Scribd
Upload
62 views40 pages

UCMD - Introduction To Fixed Prosthodontics

This document provides an introduction to fixed prosthodontics. It defines prosthodontics as the branch of dentistry dealing with replacing missing or deficient teeth. A variety of patients are seen, including those with no missing teeth, partially dentate patients, and completely edentulous patients. Treatment options include no treatment, fixed prostheses like bridges, and removable prostheses. Fixed partial dentures are bridges that replace missing teeth, while fixed restorations like crowns replace parts of teeth. Components and examples of different types of fixed restorations and bridges are described.

Uploaded by

Iqra
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
62 views40 pages

UCMD - Introduction To Fixed Prosthodontics

This document provides an introduction to fixed prosthodontics. It defines prosthodontics as the branch of dentistry dealing with replacing missing or deficient teeth. A variety of patients are seen, including those with no missing teeth, partially dentate patients, and completely edentulous patients. Treatment options include no treatment, fixed prostheses like bridges, and removable prostheses. Fixed partial dentures are bridges that replace missing teeth, while fixed restorations like crowns replace parts of teeth. Components and examples of different types of fixed restorations and bridges are described.

Uploaded by

Iqra
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 40

Introduction to fixed

prosthodontics

Dr Muhammad Sohaib Nawaz


BDS FCPS
Assistant Professor Prosthodontics
UCD UOL
Contents
• What is prosthodontics?
• What variety of patients are dealt with in the
prosthodontic department?
• What treatment options do we have for such patients?
• Difference between a fixed and removable prosthesis
• Difference between a fixed partial denture and fixed
restoration
• Components of a fixed partial denture
• Examples of different types of fixed restorations
• Examples of different types of fixed partial dentures
Prosthodontics
the branch of dentistry pertaining to the diagnosis,
treatment planning, restoration and maintenance
of
oral function, comfort, appearance, and health of
patients with conditions associated with
missing or deficient teeth and/or maxillofacial
tissues
By
the restoration of natural teeth and/or the
replacement of missing teeth and craniofacial
tissues with artificial substitutes (prosthesis).
Glossary of Prosthodontic terms -2005
Different types of patients coming to
the prosthodontic clinic
• No missing teeth
– Tooth wear patients
– Occlusal disease of the masticatory system
• Partially dentate patients
– Few but not all teeth are missing
• Completely edentulous patients
– All teeth are missing
• Patients with missing maxillofacial structures
– Eye(s)
– Nose(s)
– Ear(s)
Treatment options for a patient with
tooth loss

• No treatment

• Treatment with a fixed prosthesis

• Treatment with a removable prosthesis


When is “no treatment” a treatment option?

• Patient has no complaint of deficient esthetics and function (symptoms)

• No signs of consequences of tooth loss

• When it is in the best interest of the patient


– Example – terminally ill patient

• Strict monitoring of such patients is required


– Frequent follow-up after every 3 months

• Examples:
– Single missing tooth –less than 6mm space
– Shortened dental arch (SDA) concept – 3 to 5 occluding units
Single missing tooth
• Less than 6mm space
• Each tooth adjacent to
the space has contacts
with two adjacent teeth
• Example:
– Missing mandibular
second premolar
Multiple missing teeth – Shortened Dental
Arch (SDA) concept
• 3 to 5 occluding unit
are sufficient for a
sub-optimal
masticatory function
• Depends on the
functional demands
of the patient
* ou = occluding units
1molar = 2ou • A useful option for
1 Premolar = 1ou old (> 65yrs) patients
Fixed prosthesis
“ A prosthesis so rigidly attached to the
structures in the oral cavity such that it cannot
be removed by the patient ”
Removable prosthesis

“ A prosthesis that can be readily removed


by the patient ”
What is the difference between a
fixed and a removable prosthesis?
• “A fixed prosthesis cannot be removed by
the patient whereas the removable
prosthesis can be removed by the patient”

• A fixed prosthesis can be removed by only


the dentist for reasons of maintenance,
repair or replacement.
A fixed prosthesis can be…

• Tooth borne

• Implant borne
Fixed partial denture = bridge
Fixed partial denture on teeth
Fixed partial denture on implants
Crown on an implant abutment
Difference between a fixed partial denture and
fixed restoration
• A fixed partial denture is a fixed prosthesis
given to replace missing teeth e.g. a bridge

Whereas,

• A fixed restoration is a fixed prosthesis


replacing missing part of a tooth e.g. a crown
Fixed prosthesis

Partial Dentures
(Fixed Partial Fixed Restorations
dentures=Bridges)

Fixed partial
Extra coronal Intra coronal
dentures: Tooth
restorations restorations
supported

Fixed partial
dentures: Implant Full veneer Partial veneer Inlays
supported

All metal crowns


Partial veneer
Laminate veneers Onlays
crowns

Metal ceramic
Ceramic veneers
crowns

All ceramic crowns Composite veneers


EXAMPLES OF FIXED
RESTORATIONS
Extra coronal Restorations

A full veneer crown A partial veneer crown


Laminate veneer
Intra coronal Restorations

An inlay is an indirect restoration


constructed of cast metal, porcelain/
ceramic, or composite/resin
that neither supports nor replaces
a cusp or cusps of a tooth -AADC
Inlay
An onlay is an indirect restoration (fabricated
outside the oral cavity) that covers one or more
cusps, extending through and beyond the cusp tip
to the facial/lingual and proximal slopes of the
covered cusps
-AADC

onlay
FIXED PARTIAL DENTURES
(BRIDGES)
Components of Fixed Partial Denture
Types of (tooth -supported) Fixed Partial
Dentures
• A – According to Retainers:
– Conventional FPD
– Minimum Preparation “resin bonded” FPD
• Direct bonded pontics
• Mechanically retained RB-FPD – Rochette
“HYBRID DESIGN”
• Micromechanically retained RB-FPD – Maryland When different
• Macro-mechanically retained RB FPD – Virginia types of retainer
• Cast Mesh RB-FPD are used in a
• Chemically bonded RB-FPD – Adhesion bridges single Prosthesis
– Removable Bridge / Telescopic denture
• B - According to Connector Design:
– Fixed-Fixed “COMBINATION
– Fixed-Movable DESIGNS” when
– Cantilever multiple designs used
together a single
– Spring cantilever
prosthesis
• C - According to Material:
– Metal only
– Metal – ceramic
– Ceramic only
Acknowledgement
Dr. Faheemuddin Muhammad
FCPS BDS
Assistant Professor
Department of Prosthodontics University College of Dentistry, University of
Lahore
Thank you

You might also like