Dentaltown November 2022 - 16
message board
Food Entrapment on Lower RPD
A removable partial denture is proving problematic for a patient and this Townie is on the hunt for solutions
momanycc
Member Since: 11/16/16
Post: 1 of 19
Introduction:
I have a patient who complains of food getting stuck under the lingual plate of his RPD. He
says the food gets under there through the side that's most gingival, under his tongue. I didn't
see a visible gap between the metal and the tissue, but the metal plate is highly polished in that
area. There's a slight gap between the plate and a few of his incisors on the incisal edge. He says
once food gets under there, the RPD starts to rock and rubs on his tissue, causing a sore spot.
The RPD is only a few months old at this point and seems very stable when I push and pull on
it. Any suggestions on what to do? I was thinking of relining this area with a temporary reline
material to see if it helps, and if it does, sending it to the lab for a permanent reline. Can labs
even reline the metal framework? There's no acrylic in this area. Thanks in advance for any
thoughts you might have.
The entire RPD, intaglio surface.
CrosstownDDS
Member Since: 08/16/17
Post: 3 of 19
Close-up of the offending area, intaglio surface. ■
They can use Fixodent. There is a product similar to it, called Food Sealer, but that is just
8/2/2022
the nature of the beast with most things removable.
Being good at removable requires setting proper expectations before you ever start the procedure.
Tell them beforehand that dentures and partials move around as you chew, swallow, etc.
That is where the food sneaks in, but it's not due to a faulty prosthetic. We are just not designed
to wear things in our mouths when we eat. ■
8/2/2022
dmd3000
Member Since: 07/05/04
Post: 5 of 19
Sounds like the lingual apron is not fl ush with the teeth. Take some PVS and see if there is a
space. There is no metal reline. If there is a space, you need to make them a new one. ■
8/3/2022
16 NOVEMBER 2022 // dentaltown.com
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Dentaltown November 2022
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