scholarly journals The modification of split pontic as non-rigid connector in the management of pier abutment

2021 ◽  
Vol 5 (1) ◽  
pp. 24-29
Author(s):  
Ivana , ◽  
Syafrinani , ◽  
Ricca Chairunnisa

In long-span fixed partial denture restoration, especially when pier abutment is present, a non-rigid connector as a stress breaker is indicated. The Non-rigid connector is classified into a dovetail, loop connector, split pontic, cross-pin, and wing. Split pontic is an attachment placed entirely inside the pontic, particularly indicated in the tilted abutment case, to prevent the box preparation of distal pier abutment. This case report presents A pier abutment case treated with long span porcelain fused to the metal fixed movable bridge using dovetail shaped attachment, assembling the split pontic as a non-rigid connector. Split pontic acts as the stress breaker to prevent the pier abutment acts as a fulcrum. Split pontic also transfers the shear stress to the alveolar bone, minimalizes the mesiodistal torquing of the abutment teeth, and enables individual tooth movement. The advantages of this design are preparation with minimal reduction and better esthetic outcome as the porcelain build up can be done. Thus, there is no metal exposure of the restoration. Longevity and success of fixed partial denture restoration depend on the size, shape, type, and connector position. In pier abutment cases, a non-rigid connector must be considered one of the treatment choices to restore the missing teeth and preserve the abutments.KEYWORDS: pier abutment, split pontic, non-rigid connector

2012 ◽  
Vol 11 (2) ◽  
pp. 105
Author(s):  
Christie Rizki ◽  
Deddy Firman ◽  
Aprillia Adenan

Adhesive bridge is a fixed partial denture that consisted of pontic and cast metal framework retainer that cementedto abutment teeth by means of adhesive cement, used acid etch technique. Adhesive bridge can be used to replaceone or two anterior or posterior teeth. This case report focused on the making of adhesive bridge in anterior andposterior single missing tooth. By minimal preparation and unanesthesied teeth, patient satisfaction could beachieved. Treatment should be done as patient needed with the adequate clinical technique and specific materialmanipulation.


2008 ◽  
Vol 02 (01) ◽  
pp. 63-68
Author(s):  
Süha Turkaslan ◽  
Arzu Tezvergil-Mutluay

ABSTRACTAll ceramic fixed partial dentures (FPD)s exhibit enhanced biocompatibility and esthetics as compared to metal-ceramic restorations. However, framework fractures are frequently reported especially when the connector dimensions are inadequate to withstand the high tensile stresses. The repair of the failed connector would be desirable rather than the complete removal and renewal since the latter is an expensive and time consuming procedure. Furthermore, the replacement or removal of the restoration for extra-oral repair purposes might increase the risk of destroying the entire restoration or damaging the abutment teeth during the removal. This article presents a direct intra-oral method that may be used to repair the connector fractures of all-ceramic FPDs which are otherwise clinically satisfactory. In the present technique, the connector is reconstructed intraorally utilizing composite resin restorative material reinforced with E-glass-fiber. (Eur J Dent 2008;2:63-68)


2012 ◽  
Vol 38 (2) ◽  
pp. 149-153 ◽  
Author(s):  
Mirza Rustum Baig ◽  
Rajan Gunaseelan

Passive fit of a long-span screw-retained implant prosthesis is an important criteria for the success of the restoration. This article describes a technique for fabricating a ceramometal implant fixed dental prosthesis (FDP) for a long-span partially edentulous situation by altering the conventional screw-retained design. The possibility of a passive fit is maximized by intraoral luting of the cast frame to milled abutments, and the potential framework distortion during fabrication is compensated to a major extent. Retrievability is ensured by screw retention of the prosthesis to the implants. Compared with conventional porcelain fused to metal screw-retained FDP, this prosthesis is relatively inexpensive to fabricate.


2017 ◽  
Vol 1 ◽  
Author(s):  
Chang Wei Zhi ◽  
Ho Ting Khee

<p class="AbstractContent">Restoring occlusal plane and occlusal vertical dimension (OVD) in patient with existing indirect restorations who must wear removable prostheses may be a challenge to the dental operator. Onlay removable partial dentures (RPD) are used to re-establish the occlusion in conjunction to replace missing teeth without having to remove the existing indirect restoration. This case report described prosthetic rehabilitation with onlay RPD in patients who were partially edentulous and has reduced OVD. The treatment involved a set of provisional RPD to re-establish the OVD, as well as to evaluate the function, esthetic and speech of the patient, followed by definitive onlay RPD. The mandibular onlay RPD was used to provide stable occlusion and to correct the uneven occlusal surface on the abutment teeth. This treatment able to improve patient’s chewing function through a simple removable prosthesis and conservative on the existing restorations.</p>


2019 ◽  
pp. 0000-0000
Author(s):  
Enkhjargal Bayarsaikhan ◽  
Sangho Eom ◽  
Ui-Won Jung ◽  
Jae Hoon Lee

A 62-year-old male patient sought treatment for missing maxillary teeth. A diagnostic cast demonstrated that the interocclusal distance was insufficient. A five-unit screw-retained implant-supported fixed partial denture (FPD) was used to restore missing maxillary teeth. The restoration of multiple missing teeth using an implant-supported FPD is challenging when the interocclusal distance is limited due to lack of retention and inadequate esthetics. In this case, a hexagonal, screw-retained, and sublingually located titanium-based zirconia implant-supported FPD with a conical abutment base was used for restoration to overcome the limited interocclusal distance. This implant-supported FPD, consisting of CAD/CAM-designed monolithic zirconia cemented to a titanium bonding base in the laboratory, is expected to facilitate predictable retention and adequate esthetics as well as provide ease of retrieval.


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