‫‪Fixed partial denture design‬‬

Слайд 2

Personal data patient’s name : mohammed faraj shteela address : tripoli

Personal data

patient’s name : mohammed faraj shteela address : tripoli ,

znata phone number : age : 25 sex : male occupation : engineer marital status : single financial status : good
Слайд 3

Chief complain He is complaining from difficult in mastication

Chief complain

He is complaining from difficult in mastication

Слайд 4

Medical history : patient is free from any medical history Dental

Medical history : patient is free from any medical history Dental history

: the patient has past dental care ( restoration, extraction , local anesthesia ) all done without any complication
Слайд 5

Clinical examination Patient looks well …. extra oral examination facial symmetry

Clinical examination

Patient looks well …. extra oral examination facial symmetry : symmetrical

cervical lymph nodes : NAD TMJ : no clicking no deviation no tenderness Muscles of mastication : normal function Lips : competent Major salivary gland : NAD
Слайд 6

Intra oral examination Good oral hygiene and low caries index no

Intra oral examination

Good oral hygiene and low caries index no bad habits class

I normal occlusion
Слайд 7

intra oral examination Edentulous span For the location and extent of

intra oral examination

Edentulous span For the location and extent of edentulous

area
It is considered as an ideal or minimally compromised edentulous area
Because it is confined to a single arch and only one molar and one premolar are missing ..
Слайд 8

Intra oral examination

Intra oral examination

Слайд 9

Intra oral examination

Intra oral examination

Слайд 10

Intra oral examination

Intra oral examination

Слайд 11

Prospective abutment upper left 3,5,7these teeth will serve as a abutments for the bridge design

Prospective abutment

upper left 3,5,7these teeth will serve as a abutments

for the bridge design
Слайд 12

Panoramic view

Panoramic view

Слайд 13

Dental Chart

Dental Chart

Слайд 14

diagnostic cast

diagnostic cast

Слайд 15

diagnostic cast

diagnostic cast

Слайд 16

diagnostic cast

diagnostic cast

Слайд 17

Treatment options Dental implant Fixed partial denture removable partial denture

Treatment options

Dental implant
Fixed partial denture
removable partial denture

Слайд 18

Treatment plan for bridge design Conventional fixed partial denture abutments :

Treatment plan for bridge design

Conventional fixed partial denture abutments : upper

left 3 5 7 retainers : full coverage crown MCR .. For canine , second premolar and second molar pontic : MCR (modified ridge lab) type of connector : rigid
Слайд 19

NOTES In this case we have a special problems 1 -

NOTES

In this case
we have a special problems
1 - pier abutment (the

upper left second premolar) isolated tooth between two edentulous areas will serve as a fulcrum causing failure .. Overall .. A five unit fixed partial denture is replacing the upper left 4 and 6 2 – Tilted molar
The treatment will depend on degree of tilting .. We found that the tilting is slight so it needs only recontouring the mesial surface of the third molar
Слайд 20

Other available options Use of stress breaker non rigid connector between

Other available options

Use of stress breaker non rigid connector between

5 and 6 key attached to 6 key way attached to 5
Use of fixed free ( cantilever ) on upper 4 as a four unit FPD design leaving the canine unprepared ..
Implant for the missing teeth 4 , 6 can be done