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    Lec 1

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    amaal almekhlafi
    This document defines crown and bridge as a branch of dentistry dealing with restoring damaged teeth with artificial crowns or replacing missing teeth with fixed prostheses. It describes crowns as restorations that cover the coronal portion of a tooth, restoring its morphology, contour and function while protecting remaining structures. Bridges are fixed prostheses used to replace one or more missing teeth, connecting an abutment tooth to a pontic that occupies the space of the missing tooth. Bridges can be classified as fixed-fixed, cantilever, or fixed-removable depending on how rigidly or flexibly the pontic and retainer are connected. Clinical considerations for constructing bridges include the patient's oral hygiene, age, number

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    Lec 1

    Uploaded by

    amaal almekhlafi
    23 views3 pages
    This document defines crown and bridge as a branch of dentistry dealing with restoring damaged teeth with artificial crowns or replacing missing teeth with fixed prostheses. It describes crowns as restorations that cover the coronal portion of a tooth, restoring its morphology, contour and function while protecting remaining structures. Bridges are fixed prostheses used to replace one or more missing teeth, connecting an abutment tooth to a pontic that occupies the space of the missing tooth. Bridges can be classified as fixed-fixed, cantilever, or fixed-removable depending on how rigidly or flexibly the pontic and retainer are connected. Clinical considerations for constructing bridges include the patient's oral hygiene, age, number

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    Lec1

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    This document defines crown and bridge as a branch of dentistry dealing with restoring damaged teeth with artificial crowns or replacing missing teeth with fixed prostheses. It describes crowns as restorations that cover the coronal portion of a tooth, restoring its morphology, contour and function while protecting remaining structures. Bridges are fixed prostheses used to replace one or more missing teeth, connecting an abutment tooth to a pontic that occupies the space of the missing tooth. Bridges can be classified as fixed-fixed, cantilever, or fixed-removable depending on how rigidly or flexibly the pontic and retainer are connected. Clinical considerations for constructing bridges include the patient's oral hygiene, age, number

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    23 views3 pages

    Lec 1

    Uploaded by

    amaal almekhlafi
    This document defines crown and bridge as a branch of dentistry dealing with restoring damaged teeth with artificial crowns or replacing missing teeth with fixed prostheses. It describes crowns as restorations that cover the coronal portion of a tooth, restoring its morphology, contour and function while protecting remaining structures. Bridges are fixed prostheses used to replace one or more missing teeth, connecting an abutment tooth to a pontic that occupies the space of the missing tooth. Bridges can be classified as fixed-fixed, cantilever, or fixed-removable depending on how rigidly or flexibly the pontic and retainer are connected. Clinical considerations for constructing bridges include the patient's oral hygiene, age, number

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
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    Lec 1

    Definitions:

    1. Crown and Bridge: It's a branch of dental science that deals with restoration of
    damaged teeth with artificial crown and replacing the missing natural teeth by
    fixed prosthesis [Fixed partial denture].

    2. Crown: It's a fixed artificial restoration of


    the coronal portion of a natural tooth .It must
    restore the morphology, contour and the
    function of the tooth and should protect the
    remaining tooth structures from further
    damage.

    3. Bridge: It's a fixed prosthesis constructed to


    replace the missing [one or more] teeth .The
    tooth that gives support to the bridge is called
    an abutment tooth.

    Components of the bridge:

    l. Retainer: It's the part that covers the abutment tooth, which could be major or
    minor.

    2. Pontic: It's the part of the bridge that replaces the missing tooth, which is the
    suspended part of the bridge. It occupies the position of the missing natural tooth.

    3. Connector: It is the part that connects the retainer to the pontic, which could be
    fixed or movable connector.

    When the retainer is attached to a fixed connector it's a major retainer, but when it
    is attached to a flexible [removable] connector it is called minor retainer.
    Bridge classifications:

    1. Fixed-fixed bridge: is the most commonly


    used design of bridge both anteriorly and
    posteriorly. In this type the pontics are
    connected rigidly to the retainers at both
    ends of the bridge by solder joint
    connectors
    2. Cantilever bridge:
    a. Simple cantilever bridge: which consist
    of one or two retainers join with a pontic
    that replaces a missing tooth. It is
    specially used for aesthetic purpose
    (missing lateral incisor or canine).
    Usually in this type of FPD there is no
    other retainer at the other side of FPD.
    b. Spring cantilever bridge: the pontic is
    connected to a gold bar that is also
    connected to a retainer which is away
    from the pontic.
    It is used when we have a missing maxillary central or lateral incisor on
    one side with the present of diastema and space of missing tooth is very
    difficult to be replaced by fixed-fixed bridge.

    3. Fixed removable bridge: the


    pontic is attached to fixed retainer
    on one side while the other side is
    a movable joint that connected
    with the other retainer.
    It is used in cases of tilted
    abutment specially in posterior region.
    Clinical consideration for bridge construction
    1. Oral hygiene of the patient: high caries index and bad oral hygiene are
    contraindicated for making a bridge.
    2. Age of the patient: crown and bridge cannot be made under age of 18
    years due to large pulp and continuous eruption of the teeth.
    3. Number of missing teeth: fixed bridges are useful to replace single tooth
    or 2-3 rather than large no. of missing teeth because the more missing
    teeth the more abutments are joined to be included with the bridge.
    4. Condition of the abutments: periodontal condition of the abutment is very
    important. For example lateral incisor alone can not be used to replace a
    missing canine; other teeth should be included (premolar).
    Also the tooth with large clinical crown and sound root is considered as
    good abutment.

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