Bayflex Partial
The Flexible Partial Can Now be Relined and Repaired!
Have you ever made a RPD for a patient only to find out he or she
wears it only when he or she sees you? “It’s not comfortable,” “it
looks bad”… we’ve all heard the complaints. When a patient’s
treatment plan calls for a conventional metal partial, why not
consider a flexible partial?
Introduced in the 1950s, flexible partials
grew in popularity until it was discovered
that they stain easily and cannot be relined or
repaired. This caused patient dissatisfaction and frustration
among dental professionals. Due to advancements in aesthetic
materials and techniques, flexible partials are now more stainresistant,
they don’t warp and they won’t become brittle.
The most notable advancement is that Bayflex flexible partials
can be repaired. To be able to reline or add teeth to these appliances
is a major factor in a patient’s decision-making process. It is
even possible to add flexible clasps to an existing acrylic denture.
Aesthetically, your patients will benefit from the natural
tissue design and high degree of translucency present in flexible
partials. They blend well with the surrounding periodontal
structures and dentition.
Most patients will quickly adjust to a flexible partial. Its
thinness provides a greater level of confidence and comfort
when speaking, chewing and smiling. The material allows for
more feeling and taste sensation, and its flexibility absorbs a portion
of the shock from occlusal and masticatory forces. It is the
perfect option for patients who might be sensitive to acrylic, as
it is monomer-free, biocompatible and hypoallergenic.
A flexible partial is as durable as a conventional metal partial.
Nylon-based RPDs actually withstand compressive forces
better than their acrylic counterparts. They will not deteriorate
chemically when in contact with fluids, bacteria or the physical
environment of the mouth.
The cost of a flexible partial is comparable to that of a conventional
partial. However, with a flexible partial there is no
tooth preparation or metal frame try-in, thus less chairtime.
Most importantly, your patients will love you for recommending
these RPDs, and are likely to refer their friends!
Your design options can be unilateral or bilateral, and these
appliances are perfect for single tooth RPDs (Nesbit). Flexible
RPDs can also be made with a metal frame or metal mesh (i.e.
hybrids) giving you the option of a firm vertical stop without
unattractive metal clasps.
Patients with the following classifications make strong candidates,
will likely not require a try-in and have high case acceptance
rates:
- Kennedy Class III (unilateral bounded partially edentulous)
- Kennedy Class IV (bilateral bounded anterior partially
edentulous)
- Interim prostheses (popular for healing stages of
implant cases)
A hybrid flexible partial (metal framework combined with
Bayflex) is appropriate for the following:
- Kennedy Class I (bilateral free ended partially edentulous)
- Kennedy Class II (unilateral free ended partially edentulous)
Tips to ensure a successful case:
- Use alginate impression material.
- Send your lab a poured model showing the vestibular borders,
retromolar pad (for cases with distal extensions), a
bite registration, opposing model, gingival shade desired
and tooth shade.
- Just before delivery, submerge the appliance in hot water
for approximately one minute. This will increase the flexibility
and allow for excellent adaptation upon insertion.
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