Preclinical Fixed Prosthodontics

Dr. Safaa Amir Heiba BDS, MSc, U of K

Introduction:

 Prosthodontics:
Is a branch of dentistry that concerns about the replacing teeth
and contiguous tissues or jaw structures by artificial devices to
restore oral function, comfort, appearance and health of the
patient.
Introduction:

 Prosthodontics:
It has three main branches:

Removable, fixed, and maxillofacial prosthesis.

Introduction:

 Fixed Prosthodontics:
Is a branch of prosthodontics that concerns about the replacing
and/or restoration of teeth by artificial substitute (cast prosthesis)
that can not be removed by the patient.
Introduction:

 Fixed Prosthodontics:
Is a technique used to fabricate a fixed prosthodontic appliance
that is securely fixed to natural tooth/teeth or screwed to one or
more dental implants/implant abutments to restore teeth function
and esthetics, it can not be removed by the patient.
Introduction:

Aims fixed prosthodontics:

 Restore function of teeth; mastication and speech.

 Restore esthetics.

 Maintain oral health and integrity.

Introduction:

Indications for fixed prosthodontics:

 Badly broken down teeth.

 Primary trauma.

 Tooth wear.

 Hypoplastic conditions (congenital or acquired).

Introduction:

Contraindications for fixed prosthodontics:

There is no absolute contraindication for fixed prosthodontics
however it is better to put the following situations in
consideration:
Introduction:

Contraindications for fixed prosthodontics:

 When a more conservative approach can provide satisfactory
results.
Introduction:

Contraindications for fixed prosthodontics:

 Patient’s age and medical condition: young patients below 18
have large dental pulps and fixed prosthesis may cause them
gingival recession.

While other patients; elderly and medically compromised, may

not tolerate long treatment sessions.
Introduction:

Contraindications for fixed prosthodontics:

 Patients with bad oral hygiene; it should be controlled first.
Introduction:

Types of cast restorations:

 Crowns; partial or full coverage crowns.

 Bridges.

 Inlays.

 Onlays.

 Veneers.
Introduction:

Crown:
It is a restoration that restores missing tooth structure of three or
more axial surfaces and the occlusal/incisal surface of a tooth
with a material such as cast metal alloy, ceramics, resin or a
combination of materials.
Introduction:

Crown:
 Anatomical crown:
it is highest/topmost part of a tooth occlusal to the
cementoenamel junction.

 Clinical crown:
It is the part of the tooth that is visible in the mouth.
Introduction:

Crown:
 Dental crown:
it is an artificial replacement that restores missing tooth structure
by surrounding part or all of the remaining structure with a
material such as cast metal alloy, metal ceramics, ceramics, resin,
or a combination material.
Introduction:

Bridge:
It is also called fixed partial dentures.

It is a dental prosthesis that is luted, screwed, or mechanically

attached or otherwise securely retained to natural teeth, tooth
roots, and/or dental implants/abutments that provide the primary
support for dental prosthesis and restoring teeth in partially
edentulous arch; it can not be removed by the patient.
Introduction:

Bridge:
Consists of three components:

 Retainer.

 Pontic.

 Connector.
Introduction:

Inlay:
It is a fixed intracoronal restoration (not including the cusps), a
dental restoration made outside of the tooth to correspond to the
form of the prepared cavity; which is then luted into the tooth.
Introduction:

Onlay:
It is a fixed partial coverage restoration that restores one or more
cusps and adjoining occlusal surfaces or the entire occlusal
surface and is retained by mechanical or adhesive means;
Introduction:

Veneer:
It is thin lamination, shell-like dental material bonded to one side
of the tooth to improve its appearance and/or restore it’s normal
contour.
Introduction:

Classification of fixed restorations:

According to retention:
Either:

 Extracoronal restorations.

 Intracoronal restorations.

 Intraradicular restorations.
Introduction:

Classification of fixed restorations:

Extracoronal restorations:
Either:

 Full coverage restorations.

 Partial coverage restorations.

===========================
===========================
=======++++++++++++++++++==
===]]]]]]]]]]]]]]]]]]]]]]]]]]]]]]]]]]]]]]]]]
]]]]]]
Introduction:

Classification of fixed restorations:

Intracoronal restorations:
 Inlays.

 Onlays.
Introduction:

Classification of fixed restorations:

Intraradicular restorations:
Either:

 Post-retained restorations.

 Implants.
Introduction:

Classification of fixed restorations:

According to material used:
Either:
 Ceramic restorations.
 Metal-ceramic restorations.
 Full metal restorations.
 Resin restorations.
Introduction:

Classification of fixed restorations:

According to position:
Either:

 Anterior restorations

 Posterior restorations
Introduction:

Classification of fixed restorations:

According to time:
Either:

 Temporary restorations.

 Permanent restorations.