DEPARTMENT OF PROSTHODONTICS IMPLANTOLOGY

MAHATMA GANDHI POSTGRADUATE INSTITUTE OF DENTAL SCIENCES GOVERNMENT OF PUDUCHERRY

PRESENTED BY :

Dr. V.R. ARUN KUMAR

Jr. Resident III Year (P.G.)

GUIDE :

Dr. A.RANUKUMARI, M.D.S

Associate professor

DEPARTMENT OF PROSTHODONTICS
MAHATMA GANDHI

POSTGRADUATE INSTITUTE OF DENTAL SCIENCES

GOVERNMENT OF PUDUCHERRY PUDUCHERRY

PROSTHODONTIC MISHAP IN IMPLANTOLOGY - AN OVERLOOKED ASPECT

INTRODUCTION

PROSTHODONTIC COMPLIATIONS
VENEER FAILURE PROSTHESIS FRACTURE CEMENTATION FAILURE PROSTHESIS MISFIT SCREW LOOSENING / FRACTURE ESTHETIC FAILURE

VENEER FAILURE
1. VENEER DELAMINATION 2. VENEER FRACTURE 3. UNACCEPTABLE APPEARANCE

VENEER DELAMINATION

CAUSES
THICKER OXIDE LAYER
POORLY ADHERED OXYDE LAYER PHYSICAL INCOMPATIBILITY BETWEEN THE PORCELAIN AND THE METAL SUBSTRUCTURE DIFFERENCE IN COEFFICIENT OF THERMAL EXPANSION OF METAL AND PORCELAIN

VENEER FRACTURE

CAUSES
EXCESSIVE OCCLUAL FORCE

PARAFUNCTIONAL ACTIVITY
SHARP ANGLES, EXCESSIVE ROUGH AND IRREGULAR SURFACE OF THE METAL SUBSTRUCTURE

CERVICAL PORCELAIN FRACTURE DUE TO OCCLUSAL CONTACT EITHER BUCCALLY OR LINGUALLY

UNACCEPTABLE APPEARANCE

CAUSES
DISCOLURATION EXCESIVE ABSORPTION OF OXIDES BY THE PORCELAIN CONTAMINATION WHILE PPORCELAIN FIRING POOR COLOUR MATCH THICK OPAQUE LAYER APPLICATION

PROSTHESIS FAILURE
1. RETAINER / PONTIC FAILURE 2. CONNETOR FAILURE

RETAINER FAILURE
a. PERFORATION INSUFFICIENT CLEARANCE INSUFFICIENT OCCLUSAL MATERIAL HIGH POINTS IN OPPOSING DENTITION PREMATUE CONTACTS PARAFUNCTION HABITS

CONNECTOR FAILURE

CAUSES
JOINT FRACTURE CAUSED BY SHORT TERM LOADING JOINT FRACTURE CAUSED BY CREEP FRACTURE CAUSED BY FATIGUE SOLDER GAP NARROW OR WIDE POROSITY EXCESSIVE CANTILEVER LENGTH

CEMENTATION FAILURE

CAUSES
CEMENT SELECTION OLD CEMENT THIN MIX CEMENT SETTING PRIOR TO SEATING INADEQUATE ISSOLATION INCOMPLETE REMOVAL OF TEMPORARY CEMENT INSUFFICIENT PRESSURE

PROSTHESIS MISFIT
INTERNAL GAP MARGINAL GAP VERTICAL MARGINAL DISCREPANCY HORIZONTAL MARGINAL DISCREPANCY OVER EXTENDED MARGIN UNDEREXTENDED MARGINS

DCAUSES

DEFECTIVE CASTING
EXCESSIVE OXIDE LAYER IN THE INNER

SIDE OF THE CASTING

INSUFFICIENT PRESSURE DURING CEMENTATION DISTORTION OF WAX PATTERN MISALLIGNMENT OF SOLDERED PARTS EXCESSIVE METAL OR PORCELAIN IN THE TISSUE SIDE OF THE CASTING

SCREW LOOSENING / FRACTURE

CAUSES
SCREW STRETCH

INDIVIDUAL FINGER STRENGTH,

LESS THAN IDEAL IMPLANT POSITION,

INAPPROPRIATE OCCLUSAL SCHEME OR

CROWN ANATOMY,

ESTHETIC FAILURE
FAILURE TO IDENTIFY PATIENTS NEEDS METAL EXPOSURE IMPROPER PROXIMAL CONTACT LEADING TO BLACK TRIANGLE

 FAILURE TO HARMONISE CONTRA LATERAL TOOTH MORPHOLOGY CONTOUR COLOUR POSITION ANGLE