BY

Shams Waaz Amgad Aly

Fixed Prosthodontics
ØProsthesis

ØProsthodontics

ØFixed Prosthodontics
 Prosthesis

Artificial replacement of any missing

body part
 Dental Prosthesis

§Fixed prosthesis §Removable prosthesis

 Prosthodontics
Is that discipline of dentistry concerned
with the restoration of natural teeth or
replacement of missing teeth and
contiguous oral and maxillofacial tissues
with artificial prosthesis which may be
removable or fixed.
 Prosthodontics
§ A n y
material or
appliance that
restores or
replaces lost
tooth structure
 Fixed Prosthodontics
Is that branch of dentistry that
deals with restoring tooth or
replacing missing teeth by artificial
substitutes that are fixed in the
mouth.
 Is the art and science of restoring
damaged teeth with cast metal,
metal ceramic or all ceramic
restoration.
Ø Scope may range from single tooth
to complete rehabilitation.

Ø The restorations replace either;

a tooth (crown) or

a group of teeth (bridge).

 §Single tooth restoration
“Crown”

§Bridge.
Removable Prosthodontics
It is the field concerned with
replacement of missing teeth and
surrounding structure with
artificial substitute that are
removable
 WHAT is happened after
tooth extraction ??????
Squeal of Tooth Extraction
§Super-erupt of the opposing teeth
§Mesial tilt (drift )
§Rotation
 WHY we need to restore
the missing tooth????
 Aim to ( Scope )

Function Health

Esthetics
WHAT are the options
for replacement the
missing tooth????
 Prosthetic Options

Implant
Implant
Bridge
(Crown & Bridge)
 Fixed Prosthodontics

Intra Intra
Extracoronal
coronal radicular
 Crown
Extracoronal
Bridge

Inlay
Intra coronal

Onlay

Intraradicular Post crown

Extra-coronal
CROWN
CROWN
 Crown

§ Anatomical
§ Clinical
§ Radiographic
§ Artificial
 Anatomical Crown

It is the portion of a natural tooth that

extends from its cemento-enamel
junction to the occlusal surface or
incisal edge
Anatomical
 Clinical Crown

It is that portion of a natural tooth

that extends from the bottom of the
sulcus to the occlusal surface or incisal
edge
Clinical Crown
 Radiographic Crown

It is the portion of a natural tooth that

appear in the radiograph ( X-rays )

not embedded in the bone

Radiographic
Crown
 Artificial Crown

It is an artificial FIXED restoration of

the coronal portion of the natural tooth
restoring its anatomy, function and
sometimes esthetics
Artificial Crown
Crown Classification
 Crowns are classified
According to coverage
of tooth surfaces

Full Partial
Coverage Coverage
§Full coverage § Partial coverage
 Complete
encircling the Both
preparation
Post
inserted in
root canal
All-metallic Combination
All-non
metallic
I-Full Coverage Crown ( Veneer)
 I-Full Coverage Crown ( Veneer)

Extra-coronal restoration that

covers all the surfaces of the prepared
clinical crown

(buccal, lingual, mesial, distal & occlusal

or the incisal)
I-Full Coverage Crown ( Veneer)

A)Complete encircling the

Preparation
I-Full Coverage Crown ( Veneer)
A)Complete encircling the preparation

1-Full Veneer
Metal Crown
2-Jacket
Crown
3-Veneered
Crown
4-Full
Veneered
 1-Full Veneer Metal Crown
§ It is a metallic crown that covers all
the coronal tooth surfaces.

§ It may be:
-Cast crown -Swaged crown
 2-Jacket Crown
§ It is a non-metallic ,full coverage crown .
§ It rebuilds the clinical crown of the anterior
teeth and restores it esthetically and
functionally
§ It may be:
-Porcelain
-Acrylic resin (Temporary crown)
 3-Veneered Crown
§ It is a full cast crown having
porcelain or acrylic facing on the labial
or buccal surface .

( in some cases the lingual surface of

mandibular molars).
 4-Full Veneered Crown

§ It is a full cast crown having all

surfaces faced with porcelain- fused to
the metal( PFM)
§Veneer crown § Veneered Crown

§Full-veneered crowns
I-Full Coverage Crown ( Veneer)

B)Post Crown
 I-Full Coverage Crown ( Veneer)
B)Post Crown
§ It is an artificial restoration of the
entire coronal portion of the tooth and
is retained in position mainly by a post
inserted in the prepared root canal.
 Core

§ Plastic restorative materials.

- Amalgam.

- Composite.

- Glass ionomer.

§ Cast metal
Classification
of Post
Crown
 • According to material
1-
• According to the method of
2- construction

• According to the shape

3-
• According to the attachment
4-

5-
• According to the retention
§ Classification of post crown According to:

1.Material:
a)All metallic
b)All non metallic
c)Combination

2. Method of construction:
a)Ready made
b)Custom made
3 .Shape:
a)Taper ( smooth, serrated & threaded)
b)Parallel ( smooth, serrated & threaded)

4.Attachment:
a)Attached
b)Detached

5. Retention :
a) Post only
b) Post + Pin
c) Post + Collar
 Material

§Metallic post §Non-Metallic post

 Method of
Construction

§Ready made post §Custom made post

 Times New Roman

§Custom made post §Ready made post

Shape
 Attachment

§ Attached § Detached
 5-Retention

§ Post Only § Post & Pins § Post & Collar

 I-Full Coverage Crown ( Veneer)

C)Both methods (Post Jacket crown)

 I-Full Coverage Crown ( Veneer)
C)Both methods (Post Jacket crown)

Full veneer restoration gaining its retention from

both encircling tooth structure and post inserted in
previously prepared root canal.
TO SUMMERIZED OF :
FULL COVERAGE
VENEER CROWN
 Full veneer Metal crown
Complete encircling
the tooth All-ceramic crown

Veneered crown

Full veneered

Post Post crown

Combination Post-jacket crown

II-Partial Coverage Crown
Grooves Pin Both
II- Partial Coverage Crown
A) Grooves for retention
II- Partial Coverage Crown
A) Grooves for retention

3/4 Crown &

Reverse 3/4
7/8 Crown

1/2 Crown
Mc Boyle
retainer
 1-Three-Quarter Crown ( 3/4 )

§ It is a partial crown covering the occlusal

surface and all the axial surfaces except the
buccal or labial surface

§ Gaining retention by mesial and distal

grooves
 Reverse Three-Quarter Crown
§ It is a modified type of the 3/4 crown where
the lingual surface is unprepared instead of
the buccal surface.
§ Gaining retention by mesial and distal
grooves

§ Indicated for mandibular premolars

WHY???
Reverse 3/4
 Half Crown ( 1/2)
§ It is a modified type of the 3/4 crown ,
involving one proximal surface and nearly
those halves of the buccal and lingual
surfaces adjacent to it and most of / or all
the occlusal surface.

§ Gaining retention by buccal & lingual

grooves.
§ Indicated for tilted molar
 Seven-Eighths Crown ( 7/8)

§ It is a partial coverage crown covering all

the surfaces of the crown except the mesio-
buccal cusp.

§ Indicated for upper 1st molar

 Mc Boyle Retainer

§ Modified ¾ crown, with its retention

derived from from grooves at the labio-
proximal line angles

§ Indicated for manduibular anterior teeth

II- Partial Coverage Crown

B) Pins for retention

 Pin ledge Retainer

§ It is a modified form of partial veneer

crown using pins in the coronal portion of
the tooth as means of retention.
Indentation

Pin hole

Ledge
 II- Partial Coverage Crown
C) Combined Grooves & Pins for
retention
C)Combined means of retention by
grooves and pins

Pin modified ¾ crown

TO SUMMERIZED OF :
PARTIAL COVERAGE
VENEER CROWN
 ¾ crown& reverse ¾

Grooves
½ crown

7/8 crown

Pinholes Pin-ledge

Combination Modified 3/4

 Fixed Prosthodontics

Intra Intra
Extracoronal
coronal radicular
 Crown
Extracoronal
Bridge

Inlay
Intra coronal

Onlay

Intraradicular Post crown

Intra-coronal
Restoration
 Intra-coronal restorations

1-Inlay

2- Onlay
§ Inlay : It is a metallic or ceramic restoration
that restores the proximal and Occlusal
surfaces but does not protect or cover the
cusps .

§ Onlay : it is a modified MOD inlay with cusp

overlays on the occlusal surface protecting the
integrity of the remaining tooth structure.
§Inlay

§Onlay
OTHERS
 Telescopic Crown

§ In case of mesially tilted posterior teeth.

§ An initial crown (shown in black) is placed

on the molar and its external surface is
shaped to have a common path of insertion
with the anterior abutment.
Temporary (Provisional ) Crown
§ It is a crown made and used temporarily
for the protection of the prepared tooth till
the final restoration is completed and ready
for cementation.

§ It may be ready- made or custom made

§ It is usually made of resin.

 Ready
Made
Or

Custo
me
Temporary Made
Crown

• Metallic
• Poly
Carbona
• Resin
 Endo Crown

§ It is an onlay crown which engages the

pulpal chamber

§ It is a “Post-less” Crown .
Onlay Crown

Engages the
pulpal chamber
 Laminate Veneers
§ They are thin facings
of ceramic (resin or
porcelain ) directly
bonded to etched
enamel with a
composite resin luting
agents.
Hollywood Smile
 Occlusal Veneers
§ They are thin occlusal coverage of ceramic
directly bonded to posterior teeth for ttt of
sever tooth wear & restore of occlusion
Posterior occlusal laminates
TO SUMMERIZED OF :
FIXED
PROSTHODONTICS
 Fixed
Prosthodontics

Intra Intra
Extracoronal
coronal radicular
 Inlay
Intra coronal
Onlay

Crown
Extracoronal
Bridge

Intraradicular Post crown

 CROW
N

FULL
PARTIAL
COVERAG
COVERAG
E
E
 Full veneer Metal crown
Complete encircling
the tooth All-ceramic crown

Veneered crown

Full veneered

Post Post crown

Combination Post-jacket crown

 ¾ crown& reverse ¾

Grooves
½ crown

7/8 crown

Pinholes Pin-ledge

Combination Modified 3/4

 BY
Shams Waaz Amgad Aly
(Crown & Bridge)
 Fixed
Prosthodontics

Intra Intra
Extracoronal
coronal radicular
 Inlay
Intra coronal
Onlay

Crown
Extracoronal
Bridge

Intraradicular Post crown

 Bridge
Fixed Partial Denture(FPD)
Bridge =
Fixed Partial Denture
Fixed Bridge
Fixed Prosthesis
Fixed appliance
 Bridge
(Fixed Partial Denture, Fixed Bridge,
(Fixed Prosthesis, Fixed appliance

§ It is a masticating or incisive surface of

metallic and / or non-metallic material
spanning an edentulous space in the dental
arch firmly anchored at one or both ends to
the adjoining teeth ,roots or implants.
Bridge Components
 4 4 3
3
2

1 1

Bridge Components:
1-Abutment , 2- Pontic , 3- Retainer& 4- Connector
 1- Abutment

§ It is a natural tooth or root or implant

which support and retain the bridge at one
or both terminals..
 Pier abutment
((Intermediate abutment tooth

§ It is an isolated abutment tooth where the

anterior and posterior adjacent teeth to it
are missing..
 2- Retainer

§ It is a restoration rebuilding the prepared

tooth and by means of which the pontics are
anchored to the abutment teeth
 3- Pontic (Dummy)

§ It acts as the actual substitute for the lost

tooth and is suspended between the retainers
replacing the lost natural tooth functionally
and esthetically.
 4- Connector

§ It is the part of the bridge uniting the pontic(s)

with the retainer(s) so joining the component parts

of the bridge.
 Connectors
Type

Rigid Non-rigid

§Precission attachment
§Casted
§Non Precission as:
§Soldered
(Occlusal, Lingual &
§Welded
Sub-occlusal rest)
Loop Connector
 Non-rigid connector
Occlusal / Cingulum rest
 Cingulum rest

Occlusal rest
§Non-rigid connector ( Precision attachment
§Difficult to obtain a common path of insertion
Retainers
Pontic
Connectors
)
Bridge Classifications
Classification of Bridge
according to
 I-FPDs classification
according to Retention

Simple Compound

Fixed- Fixed - Fixed –Free Spring

Fixed Supported ( Cantilever ) Cantilever
 Fixed-Fixed Bridge

§ It is a bridge where the retainer and the

pontics are all soldered together and the
bridge is cemented at both ends to the
abutment teeth.
 Fixed- Supported Bridge

§ It is a bridge which is not actually joined

to one of the terminal abutment teeth but is
connected to it by means of a non-rigid
connector allowing some movement of the
abutment tooth.
§
 Fixed- Free Bridge
(Cantilever )
§ It is a bridge where the pontic is fixed to
and derives its support from one or double
retainers at one end only while the other
end is unsupported.

§
 Spring Cantilever Bridge

§ It is a cantilever bridge where the pontic

is at the end of slightly curved resilient arm
deriving its support from an abutment
remote from the edentulous space.

§
 Fixed-
Fixed

Spring Fixed
Sim
Cantil Suppo
ever ple rted

Fixed
– Free
(cantil
ever)
 Compound Bridge

§ It is a combination type bridge

composed of two or more of the simple types.
Compound Bridge
 II-FPDs classification according to
Position

Anterior Posterior
Complex

Unilateral Bilateral
Anterior Complex
Posterior
 2- According to Position

 Anterior bridge.

- unilateral.

- bilateral. (crossing the midline)

 Posterior bridge.

 Complex bridge.
Anterior (Uni-lateral FPD)
Anterior (Uni-lateral FPD)
Anterior (Bi-lateral FPD
Posterior FPD
III-FPDs classification according to
Material

Metal Combination
Non-Metal
3. According to Material

 All metallic.

 All non metallic

- acrylic.

- porcelain.

 Combination.
All - Metallic Bridge
 Non
–Metallic
Bridge
Combination
 WHAT is the difference
between:
Compound,
Combined &
Complex
bridge ?????
OTHERS
 Reinforced Bridge

§ It is a bridge that having a metal

reinforcing frame work embedded within
the acrylic resin or porcelain & remaining
as a permanent part of bridge
 Immediate Bridge

§ It is a bridge with root extension pontic

and is constructed before extraction of the
tooth and seated in position immediately
after the extraction at the same visit.
Immediate Bridge
 Removable Bridge

§ It is a bridge where each retainer consists

of two parts, one part is fixed to the
abutment tooth, and the other one is
soldered to the pontic, and the bridge can
be removed at the will of the patient for
cleaning purpose.
Removable bridge
Inner crowns Outer crowns

(Cylindrical)
Telescopic Crowns
as macro-attachments

Parallel walls provide friction fit

between inner and outer crowns
 Temporary (Provisional )
Bridge
§ It is a bridge made and used
temporarily for the protection of the
prepared teeth, tissue control and
maintenance of the space till completion
and cementation of the bridge.
 Implants Supported Fixed
Prostheses
Surgically placed implants within bone,
and projected through mucosa, on which
abutments are screw retained. Fixed partial
dentures are then constructed over the
abutment
 Hybrid Bridge
§ It is supported by dental implants

§ It is used to replace a complete arch of

teeth & also replace the missing tissues
t h ro u g h u s e o f p i n k , g u m c o l o re d
materials
 Inlay retained Bridge
§ It is a bridge retained by inlay retainer on
both ends

§ It may be anterior or posterior

 Resin Bonded Bridge RBR
(Adhesive , Maryland )
§ It is a restoration consisting of one or two
pontics supported by thin metal or ceramic
retainers ( wings )placed lingually and
proximally on the abutment teeth.

§ It relys on adhesive bonding between etched

enamel and the metal or ceramic retainers.
Thank you