DEVOTIONAL TEXT:

Then Phillip opened his mouth.

And preached unto him Jesus.
Acts 8:35

FIXED PARTIAL DENTURE

an introduction

Course Description
This course will deal with the study of Fixed
Prosthodontics as a replacement of missing
teeth considering the biological, mechanical
and esthetic requirements for the restoration
of normal function and esthetics

Course Goals
To acquire knowledge and develop skills in making
accurate diagnosis, to formulate a comprehensive
treatment plan & to efficiently & effectively deliver the
proposed Fixed Partial denture treatment plan.
To know describe & apply the various biological,
mechanical & esthetic principles of tooth preparation
To know and understand the indications &
contraindications, the advantages & disadvantages of the
different types of artificial crowns
To know and understand the indications and
contraindications, advantages and disadvantages of Fixed
partial denture over removable partial denture
To understand the lifelong need for learning & self
assessment in maintaining competency & attaining
professional proficiency

Fixed partial denture

A partial denture that is cemented to natural
teeth or roots or implants w/c furnish the
primary support to the prosthesis
Prosthesis is cemented to supporting teeth/
implant and CANNOT BE REMOVED by the
patient

Bridge

BRIDGE
Short span bridge

Long Span bridge

Crown
The cemented extracoronal restoration that
covers the outer surface of the clinical crown
Function is to protect the underlying tooth
structure & restore function, form & esthetics

crowns

a. Full veneer crown: covers all 5 surfaces of

clinical crown

b. Partial veneer crown: does not cover the

entire clinical crown

Retainer
A crown that is used as a part of a Fixed Partial
Denture

Abutment
A tooth, root of tooth, implant, which
provides attachment & support to FPD

Pontic
The artificial tooth that replaces the missing
teeth.

Connectors
The connection that exist between pontic &
retainer or between retainer
Can be rigid (soldered joints) or non rigid/
movable attachments (key & keyway) precision
attachments)

Laminate veneers
A thin layer of restoration (ceramic,
composite) bonded over the facial surfaces of
teeth, primarily used to improve ESTHETICS

Edentulous ridge

FPD Indications
short span edentulous arches
Presence of sound teeth adjacent to
edentulous space that can offer sufficient
support
In cases with ridge resorption where RPD
cannot be stable
Patients preference
Mentally compromised & physically
handicapped patients

FPD Contraindications

Large bone loss (trauma)

Very young patients
Periodontally compromised abutments
Long span edentulous spaces
Bilateral edentulous spaces
Congenitally malformed teeth (no adequate
tooth structure for support)
Patients who cannot cooperate/tolerate invasive
treatment procedure

contraindications
Medically compromised patients
Very old patients
Distal extensions

FPD VS RPD
1. The restoration or prosthesis becomes an integral
part of the oral cavity.
2. It does not impinge (should not impinge) on
adjacent mucosa and gingival tissue.
3. It causes less incidence of caries and periodontal
disease.
4. It creates an environment with better distribution
of masticatory forces.
5. The massaging effect of food towards the gingiva
is not hampered.

Why Do A Fixed
Partial Denture?
Restore Function
Restore Appearance
Prevention
Consequences of not replacing missing
tooth

Thank you for listening

wrsuarez, dmd,mph