Fixed Prosthodontics

Fixed Prosthodontics
• Involves the replacement and restoration of
teeth by artificial substitutes that are not
readily removable from the mouth...

• Its focus is to restore function,esthetics and

comfort..
Common fixed prostheses are:

• Crown
• Fixed partial dentures (bridge)
• Fixed implant dentures
• Maxillofacial prostheses
Some prostheses have both fixed and removable
parts:

• Precision retained dentures

• Implant retained dentures
• Overlay denture
CROWN
 INTRODUCTION
• CONTENTS

Definition

Indications

Contraindications

Alternatives to Crown

Types of crown
 crown
• Crowns / Caps:

Artificial restorations cemented over the

remaining part of prepared teeth to give them
strength, shape & shade of natural teeth.
• A dental crown is a type of tooth restoration
that fully cups the portion of a tooth or dental
implant that lies at and above the gum line.

• The crown becomes the tooth's new outer

surface.
 Indications
• To cover and support a tooth with a large
filling(heavily restored tooth)

caries
secondary caries
failed or broken restorations
 Continued....
• Replacement of lost tooth structure

trauma / accident
advanced tooth wear (tooth surface loss
 Continued...
• To improve esthetics

1. stained/discolored tooth
enamel/dentinal hypoplasia
hypodontia
flourosis
tetracycline staining
non vital teeth
 2. to correct :
spacing
inclination
shaping

-To correct occlusal relationship

-to protect root canal treated tooth
 Continued....
• Milled crowns
- for guide planes
- to carry precision attachments for
prosthesis
- suitable undercuts for clasps

. As a retainer for fixed partial denture

 Types of crown
• Partial crowns

• Complete crowns
Partial crowns
• Common types of partial crowns :

• three quarter crown

• The 7/8th crown (uncovered mesiobuccal cusp)
• ½ crown (covering half mesial and hald
occlusal surface)
• Occlusal onlays (cover only occlusal surface)
¾ Crown Anterior ¾ Crown Posterior
 Complete crowns
• For anterior teeth

- acrylic crown
easy to make/ cheaper
easily discolored/weared
Marginal breakdown-leak

- all ceramic crown

High esthetics/plaque resistant /dimensionally stable
Brittle/poor marginal fit/extra tooth cutting required
- metal ceramic crown
Strong/good marginal fit/soldering to other parts
Poor appearance/extra tooth cutting required

- Dowel crown or post/pin retained crown

in Root canal treated tooth
Alternatives to Dental Crowns:
Minimal Intervention Dentistry (MID).
Conservative approach by first selecting:
- Treatments that are less invasive & destructive to
tooth structure.
 …………… Alternatives to Dental Crowns:
more conservative treatment--- it is a better option.

Simple treatments of great help for people with

monetary constraints who may not completely
withdraw the need for crown, but can postpone
crowning for some time.
Before opting out for a crown, it is right to wonder if:
- That is the only option.
- Patient wants to delay crowning & opt for a less
expensive approach.
- An alternative one is available & is suitable.
- The results may not be of short-term nature.
…….. Alternatives to Crowning of Teeth:
DENTAL INLAYS:
- Used to treat teeth with decay or damage lying within the
occlusal surface / between cusps.
DENTAL ONLAYS / Overlays:
- Used to treat decay or fracture extending to one or more of
the tooth’s cusps.
Composite Rebuild-up / Veneers:
- Extreme stains or small abrasions on teeth, AI & DI.
Dental Bonding:
- For small fractures, replacing old eroded fillings, small sized
cavity.
Bleaching: Tooth whitening agents used to bleach stained
teeth to impart natural whiteness.
- Not a permanent remedy, but a simple, inexpensive &
attractive option.
 Porcelain onlays

Bleaching
 Before After
Composite resin build-up of a shortened tooth
Advantages of Direct Composite Build-up:
•Relatively cheap.
•Quick - same day results.
•Non or minimally invasive.
•Easy to repair in mouth.
Disadvantages of direct composite build-up
•Prone to stain build-up especially in smokers.
•Can wear down in heavy load areas.
•Limited ability to mask very dark underlying stains.
Thank You