TREATMENT OPTION

FOR PATIENT WITH

TOOTH LOSS
GROUP:D1
CASE REPORT:

• A patient presented to us with missing mandibular

1st molar (tooth#46),
2nd molar (tooth#47) and
1st premolar (tooth# 34)
• According to Kennedy's classification, the patient had class
III with modification 1.
TREATMENT OPTIONS:
Fixed
- Fixed partial denture on teeth
- Implant as an abutment.
Removable
- Removable partial denture.
- Removable overdenture on implant
FIXED PROSTHESIS:

1. Fixed partial denture on teeth:

• A bridge consists of two or more

anchoring teeth called the abutment
teeth.
• A false tooth in between called pontics.
Procedure:
• Duringfirst visit abutment teeth are prepared. Preparation
involves recontouring these teeth by removing a portion of
enamel.
• Next, impressions of teeth are made, which serve as model
from which bridges, crowns and pontic are made in dental
lab.
• A temporary bridge is placed to protect the exposed teeth.
• During second visit temporary bridge is removed and new
metal or porcelain bridge is placed.
2. IMPLANT AS AN ABUTMENT
• Damaged tooth is removed
• Grafting of jaw bone: This is done when jaw bone is not thick
or too soft.
• Dental implant placement: In this holes are drilled into the
bone where the dental implant metal post will be placed. Post is
implanted deep into the bone because it serves as the root.
• Bone growth and healing: In this process of osteointegration
begins.
• Abutment placement: In this surgery is done to place the abutment.
• Artificial tooth placement: In this crown is cemented with abutment.
REMOVABLE PROSTHESIS:
1. REMOVABLE PARTIAL DENTURE:-
• A removable partial denture usually consists
of replacement teeth (artificial teeth) attached
to a pink or gum-colored acrylic base
(denture base), which is connected by metal
framework (clasps) that holds the denture
in place in the mouth.
2. Removable overdenture on implants
Procedure:
• Dental implants are placed in the jaw bone and anchor
replacement teeth.
• The removable denture are secured by implants.
THANK YOU !