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    Introduction To Fixed Prosthesis

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    Alaa Morad
    Fixed prosthodontics involves the permanent cementation of prostheses to replace missing teeth. The goals are to restore function, aesthetics, and dental arch integrity while supporting the TMJ. Treatment options include inlays, onlays, overlays, veneers, full and partial crowns, posts, bridges using retainers, pontics and connectors, and dental implants. Diagnostic tools like periapical radiographs and root canal therapy are used. Articulators are mechanical devices that model the jaw relationship to facilitate prosthesis fabrication outside the mouth.

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    Introduction To Fixed Prosthesis

    Uploaded by

    Alaa Morad
    99 views24 pages
    Fixed prosthodontics involves the permanent cementation of prostheses to replace missing teeth. The goals are to restore function, aesthetics, and dental arch integrity while supporting the TMJ. Treatment options include inlays, onlays, overlays, veneers, full and partial crowns, posts, bridges using retainers, pontics and connectors, and dental implants. Diagnostic tools like periapical radiographs and root canal therapy are used. Articulators are mechanical devices that model the jaw relationship to facilitate prosthesis fabrication outside the mouth.

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    Introduction to Fixed Prosthesis

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    Fixed prosthodontics involves the permanent cementation of prostheses to replace missing teeth. The goals are to restore function, aesthetics, and dental arch integrity while supporting the TMJ. Treatment options include inlays, onlays, overlays, veneers, full and partial crowns, posts, bridges using retainers, pontics and connectors, and dental implants. Diagnostic tools like periapical radiographs and root canal therapy are used. Articulators are mechanical devices that model the jaw relationship to facilitate prosthesis fabrication outside the mouth.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    99 views24 pages

    Introduction To Fixed Prosthesis

    Uploaded by

    Alaa Morad
    Fixed prosthodontics involves the permanent cementation of prostheses to replace missing teeth. The goals are to restore function, aesthetics, and dental arch integrity while supporting the TMJ. Treatment options include inlays, onlays, overlays, veneers, full and partial crowns, posts, bridges using retainers, pontics and connectors, and dental implants. Diagnostic tools like periapical radiographs and root canal therapy are used. Articulators are mechanical devices that model the jaw relationship to facilitate prosthesis fabrication outside the mouth.

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    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    of 24

    Introduction to Fixed

    Prosthodontics
     
    Definitions
    Prosthodontics is commonly subdivided into fixed and removable prosthodontics.

    Fixed prosthodontics: is the specialized area of dentistry involved in the replacement of


    missing teeth with a cast prosthesis permanently cemented in place.

    A: Fixed B: Removable
    Before
    After
    Aims of fixed prothodontics:

    The aims of fixed prosthodontic


    treatment are to :
    •Restore function and mastication

    •Restore aesthetics
    •Maintain health and integrity of dental arch

    •Support the treatment of problems related to TMJ


    •Indications for Fixed Prosthodontics
    - One or more adjacent teeth are missing in the same arch.
    - The supportive tissues are healthy.
    - Suitable abutment teeth are present.
    - The patient is in good health and wants to have the
    prosthesis placed.
    The patient has the skills and motivation to maintain -
    good oral hygiene
    •Contraindications for Fixed Prosthodontics
    - Necessary supportive tissues are diseased or missing.
    - Suitable abutment teeth are not present.
    - The patient is in poor health.
    - The patient is not motivated to have the prosthesis
    placed.
    - The patient has poor oral hygiene habits.
    Types of
    Restorations
    Inlay
    A gold, ceramic, or composite restoration that is
    cemented into the tooth to fill a cavity.
    Onlay
    cover or replace one or more of the cusps of a tooth
    Overlay
    It’s a combination of inlay and onlay, where the restoration
    extends in a cavity into the tooth and covers one or more of
    the cusps of a tooth.
    Porcelain Veneers
    •Thin shell-like covering placed to improve the appearance of anterior teeth.
    •Indications:
    -Elimination of diastema
    -Enamel hypoplesia
    -Erosion and abrasion
    What are the types of crowns?

    Full Partial
    Coverage Coverage
    Permanent Permanent
    Crown Crown
    Full Crown
    •Completely covers the anatomic crown of tooth
    •Could be:
    -Metallic: Made entirely from metal alloys.
    -Non-metallic: Ceramic or Acrylic
    -Combined: Veneered or Full Veneered
    Partial Coverage Permanent Crown
    Crowns that cover part of tooth surfaces:

    • ½ crown, ¾ crown or 7/8 crown.

    ¾ crown
    Porcelain‑fused‑to‑metal crown

    Full metal crown with outer surfaces covered with


    a veneer of porcelain
    Posts
    -POSTS ARE USUALLY RECOMMENDED IN CASE OF INADEQUATE
    SUPPORT FOR A CROWN.

    -A POST IS PLACED WITHIN THE BODY OF THE ROOT OF A TOOTH


    THAT HAS ALREADY TREATED WITH ROOT CANAL TREATMENT.
    Components of a Bridge
    Abutment: A tooth serving as attachment to the bridge
    Pontic: The artificial tooth suspended from abutment teeth
    Retainer: Extracoronal restorations cemented to prepared abutment teeth
    Connector: rigid or non-rigid joint connection between the pontic and the retainer
    Bridges are classified:
    I. According to retention:
    A. Simple Bridge:
    •Fixed-Fixed.
    •Fixed-Supported.
    •Fixed free.
    •Removable.

    B. Compound Bridge: Combining more than one of the above types.


     
    C. Complex Bridge: anterior and posterior segments involving the canine eminence.
     
    II. According to the site:
    A. Anterior:
    • Unilateral. (Not crossing midline)
    • Bilateral. (Crossing midline)
     
    B. Posterior
    Dental Implant
    An artificial titanium fixture which is placed surgically into the
    jaw bone to substitute for a missing tooth and its roots
    • Periapical Radiograph:
    An X-ray film that is small enough to
    show the whole tooth from the crown
    to the root apex.

    • Root Canal Therapy:


    - A dental treatment involving the removal of
    the nerve tissue from within the tooth
    and tooth roots.
    - The void remaining is then filled with
    an inert material.
    Articulator
    -It
    is a mechanical device represents the TMJ, maxillary and
    mandibular arches.

    -It can be used to hold the upper and lower casts according to
    their relationships to facilitate the purposes of diagnosis and
    arrangement of artificial teeth outside the patient mouth.

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