Fixed partial dentures require careful fluid and soft tissue management during tooth preparation and impressions. Isolation techniques like rubber dams, high volume suction, and saliva ejectors help control fluids and retract soft tissues for optimal visibility and material properties. Gingival retraction further exposes the finish line and can be achieved mechanically using copper bands or retraction cords, or chemically using vasoconstrictors impregnated in cords. Temporary restorations protect the teeth until final prostheses are fabricated.
2. FIXED PARTIAL DENTURE
A partial denture that
is luted or otherwise
securely retained to
natural teeth ,tooth
roots ,and / or dental
implant abutments
that furnish primary
support for
abutments.
3. TOOTH PREPARATION
DE VANS PRINCIPLE
The perpetual preservation of what
remains is most important than the
meticulous replacement of what is
lost.
Care should be taken to prevent
excessive tooth preparation
There should be minimal possible
reduction done to obtain required
characteristics
10. Y SHOULD V ISOLATE THE
OPERATIVE SITE?
To obtain a dry clean operating field
For easy access and visibility
To improve the properties of dental
materials
To protect the patient and the operator
To improve the operating efficiency
11.
12. USES OF RUBBER DAM
Isolation of 1 or more
teeth
Eliminates saliva
from operating field
Retracts soft tissues
18. SALIVA EJECTOR
It is placed at the
corner of the mouth
opposite to the
quadrent to be
operated
19.
20. SVEDOPTER
It is used teeth for
isolating
mandibular teeth
It is a metal saliva
ejector attached
with a tongue
deflector
21. DISADVANTAGES OF
SVEDOPTER
Access to the lingual surface of mandibular
teeth is limited
Cant be used when mandibular tori
precludes its use
It may injure the soft tissues
26. Y DO VHAVE TO RETRACT
THE GIGIVAL TISSUES?
It is retracted to obtain maximum exposure of finish
line
Gingival retraction permits completetion of the
preparation and cementation of the restoration and
helps the operator to make a complete impression of
the preparation.
27. FINISH LINE EXPOSURE?
It is a line of demarcation / or
The peripheral extension of a
tooth preparation / or
The planned junction of two
materials / or
The terminal portion of
prepared tooth
28. IMPORTANCE OF FINISH LINE
EXPOSURE
The gingival tissue must be healthy & free of inflammation before
cast restorations are fabricated
The finish line must be reproduced in the impression .the marginal
fit is very important in preventing recurrent caries and gingival
inflammation (marginal intergrity)
Hence the finish line should be temporarily exposed to reproduce
entire preparation
32. COPPER BAND
It is used to carry the impression as well as to displace the gingiva
to expose the finish line.
33. TECHNIQUE OF COPPER
BAND
Copper band is a welded tube corresponding to the size of the
prepared tooth.
One end if the tube is trim to follow the outline of the gingival
finish line.
After poistioning and contouring the prepared tooth it is filled
with modelling compound and the impression is made.
DISADVANTAGE OF COPPER BAND
Causes injury to the gingival tissues
34.
35. RETRACTION CORD
Pressure packing the
retraction cord into the
gingival sulcus provides
gingival sulcus.
Can be made with
absorbent material like
cotton
38. CHEMICALS USED FOR
GINGIVAL RERACTION
They are generally local vasoconstrictors which produce gingival
shrinkage.
8 % racemic epinephrine
Aluminium chloride
Alum(aluminium potassium sulphate)
Alumminium sulphate
Ferric sulphate
39. IDEAL REQUIREMENTS OF
CHEMICALS USED FOR
GINGIVAL RETRACTION
CORDS
Should produce effective gingival displacement and
haemostasis
It should not produce any irreversible damage to
gingival
It should not have any systemic side effects
41. TECHNIQUE OF USING
RETRACTION CORD
The cord can be
packed with a special
instrument like fischer
packing instrument or
a DE plastic
instrument IPPA
45. ROTARY CURETTAGE
(GINGETTAGE)
It is a troughing technique , wherein a portion
of the epithelium within the sulcus is removed
to expose the finish line.
It should bedone only on the healthy gingival
tissue
47. TECHNIQUE OF GINGETTAGE
It is usually done simultaneously along with finish line
preparation
Portion of sulcular epithelium is removed using a torpedo diamond
bur.
To improve tactile sense handpiece is run very slowly
Abundant water should be sprayed during the procedure
A retraction cord is impregnated with AlCl 3 can be used to
control bleeding
50. ELECTROSURGICAL
RETRACTION
It is the surgical
retraction of the sulcular
epithelium using an
electrode to produce
gingival retraction
The procedure is called
surgical diathermy.
53. SURGICAL ELECTRODE or
THE CUTTING ELECTRODE
It is like a probe and produces intense heat during surgical
procedures
Numerous cutting edge designs are available some of them are
Coagulation loop
Diamond loop
Round loop
Small loop
55. TECHNIQUE FOR GINGIVAL
SULCUS ENLARGEMENT
USING AN
ELECTROSURGICAL PROBE
Electode is positioned positioned parallel to the long axis of the
tooth
A small J shaped bur is used for the procedure
A whole of the tooth can be covered in 4 separate motions namely
facial,mesial,lingual and distal
Debris in the sulcus should be removed using cotton pellets dipped
in hydrogen peroxide
56. TECHNIQUE FOR SURGICAL
CROWN LENGTHENING
It is done when the clinical
crown is shorter than the
anatomic crown
It is the removal of
hyperplastic gingival in order
to expose the clinical crown
It is done using diamond
electrode
When there is excess wound
periodontal dressing is done.
57. TECHNIQUES OF REMOVAL
OF EDENTULOUS CUFF
Edentulous cuff is an remnant of inter
dental papilla
Which is seen in the proximal sides of the
edentulous space
It is removed by using an electrosurgical
unit
59. BITE REGISTRATION
The dentist may determine that an accurate bite
registration is necessary to establish the proper
occlusal relationship during mounting.
A bite registration can be made in many ways. Some
of the common methods use reinforced bite registration
wax, or dental stone mixed with slurry water (water
from model trimmer).
60. INTERIM (TEMPORARY
CROWN) OR FPD
The last step in this appointment is that a temporary crown or
FPD must be made to cover and protect the prepared tooth or
teeth while the permanent prosthesis is being fabricated.
Temporary crowns or FPD's can be constructed from preformed
acrylic resin and aluminum shells.
Plastic stints and alginate impressions can also be used with self-
curing acrylic resin to make an interim prosthesis.
When the temporary is finished, a temporary cement such as zinc
oxide and eugenol is used to deliver the interim restoration onto
the prepared tooth or teeth.