Treatment planning for fixed prosthodontics

Question 1

What is fixed prosthodontics

Answer 1

Area of prosthodontics focused on permanently attached (fixed) dental prostheses- also known as indirect restorations

Question 2

Types of fixed prosthodontics

Answer 2

Veneers
Inlays and onlays
Crowns
Bridgework

Question 3

Special investigations for fixed pros

Answer 3

sensibility tests
radiographs
study models
diagnostic wax up
facebow
diet diary
modified plaque and bleeding
6PPC
Clinical photos
microbiology, biopsy, haematology

Question 4

Why place veneers

Answer 4

aesthetics
change teeth shape/contour
correct peg-shaped laterals
reduce or close proximal spaces and diastemas
align labial surfaces of instanding teeth

Question 5

How to prepare veneers

Answer 5

Gurel minimal preparation technique: wax up, stent, intra-oral mock up, preparation into mock up

Question 6

When not to use veneers

Answer 6

poor OH
high caries rate/interproximal caries/unsound restorations
gingival recession/root exposure/high lip line
extensive prep needed/heavy occlusal contacts/severe discolouration
labially positioned, severely rotated and overlapping teeth
extensive TSL/insufficient bonding area

Question 7

Why restore teeth with inlays/onlays

Answer 7

tooth wear cases
fractured cusps
root treated teeth
failed direct restorations
minor bridge retainers

Question 8

When not to restore with inlays/onlays

Answer 8

active caries and periodontal disease
time
cost

Question 9

why restore teeth with crowns

Answer 9

protect weakened tooth structure
aesthetics
retainer for fixed bridgework
indicated by design of RPD
restore tooth function

Question 10

Why not restore with crowns

Answer 10

active caries and periodontal disease
more conservation options available
lack of tooth tissue for preparation
unable to provide post and core
unfavourable occlusion

Question 11

What should be included in informed consent

Answer 11

What treatment/why necessary
risks of treatment
alternatives
cost