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INDIAN DENTAL ACADEMY
Leader in continuing Dental Education
www.indiandentalacademy.com
OBJECTIVES
 Elimination of diseases
 Preservation of health of oral tissues & remaining teeth
 Restoration of function & esthetics
www.indiandentalacademy.com
PHILOSOPHICAL EXACTING PATIENT
HYSTERICAL PATIENT INDIFFERENT PATIENTwww.indiandentalacademy.com
www.indiandentalacademy.com
MEDICAL HISTORY
Evaluating effect of Physical Problems on
treatment: Arthritis
 Paget’s disease
Acromegaly
 Parkinson’s disease
 Pempigus vulgaris
 Epilepsy
 Cardiovascular disease
 Hepatitis – high risk
 Transimissible disease
 Congenital defects
 Diabetes www.indiandentalacademy.com
MEDICAL HISTORY
Evaluating effect of Physical Problems on
treatment: Arthritis
 Paget’s disease
Acromegaly
 Parkinson’s disease
 Pempigus vulgaris
 Epilepsy
 Cardiovascular disease
 Hepatitis – high risk
 Transimissible disease
 Congenital defects
 Diabetes www.indiandentalacademy.com
MEDICAL HISTORY
Evaluating effect of Physical Problems on
treatment: Arthritis
 Paget’s disease
Acromegaly
 Parkinson’s disease
 Pempigus vulgaris
 Epilepsy
 Cardiovascular disease
 Hepatitis – high risk
 Transimissible disease
 Congenital defects
 Diabetes www.indiandentalacademy.com
ORAL EXAMINATION
 Visual examination
 Relief of pain,discomfort & placement of temporary restoration
 Intra oral roentographic survey
 Oral prophylaxis
 Exploration of teeth & investing structure
 Vitality test – Remaining teeth
www.indiandentalacademy.com
INTERPRETATION OF EXAMINATION DATA
 Identify any pathologic conditions
 Evaluation of existing restorations
• Recurrent caries
• Marginal leakage
• Overhanging restorations
• Root canal fillings
 Reveal the presence of root fragment & bony spicules
 Evaluation of alveolar support of abutment teeth,
length & morphology of rootswww.indiandentalacademy.com
RADIOGRAPHIC INTERPRETATION
www.indiandentalacademy.com
INTERPRETATION OF EXAMINATION DATA
RADIOGRAPHIC INTERPRETATION
Value of interpreting bone density
Quality & quantity of bone
Lamina dura
Trabecular pattern
Periodontal space
Inter crestal bone
www.indiandentalacademy.com
Dense cortical bone
Radiographic Examination: Misch Bone density classification:
Porous cortical bone
Coarse trebacular bone
Fine trebacular bone
www.indiandentalacademy.com
ROOT MORPHOLOGY
www.indiandentalacademy.com
 Periodontal considerations
 Oral hygiene habits
 Caries activity
 Surgery/ Extraction
 Endodontic treatment
 Analysis of occlusal factors
 Fixed restorations
 Orthodontic treatment
 Mouth preparations
www.indiandentalacademy.com
 Periodontal considerations
 Oral hygiene habits
 Caries activity
 Surgery/ Extraction
 Endodontic treatment
 Analysis of occlusal factors
 Fixed restorations
 Orthodontic treatment
 Mouth preparations
www.indiandentalacademy.com
 Periodontal considerations
 Oral hygiene habits
 Caries activity
 Surgery/ Extraction
 Endodontic treatment
 Analysis of occlusal factors
 Fixed restorations
 Orthodontic treatment
 Mouth preparations
www.indiandentalacademy.com
 Periodontal considerations
 Oral hygiene habits
 Caries activity
 Surgery/ Extraction
 Endodontic treatment
 Analysis of occlusal factors
 Fixed restorations
 Orthodontic treatment
 Mouth preparations
www.indiandentalacademy.com
 Periodontal considerations
 Oral hygiene habits
 Caries activity
 Surgery/ Extraction
 Endodontic treatment
 Analysis of occlusal factors
 Fixed restorations
 Orthodontic treatment
 Mouth preparations
www.indiandentalacademy.com
 Periodontal considerations
 Oral hygiene habits
 Caries activity
 Surgery/ Extraction
 Endodontic treatment
 Analysis of occlusal factors
 Fixed restorations
 Orthodontic treatment
 Mouth preparations
www.indiandentalacademy.com
 Periodontal considerations
 Oral hygiene habits
 Caries activity
 Surgery/ Extraction
 Endodontic treatment
 Analysis of occlusal factors
 Fixed restorations
 Orthodontic treatment
 Mouth preparations
www.indiandentalacademy.com
 Periodontal considerations
 Oral hygiene habits
 Caries activity
 Surgery/ Extraction
 Endodontic treatment
 Analysis of occlusal factors
 Fixed restorations
 Orthodontic treatment
 Mouth preparations
www.indiandentalacademy.com
EXTRA ORAL
www.indiandentalacademy.com
INTRA ORAL
www.indiandentalacademy.com
www.indiandentalacademy.com
www.indiandentalacademy.com
www.indiandentalacademy.com
www.indiandentalacademy.com
www.indiandentalacademy.com
www.indiandentalacademy.com
www.indiandentalacademy.com
PRILIMINARY IMPRESSIONS
www.indiandentalacademy.com
www.indiandentalacademy.com
www.indiandentalacademy.com
www.indiandentalacademy.com
www.indiandentalacademy.com
www.indiandentalacademy.com
DIAGNOSTIC CAST
Permits visual examination
Degree of over closure
Amount of interocclusal space
Anterior & posterior plane
Occlusion from buccal & lingual aspect
Topographic survey of dental arch
Parallelism of tooth surface involved
Their influence on partial denture design
Occlusal plane
www.indiandentalacademy.com
Education of patient
Reference of work progress
Type of restoration
Mouth preparation
Special trays - Preparation
www.indiandentalacademy.com
INDICATIONS – FIXED RESTORATIONS
 Tooth bound edentulous region – Short span
 Additional modification spaces in class III
Modification I solution
 When an edentulous area exist anterior to
single standing abutment teeth
www.indiandentalacademy.com
INDICATIONS - RPD
Long span
Bilateral stabilization
Excessive bone loss in pontic region
Distal extension cases
Future change in design
www.indiandentalacademy.com
 Collection and evaluation of diagnosis data
 Immediate treatment to control pain or infection
 Biopsy
 Development of treatment plan
 Education and motivation of patient.
PHASE I
Treatment Planning
PHASE II
 Removal of deep caries and placement of temporary restoration.
 Removal of nonretainable teeth
 Extirpation of pulp
 Periodontal treatment
 Interim prosthesis
 Occlusal equilibration
 Education and motivation of patient.www.indiandentalacademy.com
PHASE III
 Preprosthetic surgical procedure.
 Definitive endodontic procedures.
 Restoration of teeth – Cast metallic restoration
 Fixed partial dentures
 Education and motivation of patient.
PHASE IV
 Construction of removable partial denture
 Education and motivation of patient
PHASE V
 Post insertion care
 Periodic recall
 Education and motivation of patient.
www.indiandentalacademy.com

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Diagnosis & treatment1/prosthodontic courses

  • 1. INDIAN DENTAL ACADEMY Leader in continuing Dental Education www.indiandentalacademy.com
  • 2. OBJECTIVES  Elimination of diseases  Preservation of health of oral tissues & remaining teeth  Restoration of function & esthetics www.indiandentalacademy.com
  • 3. PHILOSOPHICAL EXACTING PATIENT HYSTERICAL PATIENT INDIFFERENT PATIENTwww.indiandentalacademy.com
  • 5. MEDICAL HISTORY Evaluating effect of Physical Problems on treatment: Arthritis  Paget’s disease Acromegaly  Parkinson’s disease  Pempigus vulgaris  Epilepsy  Cardiovascular disease  Hepatitis – high risk  Transimissible disease  Congenital defects  Diabetes www.indiandentalacademy.com
  • 6. MEDICAL HISTORY Evaluating effect of Physical Problems on treatment: Arthritis  Paget’s disease Acromegaly  Parkinson’s disease  Pempigus vulgaris  Epilepsy  Cardiovascular disease  Hepatitis – high risk  Transimissible disease  Congenital defects  Diabetes www.indiandentalacademy.com
  • 7. MEDICAL HISTORY Evaluating effect of Physical Problems on treatment: Arthritis  Paget’s disease Acromegaly  Parkinson’s disease  Pempigus vulgaris  Epilepsy  Cardiovascular disease  Hepatitis – high risk  Transimissible disease  Congenital defects  Diabetes www.indiandentalacademy.com
  • 8. ORAL EXAMINATION  Visual examination  Relief of pain,discomfort & placement of temporary restoration  Intra oral roentographic survey  Oral prophylaxis  Exploration of teeth & investing structure  Vitality test – Remaining teeth www.indiandentalacademy.com
  • 9. INTERPRETATION OF EXAMINATION DATA  Identify any pathologic conditions  Evaluation of existing restorations • Recurrent caries • Marginal leakage • Overhanging restorations • Root canal fillings  Reveal the presence of root fragment & bony spicules  Evaluation of alveolar support of abutment teeth, length & morphology of rootswww.indiandentalacademy.com
  • 11. INTERPRETATION OF EXAMINATION DATA RADIOGRAPHIC INTERPRETATION Value of interpreting bone density Quality & quantity of bone Lamina dura Trabecular pattern Periodontal space Inter crestal bone www.indiandentalacademy.com
  • 12. Dense cortical bone Radiographic Examination: Misch Bone density classification: Porous cortical bone Coarse trebacular bone Fine trebacular bone www.indiandentalacademy.com
  • 14.  Periodontal considerations  Oral hygiene habits  Caries activity  Surgery/ Extraction  Endodontic treatment  Analysis of occlusal factors  Fixed restorations  Orthodontic treatment  Mouth preparations www.indiandentalacademy.com
  • 15.  Periodontal considerations  Oral hygiene habits  Caries activity  Surgery/ Extraction  Endodontic treatment  Analysis of occlusal factors  Fixed restorations  Orthodontic treatment  Mouth preparations www.indiandentalacademy.com
  • 16.  Periodontal considerations  Oral hygiene habits  Caries activity  Surgery/ Extraction  Endodontic treatment  Analysis of occlusal factors  Fixed restorations  Orthodontic treatment  Mouth preparations www.indiandentalacademy.com
  • 17.  Periodontal considerations  Oral hygiene habits  Caries activity  Surgery/ Extraction  Endodontic treatment  Analysis of occlusal factors  Fixed restorations  Orthodontic treatment  Mouth preparations www.indiandentalacademy.com
  • 18.  Periodontal considerations  Oral hygiene habits  Caries activity  Surgery/ Extraction  Endodontic treatment  Analysis of occlusal factors  Fixed restorations  Orthodontic treatment  Mouth preparations www.indiandentalacademy.com
  • 19.  Periodontal considerations  Oral hygiene habits  Caries activity  Surgery/ Extraction  Endodontic treatment  Analysis of occlusal factors  Fixed restorations  Orthodontic treatment  Mouth preparations www.indiandentalacademy.com
  • 20.  Periodontal considerations  Oral hygiene habits  Caries activity  Surgery/ Extraction  Endodontic treatment  Analysis of occlusal factors  Fixed restorations  Orthodontic treatment  Mouth preparations www.indiandentalacademy.com
  • 21.  Periodontal considerations  Oral hygiene habits  Caries activity  Surgery/ Extraction  Endodontic treatment  Analysis of occlusal factors  Fixed restorations  Orthodontic treatment  Mouth preparations www.indiandentalacademy.com
  • 37. DIAGNOSTIC CAST Permits visual examination Degree of over closure Amount of interocclusal space Anterior & posterior plane Occlusion from buccal & lingual aspect Topographic survey of dental arch Parallelism of tooth surface involved Their influence on partial denture design Occlusal plane www.indiandentalacademy.com
  • 38. Education of patient Reference of work progress Type of restoration Mouth preparation Special trays - Preparation www.indiandentalacademy.com
  • 39. INDICATIONS – FIXED RESTORATIONS  Tooth bound edentulous region – Short span  Additional modification spaces in class III Modification I solution  When an edentulous area exist anterior to single standing abutment teeth www.indiandentalacademy.com
  • 40. INDICATIONS - RPD Long span Bilateral stabilization Excessive bone loss in pontic region Distal extension cases Future change in design www.indiandentalacademy.com
  • 41.  Collection and evaluation of diagnosis data  Immediate treatment to control pain or infection  Biopsy  Development of treatment plan  Education and motivation of patient. PHASE I Treatment Planning PHASE II  Removal of deep caries and placement of temporary restoration.  Removal of nonretainable teeth  Extirpation of pulp  Periodontal treatment  Interim prosthesis  Occlusal equilibration  Education and motivation of patient.www.indiandentalacademy.com
  • 42. PHASE III  Preprosthetic surgical procedure.  Definitive endodontic procedures.  Restoration of teeth – Cast metallic restoration  Fixed partial dentures  Education and motivation of patient. PHASE IV  Construction of removable partial denture  Education and motivation of patient PHASE V  Post insertion care  Periodic recall  Education and motivation of patient. www.indiandentalacademy.com