Week 1 PP Flashcards
What is a Prosthodontist?
The dentist who is committed to the restoration and replacement of teeth focusing on fixed or removable prosthodontics. Additional 3-year training at a university
Indications for Fixed Prosthodontics
- 1 or 2 adjacent teeth are missing in the same arch
-the supportive tissues are healthy
-suitable teeth are present
-the patient is in good health and wants the prosthesis placed
-the patient has the skills and motivation to maintain good oral hygiene
Contraindications for Fixed Prosthodontics
- the supportive tissues are diseased or missing
-suitable 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 $$$
3 Stages for Fixed Prosthetic Appointment
- Treatment plan, cost, prelim impressions/other diagnostic tools appointment - assistant takes impressions, pours study models, etc.
- Dentist prepares teeth - Assistant fabricates and cements temporary restoration
- Insert permanent prosthetic - dentist inserts/delivers permanent prosthetic - assistant removes permanent cement
What type of technology requires only 1 appointment?
Digital - Cerec Technology
Impressions are not required, digital impressions are taken
Examples of Indirect / Fixed Restorations
-Inlays & Onlays
-Veneers
-Crowns
-Fixed bridge
-Implant related indirect restorations
What is an Inlay?
-Involves the proximal surface and only a portion of the occlusal surface
- cusps are NOT involved
-placed on posterior
May be made from: porcelain, other ceramics, gold (depends on cost)
What is an Onlay?
-involves the proximal surface and most or all of the occlusal surface
- cusps are involved
-placed on posterior
May be made from: gold, porcelain, other ceramics (depends on cost)
What are Veneers?
- a thin shell of tooth-coloured material
-made from: porcelain or other ceramic
-placed on ANTERIOR teeth
2 Types of Veneers
- Direct Veneers
- Indirect Veneers
What are Direct Veneers made of?
Composite material (direct application - on site)
What are Indirect Veneers made from?
Porcelain or Ceramic, fabricated in the dental laboratory (indirect application - off site)
3 Types of Crowns
- Full Crowns - completely around tooth
- Three-Quarter Crown - some enamel can be saved, not surrounding entire tooth
- Implant Supported Crown - all artificial
Reason for a Crown?
Decay is too extensive - an inlay or onlay can not be used
What are implant supported indirect restoration?
Artificial teeth are anchored to surgically embeded tissue or bone