RPDM CQ wi t han s wer s Amax i mum i nt er c us pat i onoc c l us i ont hatdemons t r at esnopat hol ogyi st hec l i ni c al . 1 . oc c l us i ont owhi c hmos tr emo v abl epar t i al dent ur esar ec ons t r uc t ed To rF Wi t nes smar k s ”ar el i nessc r i bedont hebas eofc as t swhi c hs er v et ot r i podt hec as t“. 2 . andt her ebyr ec or di t spat hofi ns er t i on To rF Re mo mo v ab l epa r t i a ld en t u r e si mpr o v ema s t i c at i onb yp r o v i d i n gc he wi n gs ur f a ce sa nd . 3 . ob l i t er at i ngs mal ma l edent ul ousspac esi n t owhi c hf oodmi ghtot her wi s ees c ape To rF Sc ai f eandHol ts howedt hati napopul at i onofAngl e’ sCl as sIpat i ent scani ner i s e . 4 . oc c ur sei t herbi l at er al l yoruni l at er al l yi n27% oft hepat i ent s To rF I neptfi t t i ngofaf r amewor kt oamas t erc as twi l l c aus es car r i ngoft hec as t .The . 5 . f r amewor kwi l l pr obabl ynotfi tt hemout hwheny out r yi ti n To rF . Cl as sI I Ir emov abl epar t i al dent ur esmu mus tbeph ys i ol ogi c al l yr el i ev ed . 6 To rF Al l f r amewor k smus tbeequi l i br at edunt i l har monyi sr es t or edt ot heoc cl us i oni nal l. 7 . mandi bul armoveme ment s To rF Foranal t er edc as ti mpr es si ont hepl as t i ct r ay sshoul ds t andf r eeoft hev es t i bul eby2-. 8 . 3mm To rF
Anal t er edc as ti mpr es s i onpr o vi desac or r ec t edc as twhos ev es t i bul are xt ens i onsar e . 9 . anat omi c al l yc or r ec tandr el at est hef r amewor kac cur at el yt ot het eet h To rF Af t ert hei nv es t mentc as thasbeendr i edi ti sseal edbydi ppi ngi ti nmol t enbo xi ng . 10 . wax To rF Thei n v es t mentc as tuponwhi c har e mo mo v abl epar t i al dent ur ewaxpat t er ni sf or medi s . 11 : cal l eda__________________cast a.r ef or med b.r ef r ac t or y c .r ef or mat t ed d .b l o ck e do ut Whi c hoft hef ol l owi ngc l i ni c al r equi r ement si snotr equi r edi nor dert opr oduc ean . 12 : ac c ept abl ef unc t i onal l yg ene r at edr ec or dofmandi bul armo v ement s a.c ompl e t edoppos i ngr e st or edornat ur al ar c h b.a cc ep t abl eoc c l us al gui danc e c .s t abl er ec or dbas e d.f ul l yadj us t abl ear t i c ul at or Th ewa x i n go faf r a me me wo r kc a nb ed on ef r e eh an dwi t hwa xorb yu s i n gapr e f o r me d . 13 . ____________pat t er nt hati sma madeof a.beeswax b.Ti Col or f or ms c .pl as t i c d .p ap erc o ne s Thechannel whi c hal l o wsmo mo l t enme me t al t oflo wf r om t hec r u ci bl et ot hemo mol dca vi t y . 14 . __________dur i ngt hec as t i ngpr oc edur ei sc al l eda a.c an nul a b.bar r el c .p ea nu t d.s pr ue
I nKennedyCl as sI ,I I ,I Vr emo v abl epar t i al dent ur es ,s uppor tc omesf r om abu t ment . 15 t ee t handt hemos tpr omi nentbonei nt her es i d ual r i dgewhi c hi sl oc at edn ear es tt he . ab ut men ta ndh ast h el e as td i s pl a cea bl eo v er l y i n gmu co sa To rF I nt heheal t hydent i t i on,t hemagni t udeoff unc t i onal l oadi ngdur i ngc hewi ngi s . 16 app r o xi mat el yp r opor t i onal t ot hede v el opmentoft hemus c l esofmas t i c at i on .Ho we v er , : f ordent ur est hel oadl i mi ti si nfl uenc edbyal l oft hef ol l owi nge xc ept a.s i z eoft hebol us b.pai n c .s i z eoft heoc cl us al t abl e d.l oc at i on Di s eas ess uc hasdi abet es ,nephr i t i s ,duodenal ul c er s ,t uber c ul os i s ,hor monal . 17 i mbal anc esdur i ngmenopaus e,a ndpos tt h yr oi ds ur ger yar eal l c ondi t i onswhi c hl eadt o . de gen er a t i v ec ha ng esi nt h eo r a lmu co sa To rF I nc r eas edl oadi ngo faper i o dont al l yi n v ol v edabut mentma yhas t ent hepr ogr es sof . 18 . t hepat hol ogi cpr oc es s To rF . I nc r eas i ngt hewi dt hofac l as pwi l l pr oduc ei nc r eas edr i gi di t yi na3t o1r at i o. 19 To rF Ch r o mi mi u m,Ni m, c k e l ,Mo l y b d en um,Ma ng an es e ,Al u mi mi n um,a ndBe r y l l i u ma r et h e . 20 c omponentel ement sofTi c oni um.Onei mpor t antbi ol ogi c al c ons i de r at i oni st hati n pat i ent swi t hahi s t or yofni c kel s ens i t i v i t y ,80% wi l l r eac tt oani c kel c hr omi um bas ed . al l oy To rF Whi c hoft hef ol l o wi ngi soutofs equenc ef ordev el opi ngar emov abl epar t i al dent ur e . 21 : de si gn a.s el ec tabu t ment s b.e xt entofdent ur ebas e
c .r es t s ,gui di ngpl anes ,maj orc onnec t or ,mi norc onnec t or s d.r et ent i on,r ec i pr oc at i on Whi c hoft hef ol l o wi ngi sno tac r i t er i onf ors el ec t i nganabut mentf orar emo vabl e . 22 ?par t i al dent ur e a.c r o wnt or ootr at i o b.mobi l i t y c .es t i mat edc os t d.al v eol ars uppor t Whi c hoft hef ol l o wi ngmaj orc l i ni c al appoi nt ment sf orc ons t r uc t i onofanRPDc anbe . 23 ?s af el ys ki pped a.d i agnos i sandt r eat mentpl a nni ng b .mo ut hp r e psan dfi n al i mp r e s s i o ns c .pos t pr epar at i onendodont i ct es t i ng d.del i v er y Thedent i s tneednotwr i t et hel abor at or ywor kaut hor i z at i onhi ms el fs ol ongashe . 24 . s i gnsi tandl i s t shi sl i c ens enumber To rF . Ther ei snoi ndi r ec tr et ent i oni naKennedyCl as sI I Ir emov abl epar t i al dent ur e. 25 To rF Bo t hr es ear c handourt e x t book sst at et hat“ t hemos ti mpor t antf ac t ori nRPD . 26 t r eat ment ”i s :( c hoos eone) a.br oads t r es sdi s t r i but i on b.I bar ,mes i al r es t ,gui di ngpl anedes i gn c .t hefi nal i mpr es si on d.mot i v at i onf orpl aquec ont r ol : Met hodsf orev al uat i ngt hev er t i c al di mens i onofoc cl us i onar et he . 27 pr opr i oc ept i onandt ac t i l es ens eoft hepat i ent. 1 par al l el i s m oft her i dges. 2 c l o se s ts pe ak i ngs pa ce. 3 v er t i c al di mens i onofr es tl es s3mm . 4 t empor ar ydi agnos t i cs t entov er l ay i ngt henat ur al dent i t i on . 5
Choos eone a.1,2,3,4 b.2,3,4 c .1,2,3,4,5 d.3,4,5 Whi c honeoft hef ol l owi ngi sno tabas i cf ac t ori nde t er mi ni ngt hemos tad v ant ageous . 28 ?pat hofi ns er t i on a.gui di ngpl anes b.r et ent i on c .i nt er f er enc es d.es t het i c s e.dex t er i t yoft hepat i ent I nor dert opr ot ec tgi ngi v al t i s suesf r om f oodabr as i on,t hemaj orandmi nor . 29 . c onn ec t o r smu mu s tb ed es i gn edt oc ov e rt h em To rF I nt hel ongt er ms t udyont hes er v i c eabi l i t yofRPDs ,t hepat i ent s ’andc l i ni c i ans ’. 30 . opi ni onofac cept abi l i t ywer ei dent i c al To rF Dur i ngdi agnos i sagood“ r ul eoft humb”i st oe x t r ac tt ee t hwi t hmo mor et han50% bone . 31 . l o s sass h ownonr a di o gr a ph s To rF Agoods our c eofbonef orper i odont al gr af t i ngi si nanex t r ac t i ons i t et hati sabout6 . 32 . mo nt h sol d To rF Car l s on,Hedeg ar de,andKoi v umaawr o t et hatf ai l ur et oer adi c at eper i odont al . 33 di s eas ebef or eRPDt r ea t mentr e sul t si nac c el er at edbr eak do wnoft hec ol l aps i ng . dent i t i on To rF
Bec aus eoft hev ar i abl ec apac i t yofar es i dual r i dget os uppor tad ent ur eonec an . 34 ex pec tt hati ni t i al s uppor tf r om t her i dgewi l l c omef r om t hatar eal y i ngt hef ur t hes tf r om . t heabut me nt ,i smos tpr omi ne ntandc ov er edb yt hel eas tdi s pl ac eabl es of tt i s s ue To rF I naheal t hydent i t i on,t hemagni t udeofc hewi ngf or c ei sappr ox i mat el ypr opor t i onal t o. 35 t he a.ar eaoft heoc cl us al t abl e b .a r eaoft h ep er i o do nt a lmemb r a ne c .ma s s et e rmu s c l e d.de v el opmentofmus c l esofmas t i c at i on Wi t ht i s suebor nedent ur es ,c he wi ngf or c ef r om t hemus cl esi spr i mar i l yl i mi t edby . 36 a.fi br os i s b.pai n c .t heoc cl us al t abl e d .t h ema s soft h emu s c l e s Hor monal i mbal anc es ,nut r i t i onal defi ci enc i es ,di abet es ,duadenal ul c er s ,nephr i t i s ,. 37 uppergutr es ec t i on,andbl oodc hemi s t r yi mbal anc eaf t ert h yr oi d/par at h yr oi ds ur ger y . c anal l l eadt oc ons t antc ont ourc hangesi nt heal v eol arpr oc es soft hemandi bl e To rF Sel e ct i o nofa bu t me nt sf orRPDsd ep en dsu po ni nf or mat i onab ou tman yf a ct o r s .. 38 ?Whi c honeoft hef ol l owi ngi st hel eas ti mpor t antc r i t er i onf orabut ments el ec t i on a.ar c hl oc at i on b.c r o wnt or ootr at i o c .r ootf or m andnumberofr oo t s d.i nc l i nat i on e.mobi l i t y ,al v eol ars uppor t ,es t i mat i onofaddeds t r es s Theconc eptofdi s t r i but i ngf unc t i onal s t r es sesamongal l oft her e mai ma ni ngor al . 39 anat omyi sc al l ed a.f unc t i onal bas i n b.br oads t r es sdi s t r i but i on
c .St effel ’ st heor yofdes i gn d.Kr at oc hv i l ’ sconc eptofdes i gn Fl e x i bl ema j orc onnec t or spr o duc e. 40 a .n ec r o si soft h emu co sa b.l oc al i z eds t r es soni s ol at eds uppor tar eas c .no x i ousv apor s d.al l er gi cr e ac t i ons St r es sbr eak er sar ei ndi c at edf orus ewhent hec l i ni c al e xam r ev eal st hatt he . 41 a.r es i dual r i dgei sat r ophi candt het eet har es t r ong b.dent ur ewi l l bet oot hbor ne c .r es i dual r i dgei sst r ongandt het eet har eweal d.r es i dual r i dgei sweakands oar et het eet h Dur i ngc ons t r uc t i on ,t hef r ame wor kwhos eme t al c ov er sex os t os esori n cl i neds l opes . 42 o fa l v e ol a rb on el o ca t e dbe t we ent h ee den t ul ou ss eg me me nta ndi t sne ar e s tr e s tmu s tb e a.depl at ed b.s t r i pped c .pol i s hed d.r el i ev ed I na ne xt ens i onRPD( c l as sI ,I I ,I V)me t al oft hef r ame wor kmu mus tno tbepl ac edabo v e. 43 t h es ur v e yl i n ea ny wh er eonat o ot hbe t we ent hede nt u r eba sean dt h e a.f ar t hes tr es t b.oppos i ngt ee t h c .near es tr es t d.s t abi l i z i ngc l as p I ft hepat hofdi s l odgementi sc ont r ol l ed,anI bari smos tof t enl oc at edi n. 01” . 44 un der c uto nt he a .c eme nt o e na mel me j u nc t i o n b.gr eat es tmes i odi s t al c ur v at ur eoft hebuc cal orl i ngual s ur f ac e c .mes i obuc cal l i neangl e d.di s t obuc cal l i neangl e
I ft heI bar sar epl ac edi ns omepos i t i onot hert hant hear eal i s t edi nt hepr ev i ous . 45 ques t i on,t hei rf unc t i onal mot i ont hati si nduc edbyoc cl us al l oadi ngmus tbepl ot t edi n r el at i ont ot he a.gui di ngpl anes b.l oc at i onoft het er mi nal r es t c .gui di ngl i nes d.t i psoft her et ai ner s Thema i na xi sofr o t a t i o ndo wn wa r df o raCl a s sIRPDwi l l p as st h r o ug ht he . 46 a.r i gi dc onnec t or s b.t er mi nal r es t sonei t hers i deoft hedent al ar c h c .g ui del i nes d.t i psoft her et ai ner s Ev e nt h ou ghmu mu l t i p l er e s t sh av ebe enus e di naCl a s sIRPD,wh ent h ep at hof . 47 di s l odgementi snotc ont r ol l edal l r es t sdi s engagee xc eptf ort hos el oc at edt he a.f ar t hes tf r om t hedent ur ebas es b.n ear es tt hedent ur ebas es c .n on ed i s e ng ag e d.al l di s engage Or di nar i l y ,r et ent i v ec l as psar enotl oc at edont heoppos i t es i deoft her ot at i onal ax i s . 48 f r om t hedent ur ebas e.I far e t ai neri sus ed,i tmu stha v ei nc r eas e____ __________or . e ng ag ea nu nd er c u tt h ati smi mi n i ma l a.t aper b.fl e x i bi l i t y c .ni c kel c ont ent d.r oundnes si nc r os ssec t i on Thedent ur edes i gnwhos eadv ant agesar e( 1)l e ssc ont ourdi s t or t i onofa but ment s ,. 49 ( 2)l es sc ont ac tofmet al t ot eet h,( 3)c l eanerdes i gn,( 4)mor eeffic i entmec hani c al : r et ent i onand( 5)i mpr ov edes t het i c si st he a.pr ec i s i onat t ac hmentdes i gn b.s t r es s br eak erdes i gn c .Ak er ’ sdes i gn d.I bar ,di s t al r es t ,gui di ngpl at edes i gn e .RPIde si g n
I fIbar sar enotpl ac edont hehei ghtofc ont ouroft heabut ment( i naf r ont al pl ane) ,. 50 t hei rf unc t i onal mot i onmus tbepl ot t edi nr el at i ont ot he a.gui di ngpl anel oc at i on b.t er mi nal r es tl oc at i on c .dent ur ebas el oc at i on d.ar t i fi c i al t oot hl oc at i on e.Ant e’ sl aw Di s l o dg i n gmo v e me me nto faRPDi sr e s i s t e db y. 51 a.s t abi l i z i ngc l as ps b.mec hani c al r et ai ner s c .r ec i pr oc at i ngc l as ps d.dent ur ebas er et ai ner s e .d en t u r eba s eme me s h Thedent i s twhofi r s tpr opos edt hemes i al r es t ,gui di ngpl at e,I bardes i gni nor dert o . 52 c ont r ol f unc t i onal f or c eswas a.DeVan b .Po ff en ba r g er c .Or b an d.Kr at oc hv i l e.Kr ol Ac c or d i ngt oCo ol i d gean dOr b ant h ea v er a gewi d t hoft h ep er i o do nt a lmemb r a nei s. 53 . a.. 25i n . b.. 24i n.+. 1i n c. . 25mm mm +. 1mm mm d .. 2 5mm e .n on eo ft heab ov e Amas t erc as ti spl ac edi nt hec as thol derandal i gnedatt hez er odegr eet i l t .A0. 02“ . 54 under c uti sf oundont hemes i ol i ngual oft hemandi bul arr i ghts ec ondmol ar .Ti l t i ngt he c as tt ot heant er i orwi l l a.i nc r eas et heunder c ut b .d ec r e as et h eu nd er c u t c .no teff ec tt heunder c ut
d.n oneoft heabo v e.Thec as ts houl dno tbet i l t eds i nc eal l RPD’ sar edes i gnedatt he . z er odegr eet i l t Fr om r adi ogr aphi cev i denc e,adent i s tc anbes tpr edi c tt her eac t i onofal v eol arbone . 55 t ot headdi t i onal s t r es sl oadofar emov abl epar t i al dent ur ebyt he a.t r abec ul arpat t er noft heal v eol arbone b.a mountofal mo v eol arbones uppor tr emai ni ng c .amountofal v eol arbonel os sal r eadysus t ai ned d.r eac t i onofbonet opr ev i ous l yi nduc eds t r es ses Thefi r s ts t epi nr el i ni ngadi s t al ex t ens i onr emov abl epar t i al dent ur ei st o. 56 a.c or r ec tt heoc cl us i on b.v er i f yt hefi toft hef r amewor k c .b or d ermol dt hed en t u r eb as e d.el i mi nat eunder c ut si nt hedent ur ebas e e.r ees t abl i s ht hepl aneofoc c l us i onb yus i ngmodel i ngc ompoundi nt het i s s ues ur f ac e . oft hedent ur ebas e Ul c er at eds of tt i s s uest hatr es i s tt her ap yandar eas s oc i at edwi t hamandi b ul a rRPD . 57 ar eofpar t i c ul arc onc er ni fl oc at ed a.i nt hebuc cal v es t i bul e b.ont hec r e stoft her i dge c .i nt her et r omy l ohy oi dar ea d.i nt heant er i orpor t i onoft hefl ooroft hemout h Ker at i t i soft heey es ,s cal yder mat i t i soft henas ol abi al ar ea,c hei l i t i sandgl os si t i sar e . 58 c l i ni c al f eat ur esof a.Vi t ami nC defi c i enc i es b.e x ces si v ei nt ak eofVi t ami nA c .h or mo nei mb al a nc e d.di abet esmel l i t us e.Vi t ami nBdefi c i enc i es Sy mme mm t r i c al wi de ni n go ft h ep er i od on t a ll i g ame nts pa c ea r o un do neo rmor et e et hi s . 59 ani mpor t antear l yma mani f es t at i onof a.a“ t oowel l fi t t i ng”RPD b.p oorf or c ec ont r ol b yt hemaj orc onnec t or
c .c h o nd r o s a r c o ma ma d.oc cl us al t r aumat i s m e .o s t e os a r c o ma ma Al l oft hef ol l owi ngs t at ement sconc er ni ngber y l l i um ar ec or r ec t ,ex cept. 60 a.i ns mal ma l per c ent ages ,i nni c k el bas edal l oy s ,l ower st hemel t i ngt emper at ur eoft he al l oy b.i snotf oundi nal l bas emet al al l oy s c .i sbi ol ogi c al l yhaz ar dous d.i sus edasas ca vengeri nc as t i ngal l o ys e.t headdi t i onofber y l l i um t oanal l o yma yal l o wt heus eofc al c i um s ul f at ei nv es t ment s I ndent al c as t i ngal l o yt hemet al i ngr edi entwhi c hi scons i der edt obet hes cav engeri s. 61 a.s i l v er b.gol d c .t i n d.z i nc e .c o pp er ?Wh i c ho ft h ef o l l o wi n ga r et r u ec on ce r n i n gCo mbi mb na t i o nSy ndr ome . 62 Us ua l l yoc c ur si npat i ent swi t hamax i l l ar yc ompl e t eden t ur eoppos i ngamandi bul ar . 1 r emov abl epar t i al dent ur eandwi t hmandi bul arant er i ornat ur al t eet hr emai ni ng Thoughtt oo cc urb ec aus epat i ent sf unc t i onont hei rnat ur al r emai ni ngt ee t hbe cau se . 2 t he ys ens eaf eel i ngofmas t i c at i on I nduc essy mpt mp omsofs ev er er es or pt i onorepul i sfi ss ur at um ofmax i l l ar yant er i orr i dge; . 3 pal at al papi l l ar yh y per pl as i a;l ar gepr ot r udi ngt uber os i t i es ;s ev er er es or pt i onoft he pos t er i ormandi bul arr i dge;s upr aer upt i onofmandi bul arant er i ort eet h Canno tbepr e v ent edunl es sma ma xi l l ar yi mpl ant sar epl ac ed . 4 Canmi ni mi z edes t r uc t i v ef or c esbyens ur i ngt her ear enopr o t r us i v ei nt er f er enc es . 5 a.al l oft heabo v e b.1,2,3,5 c .1,2,3 d.1,3,4,5 e.2,3,5 Th et e r m“ Co mb mb i n at i o nSy n d r o me me ”wa sfi r s tc o i n edb y. 63
a.DeVan b.Kel l e y c .Kr at oc hv i l d .St e ffel e .Wo l ff Whoi scr edi t edwi t ht hes t at ement“ Thei nt er nal ar c hi t ec t ur eande xt er nal f or m ofa . 64 ” . bonear er el at edt oi t sf unc t i onandc hangewi t hal t er edf unc t i on a.DeVan b.Pl eas ur e c .Wo l ff d.Adel l e.Zar b Thet r i ppi ngac t i onofSt oner ef er st o. 65 a.t hewat er/po wderpr opor t i onoft hemi x b.t her emo v al ofas upr abul gec l as p c .t hef r ame wor ki smo mor er e t ent i v eonac as tt hani nt h emout h d.t her emo val ofani nf r abul gec l as p e .n on eo ft heab ov e ?Wh i c ho ft h ef o l l o wi n ga r et r u ea bo utg yp su mb ond edc as t i n gi n v es t men t s. 66 s h ou l dbeal l o we dt os etami mi n i mu mo f4 5mi n ut e s. 1 s h ou l dbehe at e dn ol o ng ert h an30mi mi n ut e sat9 00de gr e esF . 2 t h emo l dt e mp mp er a t u r es ho ul dno te x c e ed12 00de gr e esF . 3 us edf oral l o y swi t hme mel t i ngt emper at ur e se x ceedi ng1800degr eesF . 4 i deal mol dt emper at ur ef orh y gr o sc opi ct e chni quei s875degr eesF . 5 a.1,2,3,5 b.1,3,5 c .2,3,4 d.al l oft heabo v e e.n oneoft heabo v ear ec or r ec ts t at ement s ?Whi c hoft hef ol l owi ngi snotaf unc t i onofani ndi r ec tr et ai ner. 67 a.apar toft heRPDt hatas si s t st hedi r ec tr et ai ner si npr ev ent i ngdi s pl ac ementofdi s t al e xt ens i ondent ur ebas esbyf unc t i oni ngt hr oughl ev erac t i onont heoppos i t es i deoft he f ul c r um l i ne
b.i tt endst or educ eant er opos t er i ort i l t i ngl ev er agesont hepr i nc i pl eabut ment s c .c ont ac toft hemi norc onnec t orwi t hv er t i c al t oot hs ur f ac esai dsi ns t abi l i z at i onagai ns t hor i z ont al mo v ementoft hedent ur e .Suc ht oo t hs ur f ac es ,whenma madepar al l el t ot hepat h . ofpl ac ement ,ma yal s oac tasaux i l i ar ygui di ngpl anes d.ant er i ort eet hs uppor t i ngi ndi r ec tr et ai ner sar es pl i nt edagai ns tl i ngual mov ement e.ai dsi nr et ent i onoft heRPDbyi nc r eas i ngt hes t r engt hoft hedi r ec tr et ai ner sby . r edi s t r i but i ngt hef or c est oal l ar easoft hemout h Al l oft hef ol l owi ngdes cr i bear ec i pr oc al c l as par m,ex cept. 68 a.i ti spl ac edabo vet hehei ghtofc ont our b.i ti sar i gi dc l as par m c .i tmus tc ont ac tt het oot haf t ert her et ent i v ec l as par m pas seso vert hehei ghtofc ont our d.i tmus tc ont ac tt het oot hbef or et her et ent i v ear m pas sesov ert hehei ghtofc ont our e.i deal pl ac ements houl dbeatt hej unc t i onoft hegi ngi v al andmi ddl et hi r doft he a bu t me ntt o ot hc r o wn Al l oft hef ol l owi ngar ec or r ec ts t at ement sconc er ni nganoc cl us al r es t ,e xc ept. 69 a.t her es tpr eps houl de xt endonehal ft hebuc col i ngual wi dt hoft het oot hf r om c us pt i pt o c us pt i p b.t her es tpr eps houl dex t endont hi r dt oonehal ft hemes i odi s t al wi dt hoft het oot h c .t her es ts eati spr epar eds uc ht hatt hedeepes tpor t i oni satt hemar gi nal r i dge d.t her es tmea sur esbe t ween1. 0t o1. 5mm mm t hi c kwh er ei tc r os s est hema mar gi nal r i dge e.t heoc c l us al r es ts eati spr epar eds ot hatt heenc l os edangl ef or medb yt hefl ooroft he r es ts eatandal i nedr oppeddo wnt h epr o xi mal s ur f ac eoft het oo t hmus tbel es st han90 d eg r e es Al l oft hef ol l owi ngs t at ement sconc er ni ngmaj orc onnec t or sar ec or r ec t ,e xc ept. 70 a.a tl e as t8mm ofv er t i c al s pac ebe t wee nt hea ct i v efl oo ro ft h emout handgi ngi v al mar gi nsoft het eet hi sr equi r edf oramandi bul arl i ngual barmaj orc onnec t or b.i nt hemax i l l ar yar c h,t hebor deroft hemaj orc onnec t o rs h oul dbeatl eas t6mm f r om t hegi ngi v al c r ev i c eoft het eet h c .i nt hemandi bul arar c h,t hebor deroft hel i ngual barmaj orc onnec t ors houl dno tbe c l os ert ha n2-3mm t ot hegi ngi v al mar g i ns d.t hebor deroft hemax i l l ar yma maj orc onnec t ors houl dbes c al l opedt omi mi ct hegi ngi v al c r e vi c esoft het eet h e.t hebor deroft hemandi bul armaj orc onnec t ors houl dr unpar al l el t ot hegi ngi v al mar gi n oft het eet h
Al l oft hef ol l owi ngar epr i nc i pal obj ec t i onst ot heus eofaUs hapedmax i l l ar y . 71 r emo v abl epar t i al dent ur emaj orc on nec t or ,e x cep t a.i t sl ac kofr i gi di t y ,c ompar edt oot herdes i gns ,mayi nduc et or queordi r ec tl at er al f or c e t oabut mentt ee t h b.t hedes i gnf ai l st opr o vi dego ods uppor tc har ac t er i s t i c sa ndma yper mi ti mpi ngementof t i s suesunder l y i ngi t spal at al bor der swhens ubj ec t edt ooc cl us al l oadi ng c .bul kt oenhanc er i gi di t yr es ul t si ni nc r eas edt hi c knes si nar easmo mos tf r equent edb yt he t o ng ue d.mov ementi spar t i c ul ar l ynot i c eabl eandi st r aumat i ct ot her es i dual r i dgei ndi s t al e xt ens i onr emo vabl epar t i al dent ur eswhenpos t er i ort oo t hs uppor ti snone xi s t ent e.t hel ac kofi nt er f ac i al s ur f ac et ens i onbet weent hemet al andt i s suesr educ est he amountofr et ent i onoft hepr os t hes i s Al l oft hef ol l owi ngs t at ement sar ec ons i der at i onswhenr el i ni ngabi l at er al di s t al . 72 e x t e ns i o nRPDo pp os i n gama ma xi l l a r yc omp l e t eden t ur e ,e x c ep t a.l os sofpos t er i oroc cl us al c ont ac tbet weent hecompl et edent ur eandr emo vabl epar t i al dent ur emaynec es si t at er ees t abl i s hmentoft heor i gi nal oc cl us al r el at i ons hi p b.i ti snotunus ual f orapat i entt oc ompl ai nofl oos enes soft hemax i l l ar ycompl et e dent ur eandr eques tr el i ni ngoft hatdent ur ewhenac t ual l yi ti st her emov abl epar t i al dent ur et hatneedsr el i ni ng c .ev i denc eofr ot at i onoft hedi s t al ex t ens i onr emov abl epar t i al dent ur eaboutt hef ul c r u m l i n emus tbet h edec i di n gf ac t orast owhe t herr el i ni ngneedst obedone d.ac l os edmout hi mpr es si onpr oc edur ei si ndi c at edwhenr el i ni ngt hebi l at er al di s t al e x t e ns i o nRPD e.anopenmout hi mpr es si onpr oc edur ei si ndi c at edwhenr el i ni ngt hebi l at er al di s t al e x t e ns i o nRPD Ac cor di ngt ot heKennedyCl as si fi c at i onofpar t i al l yedent ul ousar c hes ,as i ngl e,but . 73 bi l at er al edent ul ousar eac r os si ngt hemi dl i ne,andl oc at edant er i ort ot her emai ni ngt eet h woul dbea a.Cl as sI b.Cl as sI I c .Cl as sI I I d.Cl as sI V e.Cl as sV Al l oft hef ol l owi ngar es i t esofar bi t r ar ybl oc k outoft hemandi bul arRPDmas t er . 74 e x c e p t
a.al l gi ngi v al c r ev i c es b.g r os st i s s ueu nder c ut ss i t uat edbel o w ar easi n vol v edi ndes i gnofdent ur ef r ame wor k c .l abi al andbuc cal t oot handt i s sueunder c ut snoti n vol v edi ndent ur edes i gn d.t i s sueunder c ut st obec r os sedbyor i gi nofbarc l as ps e.al l oft heabo v ear es i t esofar bi t r ar ybl oc kout Al l oft hef ol l owi ngf eat ur esdes cr i bet hepr ox i mal pl at e/ gui di ngpl at ear eaneededf or . 75 pr operf unc t i oni ngoft h eRPIc l as pa ss embl y , e x cep t a.agui di ngpl anei spr epar edont hedi s t al s ur f ac eoft heabut mentt oo t hi nt heoc cl us al onet hi r d b.t hegui di ngpl anei sappr o xi mat el y23mm i nhei ghtoc c l us ogi ngi v al l y c .anu nder c uts houl dex i s tbel owt hegui di ngpl anet oper mi tmo v ementoft hepr o xi mal pl at e d.t hepr o xi mal pl at ec ont ac t sappr o xi mat el y1mm oft heoc c l us al por t i onoft hegui di ng pl ane e.t hepr o xi mal pl at ec ont ac t sappr o xi mat el y1mm oft hegi ngi v al por t i onoft hegui di ng pl ane T woormor epar al l el ax i al s ur f ac esofabut mentt eet hs hapedt odi r ec tt hepr os t hes i s . 76 du r i ngpl a ceme ntan dr emo v al a r ec al l ed a.r ec i pr oc al c l as par ms b.i ndi r ec tr et ai ner s c .gui di ngpl anes d.u nder c ut s e.r et ent i v ec l as pgui danc e ?Whi c hoft hef ol l o wi ngar eel ement soft hecl as pas s embl y. 77 Ma j o rc o nn ec t o r. 1 Ret ent i v ec l as par m. 2 Mi n orc o nn ec t o r. 3 St abi l i z i ngc l as par m. 4 Res t. 5 a.1,2 b.1,3,5 c .2,4,5 d.2,3,4,5 e.1,2,3,4,5
Thepar tofar emov abl epar t i al dent ur et hatas si s t st hedi r ec tr et ai ner si npr ev ent i ng . 78 di s pl ac ementofdi s t al e xt ens i onbas esbyf unc t i oni ngaspar toft her es i s t anc ear m ofa l ev erant er i ort ot hef ul c r u ml i nei st er meda( an) a.r ec i pr oc al c l as par m b.i ndi r ec tr et ai ner c .i nadv er t entr et ai ner d.gui di ngpl ane e.r es t er Thet e xt bookaut hor sandy ourl ec t ur er sr ec ommendt hat ,af t ermout hpr epar at i ons ,. 79 ani mpr es si onbemadei ni r r e ver s i bl eh ydr oc ol l oi dandac as tpour edi nqui c k s et t i ng s t one.Thepur pos eoft hi si st o a.det er mi net hepr opers i z eofs t oc kt r ayf orr ev er s i bl ehy dr oc ol l oi d b .ma x i mu mr e s i d en tb en efi t c .mak eac as ta vai l abl et ot hel abor at or yf orfi nal wax i ngandc as t i ng d.ev al uat et hec ont our soft heoc cl us al r es t sf oradequat er educ t i on e.v er i f yt hatpr operc ont our sha vebeenpr o vi dedont hepot ent i al abut mentt ee t h Thel oc at i onoft hec l as par mswi l l bede t er mi nedb yt hehei ghtofc ont ouroft he . 80 . ab ut men tt e et h To rF Foradi s t al e xt ens i onr emo vabl epar t i al dent ur e,t hej a wr el at i onss houl dber ec or ded . 81 ____________t hes ec ondar yi mpr es s i oni smadeand__________t hef r amewor ki n . pl ac e a.bef or e;wi t h b.bef or e;wi t hout c .af t er ;wi t h d.af t er ;wi t hout e.as ;wi t h Whode v el opedt hemos twi del yac c ept edc l as s i fi c at i ons y s t em f orpar t i al l y. 82 ?e de nt u l ou sar c he s a .Sk i n ne r b.Appl eg at e c.Kennedy
d.Bar l y n e.T ot h I fy ourl abor at or yt ec hni c i ani sc ons c i ent i ous ,dependabl e,andk no wl edgeabl ei nal l. 83 t hede t ai l sofgoodpar t i al dent ur edes i gnandc ons t r uc t i on,y ous houl dmak et he pr es c r i pt i onf ort hepar t i al dent ur eby a.s ubmi t t i ngar oughs ket c hoft hedes i gnandr el y i ngont het ec hni c i an’ sabi l i t yand t r ai ni ngt opr oduc eanac cept abl edent ur e b.dr awi ngal l t hedet ai l soft hedes i gnont hemas t erc as tands ubmi t t i ngi twi t ht he ex pec t at i onst hati twi l l bef ol l owedex pl i c i t l y c .l abel l i ngac ol or edpenc i l dr awi ngonac har t ,out l i ni ngi tont hemas t er ,andpr ov i di ng t het ec hni c i anwi t hwr i t t eni ns t r uc t i ons d.c ons ul t i ngwi t ht het ec hni c i ant hr oughoutt hedes i gni ngphas et oal l o wt het ec hni c i ant o s har ei nt her es pons i bi l i t yf ort hedes i gn ” e.s i mpl ysendt hefi nal i mpr es si ont ot hel abwi t hanot et o“ J us tDoI t Thepr i mar yr equi r ementofamaj orc onnec t ori st hati tbe . 84 a.fl at b.pol i s hed c .fl ex i bl e d .ade si g nf r o mt hebo ok e.r i gi d Ri gi dmet al whi c hc ont ac t sr i gi dt oot hs t r uc t ur el oc at edbet weent het er mi nal r es tand . 85 . t hedent ur ebas emus tne v err i s eabo v et hesur v e yl i ne To rF I ft hel i ngual al v eol arbonei nt hepr emol arr egi onoft hemandi bl ehasan yt hi ngbuta . 86 s t eepver t i c al s l ope,an yr i gi dme met al c ov er i ngt hear eadur i ngdo wnwar df unc t i onmu mus tbe a.r el i ev eddur i ngc ons t r uc t i on b.t hi c k en eddur i ngt hewax up c .r el i ev edatdel i v er y d.r el i ev edaf t erdel i v er y e.s l i ght l yi nc ont ac t Thedi r e ct i ont h atdi s l o dg i ngf o r c esun sea taRPDd ep end su po n. 87
a.t hel oc at i onofr es t s b.dent ur ebas er et ai ner s c .gui depl at es ,r et ai ner s ,andmi norc onnec t or s d .c h an c e e .h ol d i n gpo we ro fd en t ur eb as ea dh es i v e s Asd i s l od ge me me nto cc ur s ,c l a sp sac tt ok eepaRPDs ea t e d.Th i sac t i o ni se nh an ce d . 88 b yt heant er i or l yl oc at edoc cl us al r es twhi c hi sknownasanoc cl us al r es ts er v i ngt he f unc t i onofan a.i ndi r ec tr et ai ner b.f ul c r um r el oc at or c .l e v erar ml engt hener d.i mpi ngementpr o t ec t or e.di r ec tr et ai ner . Ast hec ur v at ur eofac l as pi nc r eas essodoesi t ss t i ff nes s. 89 To rF . Ast hel engt hofac l as pi nc r eas ess odoesi t ss t i ff nes s. 90 To rF . St i ffnes sofac l as pi sr el at edt ot henumberofbendsi ni t. 91 To rF ?Ho wma n yr e s t sa r et h er eonanemb r a s ur ec l a s p. 92 a .e no ug ht odot h ej o b b.t wo c .one d.t hr ee e .n on e Thepa r to fanRPDf r a me me wor kt h att r a ns mi mi t ss t r e sst ot h ea but me ntt oo t ha nda l s o . 93 s er v esasav er t i c al s t opf ort hef r amewor ki scal l eda a.c l as p b .mi n orc on ne ct o r c .r es t
d .c r o wn e.r ec i pr oc at i ngar m Thepar tofanRPDf r amewor kt hatr es i s t sl at er al f unc t i onal s t r es sandpr o vi des . 94 s uppor tf ormobi l et eet hi sc al l eda a.r et ent i v ec l as p b .maj o rc on ne ct o r c .r es t d .b r a c i n gc o mp mp on en t e.i ndi r ec tr et ai ner Ther es t sofaRPDmus tbef r eet omo v ei nf unc t i on( e x cep tgi ngi v al l y )i nKe nnedy . 95 Cl a s s a.I , I I ,I V b.I ,I I ,I I I ,I V c .I ,I I I , I V d.I I ,I I I ,I V e .n on e.Re st ss ho ul dn ev e rmo v ei nf u nc t i o n I nor dert oat t ai nsy mmet mm r yoff or mi nmaj orc onnec t or soft hepal at e,t he ys houl d . 96 c r os st hemi dl i neat a.mi dni ght ,whent r affici sl eas tl i k el y b.a nac ut eangl e c .anugl yangl e d .a no bt u sea ngl e e.r i ghtangl es Li k ehal i t os i s ,s i ngl epal at al bar sar eobj ec t i onabl e.Si ngl epal at al bar sar e . 97 obj ec t i onabl ebec aus et he yl ac k a .a l c oh ol i cbe v er a ge san ds us hi b.r i gi di t y c .fl ex i bi l i t y d.u nder c ut s e.s i mpl i c i t y Pl at es ,mi norc onnec t or s ,gui di ngpl at es ,andpr o xi mal c ont ac t sofnat ur al t eet hal l. 98 c ont r i but et o
a.r ec i pr oc at i on b.es t het i c s c .goo dor a lh y gi ene d.t heUni t edFund e.r i gi di t y Br ac i ngel ement sar eal l l oc at edonorabov et hes ur v eyl i ne . 99 To rF Gui di ngpl at esar ec ur v edoc cl us o-gi ngi v al l y. 100 To rF RPDExa m Ans werKey T. 1 F. 2 T. 3 F. 4 T. 5 F. 6 T. 7 T. 8 F. 9 F. 10 b. 11 d12 c. 13 d. 14 F. 15 a. 16 F. 17 T. 18 F. 19 T. 20 bo rc. 21 c. 22 c. 23
F. 24 T. 25 d. 26 c. 27 e. 28 F. 29 F. 29 F. 30 F. 31 F. 32 T. 33 T. 34 d. 35 b. 36 T. 37 a. 38 b. 39 b. 40 c. 41 d. 42 c. 43 b. 44 b. 45 b. 46 a. 47 b. 48 e. 49 b. 50 b. 51 d. 52 c. 53 a. 54 d. 55 b. 56 c. 57
e. 58 c. 59 d. 60 d. 61 c. 62 b. 63 c. 64 d. 65 b. 66 b. 67 c. 68 c. 69 d. 70 e. 71 d. 72 d. 73 d. 74 e. 75 c. 76 d. 77 b. 78 e. 79 T. 80 c. 81 c. 82 b. 83 e. 84 T. 85 a. 86 c. 87 a. 88 T. 89 F. 90 T. 91
b. 92 c. 93 d. 94 a. 95 e. 96 b. 97 a. 98 T. 99 F. 100
