Lecture 3 Flashcards
(18 cards)
contraindications of FPDs
excessive edentulous span
weak abutment teeth
ante’s law
pericemental area of abutment teeth > pericemental area of edentulous spaces
if roots of abutments are absorbed you cannot do this
effect of length on deflection
deflection = length ^3
length is edentulous spaces
effect of connector height on deflection
deflection = 1/Height ^3
ex: 1/2 connector height is 8X deflection
inc connector thickness to decrease deflection
what is the optimum crown to root ratio for FPDs
2/3
1/1 will work but it is minimum
root suface area is important for what?
periodontal support
curved roots are better than straight
divergent roots are better than convergent
which teeth are the worst to be abutments due to their low root surface area?
lateral incisors
what are the options if there are POW complications
- ortho
- intracoronal attachments (lock and key)
- removal of offending proximal contact of adj tooth
pontic that resembled a saddle that is esthetic bc it simulates the contours and emergence profile of missing tooth
ridge lap pontic
not recommended bc difficult to clean the mucosal surface —- leads to soft tissue ulceration
pontic with horrible esthetics (only used in posterior)
has easy plaque control but can’t be use in maxillary arch
hygenic pontic
1-2mm distance btw pontic and mucosal surface
pontic that resembles the hygienic but has an even wider space
modified hygienic pontic
most common pontic design
can be used in anterior and maxillary
esthetic and cleanible
modified ridge lap pontic
floss should go through it
when should metal occlusals be used?
with pts with bruxing, clenching or grinding
pontic used on knife edge ridges
bullet pontic
used on mandibular molars without esthetic requirements
*hygienic should be used on broad ridges
pontic similar to bullet pontic but is not similarly used
ovate pontic
challenge for pts to clean underneath
pontic with only one abutment
cantilevered pontic
pontic should NEVER be distal
where are cantilevered pontics used?
for lateral incisors with canines as the abutment
this avoids intact central incisor prep
abutment that is the middle of a 5 unit FPD
pier abutment
acts as fulcrum during function
the retainers need to be retentive