[Achieving therapeutic success with cast removable partial dentures]

The strategic goal is the complex prosthetic rehabilitation for a period of at least 10 years. Thorough oral examination is the basis of differential indication and treatment planning. The pretreatment is an integral part of the therapy. The construction must take into consideration the following facts. The periodontal support is in general superior to the gingival supprt (dependence on incomplete dentition). Primary splinting is in general superior to secondary splinting. The denture skeleton must be stable. The prosthesis should be constructed in such a manner that it can be extended, adjusted and rebased. The denture skeleton and the connectors should not cover the marginal gingiva. Denture sore is caused by mechanical irritation and infection. Mouth and prosthesis hygiene is of prime importance also from the viewpoint of caries prevention and periodontal prophylaxis.