Biologic Consideration in Fixed Prosthodontics PDF
Document Details
Uploaded by FormidableGiant
Cairo University
2020
Prof. Gihan Elnaggar
Tags
Summary
This document, titled "Biologic Consideration in Fixed Prosthodontics," is a set of lecture slides. The slides cover various biological considerations in fixed prosthodontics for restorative dentistry, including preoperative, operative, and postoperative procedures.
Full Transcript
consideration Biologic In fixed Prosthodontics S D ' -...
consideration Biologic In fixed Prosthodontics S D ' - § T E.tn - is egg. s e # Eet 3 be g D a ' o ' * 8 F.I - t 3 g- i s g g @ ERE o 1- n 8 B. Est o one es E S se BE - * § go.ee or 89 CP s * up I see E 8 ' → 5 I § -0 I + E ECT ya - TF se ← - → → EE = SEE is ↳. 8 ↳ a- of -73 I = A to ¥ d or ± E d- n# E ES E or S is o ' E s O g si E tf EE § i got ③8 u E - E je S ein Ein og E Este ← o Bon z g - EE - E I 8*0 EE E Ee F e E fo - s of y i. → x i § so E.¥ ÷ J org f - s ' g s I ← 3€ 95 I § ¥ IT -0 - E I. 5 → → ± - E of as a ie " ⇐ = u s E 3 3 u I so * e TE S ' o s at E S - 8 a -0 > u B.e 8 s o = Is 8=1 § o a § O O - n E f- E In ¥ I ± I ± at S S s S -0 @ EEE. →E. Ee 'T E E' e.EE - a Eg see £8 - die 98 ' 5 ' s w O 8 € = JI - E En od e fer g e ' 53 t 1- g E u f- - E 88 8 o ③ I ° I a- B 1- - T t -1 s S E is so 5. s g F ← is 3 E N E 8 I 8- E s → 8 I → 8 I £ ¥ : I ' s I § - ⇐ S T EE gone - → £ ± 1- so See it had e- 8 g a 1- - D f. E ET Es Et w 'T Ivi it = or is i n e , I i €8 T i n - s B t is s / to 8 I e a- e - ° 8 I e.ee / E B e go EEE ni ni - - i I. h ' Ji II ' - - ' s y I § B E O / * " Es ¥ " | - I ¥ e 8 E " m H E or ÷ T -0 119 5 " E ¥ I ② 8 Eh 8.n - a 5 I GD E €8 Is so E T S S o ± 3 is & E F s → a 1- I E E it § E e no Q s E £ E E E s hen o te 9 8 50 8 if I ± -9 IT E Q - e e § or od : S is 8 E B T J D → : E o E ⇐ IT µ I * ¥ E Es CE " p " d. I I so O - B ft u of T ET e e5 B s S p O ↳ E ET T JE > 8. 8 ad is S - § T 1- r Ess 380 get e 1- E n s s S E Foto pie 3+0 - s s - of € I 8 → EE E s 80 Jie - O Sj I es EEE ' - e s o o ' - s E d- B SI es di se ne → I 1- Is 05 ¥ a → § & ¥ ¥ £ O E O £ IE µ E i. I ± er i E e S § is F ÷ E s E § s n 1- o 3 E ETE Es e O s o O u to ° B u I E - O G - u 8 o go E Boe 58 → Iie If °s e = Foot to - ° is ' ± m s s i si o or e T T o S e - a ¥ & = -88 = @ I 3=0 Ep 's boss G s - 3 88 → od et D O jos < g) ± Es 5- ± It D I G £ € = s 8 I I @ Ex +0 E - is g E e is → = D on u 35 ou 8 → YE to 3 e Np Es I 5 g IE EE f E s Erie Eg e d or is EEE a → § No S ¥ I s E x o to E F J J s §. Be - Buff d. E N o o + or of -N= E ro Tai - I µ M is § § u god as Ossi is soo 'd s o O Ed u - E s ¥ E E E D S I b on his I B gu e -8 IT T s E J O s O U e - e b T n e E E SE si se, or is e → g Cl yo e O e - I I , N si t Ob en + § is o ③ 08=8.80 -1 Otter → ↳ ' you m 08 vivi 8 £ e : § ¥ = To → ¥ in ' +05 e T → a O I ± E § E 8 § ± T § : 1- or s f - 's - - + o o Os ne s E ' - 00 or see § s E ie s s o s ±. - I 3 is is a b e n n e U o es E s e I s so ± ou s os s t Te - T O O 's o o_0 8 S 1- O s be o Cl s I O o → y E s 8 ET g e I I - T J is O 9 E o n f 3 E s n E - op - t. s oft JEE Fez 3 £4 > - E g - g s - s EEP Bee is.IO -0.00 e is et ? n n ' 8D je g it 3 - E o O D U o o Cx U S J 1- got 0 t o o.io is E t to Ed I is a o T is O e s → as a - E x - x s Ci f o ? g Ce et e E i → is → as S E s ok 8 I § of 1- is o o > S E E t S I W g f ' d or Q le - § or a 8 ±. is - U t e or I =P T os ° or 0 I e E = 1- O O b s + E 8 E e n et og s s I o d u s + E E E E E± O es U s - - T E T s - e as I or a 5 T ⇐ § or E & B S o t e E § s s § so t I or B E ° 1- is o § & a- Es > so is its e E s a- Es or I t r f s - p € - E S E E E is E n of - s SEE IF € 9 a Of ÷ or O § or ois E B E wi I Ets Mis E E - th e ± E ' s £ ÷ ¥ ¥ E = + if E S t th E - N s on 0 a S o os J E IT 8 T a o S O O ' e is a + o e o s G T → is DE ← I E E e u to o r f E i E e n is O S o m t e 3 u n o I n ie Fei YI n E O U § Toi St E E ten to atone by ⇐ o I £ or if I a- ± o → E t s s O Cl - Q it x E s - ee E E H e - ← M j ± ÷ -8 T u a -0 + → u o -0 → → 1- -8 I g E J o X is 3 I § 3 5 µ § 5 E Es ↳ I o → is I os e § > = - e ¥ & e £ ± § T ± E i÷÷÷÷ a , l l a d E H E H ' o v E E - E 9 l I § ' E T of o = ist l # t I H ± si o F s O D O o o E E if foe s s or 88 I or a- of EE JB µ 0¥ E Is o EE 9 * 9 1- £ p u i: I -3 0 § 'S 8%5 E ' E To o E 's g * o Eat ' is s O E § E g e H : o ¥ ± I toe to see ÷ S I ¥ E → 's sq P O 's E.es T o , we see > Of - E E or St ' ⇐ s i O S ng FO ft e je or E a- or O n u so I is s o ← I r - O b E T s § is Os E & E B ' g e e or u ee a E T b E s cs = - I ii. 5 T F OT § Is - 1- § or → e e- to H H " : § g I ± ± £ → § ios ne et I E → ± O ¥ § is ÷ S e e E E T t ti e o s S E -8 → I T 8 T is = E T S T O E se E J 's N u E se I E g 3.es ¥88E * TT f EE EE TE e of t e - A. Se e- ± _m E 3D - T ± T 3 8 E E N e u → ⇐ T o e - E Es E to 8 - I → E - so If I 3 - e et e -.is I to E- E * e. I e a- T J E it is. E e se 3 or → E ↳ E es er = E ie e e s O ne un e t B o - s t P if = J n ie s e I s +0 so cs e U g @ O n s O S is G g a ' p E n e Es x e B s E g os s e og s f ' E o N z n - 8 IT E err e e to e → ' s D § E B E J i =. E s go § ÷ § I T 5 ± → I g t s Os s g ÷ 's o e s s s p it Is b e s E tog b e at T O - → T no 1- T E n o s E y. - E o E & I got → § ie O r t 5 E sit to = + I Gen n - s E E e e - 1- I u s Q ' - I s t e s I II is d s 8 E , i 8 s ¥ i ⇐ to it ; e s I - ± E E Es B § E - - → o E EE t 9 x § - O od ÷ : { ¥ so 1- ⇐ I 8 o S O E - X is a 118 Z F ¥ G i 0 ÷ E 3¥ ⑧ I -1 f- Eton B ng -0 IEEE E G e e 'T 3553 - → µ ÷ E § E & BT if EE is I 58¥ is Tej E s doe n NEE s b o O 8 £ ÷ E E ± I b B et s § ⇐ ± = Esg Ii 8 3 E E E S O ÷ CF i EE I 8 ie T J - o 8 ' £ X u t EE o te p e - 1- ee Sg = Ee E T ee n 00 E es ie n e se d Ee o IE 1- → DX E ' is EE EE or E E ooo - o e d IT is I e s → o - Io Ot e j o ate it T E O * = ? ' is y I e 1- G E E I I pfe TE E EN ET ' est re → Ew u I s * H p " O IE ' p ' Y S t -0 I T RE I J T -. @ - T T E I j os ' E E or s s s I or I I = § I B * E E E 's 8 to t.ae F 8 - ji - e E E ← 11+8 ← I E e + e e a X n p oe. I n re e e es s ' X £ £ c ± ' § - § 1- § { ⑦ ⑥ I i -0 S ' 8 is 1- I § IS u E E - n I EFE s of V P B Oo § I z ut f I Os s s T P E - Eg B 3 E - g - is u O ③ 8. s O T o - # c. is o OE P E ET ES E ET nos s s +0 of E o E o ex on e. J s o e as T → §§¥ED. E T 0 FT O go E o § Ee toy -9 I ¥ E E F E - G → G ni - e 8 g t t w # to O g x -. C- T O Q s o o S E t 3 g e to e a 0 E 8 O E T B B T J u E t - e Cl is E E s e § § → ÷ ↳ § DqisYfi8in - The use of low speed - contra in crown. ② Groove placement ⑦ Finishing before cementation to prevent Chlorhexidine is used under the restoration bacterial entrapment and loss of attachment width ? Recession If we violate the biologic Defective Inam plea under restorations is attributed to : margin andy caries Pulpal damage removal ✓. short fan be removed according to : of dentin should - Minimum amount amount of Pulp morphology - Type of restoration - - caries. - need for retention and resistance. of short clinical crown in case is the most common tooth to be exposed Mandibular canine reduction during. what are the factors associated with post-operative sensitivity. unsealed dentinal tubules tubules open margin dentinal - with A number of wt ' - without varnish - defective margins - Irritant cement in deep prep Immediate dentin sealing ( IDs ) helps in h bacterial contamination and 9 bond strength - t sensitivity remnants of cement. will mechanical problem Increasing prep taper cause a which is retention and resistance. Biological → Exposure. Max Convergence angle is to -15 20 degrees -. 9 and ideal the angle between two axial walls The is convergence angle. between the long axis of tooth and one Taper is the angle axial wall. Planner Occlusal reduction Anatomical → Preservation of pulp vitality - - Better stress distribution of restoration - Uniform thickness. cervical extension of the Avoidance of unnecessary width Why ? to avoid violation of biological. prep. ? recently accepted " lgisedantmerai onr are why are equigingivalmargins finished and polished and no longer be easily , - Can teeth retention factors. plague. act as disrupted by supra - erupted or tilted teeth ? if occlusion is supra-e-ruptedc.nametasty hop → Overlay → En dot crown → ortho Tilted selective Prep Ortho Pagoutieralage. → → Rotated - Deal with it as a normal tooth. Vertical Prep Vs Verti prep - F-Feather FL more conservative , but requires strong material. Zirconia and porcelain are accepted. Only problem is Chipping in milling. for metallic and All ceramic Clinically accepted marginal gap All ceramic → 150 Nm. metal → 50 Nm to root dentin conserving. Endo crown is more