Edward Billy

Rotational Path Removable Partial Denture (RPD): Conservative Esthetic Treatment Option for the Edentulous Mandibular Anterior Region: A Case Report

UNLABELLED It can be esthetically and financially daunting for patients to lose teeth in an anterior region of the mouth. For these patients, traditional treatment options presented in the past have included fixed partial denture, implants, and conventional removable partial denture (RPD). For patients faced with financial, anatomical, and/or esthetic limitations, the edentulous region can be restored successfully with a rotational path RPD. Rotational path RPD designs have often been overlooked by the dental profession due to its complex concepts involving the prosthetic design and sensitive laboratory techniques. With better understanding of the concepts and design, the dental clinician can deliver the highest esthetic outcome in compromised areas in which other treatment options may often face limitations. This paper reviews the method used to esthetically design and plan a posterior-anterior rotational path RPD in an edentulous mandibular anterior region for a patient missing the mandibular incisors. CLINICAL SIGNIFICANCE Due to inadequate understanding of the mechanics of rotational path RPDs, many clinicians have not adapted the application of this advantageous prosthesis. When correctly designed and fabricated, the rotational path RPD provides improved esthetics, cleanliness, and retention for patients who may not be suitable candidates for implants or fixed partial dentures in tooth-supported edentulous regions.

Combination stone and resilient material for removable partial denture remount cast described and compared with two other remount cast procedures

A procedure for making a combination remount cast of stone and elastomeric material for removable partial dentures is described in detail and is compared quantitatively with two other methods for making remount casts for removable partial dentures. This method does not require blocking out the undercuts in the denture base or around the clasps.

Effects of an internal escape channel on a castable ceramic crown

This study evaluated the adaptation and strength of Dicor castable ceramic crowns cemented using an internal escape channel on the axial wall of the preparation. Twenty-eight crown wax patterns were made on 14 machined brass dies. The adaptation of the crowns was evaluated by measuring the combined height of the die and crown. The results revealed a significant difference in the mean and standard deviation of 16 +/- 13 micron in the experimental group and 85 +/- 31 microns in the control group. The differences between the force to fracture of 2155 +/- 1188 N and 1040 +/- 658 N, respectively, was also significant. The findings suggested that having an internal escape channel during cementation significantly improved the fit and strength of Dicor castable ceramic crowns. This technique would be particularly beneficial for cementation of posterior castable ceramics.