Preclinical Fixed Prosthodontics
Dr. Safaa Amir Heiba BDS, MSc, U of K
Introduction:
Prosthodontics:
Is a branch of dentistry that concerns about the replacing teeth
and contiguous tissues or jaw structures by artificial devices to
restore oral function, comfort, appearance and health of the
patient.
Introduction:
Prosthodontics:
It has three main branches:
Removable, fixed, and maxillofacial prosthesis.
Introduction:
Fixed Prosthodontics:
Is a branch of prosthodontics that concerns about the replacing
and/or restoration of teeth by artificial substitute (cast prosthesis)
that can not be removed by the patient.
Introduction:
Fixed Prosthodontics:
Is a technique used to fabricate a fixed prosthodontic appliance
that is securely fixed to natural tooth/teeth or screwed to one or
more dental implants/implant abutments to restore teeth function
and esthetics, it can not be removed by the patient.
Introduction:
Aims fixed prosthodontics:
Restore function of teeth; mastication and speech.
Restore esthetics.
Maintain oral health and integrity.
Introduction:
Indications for fixed prosthodontics:
Badly broken down teeth.
Primary trauma.
Tooth wear.
Hypoplastic conditions (congenital or acquired).
Introduction:
Contraindications for fixed prosthodontics:
There is no absolute contraindication for fixed prosthodontics
however it is better to put the following situations in
consideration:
Introduction:
Contraindications for fixed prosthodontics:
When a more conservative approach can provide satisfactory
results.
Introduction:
Contraindications for fixed prosthodontics:
Patient’s age and medical condition: young patients below 18
have large dental pulps and fixed prosthesis may cause them
gingival recession.
While other patients; elderly and medically compromised, may
not tolerate long treatment sessions.
Introduction:
Contraindications for fixed prosthodontics:
Patients with bad oral hygiene; it should be controlled first.
Introduction:
Types of cast restorations:
Crowns; partial or full coverage crowns.
Bridges.
Inlays.
Onlays.
Veneers.
Introduction:
Crown:
It is a restoration that restores missing tooth structure of three or
more axial surfaces and the occlusal/incisal surface of a tooth
with a material such as cast metal alloy, ceramics, resin or a
combination of materials.
Introduction:
Crown:
Anatomical crown:
it is highest/topmost part of a tooth occlusal to the
cementoenamel junction.
Clinical crown:
It is the part of the tooth that is visible in the mouth.
Introduction:
Crown:
Dental crown:
it is an artificial replacement that restores missing tooth structure
by surrounding part or all of the remaining structure with a
material such as cast metal alloy, metal ceramics, ceramics, resin,
or a combination material.
Introduction:
Bridge:
It is also called fixed partial dentures.
It is a dental prosthesis that is luted, screwed, or mechanically
attached or otherwise securely retained to natural teeth, tooth
roots, and/or dental implants/abutments that provide the primary
support for dental prosthesis and restoring teeth in partially
edentulous arch; it can not be removed by the patient.
Introduction:
Bridge:
Consists of three components:
Retainer.
Pontic.
Connector.
Introduction:
Inlay:
It is a fixed intracoronal restoration (not including the cusps), a
dental restoration made outside of the tooth to correspond to the
form of the prepared cavity; which is then luted into the tooth.
Introduction:
Onlay:
It is a fixed partial coverage restoration that restores one or more
cusps and adjoining occlusal surfaces or the entire occlusal
surface and is retained by mechanical or adhesive means;
Introduction:
Veneer:
It is thin lamination, shell-like dental material bonded to one side
of the tooth to improve its appearance and/or restore it’s normal
contour.
Introduction:
Classification of fixed restorations:
According to retention:
Either:
Extracoronal restorations.
Intracoronal restorations.
Intraradicular restorations.
Introduction:
Classification of fixed restorations:
Extracoronal restorations:
Either:
Full coverage restorations.
Partial coverage restorations.
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Introduction:
Classification of fixed restorations:
Intracoronal restorations:
Inlays.
Onlays.
Introduction:
Classification of fixed restorations:
Intraradicular restorations:
Either:
Post-retained restorations.
Implants.
Introduction:
Classification of fixed restorations:
According to material used:
Either:
Ceramic restorations.
Metal-ceramic restorations.
Full metal restorations.
Resin restorations.
Introduction:
Classification of fixed restorations:
According to position:
Either:
Anterior restorations
Posterior restorations
Introduction:
Classification of fixed restorations:
According to time:
Either:
Temporary restorations.
Permanent restorations.
