This document discusses different types of fixed partial dentures and restorations. It defines fixed partial dentures as prostheses that are secured to natural teeth or dental implants to replace missing teeth. Key points: - Fixed partial dentures (FPDs) can replace single missing teeth and improve function. FPDs can also be used to treat temporomandibular joint problems. - FPDs connect an artificial tooth (pontic) to retainers that are cemented to prepared abutment teeth. Connectors between the pontic and retainers can be rigid or non-rigid. - Other fixed restorations discussed include full and partial veneer crowns, inlays

1. FIXED
PARTIAL
DENTURES
Dr Meenu Merry C Paul
Professor-Prosthodontics
Malabar Dental College & Research Centre

2. Single teeth can be restored to full function…
Missing teeth can be replaced with fixed prosthesis….
FPD can be used in treatment of TMJ problem
Improper treatment of occlusion…..
creates disharmony…..
……damage to stomatognathic system

3. EXTRA CORONAL RESTORATION(CROWN)
FULL VENEER CROWN
PARTIAL VENEER CROWN
INTRACORONAL RESTORATION……….
INLAY
ONLAY
LAMINATE VENEER - FPD
RESIN-BONDED FPD

4. CROWN (Extracoronal Restoration)
…a cemented extracoronal restoration that covers the outer
surface of the clinical crown
…should reproduce the morphology & contours of damaged
coronal portions of a tooth
…it protects the remaining tooth structure from further
damage

5. FULL/COMPLETE VENEER CROWN
…if the crown covers all of the
clinical crown
..fabricated in gold alloy/metal, ceramic veneer fused to metal,all-
ceramic material, resin & metal/resin only
PARTIAL VENEER CROWN
… if only portions of clinical crown are veneered

6. INTRACORONAL CAST RESTORATIONS
…these fit within the anatomic contours of clinical crown of tooth
INLAYS
…may be used as single-tooth restorations for proximo-occlusal/ gingival
lesions with minimal to moderate extensions.
…made of gold alloy / ceramic material

7. ONLAY
….when modified with an occlusal veneer, the intracoronal restoration is an
onlay
…useful in restoring more extensively damaged posterior teeth needing wide
MOD restorations

8. ALL-CERAMIC LAMINATE VENEER
…used to improve cosmetic appearance of anterior tooth that is
otherwise sound
…consists of a thin layer of dental porcelain/cast ceramic that is bonded
to the facial surface of tooth with appropriate resin

9. Ceramic veneer-
labial side
Ceramic veneer-
palatal side

10. Fixed partial denture
Any 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

11. PARTS OF FPD
ABUTMENT
..tooth serving as attachment for FPD

12. PONTIC
…artificial tooth
RETAINERS
…pontic is connected to the retainers which are extracoronal
restorations cemented to the prepared abutment teeth
CONNECTOR
connectors between pontic and retainer may be……… rigid (solder
joints/ cast connectors) or nonrigid (precision attachments/ stress
breakers)

13. DIAGNOSIS
1. History
2. TMJ evaluation
3. Intraoral examination
4. Diagnostic casts
5. Full mouth x rays

14. Check TMJ dysfunction
Masseter muscle palpated extraorally by placing
fingers over lateral surface of ramus
Fingers placed on pt’s temple to feel temporalis
muscle

15. Distance b/w maxillary&
mandibular incisors is measured

16. References and Pictures
Shillingburg: Fundamentals of Fixed Prosthodontics