Академический Документы
Профессиональный Документы
Культура Документы
Presented by
Dr.Abbasi Begum .M
P.G Department of Prosthodontics
Narayana Dental College
Contents
1. Introduction
2. Definitions and terminologies
3.Diagnostic aids
– Personal information
– Patient evaluation
– Medical history
– Past dental history
Clinical examination
• General examination
• Extra oral examination
• Intraoral examination
– Radiographic examination
- Vitality testing 102
Company Logo
4.Treatment plan
Treatment planning for single – tooth restorations
5.Conclusion
6.References
101
Sequelae of tooth loss Company Logo
Migration
Unilateral chewing
Alveolar bone loss
Occlusal interference
Loss of proximal contact
Overloading of anteriors
Loss of VD
TMD
100
The traditional restorative
approach in prosthetic
dentistry
Treatment options for missing teeth
INTRODUCTION Company Logo
Fixed prosthodontics :
95
Diagnosis
DIAGNOSIS
The determination of the
nature of a disease.
Glossary of Prosthodontic terms 8
TREATMENT PLAN
The sequence of procedures
planned for the treatment
of a patient after diagnosis.
Glossary of Prosthodontic terms 8
Company Logo
92
5 elements to a good Company Logo
diagnostic workup
1. History
2. TMJ/occlusal evaluation
3. Intraoral examination
4. Diagnostic casts
5. Full mouth radiographs
91
90
MEDICAL HISTORY-outline Company Logo
Serum Hepatitis
AIDS
previous reaction to a drug:
an allergic reaction
or syncope resulting from anxiety in the dental chair
Company Logo
not be treated
A systolic reading 160 mm of mercury or a
and treatment
Company Logo
Hypertension
or Coronary artery disease……………..
epinephrme X since this drug has a tendency
heart rate
elevate blood pressure
PREMEDICATION ON 1991 GUIDELINES
BASED (AHA)
Amoxicillin in case of allergy Prosthetic heart valve
Epilepsy
Diabetic patients
Dental treatment for the diabetic should
interfere as little as possible with the patient's
dietary
routine, and the patient's stress level should be
reduced
Xe ro s to m ia : conductive to greater carious activity
extremely hostile to the margins of
cast metal or ceramic restorations
DENTA
L
HISTO
RY
Periodontal History Company Logo
80
Orthodontic History Company Logo
Removable
Prosthodontic History
Helpful in assessing whether future treatment will
be more successful
Oral Surgical History Company Logo
General Examination
Extraoral Examination
Temporomandibular Joints
Muscles of Mastication
Lips
Intraoral Examination
Periodontal Examination
Gingiva 75
Periodontium
Company Logo
Occlusal Examination
Initial Tooth Contact
Lateral and Protrusive Contacts
Jaw Maneuverability
Radiographic Examination
Vitality Testing
EXAMINATION Company Logo
Clinician's use of
Sight,
Touch, And
Hearing to detect conditions outside the normal
range
It is critical to record what is actually observed
rather than to make diagnostic comments
about the condition.
EX:- Gingival inflammation - swelling, redness,
and bleeding on probing…
GENERAL EXAMINATION Company Logo
This permits a
comparison between
relative timing of left
and right condylar
movements.
Asynchronous movement
– anterior disk
displacement.
Auricular palpation Company Logo
Lateral pterygoid
Temporalis
Company Logo
64
INTRA ORAL EXAMINATIONLogo Company
Should include ;
Assessment of the quality and quantity Of
Attached Gingiva
Depth of Periodontal Pockets measured with a
periodontal probe
Degree of tooth mobility
Degree of recession
Periodontal Pockets And Attachment Company Logo
Levels
In this examination the probe is inserted
essentially parallel to the tooth and is
“walked” circumferentially through the sulcus in
firm but gentle steps, determining the
measurement when the probe is in contact with
the apical portion of the sulcus .
57
Occlusal Examination Company Logo
56
General Alignment :- Company Logo
Arthrography
C T scanning
Magnetic resonance 52
imaging
Company Logo
Vitality Testing
PERCUSSION and
THERMAL STIMULATION
51
Company Logo
Articulateddiagnostic
casts are essential in
planning fixed
Prosthodontic treatment.
49
Advantages of Diagnostic Casts:- Company Logo
46
Company Logo
45
Treatment Planning for Single-Tooth
Restorations
The selection of the material and design of the
restoration is based on several factors:
1 Destruction of tooth structure
2. Esthetics
3. Plaque control
4. Financial considerations
5. Retention
44
Destruction of tooth structure: Company Logo
“SOME
ONE” ?????????????????
Government agency
A branch of military
Insurance company
Selection should not be less than optimum just
because the patient cannot afford
40
TWELVE RESTORATION TYPES Company Logo
"plastic
restoration" or a "cemented
restoration ?????????
INTRA CORONAL RESTORATION
When sufficient coronal tooth structure exist to retain and
protect a restoration under the anticipated stresses of
mastication an intracoronal restoration can be
employed.
37
SILVER AMALGAM Company Logo
36
COMPLEX AMALGAM Company Logo
34
CERAMIC INLAY Company Logo
33
MOD ONLAY Company Logo
32
EXTRA CORONALRESTORATION Company Logo
esthetics.
31
PARTIALVENEERCROWN Company Logo
30
FULLMETAL Company Logo
Restricted
to situation likely to produce low
moderate stress .
26
TREATMENT PLANNING FORTHEREPLACEMENT OF
MISSING TEETH Company Logo
25
FACTORS CONSIDERED Company Logo
BIOMECHANICAL
PERIODONTAL
ESTHETIC
FINANCIAL and
PATIENTS WISHES.
24
REMOVABLE PARTIAL DENTURE
Company Logo
Periodontally weakened.
22
CONVENTIONAL TOOTH Company Logo
SUPPORTED FIXED
PARTIAL DENTURE
Abutment teeth are periodontally sound.
20
Company Logo
Periodontal splints.
19
IMPLANT SUPPORTED FIXED PARTIALCompany Logo
DENTURE
No distal abutment.
16
CASEPRESENTATION Company Logo
14
ABUTMENT EVALUATION Company Logo
Root configuration
13
CROWN ROOT RATIO Company Logo
Optimum -2:3
10
BIOMECHANICAL Company Logo
CONSIDERATIONS
Inaddition to the increased load placed on the
pdl by a long span FPD.
9
Company Logo
8
Company Logo
TO MINIMIZE –
7
Special Situations Company Logo
PIER ABUTMENTS
Non rigid connector
6
Company Logo
5
Company Logo
PARTIAL DENTURE
Fixed partial dentures replacing canines can be difficult
because the canine often lies outside the interabutment
axis.
4
CANTILEVER FIXED PARTIAL Company Logo
DENTURES
Lengthy roots with favourable
configuration.
1
References Company Logo
Kingsoft Office
Make Presentation much more fun