planning of Bridge

design!!!
 General Consideration

Patient attitude
General Health
Age
Occupation
cost
 Local Consideration

Proper examination
clinically &
radiographically..
Abutment selection..
Retainer selection..
Pontics Selection…
Connectors selection..
Composition of Fixed Partial
Denture
I- Abutment teeth.
II- Retainers.
III- Pontics
IV- Connectors.
 Span length.
Span location.
Abutment condition.
Abutment position.
Number of abutments.
Occlusion.
 Span Length

A B
Bending ∝(Length)3
Bending ∝1∕(OG height)3
 Span Position

Bounded Vs Free end saddle abutment

Normal Vs Tilted aligned abutment
Anterior Vs Posterior abutment
Number of Abutments

-According to Ante’s Low

-Degree arch curvature in upper anteriors

 Abutment Condition
◼ Crown root ratio.
◼ Root configuration.

◼ Periodontal & pulpal condition.

◼ Caries extension.

◼ Existing restoration.

◼ Esthetic Consideration.
Caries susceptability.
Abutment Location( anterior versus post).
Abutment alignment.
Opposing dentition & occlusal load.
Length of edentulous span.
Vitality of tooth.
 Retainer Types

Complete coverage Partial coverage

1. 3/4 crown
1. Full metal
2. PFM 2. Reverse 3/4 crown
3. All ceramic 3. 7/8 crown
4. Proximal half crown
5. Inlay retainer.
6. MOD onlay.
Full Metal
PFM
All Ceramic
¾ Crown
7/8 Crown
Proximal 1/2
Inlay Retainer
Ridge form & Contour.
Ridge Location.
Pontic ridge relationship.
 5 6

1 4

1 3
2
Fixed partial denture designs (configurations).

Pontic:

- Modified ridge lap, metal-ceramic

is used in appearance zone in both
maxillary & mand. areas.

- Sanitary metal-ceramic pontic design

is used in mandibular non appearance
zone.

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 Connector Types

Fixed connectors Movable connectors

(Rigid) (Non rigid)

1.Casted 1.Dovetail
2.Solder 2.Split pontic
3.Welded 3.Cross-pin & wing
Casted connectors:
Non rigid connectors:
 Fixed partial denture designs

considerations

1. Fixed bridge may be simple, complex or compound

2.The maximum number of posterior teeth
that can be replaced with FPD is 3, this should be done
only under ideal condition.

3.The loss of 4 adjacent teeth (other than 4 incisors)

is best restored with RPD or an implant.
1
 Fixed partial denture designs (configurations).

4.If more than 1 edentulous space exists in the same

arch, even each could be individually restored with
FPD, it may be best to use RPD, specially when the
space are bilateral & each involves 2 or more teeth.

5. If the 3rd molar is to be used as a potential

abutment, it should be upright, with little or no mesial
inclination, have long, separate roots & be
completely erupted.

2
 Fixed partial denture designs (configurations).

6. The ratios for root surface areas are act

as a guideline, an abutment-pontic root
ratio of 1 or greater is considered to be
favorable.

Ante’s law: the

root surface area
of the abutment teeth should
be equal or more than that of
the teeth being restored by
the pontics. 3
 Fixed partial denture designs (configurations).

The combined root surface area of the

2nd premolar & the 2nd molar is greater
than that of the 1st molar being replaced.
4
Fixed partial denture designs (configurations).

The combined root surface area of the

1st premolar & the 2nd molar is
approximately equal to that of teeth
being replaced.
5
Fixed partial denture designs (configurations).

The combined root surface area of the

Canine & the 2nd molar is exceeded by
that of the teeth being replaced.

6
 Fixed partial denture designs (configurations).

7. If fixed-support bridge is indicated, the support

must be done in the anterior restored abutment.

8.If the 1ry abutment is weak for any reason →

added 2ry abutment is used.

7
 Fixed partial denture designs (configurations).

9.Cantilever is used to restore missing upper

central or lateral but is contraindicated to
restore lower incisors.

10. In case of missing maxillary first premolar,

cantilever can be used if the span is short, or
if the canine is vital and 5,6 endodontically restored.

11.The 1st choice to restore missing upper & lower

premolars teeth, is fixed-fixed bridge, while the
supported bridges is the 2nd choice in upper area.
11
 Cantilever F.P.D.

Cantilever F.P.D. replacing a Cantilever pontic can be used

maxillary lateral incisor,using to replace a 1st premolar, if
the canine as the abutment. Full veneer retainers are used
on the 2nd premolar & 1st
molar abutments.
15
 Fixed partial denture designs (configurations).

12.Cantilever bridge can be used to restore missing any

last molar taking into consideration that the
pontic here is used as an occlusal stopper to prevent
over eruption of the opposing.(2 abutment, premolarization)

Force on a full-size molar Cantilever F.P.D. replacing a

cantilever pontic place a mandibular 1st molar, using
great stress on the mesial both premolars as abutments.
abutment. To minimize stress on the abutm-
ents, the pontic is the Size of pre-
molar rather than molar. 13
13.Spring cantilever limited to restore missing upper
central or lateral incisors.

18
Fixed partial denture designs (configurations).

14.Restoring of maxillary canine is differ than

the restoration of mandibular canine.

15. Missing more than 1 tooth, the choice is

fixed-fixed type of bridge & means of retention
can be added.

13
Factors affecting different designs for replacement of missing teeth

I- Removable partial denture

Span length: 2 post. Teeth. 4 ant. Canine + 2 or more teeth.

Span config.: No dist. Abut. Multiple or bilat. Eden.spaces.

Abut. Align.: 25 degree inclination

Abut. Cond.: Short clinical Cr. Number of abutments.

Occlusion: Adaptable to irregularities in a healthy opposing.

Perio. Condition: Use 2ry abut. If 1ry is weakened.

Ridge form: Gross tissue loss in residual ridge.

Features: Dry mouth. Limited finance. Acceptable oral Hyg.

Advanced age. Systemic health problems.

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Factors affecting different designs for replacement of missing teeth
II- Conventional tooth supported FPD
Span length: 2 post. Teeth. 4 Anteriors.

Span config.: Has distal abut., short cantilever pontic.

Abut. Align.: 25 degree inclination → prep. Modification.

Abut. Cond.: good . Non-vital → used.

Occlusion: favorable Magnitude, direction, frequency.

Perio. Condition: good bone support, no mobility, root morph.,

1:1 or better (CR. Root ratio).

Ridge form: moderate resorption. No soft tissue defect.

Features: Dry mouth.

Mand. tori. Within dentist skills.

 Change in long axis between
the molar & premolar when the
molar tilts mesially.

22
The FPD will not seat properly
The tooth distal to the FPD

24
 Occlusal

Buccal

Ortho. Appliance for Uprighting a tilted molar.

23
FPD using a proximal ½ Cr. as a
retainer on a tilted molar.

25
FPD using a telescopic Cr. & coping as a
retainer on a tilted molar.

26
A non-rigid connector on the distal
aspect of the premolar retainer
compensates for the inclination of
the tilted molar.
27
Factors affecting different designs for replacement of missing teeth
III- Resin bonded tooth supported FPD
Span length: single tooth. Possible for 2 incisors.

Span config.: abutments mesial & distal to pontic.

Abut. Align.: 15 degree inclination mesiodistally.

Abut. Cond.: defect-free abutment. Incisors, premolar

replacement.

Occlusion: not used if deep vertical overlap(deep bite).

Perio. Condition: no mobility. perio splints.

Ridge form: moderate resorption. No soft tissue defect.

Features: well suitable in young patients.

can be used for replacement of molars if mastic.
muscle are not well developed. 28
29
Factors affecting different designs for replacement of missing teeth
IV- Implant- supported FPD
Span length: single tooth. 2-6 unit span.

Span config.: no dist. Abut. In long span bridge.

Abut. Align.: coordination between surgeon & rest. Dentist.

Abut. Cond.: defect-free abutment requiring no restoration.

Occlusion: vertical as possible to prevent unfav. Lateral loading

Perio. Condition: dense bone.

Ridge form: broad, flat ridge.

Features: survive in dry mouth. Within dentist skills.

unfav. Attitude toward RPD.

31
32
 Fixed partial denture designs (configurations).

Simple FPD (one tooth)

Missing maxillary central incisor
1- Resin-bonded on 1,2.
2- Fixed-fixed bridge using 1,2
or 1,2,3.
3- Fixed-supported using 2,3 as
a fixed side & the rest seated on restored 1.
4- Cantilever bridge using 2,3 in case of central
diastema.
5- Spring cantilever using remote abutment as 4,5
& pontic fixed to a palatal resilient arm.
6- In case of presence of multiple diastemas, fixed
bridge is indicated with multiple palatal loops,
fixing the different retainers & pontics.

33
18
 Fixed partial denture designs (configurations).

Simple FPD (one tooth)

Missing mandibular central incisor
1- Resin-bonded on 1,2.
2- Fixed-fixed bridge using 1,2, if
metal-ceramic retainers are
required, exposure of the pulp may result, so
endodontic treatment & dowel would be necessary.
Missing mandibular lateral incisor
1- Resin-bonded on 1,3.
2- Fixed-fixed bridge using 1,3, or
1, 1,3 if the central incisor has any
bone recession.
If ceramo-metallic retainers are indicated, pulp
exposure may result & endo. treat. needed.
34
 Fixed partial denture designs (configurations).

Simple FPD (one tooth)

Missing maxillary lateral incisor
1- Resin-bonded on 1,3.

2- Fixed-fixed bridge using 1,3.

3- Fixed-supported using 3 as
a fixed side & the rest seated on restored 1.

4- Cantilever bridge using 3 if the canine is very

strong & the pontic has no contact in centric or
lateral excursions, also 4 can be added if needed.

5- Spring cantilever using remote abutment as 4,5.

35
Fixed partial denture designs (configurations).

Replacement of max. lateral incisor

using canine as abutment.

36
 Fixed partial denture designs (configurations).

Simple FPD (one tooth)

Missing maxillary 1st premolar
1- Resin-bonded on 3,5.
2- Fixed-fixed bridge using 3,5.
3- If 4 is to be restored with
cantilever bridge using 5,6 as abutments while
canine guided occlusion would be necessary to
prevent excessive forces on the pontic.

37
 Fixed partial denture designs (configurations).

Simple FPD (one tooth)

Missing mandibular 1st premolar
1- Resin-bonded on 3,5.
2- Fixed-fixed bridge using 3,5.
3- If 5, 6 are restored cantilever
bridge using 5,6 as abutments can be done.
Missing maxillary 2nd premolar

1- Resin-bonded on 4,6 (caries

free abut.).
2- Fixed-fixed bridge using 4,6.
3- facial defects or patient's
request will necessitate M-C retainer.

38
 Fixed partial denture designs (configurations).

Simple FPD (one tooth)

Missing mandibular 2nd premolar
1- Resin-bonded on 4,6 (large +
caries free abut.).
2- Fixed-fixed bridge using 4,6.
3- Fixed-supported bridge using 6 as
fixed abutment, 4 for support.
Missing maxillary 1st molar
1- Fixed-fixed bridge using 5,7.
2- Fixed-supported bridge can be
used to decrease the forces
applied on 5.
3- If clinical cr. Of 5 is short additional groove is
added, for esth. M-C for retainer.
39
 Fixed partial denture designs (configurations).

Simple FPD (one tooth)

Missing mandibular 1st molar
1- Fixed-fixed bridge using 5,7.
2- If there is any abnormalities in
the path of insertion of the bridge, change the type
of retainer at the distal abutment (1/2 retainer) or
up righting it before restoring the missing tooth.

40
 Canine-replacement F.P.D.

F.P.D replacing a maxillary F.P.D replacing a mandibular

canine is subjected to more canine is more favorable.
damage stresses.

36
 Fixed partial denture designs (configurations).

Complex FPD (one tooth)

Missing maxillary canine
1- 2-

Single implant supported metal-ceramic Cr. might

be considered.

Fixed-fixed bridge using 1,2,4,

so prevent the labial movement
of the bridge & opening of the distal contact.

41
 Fixed partial denture designs (configurations).

Complex FPD (one tooth)

Missing mandibular canine

1- Single implant might be used .

2- Fixed-fixed bridge using 2,4,

if 2 is weak, & use 1,2,4 .

42
 Fixed partial denture designs (configurations).

Simple FPD (two teeth)

Missing maxillary central & lateral incisors
1- Fixed-fixed bridge using 1,3.
2-

Missing mandibular central & lateral incisors

1- Fixed-fixed bridge using 1,2,3.

43
 Fixed partial denture designs (configurations).

Simple FPD (two teeth)

Missing maxillary 2 central incisors
1- Fixed-fixed bridge using 3,2,2,3
or 2,2 if they are strong, if the lever
arm is very short & the occlusal
force is minimal.
2-

Missing mandibular 2 central incisors

1- Fixed-fixed bridge using 2,2.
2- bone loss around 2,2 → canines
included 3,2,2,3
3-

44
 Fixed partial denture designs (configurations).

Simple FPD (two teeth)

Missing maxillary 2 premolars
1- Fixed-fixed bridge using 3,6.
Retainers: M-C on 3, ¾ can be used
(metal display) , 7/8 on molar.
Pontic: metal-ceramic.

Missing mandibular 2 premolars

1- Fixed-fixed bridge using 3,6.

Retainers: M-C on 3, full veneer
metal on molar
Pontic: metal-ceramic.

45
 Fixed partial denture designs (configurations).

Simple FPD (two teeth)

Missing maxillary 2nd premolar & 1st molar
1- Fixed-fixed bridge using 4,7.
Retainers: M-C on 4, ¾ can be used
(metal display) , 7/8 on molar.
Pontic: metal-ceramic.

Missing mandibular 2nd premolar & 1st molar

1- Fixed-fixed bridge using 4,7.
Retainers: M-C on 3, full veneer
metal on molar
Pontic: metal-ceramic.
If 4 short → canine can be used as
additional abutment.
46
 Fixed partial denture designs (configurations).

Complex FPD (two teeth)

Missing maxillary lateral incisor & canine
1- Fixed-fixed bridge using 1,1,4,5
or 1,4,5 if 1 is strong.
Retainers & pontics: M-C.

Missing mandibular lateral incisor & canine

1- Fixed-fixed bridge using 1,1,4.

Retainers & pontics: M-C.

47
 Fixed partial denture designs (configurations).

Complex FPD (two teeth)

Missing maxillary canine & 1st premolar
1- Fixed-fixed bridge using 1,2,5,6.
Retainers & pontics: M-C.
It is a difficult restoration.

Missing mandibular canine & 1st premolar

1- Fixed-fixed bridge using 1,2,5.

Retainers & pontics: M-C.
It is a difficult restoration.

48
 Fixed partial denture designs (configurations).

Complex FPD (more than two teeth)

Missing maxillary 2 central & 1 lateral incisors
1- Fixed-fixed bridge using 3,2,3.
Retainers & pontics: M-C.
If 2 is questionable →
extend the bridge to 4,4.

Missing maxillary 4 central incisors

1- Fixed-fixed bridge using 4,3,3,4

or 3,3 if there is a slight curvature
in the anterior arch.
Retainers & pontics: M-C.

49
 Fixed partial denture designs (configurations).

Complex FPD (more than two teeth)

Missing maxillary premolars & 1st molar
1- Fixed-fixed bridge using 3,7 only
if they are strong.
Retainers M-C, Full metal on molar.
Pontic: M-C.

Missing mandibular 4 central incisors

1- Fixed-fixed bridge using 3,3.

Retainers & pontics: M-C.
The force is less destructive
(no need for double abutment).

50
 Fixed partial denture designs (configurations).

Complex FPD (Pier abutment)

Missing maxillary central & lateral incisors
1- Fixed-fixed bridge using 3,1,2
with non-rigid connector at the
distal side of 1.

Missing mandibular central & lateral incisors

1agsas- .

51
 Fixed partial denture designs (configurations).

Complex FPD (Pier abutment)

Missing maxillary central & 2 lateral incisors
1- Fixed-fixed bridge using 3,1,3
with non-rigid connector at the
distal side of 1.

- ¾ can be used (metal display).

Missing maxillary lateral incisors & 1st premolar

1- Fixed-fixed bridge using 5,3,1

with non-rigid connector at the
distal side of 3.

52
 Fixed partial denture designs (configurations).

Complex FPD (Pier abutment)

Missing maxillary canine & 2nd premolar
1- Fixed-fixed bridge using 6,4,2,1
with non-rigid connector at the
distal side of 4.
Retainers & pontics: M-C.

Missing maxillary incisors & 1st premolar

1- Fixed-fixed bridge using 4,3,3,5

with non-rigid connector at the
distal side of 3.
Retainer & pontics: M-C.

53
 Fixed partial denture designs (configurations).

Compound FPD (P. abutment) with 2 different bridges

Missing maxillary lateral incisor & premolars
Fixed-fixed-free bridge using 6,3 &
cantilever the lateral on the
restored 3, making no contact
between the pontic & the opposing
in centric or lateral extrusions.

Missing maxillary 1st premolar & 1st molar

1- Fixed-fixed-free bridge using 7,5,

cantilever the 4 on the 3

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Thank you