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2. OBJECTIVES
Elimination of diseases
Preservation of health of oral tissues & remaining teeth
Restoration of function & esthetics
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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
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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
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12. Dense cortical bone
Radiographic Examination: Misch Bone density classification:
Porous cortical bone
Coarse trebacular bone
Fine trebacular bone
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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
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38. Education of patient
Reference of work progress
Type of restoration
Mouth preparation
Special trays - Preparation
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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
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40. INDICATIONS - RPD
Long span
Bilateral stabilization
Excessive bone loss in pontic region
Distal extension cases
Future change in design
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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.
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