McCracken's Removable Partial Prosthodontics
Editat de Lisa A. Lang, Lily T. García, Ahmed Mahrousen Limba Engleză Hardback – 20 ian 2026
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Specificații
ISBN-13: 9780323834872
ISBN-10: 0323834876
Pagini: 416
Ilustrații: Approx. 800 illustrations (780 in full color)
Dimensiuni: 216 x 276 mm
Ediția:14
Editura: Elsevier
ISBN-10: 0323834876
Pagini: 416
Ilustrații: Approx. 800 illustrations (780 in full color)
Dimensiuni: 216 x 276 mm
Ediția:14
Editura: Elsevier
Cuprins
PART I General Concepts/Treatment Planning
1 Partially Edentulous Epidemiology, Physiology, and Terminology
Demographics of Tooth Loss
Consequences of Tooth Loss
Functional Restoration With Prostheses
Current Removable Partial Denture Use
Need for Removable Partial Dentures
References
2 Considerations for Managing Partial Tooth Loss
Managing Tooth Loss Over Time
Tooth-Supported Prostheses
Tooth- and Tissue-Supported Prostheses
Steps in Patient Care
Reasons for Failure of Clasp-Retained Partial Dentures
References
3 Classification of Partially Edentulous Arches
Requirements of an Acceptable Method of Classification
Kennedy Classification
Applegate’s Rules for Applying the Kennedy Classification
Reference
4 Biomechanics of Removable Partial Dentures
Biomechanical Considerations
Managing Stress With Clasp Design
5 Major and Minor Connectors
Role of Major Connectors in Control of Prosthesis Movement
Minor Connectors
Finish Lines
Reaction of Tissue to Metallic Coverage
Major Connectors in Review
References
6 Rests and Rest Seats
Role of Rests in Control of Prosthesis Movement
Form of the Occlusal Rest and Rest Seat
Extended Occlusal Rest
Interproximal Occlusal Rest Seats
Internal Occlusal Rests
Implements of Rest (e.g., Implants as a Rest)
Support for Rests
Lingual Rests on Canines and Incisor Teeth
Incisal Rests and Rest Seats
7 Direct Retainers
Role in Control of Prosthesis Movement
Requirements of Clasp Assemblies
Criteria for Selecting a Given Clasp Design
Types of Clasp Assemblies
Amount of Retention
Attachments
Implants as Direct Retainers
References
8 Indirect Retainers
Role in Control of Prosthesis Movement
Factors Influencing Effectiveness of Indirect Retainers
Auxiliary Functions of Indirect Retainers
Forms of Indirect Retainers
9 Denture Base Considerations
Functions of Denture Bases in Control of Prosthesis Movement
Methods of Attaching Denture Bases
Methods for Incorporating Dental Implants
Ideal Denture Base Material
Advantages of Metal Bases
Methods of Attaching Artificial Teeth
Need for Relining
Stress Breakers (Stress Equalizers)
Reference
10 Principles of Removable Partial Denture Design
Difference in Prosthesis Support and Influence on Design
Differentiation Between Two Main Types of Removable Partial Dentures
Essentials of Removable Denture Design
Components of Removable Partial Denture Design
Systematic Approach to Removable Partial Denture Design
Additional Considerations Influencing Design
11 Surveying
Types of Surveyors
Purposes of the Surveyor
Factors That Determine Path of Placement and Removal
Step-by-Step Procedures in Surveying a Diagnostic Cast
Register Relation of Cast to Surveyor
Final Path of Placement
Surveying the Master Cast
12 Considerations of Removable Partial Dental Materials
Manufacturing Techniques
Materials
Applications and Special Considerations
PART II Clinical and Laboratory
13 Diagnosis and Treatment Planning
Objectives of Prosthodontic Treatment
Patient Interview
Shared Decision-Making
Clinical Examination
Oral Examination
Diagnostic Findings
Diagnostic Casts
Infection Control
Differential Diagnosis: Fixed or Removable Partial Dentures
Choice Between Complete Dentures and Removable Partial Dentures
Clinical Factors Related to Removable Partial Denture Frameworks
References
14 Preparation of the Mouth for Removable Partial Dentures
Preprosthetic Considerations in Partially Edentulous Mouths
Periodontal Preparation
Optimization of the Foundation for Fitting and Function of the Prosthesis
References
15 Preparation of Abutment Teeth
Classification of Abutment Teeth
Sequence of Abutment Preparations on Sound Enamel or Existing Restorations
Abutment Preparations Using Conservative Restorations
Abutment Preparations Using Crowns
Splinting of Abutment Teeth
Use of Isolated Teeth as Abutments
Missing Anterior Teeth
Temporary Crowns When a Removable Partial Denture is Being Worn
Fabricating Restorations to Fit Existing Denture Retainers
References
16 Impression Materials and Procedures for Removable Partial Dentures
Elastomeric Impression Materials
Rigid Materials
Thermoplastic Materials
Intraoral Scanners
Impressions of the Partially Edentulous Arch
Final Impressions
Final Impression Using Impression Material
Final Impression Technique
Reference
17 Framework Try In
Framework Fitting
Special Consideration of the Distal Extension Framework
Prosthesis Design
Fit of the Denture Base
Assessment of the Distal Extension Support Tissues
Altered Cast Technique
18 Occlusal Relationships for Removable Partial Dentures
Desirable Occlusal Contact Relationships
Methods for Establishing Occlusal Relationships
Materials for Artificial Posterior Teeth
Establishing Jaw Relations for a Mandibular Removable Partial Denture Opposing a Maxillary Complete Denture
Reference
19 Work Authorizations for Removable Partial Dentures
Work Authorization
Delineation of Responsibilities by Work Authorizations
Digital Work Authorizations
Legal Aspects of Work Authorizations
20 Laboratory Procedures
Analog Laboratory Procedures
Duplicating a Stone Cast
Waxing the Removable Partial Denture Framework
Spruing, Investing, Burnout, Casting, and Finishing of the Framework
Making Record Bases
Occlusion Rims
Arranging Posterior Teeth to an Opposing Cast or Template
Types of Anterior Teeth
Waxing and Investing the Denture Before Processing Acrylic Resin Bases
Processing the Denture
Remounting and Occlusal Correction to an Occlusal Template
Polishing the Denture
Additional Laboratory Procedures Using a Dental Surveyor
Placement of Internal Rest Seats
References
21 Initial Placement, Adjustment, and Servicing of the Removable Partial Denture
Adjustments to Bearing Surfaces of Denture Bases
Occlusal Interference From Denture Framework
Adjustment of Occlusion in Harmony With Natural and Artificial Dentition
Instructions to the Patient
PART III Long-term success: Patient and Prosthesis
22 Long-Term Care of the Patient
Biological Maintenance Needs and Complications
Mechanical Maintenance Needs and Complications
General Recall Rules
Patient Education
23 Relining and Rebasing the Removable Partial Denture
Reline and Rebase Materials
Relining
Rebasing
24 Repairs and Additions to Removable Partial Dentures
Denture Base Repair
Prosthetic Tooth Repair, Replacement, or Addition
Clasp Arm Repair
Occlusal Rest Repair
Soldering
PART IV Maintenance
25 Considerations for the Use of Dental Implants With Removable Partial Dentures
Physiologic Distinction Between Prostheses
Replacing Anatomy and Functional Ability
Advantages of Implant-Assisted Removable Partial Dentures
Implant Position for Implant-Assisted Removable Partial Dentures
Dimensions of Dental Implants Used in Implant-Assisted Removable Partial Dentures
Clinical Examples of When to Use Implant-Assisted Removable Partial Dentures
Considerations When Treatment Planning an Implant-Assisted Removable Partial Denture
26 Interim Removable Partial Dentures
Appearance
Space Maintenance
Reestablishing Occlusal Relationships
Conditioning Teeth and Residual Ridges
Interim Restoration During Treatment
Conditioning the Patient for Wearing a Prosthesis
Clinical Procedure for Placement
Reference
1 Partially Edentulous Epidemiology, Physiology, and Terminology
Demographics of Tooth Loss
Consequences of Tooth Loss
Functional Restoration With Prostheses
Current Removable Partial Denture Use
Need for Removable Partial Dentures
References
2 Considerations for Managing Partial Tooth Loss
Managing Tooth Loss Over Time
Tooth-Supported Prostheses
Tooth- and Tissue-Supported Prostheses
Steps in Patient Care
Reasons for Failure of Clasp-Retained Partial Dentures
References
3 Classification of Partially Edentulous Arches
Requirements of an Acceptable Method of Classification
Kennedy Classification
Applegate’s Rules for Applying the Kennedy Classification
Reference
4 Biomechanics of Removable Partial Dentures
Biomechanical Considerations
Managing Stress With Clasp Design
5 Major and Minor Connectors
Role of Major Connectors in Control of Prosthesis Movement
Minor Connectors
Finish Lines
Reaction of Tissue to Metallic Coverage
Major Connectors in Review
References
6 Rests and Rest Seats
Role of Rests in Control of Prosthesis Movement
Form of the Occlusal Rest and Rest Seat
Extended Occlusal Rest
Interproximal Occlusal Rest Seats
Internal Occlusal Rests
Implements of Rest (e.g., Implants as a Rest)
Support for Rests
Lingual Rests on Canines and Incisor Teeth
Incisal Rests and Rest Seats
7 Direct Retainers
Role in Control of Prosthesis Movement
Requirements of Clasp Assemblies
Criteria for Selecting a Given Clasp Design
Types of Clasp Assemblies
Amount of Retention
Attachments
Implants as Direct Retainers
References
8 Indirect Retainers
Role in Control of Prosthesis Movement
Factors Influencing Effectiveness of Indirect Retainers
Auxiliary Functions of Indirect Retainers
Forms of Indirect Retainers
9 Denture Base Considerations
Functions of Denture Bases in Control of Prosthesis Movement
Methods of Attaching Denture Bases
Methods for Incorporating Dental Implants
Ideal Denture Base Material
Advantages of Metal Bases
Methods of Attaching Artificial Teeth
Need for Relining
Stress Breakers (Stress Equalizers)
Reference
10 Principles of Removable Partial Denture Design
Difference in Prosthesis Support and Influence on Design
Differentiation Between Two Main Types of Removable Partial Dentures
Essentials of Removable Denture Design
Components of Removable Partial Denture Design
Systematic Approach to Removable Partial Denture Design
Additional Considerations Influencing Design
11 Surveying
Types of Surveyors
Purposes of the Surveyor
Factors That Determine Path of Placement and Removal
Step-by-Step Procedures in Surveying a Diagnostic Cast
Register Relation of Cast to Surveyor
Final Path of Placement
Surveying the Master Cast
12 Considerations of Removable Partial Dental Materials
Manufacturing Techniques
Materials
Applications and Special Considerations
PART II Clinical and Laboratory
13 Diagnosis and Treatment Planning
Objectives of Prosthodontic Treatment
Patient Interview
Shared Decision-Making
Clinical Examination
Oral Examination
Diagnostic Findings
Diagnostic Casts
Infection Control
Differential Diagnosis: Fixed or Removable Partial Dentures
Choice Between Complete Dentures and Removable Partial Dentures
Clinical Factors Related to Removable Partial Denture Frameworks
References
14 Preparation of the Mouth for Removable Partial Dentures
Preprosthetic Considerations in Partially Edentulous Mouths
Periodontal Preparation
Optimization of the Foundation for Fitting and Function of the Prosthesis
References
15 Preparation of Abutment Teeth
Classification of Abutment Teeth
Sequence of Abutment Preparations on Sound Enamel or Existing Restorations
Abutment Preparations Using Conservative Restorations
Abutment Preparations Using Crowns
Splinting of Abutment Teeth
Use of Isolated Teeth as Abutments
Missing Anterior Teeth
Temporary Crowns When a Removable Partial Denture is Being Worn
Fabricating Restorations to Fit Existing Denture Retainers
References
16 Impression Materials and Procedures for Removable Partial Dentures
Elastomeric Impression Materials
Rigid Materials
Thermoplastic Materials
Intraoral Scanners
Impressions of the Partially Edentulous Arch
Final Impressions
Final Impression Using Impression Material
Final Impression Technique
Reference
17 Framework Try In
Framework Fitting
Special Consideration of the Distal Extension Framework
Prosthesis Design
Fit of the Denture Base
Assessment of the Distal Extension Support Tissues
Altered Cast Technique
18 Occlusal Relationships for Removable Partial Dentures
Desirable Occlusal Contact Relationships
Methods for Establishing Occlusal Relationships
Materials for Artificial Posterior Teeth
Establishing Jaw Relations for a Mandibular Removable Partial Denture Opposing a Maxillary Complete Denture
Reference
19 Work Authorizations for Removable Partial Dentures
Work Authorization
Delineation of Responsibilities by Work Authorizations
Digital Work Authorizations
Legal Aspects of Work Authorizations
20 Laboratory Procedures
Analog Laboratory Procedures
Duplicating a Stone Cast
Waxing the Removable Partial Denture Framework
Spruing, Investing, Burnout, Casting, and Finishing of the Framework
Making Record Bases
Occlusion Rims
Arranging Posterior Teeth to an Opposing Cast or Template
Types of Anterior Teeth
Waxing and Investing the Denture Before Processing Acrylic Resin Bases
Processing the Denture
Remounting and Occlusal Correction to an Occlusal Template
Polishing the Denture
Additional Laboratory Procedures Using a Dental Surveyor
Placement of Internal Rest Seats
References
21 Initial Placement, Adjustment, and Servicing of the Removable Partial Denture
Adjustments to Bearing Surfaces of Denture Bases
Occlusal Interference From Denture Framework
Adjustment of Occlusion in Harmony With Natural and Artificial Dentition
Instructions to the Patient
PART III Long-term success: Patient and Prosthesis
22 Long-Term Care of the Patient
Biological Maintenance Needs and Complications
Mechanical Maintenance Needs and Complications
General Recall Rules
Patient Education
23 Relining and Rebasing the Removable Partial Denture
Reline and Rebase Materials
Relining
Rebasing
24 Repairs and Additions to Removable Partial Dentures
Denture Base Repair
Prosthetic Tooth Repair, Replacement, or Addition
Clasp Arm Repair
Occlusal Rest Repair
Soldering
PART IV Maintenance
25 Considerations for the Use of Dental Implants With Removable Partial Dentures
Physiologic Distinction Between Prostheses
Replacing Anatomy and Functional Ability
Advantages of Implant-Assisted Removable Partial Dentures
Implant Position for Implant-Assisted Removable Partial Dentures
Dimensions of Dental Implants Used in Implant-Assisted Removable Partial Dentures
Clinical Examples of When to Use Implant-Assisted Removable Partial Dentures
Considerations When Treatment Planning an Implant-Assisted Removable Partial Denture
26 Interim Removable Partial Dentures
Appearance
Space Maintenance
Reestablishing Occlusal Relationships
Conditioning Teeth and Residual Ridges
Interim Restoration During Treatment
Conditioning the Patient for Wearing a Prosthesis
Clinical Procedure for Placement
Reference