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DEVOTIONAL TEXT:

Then Phillip opened his mouth.

And preached unto him Jesus.Acts 8:35

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FIXED PARTIAL DENTURE

an introduction

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Course Description

This course will deal with the study of Fixed

Prosthodontics as a replacement of missing

teeth considering the biological, mechanical

and esthetic requirements for the restoration

of normal function and esthetics

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Course Goals

To acquire knowledge and develop skills in making

accurate diagnosis, to formulate a comprehensivetreatment plan & to efficiently & effectively deliver theproposed Fixed Partial denture treatment plan.

To know describe & apply the various biological,mechanical & esthetic principles of tooth preparation

To know and understand the indications &contraindications, the advantages & disadvantages of thedifferent types of artificial crowns

To know and understand the indications andcontraindications, advantages and disadvantages of Fixed

partial denture over removable partial denture To understand the lifelong need for learning & self

assessment in maintaining competency & attainingprofessional proficiency

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Fixed partial denture

A partial denture that is cemented to natural

teeth or roots or implants w/c furnish the

primary support to the prosthesis

Prosthesis is cemented to supporting teeth/

implant and CANNOT BE REMOVED by the

patient

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Bridge

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BRIDGE

Short span bridge Long Span bridge

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Crown

The cemented extracoronal restoration that

covers the outer surface of the clinical crown

Function is to protect the underlying tooth

structure & restore function, form & esthetics

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crowns

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a. Full veneer crown: covers all 5 surfaces of

clinical crown

b. Partial veneer crown: does not cover the

entire clinical crown

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Retainer

A crown that is used as a part of a Fixed Partial

Denture

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Abutment

A tooth, root of tooth, implant, which

provides attachment & support to FPD

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Pontic

The artificial tooth that replaces the missing

teeth.

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Connectors

The connection that exist between pontic &retainer or between retainer

Can be rigid (soldered joints) or non rigid/

movable attachments (key & keyway) precisionattachments)

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Laminate veneers

A thin layer of restoration (ceramic,

composite) bonded over the facial surfaces of

teeth, primarily used to improve ESTHETICS

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Edentulous ridge

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FPD Indications

short span edentulous arches

Presence of sound teeth adjacent toedentulous space that can offer sufficient

support In cases with ridge resorption where RPD

cannot be stable

Patients preference

Mentally compromised & physicallyhandicapped patients

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FPD Contraindications

Large bone loss (trauma)

Very young patients

Periodontally compromised abutments

Long span edentulous spaces

Bilateral edentulous spaces

Congenitally malformed teeth (no adequate

tooth structure for support) Patients who cannot cooperate/tolerate invasive

treatment procedure

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contraindications

Medically compromised patients

Very old patients

Distal extensions

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FPD VS RPD

1. The restoration or prosthesis becomes an integral

part of the oral cavity.

2. It does not impinge (should not impinge) on

adjacent mucosa and gingival tissue.

3. It causes less incidence of caries and periodontal

disease.

4. It creates an environment with better distribution

of masticatory forces.

5. The massaging effect of food towards the gingiva

is not hampered.

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Why Do A Fixed

Partial Denture?

Restore Function

Restore Appearance Prevention

Consequences of not replacing missing

tooth

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Thank you for listeningwrsuarez, dmd,mph