Chapter 5 Metal TRY IN OF RPD

Chapter (5) : Metal Try- In of RPD
Chapter (5)
TRY IN OF REMOVABLE PARTIAL DENTURE
FRAMEWORK
Try-In stage of treatment may require action in two phases:

1. Trial insertion of the cast metal frame work.
2. Trial of the partial denture, with the replacement teeth arranged on a temporary
or 'permanent' (metal) baseplate.
TRIAL INSERTION OF THE METAL FRAMEWORK

I- Evaluation of the Metal Framework:
A. Check the framework on the master cast: Fig.(5-1)
 The framework is first valuated on the cast to ensure that the
prescribed design has been followed.
 The position of the framework components should correspond to the
design indicated on the master cast.
 The framework must be fit on the master cast; If it is not, it will
probably not fit intra-orally.
 Replace the framework on the master cast as little as possible to
prevent abrasion and check :
a. Complete and stable seating: The framework should demonstrate accurate

adaptation of the rests to their rest seats without rebound.
b. Confirm intimate adaptation of the framework to the master cast
c. Confirm areas of relief between the framework and master cast.
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d. Evaluate the amount of undercut and soft tissue relief.
Fig. (5-1): Finished & completed RPD framework
Inspection Of The Rests: Fig.(5-2)

 Check that the rests are fully seated: The margins of the rests should flush
with the margins of the rest seats.
 If they are not, the source of interference should be determined and
corrected.
 Evaluate the contours of the rests: Overcontoured rests will interfere with
occlusion, and undercontoured rests may be weak and subject to fracture.
Fig. (5-2): The margins of the rests flush with seats margins
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Examine the relationship between RPD framework & soft tissues:

 Inspect areas where the major connector is in contact with soft tissue, and
make sure there is an intimate contact to prevent food from getting
beneath the framework.
 Make sure there is adequate gingival exposure around minor connectors
and approach arms for bar-type clasp assemblies.
 There should be 5 mm between minor connectors and other vertical
components. Horizontal portions of I-bars should be 3 mm from the
gingival margin, and the vertical portion should be 5 mm from other
vertical components.
Check for proper adaptation and placement of clasps:
 Clasp arms, guide planes, and reciprocating arms should be in intimate
contact with the tooth structure.
 Gaps left between clasps and tooth structure will allow food to collect
between the framework and the teeth, which may result in decalcification,
caries, and gingival inflammation.
 Clasp arms should have the proper shape, diameter, and taper. Fig.(3-5)
Fig.(3-5): Clasp arms should have the proper shape, diameter, and taper.
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Check for proper adaptation and placement of the lingual plate:

 When properly designed and constructed, the lingual plate will be scallop
shaped to close off the interproximal embrasures and cover the cingulum
areas. Fig. (5-4)
Fig. (5-4): Lingual plate major connector The tissue surface of the framework
should be in intimate contact to the should exhibit a fine matte texture.
cast
Check the ease of framework removal:

 In fact retention may be greater on the cast because of friction and the
rough surface of the cast.
B. Inspect The Framework Off The Master Cast:

1. Check the rigidity of Major and minor connectors (with finger pressure)
2. Check the finishing & polishing of the framework: no evidence of pits, nodules
and scratches in the metal. Eliminate sharp edges that might impinge on the oral
mucosa.
a. Inner surfaces of the framework should be free from pits, scratches and
bubbles that may inhibit complete seating of the framework on abutment teeth or
traumatize soft tissue
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b. The framework should be highly polished, except the fitting surface of the
maxillary major connector should be lightly polished.
c. Both internal and external finish lines should be sharp, definite and slightly
undercut.
C. Check the Framework Intra-orally:

1. Checking for clicking When Seated:
An audible click as the RPD framework is seated; usually results from :

a. Rigid portion of the frame being forced into an undercut, or
b. The inferior edge of the rigid portion of a reciprocal arm dropping below the
survey line
Correction:
 Grind the casting in these interfering areas & avoid excessive grinding.
2. Tilting While Seating

 Tilting of the frame or failure to seat at the same time on all
abutments along the intended path of insertion may be due to :
a. The retentive clasp arm on one side may be more rigid than the
opposite one .
b. One clasp is extended into a deeper undercut than the other and
must flex more in order to seat .
Correction:
 To equalize the forces involved , the resisting clasp must be given

more taper, or reduced in overall size to increase its flexibility , or it
may be shortened to reduce the undercut used.
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3. Checking fitting of the framework intra-orally:

 After the frame has been seated, it is evaluated for fit.
 All rests should seat completely in their prepared seats.
 Clasps and minor connectors should be in intimate contact with
the abutment teeth.
The framework which fit the cast but does not fit in the mouth, due to:
 A distorted impression
 An improperly poured cast,
 An abraded cast, and/or shifting teeth.
If the interferences are minor and can be located, one may be able to, with
care, adjust the framework into place.
The most common areas that interfere with seating are:
a. Under rests
b. Rigid portions of direct retainers (e.g. above the survey line)
c. Inter-proximal portions of linguo-plate major connectors
d. Interproximal minor connectors
e. Shoulder areas of embrasure clasps
Determinations of areas interfere with framework seating:
a. Visual & digital examination:

 Disclosing wax may be used to locate the resistance areas.
 Resistance area will be revealed, as the area where the wax has thinned to
display the underlying metal.
b. A probe may be used to check the close fit of any elements contacting the teeth.
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c. Some type of disclosing medium is needed as rouge and chloroform or

disclosing wax. Fig (5-5) & (5-6)
Fig. (5-5):Application of disclosing wax on the fitting surface of the framework
Fig. (5-6):The framework should be carefully evaluated
4. Verifying retention and reciprocation:

 The resistance by the framework to vertical dislodging force should be
evaluated.
 While seating and removing the framework slowly, the relationship between
the clasp arms and the abutments is observed.
 After the framework is properly seated, remove and replace the framework
several times to evaluate retention.
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 If there is too little or too much retention, the clasps can be carefully
adjusted.
 The clasp should be in passive contact with the tooth when the framework is
completely seated.
 With over retentive clasps, tipping forces will cause a destructive effect on
the periodontal support tissues.
 Each reciprocal arm should contact the abutment just prior, or at the same
time as the retentive arm.
 This will brace the abutment against the force applied by the flexible
retentive arm.
5. Checking stability:
 Stability of the framework should be checked by applying pressure on
various elements - rests, saddles and palatal connectors in particular – and
noting whether any rotational displacement occurs.
 Special attention is necessary when checking the stability of a framework

carrying one or two free-end saddles.
 Consequently, before testing the

stability metal framework of tooth-
tissue born RPD which has been
relieved from tissue contact, it is
advisable to put base plate wax to
bridge the gap between the
metalwork & the underlying tissues. Fig. (5-7)
Fig. 5-7 Base plate wax positioned to
bridge the gap between the metalwork and
the underlying tissues
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6. Checking for deformed clasp :

 A clasp may have been deformed during finishing and polishing.
 A clasp under tension may force the frame to assume wrong or tilted
position.
 This condition is mostly seen with wrought wire clasps.
 Deformed clasp should be corrected and should be passive when fully
seated.
7. Checking of Passive placement

 The RPD frame work should be passively placed when not in function.
 Lack of passive placement may result from :
a. An inaccurate impression.
b. Movement of the abutment teeth while the impression was
made.
c. Presence of positive imperfection (nodule) on a contacting
surface.
d. The clasp arm is active all the time.
 If the reason is faulty impression or movement, repeat the impression
and construct new framework.
8. Checking occlusion:
 Vertical dimension should remain unchanged by a removable partial denture
in almost all instances.
 The framework should not interfere with normal centric and eccentric
contact Fig. (5-8)
 Occlusion can be checked by articulating paper.
 Any adjustment can be made wherever there is a premature tooth
framework contact.
 A common site for such contact is on the occlusal rest areas.
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Fig. (5-8):The framework should not interfere with normal centric and eccentric occlusion
9. Surface Imperfections
 After the framework has been fit & occlusal adjustments have been made,
the surfaces of the ground metal must be finished and polished.
 Surface defects that will interfere with seating should be removed
during finishing and polishing procedures and before placing the
casting on the master cast.
 If one escape detection, it may retard seating the frame in the mouth.
 For detection , pressure indicating paste or disclosing wax to be applied

onto the area of the frame under suspicion will be helpful in locating
the point of interference.
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Chapter 5 Metal TRY IN OF RPD

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Chapter (5) : Metal Try- In of RPD

Try-In stage of treatment may require action in two phases:

TRIAL INSERTION OF THE METAL FRAMEWORK

a. Complete and stable seating: The framework should demonstrate accurate

d. Evaluate the amount of undercut and soft tissue relief.

Fig. (5-1): Finished & completed RPD framework

Inspection Of The Rests: Fig.(5-2)

Examine the relationship between RPD framework & soft tissues:

Check for proper adaptation and placement of the lingual plate:

Check the ease of framework removal:

B. Inspect The Framework Off The Master Cast:

C. Check the Framework Intra-orally:

An audible click as the RPD framework is seated; usually results from :

2. Tilting While Seating

 To equalize the forces involved , the resisting clasp must be given

3. Checking fitting of the framework intra-orally:

The most common areas that interfere with seating are:

Determinations of areas interfere with framework seating:

a. Visual & digital examination:

c. Some type of disclosing medium is needed as rouge and chloroform or

Fig. (5-5):Application of disclosing wax on the fitting surface of the framework

Fig. (5-6):The framework should be carefully evaluated

4. Verifying retention and reciprocation:

 Special attention is necessary when checking the stability of a framework

 Consequently, before testing the

6. Checking for deformed clasp :

7. Checking of Passive placement

 For detection , pressure indicating paste or disclosing wax to be applied

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