scholarly journals REPLACEMENT OF POSTERIOR MISSING TEETH WITH PORCELAIN FUSED TO METAL (PFM) BRIDGE

2019 ◽  
Vol 1 (2) ◽  
pp. 159-164
Author(s):  
Eni Rahmi
Keyword(s):  
Case Report ◽  
Spatial Analysis ◽  
Chief Complaint ◽  
Missing Teeth ◽  
Posterior Teeth ◽  
Clinical Procedures ◽  
All Ceramic ◽  
Analysis Calculation ◽  
Abutment Teeth ◽  
The Aesthetic

Porcelain fused to metal (PFM) bridge is the most of treatment that commonly used as a fixed partial dentures. One of the indication for PFM bridge is to replacing the loss of posterior teeth. This case report discussed about the treatment of posterior missing teeth with PFM bridge. Objective: to explain the clinical procedures of PFM bridges to treat the patient with posterior missing teeth. Case report: A 29-years old woman came to prosthodontic clinic in Faculty of Dentistry University of Padjadjaran with chief complaint of right maxillary posterior missing teeth. The treatment planning that have been choosen for this case was the porcelain fused to metal bridge due this excellent characteristic of resistence to mastication force compared with other types of bridge such as all ceramic or all acrylic bridge. Beside that, the aesthetic achievement of this kind of bridges is more excellent than all metal bridges. Disscussion: A spatial analysis, calculation the number of abutment against which used, and selected design bridge very determine the success of this treatment. In addition to that, the clinical procedures consisting of abutment teeth preparation, an accurate impression, and appropriate cementation were needed to get the satisfactory result. Conclusions: The porcelain fused to metal bridge is a appropriate option for posterior missing teeth treatment that fullfil satisfactorical biomechanical and esthetic factors.

scholarly journals Gigitiruan jembatan adesif sebagai perawatan alternatif pada kasus kehilangan satu gigi Adhesive bridge as alternative treatment to replace one missing teeth

2012 ◽  
Vol 11 (2) ◽  
pp. 105
Author(s):  
Christie Rizki ◽  
Deddy Firman ◽  
Aprillia Adenan
Keyword(s):  
Case Report ◽  
Missing Teeth ◽  
Posterior Teeth ◽  
Partial Denture ◽  
Fixed Partial Denture ◽  
Metal Framework ◽  
Acid Etch ◽  
Abutment Teeth ◽  
Adhesive Cement ◽  
Missing Tooth

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.

scholarly journals Maxillary removable partial denture combined with O’ring attachment implant: a case report

2018 ◽  
Author(s):  
Tiago Rebelo Costa ◽  
Cláudio Akira Yamaguchi ◽  
Alessandra Pucci Mantelli Galhardo ◽  
Roberto Chaib Stegun ◽  
Bruno Costa ◽  
...  
Keyword(s):  
Case Report ◽  
Oral Rehabilitation ◽  
Removable Partial Denture ◽  
Partial Denture ◽  
Aesthetic Result ◽  
First Choice ◽  
Abutment Teeth ◽  
Fixed Prosthesis ◽  
The Aesthetic ◽  
Systemic Health

Oral rehabilitation with free-end removable partial denture (RPD) is one of the major challenges in prosthodontic dentistry. The absence of a distal abutment produces undesirable RPD movement during masticatory function due to the high resilience of the residual ridge, which limits the denture efficiency and may damage the abutment teeth and bone over time. The advent of dental implants made possible to substitute the missing teeth with fixed implant-supported dentures as the first choice treatment to overcome such inconveniences. However, this indication may not be suitable for all patients due to financial, anatomical or systemic health conditions. Nevertheless it is possible to improve free extension RPD by using implants in the posterior edentulous ridge to achieve biological, biomechanical, physiological and social benefits. This article aims to present a case report on oral rehabilitation in which a RPD was made combined with an implant for posterior support in a sizeable edentulous ridge. The patient appreciated the retention improvement and the aesthetic result. The combination of a RPD with a posterior implant is an alternative treatment for cases in which implant-supported fixed prosthesis is not indicated, reducing the displacement and minimizing the limitations of the free-end devices.

Effective multidisciplinary approach for treatment of traumatized maxillary incisors and hypodontia

2020 ◽  
Vol 13 (1) ◽  
pp. 6-9 ◽  
Author(s):  
Mustafa Elhussein ◽  
Jonathan J O'Dwyer ◽  
Jonathan Sandler
Keyword(s):  
Case Report ◽  
Multidisciplinary Team ◽  
Alveolar Bone ◽  
Treatment Modalities ◽  
Orthodontic Appliances ◽  
Team Approach ◽  
Missing Teeth ◽  
Multidisciplinary Team Approach ◽  
Fixed Orthodontic Appliances ◽  
The Aesthetic

Fractured and missing teeth within the aesthetic zone have always posed a clinical challenge for the dental team. Management and treatment requires the input from a number of dental specialists to guarantee a high quality result. A case report is presented to demonstrate an effective combined orthodontic/restorative approach that fully restored aesthetics and function. The report is of a 14-year-old girl who traumatized her maxillary central incisors, in a dentition that was already compromised as she had congenital absence of her maxillary left lateral incisor. Using fixed orthodontic appliances, the fractured teeth were extruded to bring the fracture line above the level of the alveolar bone. This movement allowed an immediate aesthetic improvement, using stainless steel prefabricated posts and composite resin buildups, which also facilitated further orthodontic tooth movement. Teeth, that would otherwise have been extracted, were salvaged and, utilizing a multidisciplinary team approach, a reasonable long-term prognosis has resulted. CPD/Clinical Relevance: This case report aims to demonstrate how a multidisciplinary team approach in Orthodontics can be utilized for management of severely handicapped dentitions that have sustained dental injury. It is not the aim of this case report to discuss the treatment of dental injuries but to demonstrate and provide an overview of the possible treatment modalities that can be effective in restoring function and aesthetics, with special consideration given to missing teeth and subgingival crown fractures within the aesthetic zone.

scholarly journals Clinical procedures in stage II implant supported fixed dental prosthesis: A case report

2021 ◽  
Vol 7 ◽  
pp. 49-53
Author(s):  
P. Soumya ◽  
K. Aravind ◽  
S. C. Ahila ◽  
Murugan Suresh Kumar
Keyword(s):  
Case Report ◽  
Clinical Outcome ◽  
Treatment Planning ◽  
Dental Prosthesis ◽  
Stage Ii ◽  
Clinical Procedures ◽  
Fixed Dental Prosthesis ◽  
Satisfactory Outcome ◽  
Correct Execution ◽  
The Aesthetic

Restoring a partially edentulous jaw with implant-supported prosthesis is a challenge. The clinical outcome will be satisfactory only when both the surgical phase as well as the prosthetic phase are planned in advance and executed while keeping in mind the aesthetic and functional necessities. In this case report we describe the steps in successfully restoring the edentulous space with implant supported FP1 prosthesis. The sequential steps that were followed in the prosthetic phase has been described in detail. From the satisfactory outcome of the case, it can be concluded that proper evaluation, prosthetically driven treatment planning and correct execution of the plan would ensure good predictability of the implant-supported prosthesis.

scholarly journals Telescopic Overdenture as An Aesthetic Treatment for Partially Dentate Patients – A case report

2018 ◽  
Vol 1 (1) ◽  
pp. 27
Author(s):  
Satrio Krestiono M ◽  
Harry Laksono
Keyword(s):  
Case Report ◽  
Aesthetic Result ◽  
Fixed Partial Denture ◽  
Anterior Teeth ◽  
Double Crown ◽  
Removable Denture ◽  
Dental Hospital ◽  
Abutment Teeth ◽  
The Aesthetic ◽  
Partially Dentate

Background: Metal frame denture design is common used for partially dentate patient, one of the problem was a metal appearance from wrought wire or a metal casting clasp as retainer, which is not really aesthetic. Telescopic overdenture with its double crown will be the best solution for those cases. Purpose: The purpose of this case report was to reported telescopic overdenture design and fabrication where the aesthetic was the main consideration. Case: Sixty years old female patient, a businesswoman, came to Dental Hospital of Universitas Airlangga, complained about her upper partially dentate and 6 years lower fixed partial denture, which is not comfortable to wear and her upper anterior teeth doesn’t look quite good. She wanted to make crowns and removable denture. Case management: After the diagnosis were made, the pretreatment plan were remove crown for the upper jaw, remove the bridges on lower jaw, and transitional dentures were made to maintain the VDO. The crowns and veneer were fabricated and inserted while the inner copings were tried up on prepared teeth. After the the dentures were produced, the inner copings were luted to the abutment teeth, and then the dentures were inserted using FGP (Friction GriP) cement for the friction effect. Discussion: Telescopic overdenture is consists of a double crown system known as “the telescopic”, the procedure involves fitting the remaining natural teeth with inner metal crowns, followed by outer crowns as part of an over denture that can be removed by the patient. Conclusion: This technique ensures that telescopic overdentures give natural aesthetic result.

scholarly journals Prosthodontic Rehabilitation with Onlay Removable Partial Denture: a Case Report

2017 ◽  
Vol 1 ◽  
Author(s):  
Chang Wei Zhi ◽  
Ho Ting Khee
Keyword(s):  
Case Report ◽  
Occlusal Surface ◽  
Occlusal Plane ◽  
Prosthetic Rehabilitation ◽  
Missing Teeth ◽  
Removable Partial Denture ◽  
Partial Denture ◽  
Removable Prosthesis ◽  
Occlusal Vertical Dimension ◽  
Abutment Teeth

<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>

scholarly journals Jaw relationship assessment for removable complete dentures using the t-scan computerised system – a case report

2019 ◽  
Vol 92 ◽  
pp. S85-S90
Author(s):  
Szidónia Renáta Akácsos ◽  
Melinda Kis ◽  
Melinda Székely ◽  
Sorin Popșor ◽  
Kinga Dörner
Keyword(s):  
Case Report ◽  
Load Distribution ◽  
Tooth Color ◽  
Clinical Procedures ◽  
System A ◽  
Suitable Solution ◽  
Functional Aspects ◽  
Occlusal Vertical Dimension ◽  
The Aesthetic ◽  
Relationship Assessment

Objective. For obtaining the perfect balance of a removable complete denture, we have a few clinical procedures to complete, but only the analysis of the occlusal load distribution at various vertical dimensions of occlusion can give us the precise data. Method. The patient selected for this case report was a 35 years old edentulous female who requested prosthetic treatment with complete removable dentures. We followed the usual clinical steps of obtaining an acrylic denture, as well as the T-Scan III analysis during the jaw registration, in different conditions: with the occlusal wax rims, and with the trial denture in the next step, registering three different occlusal vertical dimension – understated, overstated and ideal height. Using these dimensions, we realized four mock-ups, two at the proper vertical dimensions, with various types of tooth color and shape. We analyzed the mock-ups using the T-scan III system. After the dental prosthesis was manufactured, we made another measurement with the T-scan III system. Results. After analyzing all the data from the T-scan III system, we distinguished that the most suitable solution for the patient was the proper dimension mock-up with D2 shade. Conclusions. Although the registered situations were satisfactory, the aesthetic issues are essential, and the functional aspects are fundamental, the most suitable solution in this case, was the mock-up with proper dimensions.

scholarly journals Challenges in Managing a Fractured Cement-retained Crown Located at the Aesthetic Zone: A Case Report

2021 ◽  
Vol 16 (1) ◽  
pp. 69-75
Author(s):  
Oon Take Yeoh ◽  
Wei Cheong Ngeow
Keyword(s):  
Case Report ◽  
Ceramic Fracture ◽  
Screw Hole ◽  
Incisal Edge ◽  
Access Channel ◽  
All Ceramic ◽  
Implant Crown ◽  
Implant Prosthesis ◽  
The Aesthetic ◽  
Ceramic Implant

Implant prosthesis is a popular treatment modality but it is not complication free. This article discussed the management of a cemented, all-ceramic implant crown in the maxillary anterior region that had veneering ceramic fracture after three years in function. A screw-retained prosthesis was prescribed to avoid the show of the screw access channel on the incisal edge of the crown. This was achieved by changing the location of the screw hole using the angle screw channel that overcame the angulation issue.

scholarly journals REHABILITATION OF MASTICATION AND LACK OF SPACE TREATMENT IN NARROW EDENTULOUS WITH FIXED-FIXED BRIDGE

2021 ◽  
Vol 6 (2) ◽  
pp. 183
Author(s):  
Rahmad Arifin ◽  
Fitriana Caessar Pertiwi
Keyword(s):  
Good Condition ◽  
Vital Signs ◽  
Missing Teeth ◽  
Posterior Teeth ◽  
Functional Aspects ◽  
Dental Hospital ◽  
Jaw Joint ◽  
Narrow Space ◽  
The Aesthetic ◽  
Lower Molar

Background: Loss of posterior teeth can lead to disharmony in the curvature of the jaw. Antagonistic teeth and surrounding teeth will migrate to the edentulous causing reduced mastication function and TMJ disturbance. Several cases of narrow edentulous occurred due to tooth shifting caused by edentulous that was left empty for a long period. Creating a fixed-fixed bridge is aimed to restore the aesthetics, function, and comfort for patients which caused by the missing teeth. Fixed-fixed bridge consist of a retainer that function as a support to the abutment; a pontic that function to replace the missing tooth; and a connector that function to connect the pontic and the retainer. A narrow space for pontics can disrupt the aesthetic and functional aspects. Case Report: A 24 year-old male patient was referred to Prosthodontic Clinic, Gusti Hasan Aman Dental Hospital with a complain of pain on the jaw joint and missing of left lower molar for about 5 years. Patient always masticate on one side after the left lower molar was missing. Extraoral examination found the patient to be in good condition, no enlargement of major salivary glands, the vital signs were good, but upon TMJ examination there was clicking sounds on the left side. Intraoral examination showed space narrowing resulted from mesial and distal drifting of 37 and 35 but not significant, therefore it was still possible to perform rehabilitation using fixed-fixed bridge with abutments on 37 and 35 with modification of pontic shape for 36 to resemble a premolar tooth with occlusal surface resembling a molar tooth. Treatment planning for fixed prosthetic using fixed-fixed bridge with porcelain fused to metal material on 35, 36, and 37 with ridge lap pontic type modification Conclusions: Treatment was successful to provide enough space for the pontic by modification of the shape and the size of the pontic. Keywords: Fixed-fixed bridge. lack of space, mastication.

All-Ceramic inlays and onlays for posterior teeth

Dental Update ◽  
2019 ◽  
Vol 46 (7) ◽  
pp. 610-624
Author(s):  
Richard Ibbetson ◽  
Ian R Jones
Keyword(s):  
Hydrofluoric Acid ◽  
Clinical Relevance ◽  
Composite Resin ◽  
Dental Materials ◽  
Posterior Teeth ◽  
Ceramic Inlays ◽  
Clinical Procedures ◽  
Luting Agents ◽  
All Ceramic ◽  
Tooth Tissue

The increasing requirement for aesthetic restorations has been matched by the continuing improvements in dental materials and fabrication techniques. These factors have resulted in the development of newer ways of making tooth-coloured restorations for posterior teeth. The value of preserving tooth tissue is widely appreciated and the use of partial coverage restorations can assist this aim. The use of porcelain inlays and onlays etched with hydrofluoric acid together with improved composite resin-luting agents offers the dentist and patient the option of a conservative and aesthetic restoration for more extensively damaged posterior teeth. The paper describes the indications and clinical procedures for the use of these restorations. CPD/Clinical Relevance: Porcelain inlays and onlays offer a predictable alternative to full coverage crowns and should be part of the clinician's armamentarium.

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