound Enamel or Existing Restorations | 206 | ||
| Abutment Preparations Using Conservative Restorations | 206 | ||
| Abutment Preparations Using Crowns | 208 | ||
| Splinting of Abutment Teeth | 212 | ||
| Use of Isolated Teeth as Abutments | 213 | ||
| Missing Anterior Teeth | 214 | ||
| Temporary Crowns When A Removable Partial Denture Is Being Worn | 215 | ||
| Fabricating Restorations to Fit Existing Denture Retainers | 216 | ||
| Chapter 15: Impression Materials and Procedures for Removable Partial Dentures | 219 | ||
| Rigid Materials* | 219 | ||
| Thermoplastic Materials* | 220 | ||
| Elastic Materials* | 221 | ||
| Impressions of the Partially Edentulous Arch | 222 | ||
| Individual Impression Trays | 226 | ||
| Chapter 16: Support for the Distal Extension Denture Base | 231 | ||
| Distal Extension Removable Partial Denture | 232 | ||
| Factors Influencing the Support of A Distal Extension Base | 232 | ||
| Anatomic Form Impression | 236 | ||
| Methods for Obtaining Functional Support for the Distal Extension Base | 236 | ||
| Chapter 17: Occlusal Relationships for Removable Partial Dentures | 242 | ||
| Desirable Occlusal Contact Relationships for Removable Partial Dentures | 243 | ||
| Methods for Establishing Occlusal Relationships | 245 | ||
| Materials for Artificial Posterior Teeth | 251 | ||
| Establishing Jaw Relations for a Mandibular Removable Partial Denture Opposing a Maxillary Complete Denture | 251 | ||
| Chapter 18: Laboratory Procedures | 253 | ||
| Duplicating a Stone Cast | 253 | ||
| Waxing the Removable Partial Denture Framework | 254 | ||
| Spruing, Investing, Burnout, Casting, and Finishing of the Removable Partial Denture Framework | 261 | ||
| Making Record Bases | 267 | ||
| Occlusion Rims | 270 | ||
| Making a Stone Occlusal Template from a Functional Occlusal Record | 271 | ||
| Arranging Posterior Teeth to an Opposing Cast or Template | 272 | ||
| Types of Anterior Teeth | 273 | ||
| Waxing and Investing the Removable Partial Denture Before Processing Acrylic-Resin Bases | 274 | ||
| Processing the Denture | 277 | ||
| Remounting and Occlusal Correction to an Occlusal Template | 280 | ||
| Polishing the Denture | 282 | ||
| Chapter 19: Work Authorizations for Removable Partial Dentures | 284 | ||
| Work Authorization | 284 | ||
| Definitive Instructions by Work Authorizations | 286 | ||
| Legal Aspects of Work Authorizations | 287 | ||
| Delineation of Responsibilities by Work Authorizations | 287 | ||
| Chapter 20: Initial Placement, Adjustment, and Servicing of the Removable Partial Denture | 289 | ||
| Adjustments to Bearing Surfaces of Denture Bases | 290 | ||
| Occlusal Interference from Denture Framework | 290 | ||
| Adjustment of Occlusion in Harmony with Natural and Artificial Dentition | 291 | ||
| Instructions to the Patient | 294 | ||
| Follow-Up Services | 296 | ||
| Part 3: Maintenance | 298 | ||
| Chapter 21: Relining and Rebasing the Removable Partial Denture | 299 | ||
| Relining Tooth-Supported Denture Bases | 300 | ||
| Relining Distal Extension Denture Bases | 301 | ||
| Methods of Reestablishing Occlusion on a Relined Removable Partial Denture | 302 | ||
| Chapter 22: Repairs and Additions to Removable Partial Dentures | 305 | ||
| Broken Clasp Arms | 305 | ||
| Fractured Occlusal Rests | 307 | ||
| Distortion or Breakage of Other Components—Major and Minor Connectors | 307 | ||
| Loss of a Tooth or Teeth not Involved in Support or Retention of the Restoration | 308 | ||
| Loss of an Abutment Tooth Necessitating its Replacement and Making a New Direct Retainer | 308 | ||
| Other Types of Repairs | 308 | ||
| Repair by Soldering | 308 | ||
| Chapter 23: Interim Removable Partial Dentures | 311 | ||
| Appearance | 311 | ||
| Space Maintenance | 312 | ||
| Reestablishing Occlusal Relationships | 313 | ||
| Conditioning Teeth and Residual Ridges | 313 | ||
| Interim Restoration During Treatment | 313 | ||
| Conditioning the Patient for Wearing a Prosthesis | 313 | ||
| Clinical Procedure for Placement | 314 | ||
| Chapter 24: Removable Partial Denture Considerations in Maxillofacial Prosthetics | 316 | ||
| Maxillofacial Prosthetics | 316 | ||
| Timing of Dental and Maxillofacial Prosthetic Care for Acquired Defects | 317 | ||
| Intraoral Prostheses: Design Considerations | 323 | ||
| Surgical Preservation for Prosthesis Benefit | 323 | ||
| Maxillary Prostheses | 328 | ||
| Mandibular Prostheses | 331 | ||
| Jaw Relation Records for Mandibular Resection Patients | 337 | ||
| Summary | 337 | ||
| Chapter 25: Considerations for the Use of Dental Implants With Removable Partial Dentures | 338 | ||
| Physiologic Distinction Between Prostheses | 339 | ||
| Replacing Anatomy and Functional Ability | 339 | ||
| Strategically Placed Implants for RPD Stability and Improved Patient Accommodation | 340 | ||
| Movement Control with Selective Implant Placement | 340 | ||
| Treatment Planning | 341 | ||
| Clinical Examples | 341 | ||
| Summary | 341 | ||
| Acknowledgments | 345 | ||
| Glossary | 346 | ||
| Selected Reading Resources | 349 | ||
| Index | 371 |