Hello Dr Paul, First of all I would like to thank you for this wonderful descriptions you gave in the videos. Also, I wanna request you to discuss one of the most difficult and complex case of yours in clinics with detailed concepts and rationale of using the particular components and not using the other components. Thanks
Hello Anjali, Thank you for your interest in this channel. I will endeavor to include some unusual unorthodox treatment plan workflows in the near future. Regards Paul
Hi Dr. Paul, thanks for such a great series. would it be possible to share a copy of these worksheets? revising the basics of RPD design through these would be very helpful for me. thanks so much. cheers.
Hi Juliette, Thank you for kind words. My hope is that we all take responsibility in designing our frameworks rather than letting a third party decide for us. For those that do, awesome. Continue being awesome practitioners. For those that don’t, never too late to start. PK
Hi Lule, Abutments for direct retainers are those teeth adjacent to the edentulous areas. Also could be categorized as primary abutments. If primary abutment teeth are guarded or compromised then prognosis would not be as favourable and possible secondary abutments utilized to anticipate possible future tooth loss. It would be better dentistry to address the health and longevity of abutments prior to treatment. Avoiding this I believe to be iatrogenic dentistry. Thank you for your comments.
Thank you for a detailed video. I have a question if you could please answer it... Which is the best option for class II? a. Distal rest and I bar b. occlusally approaching class c. Dental bar d Mesial rest and I bar
Hi Marium, Thanks you for your question. The design thoughts in the video are under the assumption that all the abutment teeth are sound with a good prognosis as well as plenty of room vertically. It is to highlighting best practices with an academic foundation. We should endeavor to locate mesial occlusal rests on terminal abutments with stress breaking clasp whenever possible. I bars, Y bars and W.W. clasps. departing from these clasps and rest position may compromise the life span of the abutments and reduce a positive prosthetic outcome. Taking this in consideration will help us create realistic treatment plans for our clients with a more definitive prognosis. Frenum location, alveolar height, degree and location of undercuts available, opposing dentition, previous and future restorative, vertical dimension, sulcus depth, length of guide planes, length of prosthetic occlusal table, depth of palate, quality and type of mucosa and saliva composition will guide us in design and appropriate treatment plans. Regards Paul K.
