Simplifying Combination Casework
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(14min) Combo Intro

(15min) Combo Case Study One

(21min) Identifying Problem Impressions

(24min) Combo Case Study Two

(15min) Fabrication of PFM Under Clasp

(20min) Combo Case Study Three

Course Objectives

Understand and effectively deal with difficult and challenging oral situations, confidently deliver upper and lower combination cases with greater confidence, and improve your ability to rehabilitate many commonly-encountered dental situations in a manner that may be less expensive for the patient, compared to other restorative options. Participants that complete the presentation will acquire useful information in many areas, including the following:

  • A better understanding of combination casework in practice
  • Evaluating framework designs for three clinical situations and delivering six
    removable partials
  • Selecting a removable partial dentures solutions without sacrificing esthetics
  • Techniques for taking better pick-up and edentulous impressions and better bites
  • Choice and use of equipment, materials and supplies
  • Understanding and using types of attachments, rests, clasps, and making adaptation
    patterns
  • Understanding and implementing effective techniques for delivering combination
    casework

    • Summary

    This presentation is comprised of three combination cases to illustrate the rehabilitation of commonly-encountered oral situations using a combination of fixed restorations and both upper and lower removable partial dentures. Esthetic and conventional partials are discussed and demonstrated. An abundant use of diagnostic and working models, diagrams and an extensive exhibition of “before” and “after” situations are used to focus on important facts and to provide tips on how to provide functional and esthetic results. Various attachment and clasping options are thoroughly discussed. Many practice pointers are provided, including tooth-preparation, impression materials and techniques, and the cementation of final restorations in combination with the placement of removable restorations.

    CAUTION: When viewing the techniques, procedures, theories and materials that are presented, you must make your own decisions about specific treatment for patients and exercise personal professional judgement regarding the need for further clinical testing or education and your own clinical expertise before trying to implement new procedures.

    References

    Labarre F, Tsiang K, Advanced removable partial dentures. J Prosthodont. 2006 Jul-Aug; 15(4):274-6.
    Sadan A, Selection criteria for attachments. Pract Proced Aesthet Dent. 2005 Oct;17(9):590.
    Alsiyabi AS, Felton DA, Cooper LF, The role of abutment-attachment selection in resolving inadequate interarch distance: a clinical report. J Prosthodont. 2006 Mar-Apr; 15(2):151.
    Hsu YT, Retention guide for resilient dental attachments. J Prosthet Dent. 2004 Jul;92(1):93-4.
    Phoenix RD, Cagna DR, DeFreest CF. Clinical removable partial prosthodontics. Quintessence Pub Co. 2003.