Overview: This guide provides clinical instructions for the use, maintenance, and disposal of flexible partial dentures, including safety warnings and ADA insurance codes.
Clinical Indications and Contraindications
Flexible partial dentures replace missing teeth and support remaining natural teeth using a pliable material for patient comfort.
Contraindications for Use
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Insufficient Support: Do not use for patients with a significant number of missing teeth.
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Medical Conditions: Unsuitable for patients with severe bone loss or advanced gum disease.
Safety Warnings and Potential Risks
Allergic Reactions: Thermoplastic base materials may cause rare allergic reactions. If the patient experiences extreme redness or swelling, they must discontinue use and consult a healthcare professional.
Hereditary Angioedema (HAE): Dental appliances can trigger local swelling in patients with HAE. Discontinue use immediately if extreme swelling occurs..
Aspiration Hazard: Accidental swallowing or aspiration of the flexible partial denture may occur and requires immediate medical attention.
Directions for Clinical Use
Follow these steps to ensure the proper fit and function of the flexible partial denture.
Insertion Process
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Clean Oral Cavity: Clean the patient’s gums and mouth using a soft-bristled toothbrush or oral rinse before insertion.
Position Appliance: Hold the flexible partial denture by the edges and place it into the patient’s mouth.
Seat the Denture: Use a gentle rocking motion to position the appliance. Instruct the patient to bite down and swallow to seat the denture properly.
Enhance Retention: Apply a denture adhesive if additional retention is necessary.
Patient Cleaning and Storage Instructions
Clinicians should advise patients on the following maintenance protocols to prevent damage to the material.
Cleaning Steps
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Rinse: Remove the flexible partial denture and rinse under running water to clear loose debris.
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Brush: Use a dedicated denture brush and non-abrasive cleanser to clean all surfaces.
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Final Rinse: Rinse thoroughly with water to remove any chemical residue.
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Avoid Heat: Never use hot water or abrasive cleansers, as these can warp or damage the thermoplastic material.
Storage and Maintenance
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Environment: Store the flexible partial denture in a clean, dry location.
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Avoid Pressure: Do not expose the appliance to excessive pressure or heat.
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Professional Evaluation: Patients should contact the practice if the denture loses its fit or becomes damaged.
Additional Information
- Clinical studies have shown partial dentures to be an effective and reliable treatment option for patients with missing teeth.
- If the patient experiences any adverse events, such as pain or irritation, they should discontinue use and contact your practice immediately.
- Partial dentures have a limited warranty, which may vary depending on the manufacturer.
Disposal of Biohazardous Waste
Used or unclaimed dentures are considered infectious waste due to exposure to blood and saliva.
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Handling: Treat as regulated biohazardous waste using red biohazard bags and authorized waste carriers.
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Patient Privacy: Redact or destroy all patient information on lab boxes and appliance bases before disposal.
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Method: Incineration is the standard method for final destruction.
ADA Codes
| Flexible and Acetal (Bilateral, Straight to Finish) | ||
| Maxillary | D5225 | Maxillary partial denture: flexible base (including retentive/clasping materials, rests, and teeth) |
| Mandibular | D5226 | Mandibular partial denture: flexible base (including retentive or clasping materials, rests, and teeth) |
| For Unilateral Flexible | ||
| Maxillary | D5282 | Removable unilateral partial denture: one piece cast metal (including retentive and clasping materials, rests, and teeth), maxillary |
| Mandibular | D5283 | Removable unilateral partial denture: one piece cast metal (including retentive and clasping materials, rests, and teeth), mandibular |
| Flexible Quadrant | D5284 | Removable unilateral partial denture: one-piece flexible base (including retentive/clasping materials, rests, and teeth) per quadrant |
| Adjustments | ||
| Partial Denture: Maxillary | D5421 | Adjust partial denture—maxillary |
| Partial Denture: Mandibular | D5422 | Adjust partial denture—maxillary |
| Add On's | ||
| Metal Mesh substructure | D5876 | Add metal substructure to acrylic full denture (per arch) |