Intro to Fixed Flashcards
what is prosthodontics
- the restoration and replacement of the natural dentition with artificial substitutes
- the restoration of the dental arches with fixed or removable dental prosthesis
what is fixed prosthodontics
the branch of prosthodontics concerned with the replacement and/or restoration of teeth by artifical substitues that cannot be removed from the mouth by the patient
what are fixed prosthodontics mainly comprised of
bridges
- implant crowns
- full arch implant supported denture
what is the goal of fixed pros
- restore function and esthetics of single teeth
-replace missing teeth
-improve comfort and chewing - complete, improve, or maintain the integrity of dental arches
- patient self image improvement
what aspects of the patients current and total systemic condition should you collect before treatment
- medical and dental history
- occlusal evaluation and TMJ eval
- intraoral and perio exam
- radiographic eval
- mounted diagnostic casts
- caries risk assessment
- patient expectations
what does the occlusal eval consist of
- is occlusion healthy
- canine guidance
- group function
- occlusal interferences
- is the bite collapsed
TMJ
what parts of the intraoral exam are you taking note of
-plaque accumulation
- home care
- tissue abnormalities
what parts of periodontal condition are you taking note of
- how is patients home care
- perio disease?
- tooth mobility
what should you take note of on radiographs
- bone loss
- PARL
- crown to root ratio
- location of pulp chamber
- endodontic issues
- are the teeth good for pros?
why are mounted casts important
- allows for planning and visibility outside the mouth
- can be used for diagnostic wax up to predict tx outcomes
- can be educational tools
what is a dental crown
a cemented extra coronal restoration covering the outer surface of a prepared tooth
what is the number 1 reason to crown a tooth
the strengthen the tooth
a tooth is prepared for a full coverage crown with specific criteria in order to create:
- sleeve retention
- a path of insertion
- a slight convergence of the walls of the tooth preparation to allow for seating of the crown
what are the other types of fixed restorations
- 3/4 crown
- inlay
- onlay
- bridge
what is an inlay
cemented intra- coronal restoration fabricated indirectly