Introduction to Fixed Prosthodontics Part II UPDATED
ACTUAL Questions and CORRECT Answers
Explain why the replacement of missing · Esthetics
teeth is important. o Especially for anterior teeth
· Function
o Equal workload throughout the dental arch
· Prevent realignment of teeth
o The dental arch is in a state of dynamic equilibrium, with
teeth supporting each other.
o When a tooth is lost, the teeth adjacent to and/or opposing
the edentulous space frequently move into it.
- Common for the teeth distal to the space to tilt mesially
· Aka tilt forward
-Causes periodontal and occlusion issues
What is the prerequisite for formulating an Making a correct diagnosis!
appropriate treatment plan? This requires all pertinent information be obtained prior to
treatment.
· Medical History
· Patient’s Chief Complaint (comfort, function, social aspects)
· Dental History and Clinical Examination
o Restorative, Periodontal, Endodontic, Orthodontic,
Removable Prosthodontic, Oral Surgery, TMJD
o Caries Risk Assessment
· Radiographic Examination
· Diagnostic Casts
· Diagnosis and Prognosis
· Treatment Plan and Sequence
, Are students required to create a YES!
Prosthodontic Treatment Plan for ALL Students must prepare the following prior to presenting
partially edentulous patients? patient cases to DDS Prosthodontic Faculty:
-Current Radiographs
-Periodontal Charting/Consultations
-Restorative Treatment Plan (pending approval)
-Caries Risk Assessment
-Mounted Diagnostic Casts (using a facebow and patient’s
correct OVD)
-Completed PDI form (Prosthodontic Diagnostic Index which
classifies patients from straight-forward to complex cases)
-Integrated Treatment Planning form
-Fixed Prosthodontics Treatment Planning form with proposed
prosthodontic treatment plan
The partially edentulous patient can replace - Dental Implants (single or implant supported Fixed Partial
missing teeth by one or more of the Denture)
following: - Tooth Supported Fixed Partial Denture (FPD)
-Removable Partial Denture (RPD)
· Several factors must be weighed prior to choosing:
Biomechanical, periodontal, esthetics, financial...
Removeable partial denture: span length -posterior spans longer than teeth
-anterior spans longer than 4 incisors
-canine + 2 or more contiguous teeth
Removeable partial denture: Span -no distal abutment
configuration -multiple or bilateral edentulous spaces
Removeable partial denture: Abutment -tipped abutments can be tolerated
alignment& condition -widely divergent abutment alignment
-short clinical crowns
-insufficient abutments
Removeable partial denture: occlusion -more adaptable to irregularities in a healthy opposing natural
dentition
Removeable partial denture: periodontal -can use alternate (secondary abutments) when primary
condition and ridge form abutments are weakened
-gross tissue in residual ridge
Removeable partial denture: general -dry mouth poor RPD risk
features -limited patient finances
-acceptable oral hygiene
-reliable recall candidate
-treatment simplification
-advanced age
-systemic health problems
-more adaptable to dentition in transition to edentulous state
ACTUAL Questions and CORRECT Answers
Explain why the replacement of missing · Esthetics
teeth is important. o Especially for anterior teeth
· Function
o Equal workload throughout the dental arch
· Prevent realignment of teeth
o The dental arch is in a state of dynamic equilibrium, with
teeth supporting each other.
o When a tooth is lost, the teeth adjacent to and/or opposing
the edentulous space frequently move into it.
- Common for the teeth distal to the space to tilt mesially
· Aka tilt forward
-Causes periodontal and occlusion issues
What is the prerequisite for formulating an Making a correct diagnosis!
appropriate treatment plan? This requires all pertinent information be obtained prior to
treatment.
· Medical History
· Patient’s Chief Complaint (comfort, function, social aspects)
· Dental History and Clinical Examination
o Restorative, Periodontal, Endodontic, Orthodontic,
Removable Prosthodontic, Oral Surgery, TMJD
o Caries Risk Assessment
· Radiographic Examination
· Diagnostic Casts
· Diagnosis and Prognosis
· Treatment Plan and Sequence
, Are students required to create a YES!
Prosthodontic Treatment Plan for ALL Students must prepare the following prior to presenting
partially edentulous patients? patient cases to DDS Prosthodontic Faculty:
-Current Radiographs
-Periodontal Charting/Consultations
-Restorative Treatment Plan (pending approval)
-Caries Risk Assessment
-Mounted Diagnostic Casts (using a facebow and patient’s
correct OVD)
-Completed PDI form (Prosthodontic Diagnostic Index which
classifies patients from straight-forward to complex cases)
-Integrated Treatment Planning form
-Fixed Prosthodontics Treatment Planning form with proposed
prosthodontic treatment plan
The partially edentulous patient can replace - Dental Implants (single or implant supported Fixed Partial
missing teeth by one or more of the Denture)
following: - Tooth Supported Fixed Partial Denture (FPD)
-Removable Partial Denture (RPD)
· Several factors must be weighed prior to choosing:
Biomechanical, periodontal, esthetics, financial...
Removeable partial denture: span length -posterior spans longer than teeth
-anterior spans longer than 4 incisors
-canine + 2 or more contiguous teeth
Removeable partial denture: Span -no distal abutment
configuration -multiple or bilateral edentulous spaces
Removeable partial denture: Abutment -tipped abutments can be tolerated
alignment& condition -widely divergent abutment alignment
-short clinical crowns
-insufficient abutments
Removeable partial denture: occlusion -more adaptable to irregularities in a healthy opposing natural
dentition
Removeable partial denture: periodontal -can use alternate (secondary abutments) when primary
condition and ridge form abutments are weakened
-gross tissue in residual ridge
Removeable partial denture: general -dry mouth poor RPD risk
features -limited patient finances
-acceptable oral hygiene
-reliable recall candidate
-treatment simplification
-advanced age
-systemic health problems
-more adaptable to dentition in transition to edentulous state
