Partials

DuraFlex™

Indications

• History of partial frame breakage
• Alternative to implants or fixed products
• Acrylic allergies

Contraindications

• Need for more rigid appliance due to poor soft tissue support or few remaining teeth
• Health of teeth is too poor to support clasp
• Minimal vertical clearance, less than 5mm
• Flat ridge
• Immediate applications

Benefits of DuraFlex™

• Simple to adjust and polish
• Lifelike pink shades with veined acrylic details
• Thin, lightweight, and flexible for easy insertion
• More durable than acrylic
• Won’t absorb stains and odors

What to Send

• Upper and lower models or impressions
• Bite registration
• Tooth shade

Dental Insurance Codes

• D5225 - Maxillary Partial Denture - flexible base including any clasps, rests, and teeth
• D5226 - Mandibular Partial Denture - flexible base including any clasps, rests, and teeth

DuraFlex™ Boomer Bridge

Named for the Baby Boom generation that is now over 50 and starting to loose teeth, the DuraFlex™ Boomer Bridge is an excellent option to replace one or two teeth. Metal-free, esthetic, comfortable, and with an easy path of insertion, Boomer Bridges can also be used as a temporary replacement over implants or until a more permanent solution is available.

DuraFlex™ offers fantastic esthetics with veined acrylic in two shades. The material is translucent allowing the natural coloring of the tissue to show through the material causing DuraFlex™ to virtually disappear in the mouth. DuraFlex™ is more dense than nylon based flexible materials so it holds its color better and is highly resistant to stains and odors.

Benefits

• Clinically unbreakable
• Easier to adjust and polish
• Thin, lightweight, and flexible for easy insertion
• Metal-free esthetics
• More resistant to stains and odors

Indications

• Temporary over implant
• 1 or 2 tooth replacement
• Patient requires metal-free esthetics
• Metal sensitivity or acrylic allergies

Contraindications

• More than 2 teeth need replacement
• Minimal vertical clearance, less than 3mm

What To Send

• Upper and lower models or impressions
• Bite registration
• Tooth shade

Dental Insurance Codes

• D5225 – Maxillary Partial Denture – flexible base including any clasps, rests, and teeth
• D5226 – Mandibular Partial Denture – flexible base including any clasps, rests, and teeth

Valplast®

Indications

• Most traditional partial application
• Metal sensitivity or acrylic allergy

Contraindications

• Need for more rigid appliance due to poor soft tissue support
• Not recommended for immediates
• Minimal vertical clearance, less than 5mm

Benefits of Valplast

• Comfort: Thin, lightweight, and flexible
• Aesthetic and biocompatible
• Tissue or tooth prep not required
• More durable than acrylic

Valplast® Hot Tip

Just before delivery, immerse the partial in hot tap water for final patient customization. This hot water bath increases flexibility and adaption of the flexible partial, improving patient comfort and ease of insertion.

Tips for a Successful Valplast® Case

• Use alginate impression material
• Send poured model showing vestibular extension
• Send bite registration and tooth shade
• Try-in recommended for bilateral free end partials

Dental Insurance Codes

• D5225 - Maxillary Partial Denture - flexible base including any clasps, rests, and teeth
• D5226 - Mandibular Partial Denture - flexible base including any clasps, rests, and teeth

Cast Partials

NDX’s high-strength cast metal partials are made with cobalt-chrome alloy. Our alloy features a refined surface that polishes to a high-mirrored shine and is resistant to plaque buildup and are nickel-free, beryllium-free and iron-free. When a patient requires the strength of a cast partial, but with the aesthetics of a flexible partial, NDX’s hybrid partial is an excellent choice. Our hybrid partial consists of a cobalt-chrome cast metal subframe with flexible clasps or saddles. Clasps can be effectively hidden by crafting them from our clear or tissue-shaded Valplast or Duraflex thermoplastic materials.

Benefits

• Less invasive and less expensive than bridges or implants.
• Cobalt-chrome alloy increases adjustability while still limiting breakability.
• High strength alloy also makes for thinner frameworks and stronger clasps.
• Perfect for patients with certain metal allergies.

Indications

• To replace several teeth in the same quadrant or both quadrants of the same arch.
• As a temporary replacement for missing teeth in a child.
• To replace missing teeth for patients who do not want a fixed bridge or implants.
• To serve as a splint to support periodontally involved teeth.
• For patients who maintain good oral hygiene.

Contraindications

• Lack of suitable teeth in the arch to support, stabilize, and retain the removable prosthesis.
• Rampant caries or severe periodontal conditions that threaten the remaining teeth in the arch.
• A lack of patient acceptance for esthetic reasons.
• Chronic poor oral hygiene.

What to Send

• Upper and lower models or impressions with tooth preparations
• Tooth shade
• Bite registration

Dental Insurance Codes

• D5213 - Maxillary partial denture - cast metal framework with resin denture bases (including any conventional clasps, rests and teeth)
• D5214 - Mandibular partial denture - cast metal framework with resin denture bases (including any conventional clasps, rests and teeth)
• D5281 - Removable unilateral partial denture - one piece cast metal (including clasps and teeth)
• D5421 - Adjust partial denture (maxillary)
• D5422 - Adjust partial denture (mandibular)
• D5620 - Repair cast framework
• D5630 - Repair or replace broken clasp
• D5640 - Replace broken teeth (per tooth)
• D5650 - Add tooth to existing partial denture
• D5660 - Add clasp to existing partial denture
• D5670 - Replace all teeth and acrylic on cast metal framework (maxillary)
• D5671 - Replace all teeth and acrylic on cast metal framework (mandibular)

ClearFrame™

Indications

• Metal-free or aesthetic RPD required
• When a flexible partial is contraindicated by a flat ridge, a long free end saddle, or few remaining teeth

Contraindications

• Class II or Class III mobile teeth
• Short clinical crown length or lack of adequate undercut on abutment teeth
• Acrylic allergies
• Limited inter-occlusal space, less than 5mm

Benefits of ClearFrame™

• Metal free aesthetics and increased patient comfort
• Vertical stability with occlusal rests
• Can reline, repair, and polish acrylic saddles chairside
• Less expensive than traditional metal partials
• Hygienic, will not absorb stains and odors
• No metal taste

Material Properties

ClearFrame™ is made from state-of-the-art injection-molded nylon material that is strong and non-porous yet easy to adjust and re-polish. The clasps work in the same manner as on a metal framework, engaging undercut on the buccal or labial of the patient’s teeth. The partial does not contain Bisphenol A.

What to Send

• Upper and lower models or impressions with tooth preparations
• Bite registration
• Tooth shade

Dental Insurance Codes

• D5225 maxillary
• D5226 mandibular

Acrylic Partials

There are times when a cost-modified treatment plan is needed. Acrylic partials can be prescribed in a variety of situations. A variety of retention options are available, including cast clasps, wrought clasps, ball clasps, and more.