FIXED PROSTHODONTICS

( CROWN & BRIDGE )

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 DEF.
Art and science of restoring
damaged teeth with cast metal,
metal-ceramic,
or all-ceramic restorations.

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 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.
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 RESTORATION
1. Extracoronal :
A. Full metal crown.
B. Partial crown.
C. Veneer.
2. Intracoronal :
A. Inlay.
B. Onlay.
3. Intra and extracoronal :
Post and core
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 A crown :
is a cemented extracoronal restoration
that covers, or veneers, the outer
surface of the clinical crown. It
should reproduce the morphology and
contours of the damaged coronal
portions of a tooth while performing its
function. It should also protect the
remaining tooth structure from further
damage.
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 Full or complete veneer crown
covers all of the clinical crown.
It may be fabricated from:
metal (gold alloy)
ceramic veneer fused to metal(PFM),
an all-ceramic
resin and metal
resin only.
Partial veneer crown
only portions of the clinical crown are
veneered
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 Fixed partial denture :
( Bridge )
is a prosthetic appliance,
permanently attached to remaining
teeth, which replaces
one or more missing teeth

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 treatment can
range from the restoration of a
single tooth to the
rehabilitation of the entire
occlusion.

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Abutment: A tooth serving as an attachment
for a fixed partial denture.
Pontic : The artificial tooth suspended
from the abutment teeth.
The pontic is connected to the fixed partial
denture
retainers:
extracoronal restorations that are cemented
to the prepared abutment teeth
connectors:
connect pontic to retainer
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Abutments

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Retainers

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Connectors

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Edentulous Ridge

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 Indications
One or two adjacent teeth are missing in
.the same arch

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1- when one or more teeth require removal or
missing.
To restore appearance and maintain stable occlusion,
esthetics and function.
2 - The supportive tissues are healthy.
3 - Whenever properly distributed and healthy
teeth exist to serve as Suitable abutment .
4 – Prevention of the consequences of not replacing
missing tooth
5 - The patient is in good health and wants to have
Diseases
the prosthesis placed.
6 - The patient has the skills and motivation to
maintain good oral hygiene.
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 The consequences of removal
without replacement:
 Supra occlusion of the opposing tooth
or teeth
 Tilting of the adjacent teeth

 Loss of proximal contact

 Esthetics

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 Contraindications for Fixed
Prosthodontics
 Necessary supportive tissues are diseased or
missing.
 Suitable abutment teeth are not present.
 The patient is in poor health.
 The patient is not motivated to have the
prosthesis placed.
 The patient has poor oral hygiene habits.
 The patient cannot afford the treatment.
 The patient age.

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Advantage of replacing missing
teeth
 Appearance
 Ability to eat
 Speech
 Periodontal splinting
 A feeling of completeness
 Orthodontic retention
 Restoring occlusal vertical dimension

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Disadvantage of replacing missing
teeth

 Damage to tooth and pulp

 Secondary caries
 Failures
 Effects on the periodontium
 Cost and discomfort

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Retainers

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 Standard
Full Gold Crown

3/4 Gold Crown

7/8 Gold Crown

Porcelain Fused To Metal

Combination

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3/4 Gold Crown
 Facial wall unprepared
 Facial cusp minimally
reduced occlusally
 Grooves placed to
prevent lingual
displacement of crown
 Minimal facial extension
interproximally

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 Non Standard
Implant
Inlay
Onlay
Cantilever
All Ceramic
Pier Abutment
Resin Bonded (“Maryland Bridge”)

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Types of Bridge
Conventional 

Adhesive 

Hybrid 

Bridge Design 

Fixed-fixed 

Fixed-moveable 

Cantilever 

Spring cantilever 

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Fixed/fixed bridge

 definition A prosthesis where the artificial tooth

or teeth is supported rigidly on either side by one
or more abutment teeth

).Rigid connector at both end of the pontic (

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 Fixed/fixed bridge

Indications  Procedure
The abutment teeth are
Where missing units are
prepared with parallel
bound by abutment teeth taper
which are capable of

supporting the functional

load of the missing teeth.

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 Fixed/fixed bridge

Advantages Disadvantages.
 requires the
 strong and retentive
preparation of the
 It can be used abutment teeth to be
 for single or multiple parallel

missing units .

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Fixed/movable bridge
 A prosthesis where the artificial tooth or teeth is
rigidly supported on one side, usually the distal
end by one or more abutment teeth

)Rigid connector at one end, a movable connector at the other end (

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 Fixed/movable bridge

Indications Procedure
 Where abutment teeth  Each abutment tooth
are tilted or rotated in can be prepared
relation to each independently although
other special consideration
 The construction of should be given to the
large units of placement of the movable
bridgework joint.

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 Fixed/movable bridge

Advantages Disadvantages.

 Divergent abutments
 more demanding

can be used of laboratory time

 more conservative of
 The construction of a

tooth structure. temporary bridge

difficult.
 The parts can be
cemented separately.

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GIVE THE NAME OF THE
RESTORATION?

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Cantilever bridge

A prosthesis where the artificial tooth

or teeth are supported on one side
only by one or more abutment teeth

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Cantilever bridge

Indications Procedure
 Where the abutment  A single tooth
preparation is carried
tooth can carry the
out on to the
occlusal load of the  abutment tooth in a
artificial tooth similar manner to a
 where the occlusion  conventional crown
is protected against preparation.
potentially damaging
rotational forces.

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 Cantilever bridge

Advantages Disadvantages.
 The size of pontic is limited to
 The most conservative one or two units
design  I f a contact point from the
pontic to the neighboring tooth
 There is no problem of
is not placed then potentially
paralleling abutment rotational forces could be
destructive to this type of design.
 teeth during
preparation.

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Spring cantilever bridge
A prosthesis where the artificial tooth is
Supported by a connecting bar to the abutment
tooth or teeth.

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 Spring cantilever bridge

Indications Procedure
 This type of restoration  Posterior teeth are
is placed where a patient
has sound anterior teeth
prepared for the
with one missing unit support of the anterior
 where diastemas are missing unit.
present around an
anterior missing unit.

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 Spring cantilever bridge

Advantages Disadvantages.
 Anterior teeth are not  Some patients find
involved.
 Diastemas can be preserved.
the connecting palate
uncomfortable.
 The bar may distort if
it is too thin or the
occlusion on the
pontic is excessive.

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