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INTRODUCTION THE DISCIPLINE OF FIXED PROSTHODONTICS
Course Name:PROSTHODONTICS I (FIXED PARTIAL DENTURE) Course Description Study of fixed partial prosthesis considering the biological requirements for restoring the normal oral functions and aesthetics. Course Credit: 4 units – 2 units lecture(75%), 2 units laboratory (25%) Contact Hours: 2 hours lecture/6 hours laboratory per week Pre-requisite: Dental Material Placement: 2nd year, 1st semester
Course Name:PROSTHODONTICS I (FIXED PARTIAL DENTURE) Course Objectives: To develop the skills in making accurate diagnosis for jacket crowns and fixed partial prosthesis and to formulate a concise treatment plan; To describe the different principles of tooth preparation and the indications and contraindications of the different types of artificial crowns and fixed partial restorations. Course Outline: Overview of fixed partial prosthesis Diagnosis and treatment planning Principles of tooth preparation Temporary restorations Artificial crowns Fixed partial prosthesis Impression materials Indication of Different Cements Clinical aspects and troubleshooting Principles of occlusion
Course Name:PROSTHODONTICS I (FIXED PARTIAL DENTURE) Textbook and References: Johnston, Modern Practice in Fixed Prosthodontics, 4th ed. Rosenstiel, Contemporary Fixed Prosthodontics, latest ed.
DENTISTRY / defined It is the health science that encompasses the: Study and application of measures designed to prevent the deterioration of oral structures and Use of pertinent clinical procedures to improve the oral health of those treated.
DENTISTRY/ RAMIFICATIONS The relief of pain The treatment of oral diseases The maintenance of masticatory efficiency The maintenance and or restoration of the esthetic qualities of the mouth and face. * outcome
DENTISTRY / functions of dental practice Research Educational efforts Preventive efforts and Clinical efforts So that an ever increasing number of people can avoid the loss of teeth. combine and coordinate
DENTISTRY / patient’s role in preventive 				dentistry If the patient begins coming to the dentist early in life and is convinced of the dividends to be earned from a policy of : Preventive therapy Correct oral hygiene and  Prompt repair of the tooth when a carious lesion has penetrated the enamel,  there should be little need later for major restorative operations.
DENTISTRY / duty of the dentist If a tooth must be lost, it is the duty of the dentist to --- 	inform the patient that the space should be filled after surgery (as soon as healing and shaping of the ridge tissue are complete). The significance of keeping the arches intact must be stressed… WHY?
DENTISTRY / duty of the dentist The loss of one tooth can effect changes in:  1. Position of the teeth and  2. contact relationships of all teeth remaining in the mouth.
DENTISTRY / duty of the dentist Sequelae in the change of tooth position and contact relationship:
CHARACTERISTICS OF AN IDEAL PROSTHESIS  Contribute to mastication, It should augment the ability of the patient to enunciate, It should restore and preserve contacts between the abutments and the approximating teeth and also all other teeth in the arch, and  It should maintain the positions of the opposing teeth and the health of the supporting structures.
DEFINITION OF TERMS prosthodontics Branch of dentistry  (It is the health science that encompasses the : study and application of measures designed to Prevent the deterioration of oral structures and  use of pertinent clinical procedures to improve the oral health of those treated.) pertaining to the restoration and maintenance of oral function,  comfort,  appearance, and  health of the patient  by: the restoration of the natural teeth or  the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes, or by both.
BRANCHES OFprosthodontics Fixed Prosthodontics Fixed Partial Prosthodontics Fixed Complete Prosthodontics Removable Prosthodontics Removable Partial Prosthodontics Removable Complete Prosthodontics Maxillo-Facial Prosthetics
DEFINITION OF TERMS removable prosthodontics Branch of prosthodontics concerned with the replacement of teeth and its contiguous structures  for edentulous or  partially edentulous patients  by artificial substitutes  that are removable from the mouth.
DEFINITION OF TERMS removable prosthodontics
DEFINITION OF TERMS removable partial denture  Is a prosthesis that replaces tooth/teeth and contiguous structures for partially edentulous patients. It can be removed from the mouth by the patient during oral hygiene procedures and for other purposes.
DEFINITION OF TERMS fixed prosthodontics Branch of prosthodontics concerned with the replacement or restoration of teeth, or both by artificial substitutes  that are not removable from the mouth.
DEFINITION OF TERMS fixed prosthodontics
DEFINITION OF TERMS  maxillofacial prosthetics  Branch of prosthodontics concerned with the replacement or restoration, or both, of the stomatognathic and associated facial structures  by artificial substitutes  that may or may not be removed.
DEFINITION OF TERMS  maxillofacial prosthetics
DEFINITION OF TERMS  prosthesis  Any artificial replacement of a missing body part.
DEFINITION OF TERMS  crown An artificial replacement that restores missing tooth structure by  surrounding most or all of the remaining structure with a material such as  	1. cast metal,  	2. porcelain, or  	3. a combination of materials such as metal and porcelain. It is intended to reproduce  both the form and the function of the tooth and,  in some instances, to restore and enhance the appearance.
DEFINITION OF TERMS  full veneer crown An extracoronal restoration that involves all or nearly all of the surface of the clinical crown of a tooth.
DEFINITION OF TERMS  partial veneer crown A restoration that usually includes all but one surface of the tooth –  hence the frequently heard but not completely accurate term, three quarter crown.
DEFINITION OF TERMS  fixed prosthesis / fixed bridge Non removable prosthesis that is  ,[object Object],*(It is the natural tooth or teeth usually two or more, that supports the prosthesis and to which it is attached.) ,[object Object]
To replace one or more lost or missing teeth. The term fixed partial denture is sometimes used.
DEFINITION OF TERMS  retainer Is the restoration, usually a crown, rebuilding the prepared abutment tooth, by which the bridge is attached to the abutment and to which the pontic is connected.
DEFINITION OF TERMS pontic Is the substitute for the lost tooth, both esthetically and functionally.
DEFINITION OF TERMS  joint or connector Is the part of fixed prosthesis that unites the retainer with the pontic or that joins the individual units of the prosthesis. It may be rigid, as are both the cast and soldered joint, or non rigid as is the dovetail joint.
types of connectors ,[object Object]
Non Rigid Connectors,[object Object]
RIGID connectors KINDS OF RIGID CONNECTORS Cast Soldered Welded  		- connection is created by melting adjacent surfaces with heat or pressure.
NON RIGID connectors Not rigidly attached to the abutment. Segmenting of large, complex FPD into shorter components. Indications : ,[object Object]

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Prosto 1 chapter 1

  • 1. INTRODUCTION THE DISCIPLINE OF FIXED PROSTHODONTICS
  • 2. Course Name:PROSTHODONTICS I (FIXED PARTIAL DENTURE) Course Description Study of fixed partial prosthesis considering the biological requirements for restoring the normal oral functions and aesthetics. Course Credit: 4 units – 2 units lecture(75%), 2 units laboratory (25%) Contact Hours: 2 hours lecture/6 hours laboratory per week Pre-requisite: Dental Material Placement: 2nd year, 1st semester
  • 3. Course Name:PROSTHODONTICS I (FIXED PARTIAL DENTURE) Course Objectives: To develop the skills in making accurate diagnosis for jacket crowns and fixed partial prosthesis and to formulate a concise treatment plan; To describe the different principles of tooth preparation and the indications and contraindications of the different types of artificial crowns and fixed partial restorations. Course Outline: Overview of fixed partial prosthesis Diagnosis and treatment planning Principles of tooth preparation Temporary restorations Artificial crowns Fixed partial prosthesis Impression materials Indication of Different Cements Clinical aspects and troubleshooting Principles of occlusion
  • 4. Course Name:PROSTHODONTICS I (FIXED PARTIAL DENTURE) Textbook and References: Johnston, Modern Practice in Fixed Prosthodontics, 4th ed. Rosenstiel, Contemporary Fixed Prosthodontics, latest ed.
  • 5. DENTISTRY / defined It is the health science that encompasses the: Study and application of measures designed to prevent the deterioration of oral structures and Use of pertinent clinical procedures to improve the oral health of those treated.
  • 6. DENTISTRY/ RAMIFICATIONS The relief of pain The treatment of oral diseases The maintenance of masticatory efficiency The maintenance and or restoration of the esthetic qualities of the mouth and face. * outcome
  • 7. DENTISTRY / functions of dental practice Research Educational efforts Preventive efforts and Clinical efforts So that an ever increasing number of people can avoid the loss of teeth. combine and coordinate
  • 8. DENTISTRY / patient’s role in preventive dentistry If the patient begins coming to the dentist early in life and is convinced of the dividends to be earned from a policy of : Preventive therapy Correct oral hygiene and Prompt repair of the tooth when a carious lesion has penetrated the enamel, there should be little need later for major restorative operations.
  • 9. DENTISTRY / duty of the dentist If a tooth must be lost, it is the duty of the dentist to --- inform the patient that the space should be filled after surgery (as soon as healing and shaping of the ridge tissue are complete). The significance of keeping the arches intact must be stressed… WHY?
  • 10. DENTISTRY / duty of the dentist The loss of one tooth can effect changes in: 1. Position of the teeth and 2. contact relationships of all teeth remaining in the mouth.
  • 11. DENTISTRY / duty of the dentist Sequelae in the change of tooth position and contact relationship:
  • 12. CHARACTERISTICS OF AN IDEAL PROSTHESIS Contribute to mastication, It should augment the ability of the patient to enunciate, It should restore and preserve contacts between the abutments and the approximating teeth and also all other teeth in the arch, and It should maintain the positions of the opposing teeth and the health of the supporting structures.
  • 13. DEFINITION OF TERMS prosthodontics Branch of dentistry (It is the health science that encompasses the : study and application of measures designed to Prevent the deterioration of oral structures and use of pertinent clinical procedures to improve the oral health of those treated.) pertaining to the restoration and maintenance of oral function, comfort, appearance, and health of the patient by: the restoration of the natural teeth or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes, or by both.
  • 14. BRANCHES OFprosthodontics Fixed Prosthodontics Fixed Partial Prosthodontics Fixed Complete Prosthodontics Removable Prosthodontics Removable Partial Prosthodontics Removable Complete Prosthodontics Maxillo-Facial Prosthetics
  • 15. DEFINITION OF TERMS removable prosthodontics Branch of prosthodontics concerned with the replacement of teeth and its contiguous structures for edentulous or partially edentulous patients by artificial substitutes that are removable from the mouth.
  • 16. DEFINITION OF TERMS removable prosthodontics
  • 17. DEFINITION OF TERMS removable partial denture Is a prosthesis that replaces tooth/teeth and contiguous structures for partially edentulous patients. It can be removed from the mouth by the patient during oral hygiene procedures and for other purposes.
  • 18. DEFINITION OF TERMS fixed prosthodontics Branch of prosthodontics concerned with the replacement or restoration of teeth, or both by artificial substitutes that are not removable from the mouth.
  • 19. DEFINITION OF TERMS fixed prosthodontics
  • 20. DEFINITION OF TERMS maxillofacial prosthetics Branch of prosthodontics concerned with the replacement or restoration, or both, of the stomatognathic and associated facial structures by artificial substitutes that may or may not be removed.
  • 21. DEFINITION OF TERMS maxillofacial prosthetics
  • 22. DEFINITION OF TERMS prosthesis Any artificial replacement of a missing body part.
  • 23. DEFINITION OF TERMS crown An artificial replacement that restores missing tooth structure by surrounding most or all of the remaining structure with a material such as 1. cast metal, 2. porcelain, or 3. a combination of materials such as metal and porcelain. It is intended to reproduce both the form and the function of the tooth and, in some instances, to restore and enhance the appearance.
  • 24. DEFINITION OF TERMS full veneer crown An extracoronal restoration that involves all or nearly all of the surface of the clinical crown of a tooth.
  • 25. DEFINITION OF TERMS partial veneer crown A restoration that usually includes all but one surface of the tooth – hence the frequently heard but not completely accurate term, three quarter crown.
  • 26.
  • 27. To replace one or more lost or missing teeth. The term fixed partial denture is sometimes used.
  • 28. DEFINITION OF TERMS retainer Is the restoration, usually a crown, rebuilding the prepared abutment tooth, by which the bridge is attached to the abutment and to which the pontic is connected.
  • 29. DEFINITION OF TERMS pontic Is the substitute for the lost tooth, both esthetically and functionally.
  • 30. DEFINITION OF TERMS joint or connector Is the part of fixed prosthesis that unites the retainer with the pontic or that joins the individual units of the prosthesis. It may be rigid, as are both the cast and soldered joint, or non rigid as is the dovetail joint.
  • 31.
  • 32.
  • 33. RIGID connectors KINDS OF RIGID CONNECTORS Cast Soldered Welded - connection is created by melting adjacent surfaces with heat or pressure.
  • 34.
  • 35.