classification and configuration for fixed partial dentures/dental courses

Classification
and
configuration for
fixed partial
dentures.
INDIAN DENTAL ACADEMY
Leader in continuing Dental Education
www.indiandentalacademy.com

contents
 Introduction
 Classifications
 Factors Influencing Design
 Configurations
 Conclusion
 References www.indiandentalacademy.com

Introduction

classification
A) Depending on the location and
number of teeth to be replaced:
 Simple
 Complex / Compound

B) Depending on the support for FPD:
 Conventional Tooth-Supported FPD.
 Resin-Bonded Tooth-Supported
FPD.
 Hybrid Bridges.
 Implant-supported FPD.

 Resin-Bonded Tooth Supported FPD’s:
Rochette Bridge
Maryland Bridge
Cast Mesh FPD
Virginia bridges

 Hybrid Bridges:

C) Depending on the type of
connector :
 fixed fixed partial denture
 fixed movable partial denture
 removable fixed partial denture
 modified fixed removable partial
denture
 Combination fixed partial denture

Fixed Fixed Partial Denture:

Fixed movable partial denture:

Fixed Removable Partial Denture:

Modified Fixed Removable Partial
Denture / Andrew’s Bridge system.

D) Location of the edentulous space:
 class I –posterior edentulous space.

 Class II-Anterior edentulous space

 Class III-Antero-posterior edentulous
space.

 Division I-Cantilever FPD

 Division II-Conventional FPD

 Division III-pier abutment

• Subdivision I-ideal abutment

• Subdivision II-Tilted abutment

• Subdivision III-periodontally weak
abutment

• Subdivision IV-Extensively damaged
abutment.

• Subdivision V-Implant abutment.

 Group A-
 Group B-

E) Length of the edentulous span
Short span bridges
Long span bridges

F) Type of material used:
 All metal crowns
 Metal ceramic crowns
 All ceramic crowns
 All acrylic crowns

G) Bridges which require minimal
preparation:
 Macro-retention
 Micro-retention

Factors influencing Design:
 Crown length
 Crown form
 Degree of Mutilation
 Root length and form
 Crown-Root ratio
 Ante’s Law
 Periodontal Health

 Mobility
 Span length
 Axial alignment
 Arch form
 Occlusion
 Pulpal health
 Alveolar ridge form
 Age of the patient
 Phonetics
 Esthetics

 Long-term abutment prognosis
 Psychological factors
 Operator skill

Crown length
adequate occluso-cervical length for sufficient
retention.
short clinical crowns----
full-coverage crowns/perio.surgery.

Degree of mutilation
size,number,and location of
carious lesion or restoration affect
whether full- or partial- coverage
retainers are indicated.

Crown form
tapered crown form—full coverage
crowns.
thin translucent incisal edges—
partial coverage retaianers
unacceptable.

Root Length and form
roots with parallel sides and
developmental grooves provide better
stability.

Crown-root ratio
higher the ratio—decreased stability.
1:1.5 considered satisfactory.
1:1 considered minimal.

Ante’s Law
combined Pdl area of the abutment
teeth should equal or exceed that of the
tooth or teeth being replaced.
Periodontal health
periodontal disease if present should
be treated before,definitive treatment is
begun.

Mobility
its magnitude and cause must be
evaluated.

Span length
distance between abutment teeth
affect feasibility of placing a FPD.
replacement of one to two teeth is
easily accomplished.
replacement of three teeth require
careful evaluation.

Axial alignment
the crowns of proposed abutment
must be sufficiently well aligned.
malalignment may require
orthodontic correction / devitalisation.

Arch form

Pulpal health
abutment teeth with poor pulpal
health should receive endodontic
treatment prior to tooth preparation.
Long-term abutment prognosis
removable prosthesis may be
advantageous,when,the ability of the
remaining supporting structures to
accept excessive occlusal forces is
questionable.

Alveolar ridge form
considerable loss of alveolar bone
may not allow the use of pontics of
normal size or their placement to best
support the lips and cheeks to restore
normal facial form.
Age of the patient
in mouth of adolescents fixed
prosthesis is usually contraindicated
due to incomplete eruption of the teeth
and large pulp chambers.

Phonetics
existence of large alveolar bone
defect may not allow pontics to help the
patient produce normal phonetics.
Psychological factors
most patient accept fixed partial
dentures more normally than
removable partial dentures.
Operators skill

configurations

Simple FPD (one tooth)

Complex FPD (single tooth)

Simple FPD (two teeth)

Complex FPD (two tooth)

Complex FPD (more than two
teeth)

Complex FPD (pier abutment)

conclusion
 It must be realized that all these complex
factors cannot be readily defined or
positioned in order of significance.
 Relative importance changes with individual
mouth,each new patient presents new
problems and new difficulties to the novice.
 Operator should develop and possess the
skill to design a prosthesis depending upon
its classification and configuration.

References
 R.W.Dykema; C.J.Goodacre;R.W.Phillips Jonston’s
Modern Practice in fixed prosthodontics.4th Edition.
Philadelphia: W.B.Saunders company;1986.
 Herbert T.Shillingburg;S.Hobo;et al Fundamentals
of fixed Prosthodontics.3rd
Edition.Chicago:Quintessence;1997.
 Joseph E.Ewing , Fixed
Partial Prosthesis.2nd
edition. Philadelphia:Lea &
Febiger;1959.
 Katsumi Tamura;J.A.Fowler,Jr. Essentials of
Dental Technology.ed.Tokyo: Quintessence;1980

 A.Damien Walmsley et al. Restorative Dentistry.ed.
China:Churchill Livingstone;2002.
 Stephen F Rosenstiel;Martin F Land;J Fugimoto.
Contemporary Fixed Prosthodontics. 3rd
Edition.Missouri:Mosby.2002.
 W F P Malone;David L Koth;et al
Tylman’s Theory and practice of Fixed
Prosthodontics.8th
Edition.USA,Mdico Dental Media
Interntional Inc.2002.
 Deepak Nallaswamy, Text book of Prosthodontics.
Ed. New Delhi, Jaypee Publishers. 2003.

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classification and configuration for fixed partial dentures/dental courses