口腔修复学精品课件（中山大学）17.RPD牙体预备.pdfVIP

Chapter 7 Tooth Preparation of RPD 吴淑仪 Tooth Preparation of RPD ： abutment teeth remaining teeth Tooth Preparation of RPD • Determining the items which need to be prepared on the diagnostic cast Preparation Steps 1. Preparation of abutment teeth and remaining teeth 2. Preparing the guide plane 3. 3. Creating Creating occlusalocclusal rest seatsrest seats 4. Preparing groove for embrasure clasps 5. Providing access for minor connectors 6. Recontouring to improve clasp location Part I Preparation of Abutment Teeth and Remaining Teeth 1.Grinding sharp cusp and marginal ridge 2.Modifying the occlusive plane and curve 3.Adjusting the depth and slope of undercut 4.Recontouring teeth to accommodate better position of retentive clasp arm Part II Preparing Guide Surfaces Mouth preparation should follow the removable partial denture design that was outlined on the diagnostic cast at the time the cast was surveyed 1 Preparing guide surfaces for guide plates of abutmentabutment beforebefore creatingcreating thethe occlusalocclusal restrest seatsseats using cylindrical diamond bur • Remaining space at gingival side for physiological buffering • Along the buccolingual convexity of nature tooth • Gingiva-occlusal length is 1/2~2/3 of crown , about 3~4mmabout 3~4mm • Parallel with the path of insertion 2. Preparing guide surfaces for minor connectors 3. Preparing guide surfaces for lingual plating and reciprocating/bracing elements 4. Preparing guide surfaces for esthetics 5. Preparing guide surfaces for reducing interferences Part III Creating Rest Seats • Providing space for rests, including occlusal rest, cingulum rest and incisal rest •• should be designed to direct should be designed to direct occlusa