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WHATIS FIXED PROSTHODONTICS?
The branch of prosthodontics concerned
with the replacement and/or restoration of
teeth by artificial substitutes that are not
readily removed from the mouth (GPT8).
3.
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Thefixed prosthesis can be in the form of single cast crown or
multiple unit of cast crowns joined together, commonly referred
to as fixed partial denture or bridge.
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Fixedpartial denture (FPD) or fixed dental
prosthesis: A dental prosthesis that is luted,
screwed or mechanically attached or otherwise
securely retained to natural teeth, tooth roots
and/or dental implant abutments that furnish
the primary support for the dental prosthesis.
They are commonly referred to as bridges and
cannot be removed by the patient.
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Crown:An artificial replacement that restores missing tooth structure by
surrounding part or all of the remaining structure with a material such as
cast metal, porcelain, or a combination of materials such as metal and
porcelain (GPT8).
Complete/Full veneer crown Partial veneer crown
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Objectivesof fixed
prosthesis
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Indicationsfor fixed partial denture
One or two adjacent teeth are missing in the same arch (short span
edentulous area)
When the supportive tissues are healthy.
Suitable abutment teeth are present.
The patient is in good health and desires to have the prosthesis placed.
The patient has the skills and motivation to maintain good oral hygiene
Patients preference
Good oral hygiene
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Lackof supporting tissue and alveolar bone
Presence of periodontal disease
Excessive mobility of abutment teeth
Patients with poor oral hygiene
Patients who cannot afford treatment
Contra Indications for fixed partial
denture
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basedon type of materials
1) All metal
2) Metal ceramic
(i) Metal with complete ceramic coverage:
(ii) Metal with ceramic facing:
3)All ceramic
4)Metal with resin facings
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Itis a layer of material placed over a tooth, either to improve the aesthetics of a
tooth or to protect the tooth’s surface from damage.
a. Direct veneers are prepared directly on the patient’s tooth/teeth in the clinic.
E.g.: direct composite veneers
veneers
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b.Indirect veneers: are prepared in the laboratory and is
cemented into the tooth. E.g.: porcelain laminate veneers