Professional Documents
Culture Documents
a. TMJ
b. Muscles of mastication
c. Lips
Intraoral Examination:
a. Periodontal information
1. Gingiva.
2. Periodontium.
3. Occlusal examination
Radiographic
examination.
(X-ray)
Approach should be
logical and systematic.
After completion of history and examination a
differential diagnosis is made.
b. Diabetes
d. others.
Local factors which affect prognosis:
d. Root angulation.
e. Root morphology.
f. Crown-root ratio.
g. Others
Material used
Model making
Restoration of function.
Improvement of Appearance.
Allexisting restorative
materials and techniques have
limitations and cannot exactly
match the properties of a
natural tooth structure.
Whenever possible, FPDs should be design as simple
as possible with a single well anchored retainer fixed
rigidly at each end of the pontic.
PERIODONTICS
ENDODONTICS
ORTHODONTICS
FIXED PROSTHODONTICS
REMOVABLE PROSTHODOTICS
A foundation restoration, or ,
core, is used to build a damaged
tooth to ideal anatomic form
before it is prepared for a
crown.
Materials used:
1. Dental Amalgam.
2. Glass Ionomer.
3. Composite Resin.
1. Adjacent teeth.
2. Soft tissues.
3. Pulp
CAUSES OF INJURIES:
1. Temperature.
2. Chemical Action.
3. Bacterial Action.
Conservation of Tooth Structure.
Considerations Affecting Future Dental Health.
1. Axial reduction.
2. Margin Placement.
3. Margin adaptation.
4. Margin Geometry.
5. Occlusal Consideration.
Extracoronal Restoration.
Restore aesthetics.
Clinical Crown: It is intraoral visible tooth
structure.
Anatomical Crown: The area of tooth covered by
enamel.
Artificial Crown.
a. Full veneer crown.(FVC)
b. Partial veneer crown(PVC)
RETAINERS:
Part of FPD which is used as a support and
cemented to the natural tooth or implant.
CONNECTORS:
It is the connection that exists between the retainer
and pontic.
AVAILIBILTY
ACCESSIBILITY.
AFFORDIBILITY
SHORT SPAN EDENTULOUS AREA.
PROPER SUPPORT.
PATIENT’S PREFERANCE.
CLASS I:
CLASS III:
DIVISION I:
Cantilever FPDs. Abutment on one side.
DIVISION II:
Conventional FPDs, abutments on both sides of the
edentulous area.
DIVISION III:
Pier Abutments. A single tooth is surrounded by an
edentulous space on either side.
Sub-division:
A sub-division denotes the status of the tooth that is
to be used as an abutment.
Sub-division I:
Sub-division III:
Periodontally weak abutment.
Sub-division IV:
Sub-division V:
Implant abutment.
DEPENDING ON THE TYPE OF CONNECTOR:
All metal
Metal ceramic
All ceramic
All acrylic.
LENGTH OF SPAN:
Interim bridges.
TYPES OF ABUTMENTS:
All metal
Metal ceramic
All ceramic
All acrylic.
It is an artificial tooth in a fixed partial denture that
replaces a missing tooth, restores its functions and
usually fills the space.
1. It should restore the functions of a tooth it replaces.
4. It should be biocompatible.
C. Method of fabrication.
TISSUE SURFACE IN CONTACT.
1.RIDGE LAP/Saddle
2. MODIFIED RIDGE LAP
3. OVATE
4. CONICAL
TISSUE SURFACE NOT IN CONTACT.
1. SANITARY/Hygienic
2. MODIFIED SANITARY.
SADLE OR RIDGE LAP:
Concave fitting surface
Overlap the residual ridge buccolingually.
SHOULD BE AVOIDED
Concave surface of the pontic is inaccessible.
Cause tissue inflammation.
MODIFIED RIDGELAP PONTIC:
Prefabricated pontics
Theportion of the Fixed Partial
Dentures that unites the retainer(s)
and pontic(s).
Rigid connectors
Non-rigid connectors.
Used to unite the retainers with pontics in Fixed-
fixed partial dentures.
Centric occlusion:
Occlusion of the opposing teeth when the mandible
is in centric relation.
This may or may not coincide with maximum
intercuspation.
Maximum intercuspation:
Eccentric occlusion:
Ideal requirements of the impression material used
in fixed partial dentures.
Dimensional stability and accuracy
Elasticity after cure.
Flow.
Wettability.
Compatibility.
Elastomeric impression material.
Case selection
Case design
Ante’s Law
Preparation
Impression technique
Shade selection
Investment
Casting
Recovery and finishing.
Porcelain work
Firing
Shade and glaze
Intraoral adjustment
Cementation
Apply hardener on the prepared surfaces.( Dural)
FUNCTIONS OF A SURFACTANT.
1 . Reduce contact angle between liquid & wax
surface .
2 .Remove any oily film left on wax pattern
PREREQUISITES
Wax pattern should be evaluated for smoothness ,
finish & contour .
Pattern is inspected under magnification & residual
flash is removed
CRUCIBLE FORMER
Put the casting ring in the oven for about 1hour and
30minutes and raise the temperature up to 1100
degrees cent.
Melt the alloy in casting machine.
Take out the RED HOT ring from the oven and put
it in the Casting machine.
140
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Lack of supporting alveolar bone
Indirect Onlays
resin
Bridges
veneers
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Delmar Learning. ALL RIGHTS
142 RESERVED.
Gold
alloy
Porcelain
fused to metal
Porcelain
Composite
resin
143
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Retention of Restorations
• Core buildup
– Recreation of lost tooth structure
• Retention pins
– Screwed into dentin
– Hold core filling material
• Post and core
– After root canal therapy
– Strengthens tooth
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The Dental Laboratory
• Before preparation
• Moisten shade guide
• Match to natural teeth
under natural light
• Record in patient’s
chart
• Record on lab
prescription
• Placed in gingival
sulcus
• Mechanical and
chemical retraction
• Prevents bleeding
• Ensures
impression of
gingival margin
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Provisional Restorations
Patient’s Tooth
name shade
Description Dentist’s
of prosthesis information
Materials Date
for prosthesis requested
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Crown Cementation
• Check fit
– Margin
– Contacts
– Occlusion
• Adjust if necessary
• Permanent cement
• Crowns Toothbrush
• Bridges
Antimicrobial Threading
• Dental
rinses systems
implants
Plaque
removal
Water Dental
irrigators floss
Interproximal
bushes
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