4. Indications and contraindications for prosthetic treatment

Question 1

Types of indications for prosthetic treatment

Answer 1

• Prophylactic
• Functional
• Esthetic

Question 2

Prophylactic indications

Answer 2

• Ensuring proper mandibular growth up to 18yr
• Keeping mixed dentition in place for eruption of permanent teeth
• Preventing godons phenomenon
• Re-arranging masticatory pressure when treating partial edentulation
• Decreasing atrophy of alveolar bone

Question 3

Functional indications

Answer 3

• Masticatory speech and function violated

Question 4

Esthetic indications

Answer 4

• Partial edentulation in visible area
• Change of colour of anterior teeth
• Non aesthetic fillings of anteriors
• Non esthetic prosthetic constructions
• Dental abrasion

Question 5

Types of contra-indications for prosthetic treatment

Answer 5

• Temporary(short term)
• Continuous
• Permanent

Question 6

Temporary/Short term contra-indications-LOCAL

Answer 6

Local
* Poor oral hygiene(calculus)
* Periodontitis
* Untreated teeth and roots

Question 7

Temporary/Short term contra-indications-GENERAL

Answer 7

General
* Patient unwelll
* Infectious diseases(measles,rubella)
* Infection of upper respiratory tract w/ frequent cough

Question 8

Continous contra-indications-LOCAL

Answer 8

• Require continous treatment
• Mucosa-recurrent aphthous stomatitis, candidosis
• TMJ-osteomyelitis, fracture
• Recovery period after cancer surgery

Question 9

Continous contra-indications-GENERAL

Answer 9

• Infectious diseases requiring continous treatment
• Hepatitis
• Syphilis
• Viral bronchopneumonia

Question 10

Permanent contra-indications

Answer 10

• Contra-indications for specific types of prosthetic constructions
• Partial denture w/ sharpened edge of clasp contra-indicated in patient w/ haemophillia
• Removable acrylic partial denture in patients w/ leukemia

• In haemophilia case orthodontic wire w/ spherical ball used instead as risk of mucosal injury and bleeding
• In leukemia patients ulcers that dont heal may be present-crowns and bridgees w/ supra-gingival margin used instead

Question 11

Information contained in treatment plan

Answer 11

1. Type of denture
2. Prosthetic construction of each jaw
3. Abutment teeth
4. Direct retainers
5. Denture materials

1.Fixed, removable, combined
2.Bridge, clasp, retained acrylic partial denture, metal framework partial denture
3.-
4.Clasps, telescopic crowns, bar attachments
5.Metal alloys, ceramics, plastics or combination