Chapter 12. Prosthodontics

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1 Chapter 12 Prosthodontics Golbarg Kolahi 1

2 Prosthesis [prahs-thee-sis] A replacement for a missing body part Golbarg Kolahi 2

3 Prosthesis In the dental field, it is a fixed or removable appliance replacing removed or non-erupted tooth or teeth. Golbarg Kolahi 3

4 Fixed Appliance Eg. cemented crown Placed in the mouth not intended for removal. Golbarg Kolahi 4

5 Removable appliance Placed in and out of the mouth at the patient s will. Golbarg Kolahi 5

6 Implantology The science of dental implants, involves the use of both fixed and removable appliances. Golbarg Kolahi 6

7 Types and characteristics of prosthodontic materials Golbarg Kolahi 7

8 Noble metals Valuable alloys. Eg. Gold, palladium, platinum Golbarg Kolahi 8

9 Base metals Chromium cobalt or chromium nickel used alone or in a mixture with noble alloys. Golbarg Kolahi 9

10 Porcelain (PFM) Hard translucent ceramic substance fused to the surface of a metal crown as shells and veneer covers to give the appearance of a natural tooth surface. Golbarg Kolahi 10

11 Composite Resin metal used for tooth colored replacement. Golbarg Kolahi 11

12 Acrylic Synthetic resin material used for covering of metal frameworks or as natural tissue replacement. Golbarg Kolahi 12

13 Characteristics of prosthodontic materials Golbarg Kolahi 13

14 Hardness Ability of a material to withstand penetration. Golbarg Kolahi 14

15 Tensil strength Capability of a material to be stretched. Golbarg Kolahi 15

16 Elasticity Ability of a material to be stretched and the resume its original shape. Golbarg Kolahi 16

17 Ductility Ability of a material to be drawn or hammered out as into a fine wire without breaking. Golbarg Kolahi 17

18 Elongation Ability of a material to stretch before permanent deformation begins. Golbarg Kolahi 18

19 Fixed prosthodontics Various appliances from singular crown to a full arched bridge. Golbarg Kolahi 19

20 Inlay A solid castered or milled restoration involving some occlusal and proximal surfaces cemented into a tooth preparation Golbarg Kolahi 20

21 Onlay A solid casted or milled restoration covering some occlusal tooth cusps and side wall area that is cemented onto the prepared site. Golbarg Kolahi 21

22 Golbarg Kolahi 22

23 Crown Tooth-shaped cover replacement for a missing crown area cemented onto the remaining prepared crown surfaces Golbarg Kolahi 23

24 Full crown Cast metal, tooth shaped cover replacing the entire crown area. During treatment acrylic resin crowns could be used as a temporary crown cover. Golbarg Kolahi 24

25 Dowel crown Full crown cover with dowel pin extending into the root canal of a pulpless tooth, usually positioned on anterior teeth. Golbarg Kolahi 25

26 Veneer Direct veneer Indirect veneer Golbarg Kolahi 26

27 Direct veneer Placed and cured directly on the tooth surface Golbarg Kolahi 27

28 Indirect veneer Tooth material is prepared in the lab and later cemented onto the tooth structure. Golbarg Kolahi 28

29 Bridge A prosthesis used to replace one or more teeth of fixed or removable nature. Golbarg Kolahi 29

30 Fixed bridge Cemented into the oral cavity and not removed by the patient Golbarg Kolahi 30

31 Maryland bridge (Resin-bonded bridge) Replaces anterior or posterior tooth cemented directly to the adjacent or abutting teeth. Golbarg Kolahi 31

32 Cantilever bridge Bridge with one unsupported end, usually saddled. Golbarg Kolahi 32

33 Bridge A bridge has three structural parts: Pontic Abutment -Adjacent teeth Golbarg Kolahi 33

34 Pontic Artificial tooth part of the bridge replacing the missing tooth and restoring function to the bite. Golbarg Kolahi 34

35 Abutment Natural tooth or teeth prepared to hold or support the remaining part of the bridgework in position. Golbarg Kolahi 35

36 Adjacent teeth May be included in units if they are involved in the bridge area. Golbarg Kolahi 36

37 Removable dental Prosthesis Prostheses that could be taken in and out at patient s will. Golbarg Kolahi 37

38 Complete denture Removable appliance composed of artificial teeth replacing the entire dentition of either jaws. Golbarg Kolahi 38

39 Partial denture A framework of artificial teeth replacing one or more teeth in an arch. Golbarg Kolahi 39

40 Immediate denture Placed into the mouth at the time the natural teeth are surgically removed. Golbarg Kolahi 40

41 Overdenture Prepared to fit upon implant posts or prepared retained roots. Golbarg Kolahi 41

42 Structural components of dental appliances Golbarg Kolahi 42

43 Framework Metal skeleton onto which a removable prosthesis is constructed. Golbarg Kolahi 43

44 Saddle Part of the structure used for balancing the prosthesis as a base for placement of artificial teeth. Golbarg Kolahi 44

45 Rests Small extensions of removable prosthesis made to sit atop the adjoining teeth. Golbarg Kolahi 45

46 Clasp Extensions of partial framework that grasp the adjoining teeth to provide support and retention of the prosthesis. Golbarg Kolahi 46

47 Denture base Acrylic part of the denture prosthesis substituting for the gingival tissue. Golbarg Kolahi 47

48 Flange Projecting rim or lower edge of the prosthesis. Golbarg Kolahi 48

49 Post dam Posterior edge of the maxillary denture that helps maintain the denture and suction. Golbarg Kolahi 49

50 Impression material Golbarg Kolahi 50

51 Elastomeric Impression material must be elastomeric (having rubber like properties)to be pliable during the impression process. Golbarg Kolahi 51

52 Elastic impression items Golbarg Kolahi 52

53 Hydrocolloids Reversible Irriversible Golbarg Kolahi 53

54 Reversible hydrocolloid Can change from a solid or gel state to a liquid form and back again depending on the temperature changes. Golbarg Kolahi 54

55 Irreversible hydrocolloid Once chemically set cannot be reversed or used again. Eg.Alginate Golbarg Kolahi 55

56 Imbibition Swelling from absorption of water and fluid loss causes shrinkage. Golbarg Kolahi 56

57 Rubber bases Impression material exhibiting rubberish characteristics often in a twin cartridge(base and accelerator/activator ) and mixed into a homogeneous mass. Golbarg Kolahi 57

58 Compound A thermoplastic impression material supplied in blocks and is heated to a soft pliable mass placed in the impression tray, then put into the mouth. Golbarg Kolahi 58

59 Impression tray A transport device for the impression material to be inserted into the patient s oral cavity for taking impression of one or more teeth or an entire edentulous arch. Golbarg Kolahi 59

60 Try-in adjustment Golbarg Kolahi 60

61 Seating Placement and fitting of prosthesis for trying-in and final cementation. Golbarg Kolahi 61

62 Condylar inclination Bite relationship and TMJ involvement. Golbarg Kolahi 62

63 Movements involve the condyle Golbarg Kolahi 63

64 Centric Occuring when condyle rests in the temporal bone during biting, resting and mouth movements. Golbarg Kolahi 64

65 Protrusion Measurement with the mandible thrust forward with the lower jaw out. Golbarg Kolahi 65

66 Retrusion Measurement with the mandible drawn backward. Golbarg Kolahi 66

67 Lateral excursion Measurement with side-to-side movement of the mandible. Golbarg Kolahi 67

68 Use of implants in prosthodontics There are different types of implants and each is used in a specific area, depending on the available bone. Golbarg Kolahi 68

69 Root form implant-endosseous Screw type device that is screwed or cemented into the mandibular bone. Golbarg Kolahi 69

70 Plate form implant Flat plate style used for the narrow jaw one. Golbarg Kolahi 70

71 Subperiosteal Placed under the peridontium and stabilized on the mandibular bone. Golbarg Kolahi 71

72 Transosteal Larger plate stabilized on the lower border of the mandibular bone with posts extending through the gingiva. Golbarg Kolahi 72

73 Osseointegration Implant appliances must bond with the bone tissue to obtain stability which is called Osseointegration. Golbarg Kolahi 73

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