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Restoration of damaged portion of a tooth and the replacement of 1 or more missing teeth with an artificial substitute that is attached or permanently cemented to a prepared abutment tooth/teeth

Fixed prosthodontics

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uploaded by : Morteza ParmisDP: 23 Manila Central University July 2011

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Page 1: Fixed prosthodontics

Restoration of damaged portion of a tooth and the replacement of 1 or more missing teeth with an artificial substitute that is attached or permanently cemented to a prepared abutment tooth/teeth

Page 2: Fixed prosthodontics

Clinical exam• Visual exam• Palpation• Percussion

Page 3: Fixed prosthodontics

Mounted dx cast• Tooth alignment• Edentulous area• Supraerupted tooth• Partially erupted

tooth

Page 4: Fixed prosthodontics

Radiograph• Carious lesion• Bony architecture• Infrabony pocket• Roots• Lesion/ Tumor

Page 5: Fixed prosthodontics

Px medical hx• Complications from systemic conditions

(allergies, cardiovascular problems)

Page 6: Fixed prosthodontics

Carious lesion Missing tooth Periodontal pocket & depth Existing restorations & their

conditions Mobility of tooth Alignment & relationship of teeth Oral hygiene

Page 7: Fixed prosthodontics

Small, irregular-shaped, sharp-edged diamond chips that are electroplated with nickel/chromium bonding medium to steel instrument blanks whose heads have been machined to desired shapes

Page 8: Fixed prosthodontics

Round-end tapered

Page 9: Fixed prosthodontics

Flat-end tapered

Page 10: Fixed prosthodontics

Long needle

Page 11: Fixed prosthodontics

Flame

Page 12: Fixed prosthodontics

Wheel

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Best for producing precise preparation & smooth surfaces in enamel/dentin

Can cut through metal

Page 15: Fixed prosthodontics

Dentate/ Cross-cut• Blades are

interrupted by cuts across edge

• Leaves deep, severe striations at right angles to the path of insertion of the preparation

Nondentate • Preferred because

they leave a smooth surface finish

Page 16: Fixed prosthodontics

For placement of grooves, box forms & isthmuses

Useful for planning vertical axial surfaces

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Ante’s Law concerns the• 1. degree of tipping allowable in an

abutment tooth• 2. amount of curvature acceptable in the

plan of occlusion• 3. amount of increase in retentive factors

with a full crown versus a three quarter crown

• 4. crown: root ratio• 5. none of the above

Page 21: Fixed prosthodontics

The chief disadvantage of hydrocolloid compared to the two rubber base impression materials is that it:• 1. requires a stock tray• 2. is not as accurate• 3. requires a dry field free of blood, saliva, etc.• 4. is dimensionally unstable so it must be

poured soon• 5. takes longer to “set” (solidify)

Page 22: Fixed prosthodontics

A temporary crown should fulfill the same general requirements as the final restoration except for:• 1. aesthetics• 2. occlusal contact• 3. durability• 4. marginal adaptation• 5. 1 and 2