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IN
FIXED PARTIAL DENTURES.
REJI P G
III MDS
INTRODUCTION
DEFINITION
Synonyms
Provisional
Transitional
Interim
FUNCTIONS
Comfort.
Function
Aesthetics
REQUIREMENTS
BIOLOGIC
MECHANICAL
ESTHETIC
BIOLOGIC REQUIREMENTS
PULP PROTECTION:
It must seal and insulate the prepared tooth surface.
BIOLOGIC REQUIREMENTS
PERIODONTAL HEALTH
BIOLOGIC REQUIREMENTS
Inadequate contacts :
Supra eruption
Horizontal Movements.
Horizontal migration
BIOLOGIC REQUIREMENTS
d) PREVENTION OF ENAMEL
FRACTURE
The provisional restoration should protect crown
preparation margins.
In partial coverage designs fracture may occur.
2)MECHANICAL REQUIREMENTS
Greater stresses occur during chewing.
3)ESTHETIC REQUIREMENTS
Esthetic concern: incisors, canines and premolars
Used as a guide
restoration.
CLASSIFICATION
1. Mode of Fabrication
:
Prefabricated.
Custom made.
Direct technique.
Indirect technique.
3. Duration of use:
. Short Term
. Long Term
Resin based
Provisional
Restoration
Metal
Provisional
Restoration
ADVANTAGES
DISADVANTAGE
Rarely satisfies the
requirement of
Available in various
contours.
sizes
It has to customize
with self-cure resin.
Limited to single tooth
restoration
POLYCARBONATE CROWN
Advantages:
Esthetics
Readily available
CELLULOSE ACETATE
METAL
Materials
Minimum interference
DISADVANTAGES
Time consuming.
METHACRYLATE RESINS
ADVANTAGES
DISADVANTAGES
Durability
Exothermic heat.
Color
Polymerization shrinkage
Good
marginal adaptation
Capable
of high polish
Relatively
inexpensive
Strong odour
COMPOSITES:
Bisacryl Composite
less heat and shrinkage during polymerization
a better marginal fit.
ADVANTAGES
DISADVANTAGES
Good surface hardness
Easy to use
Expensive
Brittle
Introduced in the1980s.
ADVANTAGES
DISADVANTAGES
Brittle
Relatively expensive
1.
.
greatest
strength.
.
highest modulus of
elasticity.
.
REINFORCEMENT:
Materials used:
retention and
structural integrity.
EXOTHERMIC REACTION:
COLOR STABILITY:
PROCEDURES
The mold cavity is created by two correlated parts:
DIRECT TECHNIQUE
The prepared teeth and tissues directly provide the tissue
form.
1.
2.
3.
Direct syringing
MATRICES:
There are three main types of matrices :
1.
Impression :reusable(elastomers).
2.
3.
CUSTOM SHELLS:
DIRECT SYRINGING
DIRECT TECHNIQUE
Disadvantages :
- Potential tissue trauma from the polymerizing
resin, and
- Inherently poor marginal fit.
Indirect Procedure
Impression of the prepared teeth is poured in quick-setting
gypsum :
INDIRECT TECHNIQUE
Advantages:
1.
2.
3.
4.
INDIRECT-DIRECT TECHNIQUE
Indirect component produces a custom-madepreformed ESF.
2
CUSTOM INDIRECT-DIRECT
PROVISIONAL FPD
3
4
5
Advantage:
to summarize..
REFERENCES
Thank you.