Which Partial to prescribe?

With all of the types of partials to choose from, it can be difficult to pick the right one for each patient. Here is a list of the most common types of partials. The list takes into consideration cost, levels of aesthetics and functionality.

All Acrylic "Flipper" partial

This is by far the simplest type of partial. Usually prescribed for immediate placement or short term use.
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​Pros:​

• Low cost appliance
• Generally aesthetic
• Simplest to deliver (usually 2 visits)

Cons:

• Moderate strength, not as durable or as long lasting as other options
• Many times needs wire clasps, reduces aesthetics/ increases cost​

Cast partial with Acrylic attachments

A standard for long term use cases. Since it's an old standard the cost is moderate and it can be worn 5-10 years.

Pros:

• Moderately priced​
• Very strong (the metal is highly resistant to breakage)
• Offers options for increased strength such as Steel's facing and metal units
• Can drastically minimize the soft tissue coverage- a more compact design

Cons:

• Can show metal clasps drastically reducing the aesthetic value.
• Some patients don't adjust to large amounts of metal in the mouth
• May require abutment teeth to be modified for rests or clasps
• Can cause wear or tooth movement if not designed properly

*These should always be designed by a technician trained in cast partial design, like ours here at Jersey Dental Studio.

Casting/ Attachment Cases (Combination Cases)

​These are Cast frames and attachments on Crown and Bridge.

​Pros:

• ​Can be highly aesthetic
• Retention can be controlled and placed where most beneficial
• Long lasting/ stable

Cons:

• High cost limits option based on pt's ability to pay
• Pt must be compliant and vigilant with oral care- especially at C&B

      
 *This option requires close cooperation and planning with the dental technician.

Casting/Flexible Combo

Cast framework with Flexible clasps and flexible or Acrylic saddles.

Pros:

• Aesthetic and strong
• Minimal preparation required- usually rest seats
• Clasps can be low on the teeth and cover receding tissue
• Hard tissue supported- should have soft tissue contact

Cons:

• Cost is higher than the standard cast partial options

*Rest preps may be needed for the cast portion of the frame