scholarly journals Hemisection- A Saviour for Periodontally & Cariously Involved Permanent Mandibular Molar

2021 ◽  
pp. 1-3
Author(s):  
Manisha Yadav ◽  
◽  
Shilpi K Pandey ◽  
Poonam Agrawa ◽  
Devikarani S Khurpade ◽  
...  

Progressive carious and inflammatory involvement of teeth if left untreated will ultimately lead the loss of tooth structure in the oral cavity. Earlier clinician was left with no option but extraction of such hopeless teeth followed by replacement with fixed partial denture, removable partial denture or implants. Hemisection is a removal of compromised root and the associated crown portion. It is one of the treatment options for preserving remaining part of molar having sound periodontium. This case report presents a patient in which distal half of the teeth was carious but with sound periodontium and the periodontally compromised mesial root was resected, and after healing, fixed dental prosthesis was delivered to restore proper form and function

2008 ◽  
Vol 19 (3) ◽  
pp. 257-262 ◽  
Author(s):  
Osvaldo Luiz Bezzon ◽  
Mariane Gonçalves ◽  
Valéria Oliveira Pagnano

This article reports the case of a 55-year-old female patient who presented with unsatisfactory temporary crowns in the right mandibular premolars and molars, and a premolar-to-molar fixed partial denture in the left side. The clinical and radiographic examinations revealed a fracture of the left first premolar that was a retainer of the fixed partial denture and required extraction. Initially, the acrylic resin crowns were replaced by new ones, and a provisional RPD was made using acrylic resin and orthodontic wire clasps to resolve the problem arising from the loss of the fixed partial denture. Considering the patient's high esthetic demands, the treatment options for the definitive prosthetic treatment were discussed with her and rehabilitation with implant-supported dentures was proposed because the clinical conditions of the residual alveolar ridge were suitable for implant installation, and the patient's general health was excellent. However, the patient did not agree because she knew of a failed case of implant-retained denture in a diabetic individual and was concerned. The patient was fully informed that implant installation was the best indication for her case, but the arguments were not sufficient to change her decision. The treatment possibilities were presented and the patient opted for a clasp-retained removable partial denture (RPD) associated with the placement of crowns in the pillar teeth. The temporary RPD was replaced by the definitive RPD constructed subsequently. Although RPD was not the first choice, satisfactory esthetic and functional outcomes were achieved, overcaming the patient's expectations. This case report illustrates that the dentist must be prepared to deal with situations where, for reasons that cannot be managed, the patient does not accept the treatment considered as the most indicated for his/her case. Alternatives must be proposed and the functional and esthetic requirements must be fulfilled in the best possible manner.


2019 ◽  
Vol 3 (8) ◽  
pp. 267-270
Author(s):  
Gitanjali Mago ◽  
Puneet Sharma

The various treatment options for the aesthetic and functional rehabilitation of partially edentulous patients are conventional fixed partial dentures, implant supported fixed partial dentures and removable partial dentures. In some cases, removable partial dentures may be the only choice which is available other than implants and fixed partial denture. Removable cast partial dentures are used as definitive removable prostheses when indicated, but location of clasps is not aesthetically pleasant. So, when patient is concerned about aesthetics, flexible partial dentures which is aesthetically superior may be considered. But for the success of flexible removable partial denture, proper diagnosis, treatment planning, insertion, wearing and maintenance of this prosthesis is very important.


2019 ◽  
Vol 5 (3) ◽  
Author(s):  
Arthi Ambayiram ◽  
Ahila Singaravel Chidembaranathan ◽  
Muthukumar Balasubramanium

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.


2014 ◽  
Vol 08 (02) ◽  
pp. 281-286 ◽  
Author(s):  
John S. Mamoun

ABSTRACTAn abutment for a fixed partial denture may not contain enough tooth structure, such that the abutment does not provide an adequate ‘ferrule effect’. A crown or bridge dental prosthesis that is cemented onto such an abutment/s may undergo biomechanical failure. Here, the tooth, core, and post complex, on which the crown is cemented, may fracture off from the abutment, causing the crown to separate from the abutment, while the cement that bonds the crown to the tooth, core, and post complex remains intact, such that the tooth, core, and post complex remains inside the crown when the crown separates from the abutment. This article reviews the dentistry literature on the ferrule effect, and presents alternative definitions for terms such as ferrule, the ferrule effect, and the ferrule tooth structure. The article also explains how the use of a surgical operating microscope, or high magnification binocular surgical loupes of ×6-8, or greater magnification improve the ability of a dentist to assess how much ferrule tooth structure an abutment contains, compared to the use of unaided vision.


2004 ◽  
Vol 91 (4) ◽  
pp. 392-394 ◽  
Author(s):  
Masanori Fujisawa ◽  
Koji Adachi ◽  
Shoko Tsuruta ◽  
Kanji Ishibashi

1970 ◽  
Vol 11 (1) ◽  
pp. 57-60
Author(s):  
D Sunil ◽  
P Rajesh ◽  
D Neha

The realization of esthetic objectives and functional demands in the reconstruction of severely compromised dentition represents considerable clinical problems. This clinical report represents the prosthetic management of a severe dentofacial deformity with compromised periodontal status. Treatment objectives were based on Aesthetics enhancement, sociopsychological support of the patient, restoration of form function, phonetics and comfort. Following which extraction of upper incisors and alveoloplasty done. An immediate removable partial denture was fabricated, considering aesthetics, phonetics and comfort of the patient followed by replacement of incisors by metal- ceramic fixed partial denture done. Clinical relevance: prosthetic management of severlymalaligned natural maxillary anterior teeth by fixed partial denture, considering aesthetics and phonetics of the patient. Treatment objectives: Aesthetics enhancement, sociopsychological support of the patient, restoration of form function, phonetics and comfort. DOI: http://dx.doi.org/10.3329/bjms.v11i1.9825 BJMS 2012; 11(1): 57-60


2017 ◽  
Vol 13 (4) ◽  
pp. 328-332 ◽  
Author(s):  
Basnyat S KC ◽  
B. Sapkota ◽  
S. Shrestha

Background Gingival inflammation and periodontal disease are the common complications of fixed dental prosthesis. They can be overcome by good oral hygiene maintenance.Objective The objective of this study was to assess the oral hygiene and gingival condition in patients after placement of fixed dental prosthesis for a period of six months. It was also analyzed how factors like type of fixed dental prosthesis (Single crown, fixed partial denture) and material (Metal, Porcelain fused to metal) are statistically associated with oral hygiene and gingival health.Method The sample consisted of 50 patients visiting the Dental Outpatient Department of Dhulikhel Hospital. The oral examinations were conducted using basic diagnostic tools (Mouth mirror, periodontal probe and explorer). Teeth and gingiva were examined using the Plaque and Gingiva Index by Silness and Löe. The examinations were conducted after 14 days and six months after placement of fixed dental prosthesis along with the oral hygiene instructions. Paired sample t-test were done to find statistical association using SPSS 16.0.Result Our results revealed no significant difference in plaque index among patients with single crown whereas fixed partial denture showed statistical significance. No significant differences were found for type of material. The statistical analysis showed similar results for gingival index.Conclusion Our research showed that single crown had no significant difference on Plaque index and Gingival index of the patient after 14 days and six months, whereas, Fixed partial denture showed significant difference. Both metal and porcelain fused to metal crown revealed no statistically significant difference on Plaque index and Gingival index.


2009 ◽  
Vol 2009 ◽  
pp. 1-4 ◽  
Author(s):  
Emrah Ayna ◽  
Emine Göncü Başaran ◽  
Köksal Beydemir

Although patients with cleft lip and palate (CLP) are not seen regularly in general dental practice, this is a frequent congenital anomaly; approximately one in every 800 live births results in a CLP. The cause of CLP is unknown, but possible causes are malnutrition and irradiation during pregnancy, psychological stress, teratogenic agents, infectious agents (viruses), and inheritance. Most clefts are likely caused by multiple genetic and nongenetic factors. Prosthetic reconstruction of the anterior maxilla is important for these patients. This paper describes the prosthetic rehabilitation of two patients with CLP, 19-year-old and 21-year-old women, both with surgically treated CLP. In both, an examination revealed a residual palatal defect of  mm and missing maxillary lateral incisors. The 19-year-old was treated with a fiber-reinforced composite resin-bonded fixed partial denture. The 21-year-old was treated with a removable partial denture with an extracoronal attachment system. The prosthetic rehabilitation of the two patients with CLP was evaluated clinically. In both, well-planned prosthetic, periodontal, and surgical therapy resulted in satisfactory function and esthetics, alleviating their deformities. With education and appropriate recall, the patients should be able to maintain their oral health.


Author(s):  
Joana Cabrita ◽  
◽  
Teresa Mendes ◽  
João Martins ◽  
Luís Lopes ◽  
...  

The selective laser melting technology is an additive digital method that permits producing metal frameworks for removable partial dentures. The existing literature has compared this technique with the classic technique in terms of precision, quality of fit, and function. This work describes a clinical case of a metal framework produced by the selective laser melting technique in a patient rehabilitated with a removable partial denture. No adjustments were required when the metal framework was inserted, showing good adaptation and stability to the abutment teeth and surrounding tissues. Further studies are necessary for a significant assessment of this technique’s clinical applicability.


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