Abstract Title

Rehabilitation of anterior edentulous area using Porcelain Fused to Metal bridge

Lead Author Affiliation

Doctor of Dental Surgery

Lead Author Status

IDS Year 2

Expected Graduation Date

2019

Presentation Category

Restorative (Direct/Indirect)

Introduction/Context/Diagnosis

ABSTRACT

Cosmetic dentistry is becoming an increasingly important part of everyday dentistry. With the changes in the field of dentistry and the rapid advent of advertisement and awareness among the masses, more individuals are looking into the options of fixed cosmetics, in lieu of removable cosmetic options for the replacement of teeth. However, there are no conclusive evidence-based research studies indicating the superiority of implants over Fixed Dental Prosthesis, when replacement of long span edentulous area is concerned. There are many factors which come into play when choosing a specific treatment plan, which mostly depends on the amount of bone remaining, length of the edentulous span, time, financial status, etc. In this case, we decided to use PFM bridge for the rehabilitation of the anterior edentulous area.

Introduction

A 48- year old female patient visited the dental clinic with the chief complain of wanting to restore her missing anterior teeth using fixed prosthetics options. Pt. was wearing a removable partial denture, but she expressed the desire to have a fixed prosthesis.

Methods/Treatment Plan

The patient was presented with the options of Implants and fixed prosthetics bridge. The CBCT was taken and on evaluation, it was determined that Implants were not a good option for the patient due to immense bone loss. The patient was presented with the treatment plan of having Porcelain fused to the metal bridge for replacing the anterior teeth. Tooth #4, 5, 12, 13 were prepped for abutment teeth, the PFM bridge was designed extending from #4 – 13. The wax-up was done, and the case was presented to the patient and faculty to show the expected outcome. The splint was prepared using wax-up as the base for the fabrication of temporary crowns. Metal framework try-in was done to determine the final fit. After, this the framework was sent to the lab for the final porcelain firing.

Results/Outcome

Patient loved the outcome of the result. Patient reported stable occlusion in all movements.

Significance/Conclusions

These long span bridges can be challenging in fabrication as well as in terms of long-term prognosis. The prognosis of these bridges depends upon several factors such as the compliance of patient to maintain oral hygiene, the choice of material, occlusion, prep design among the few. It is very important to follow all the steps in precise order as far as esthetic smile design cases are concerned. It is prudent for a practitioner to analyze all aspects of the arches before starting with complex rehabilitation cases.

Format

Event

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Rehabilitation of anterior edentulous area using Porcelain Fused to Metal bridge

ABSTRACT

Cosmetic dentistry is becoming an increasingly important part of everyday dentistry. With the changes in the field of dentistry and the rapid advent of advertisement and awareness among the masses, more individuals are looking into the options of fixed cosmetics, in lieu of removable cosmetic options for the replacement of teeth. However, there are no conclusive evidence-based research studies indicating the superiority of implants over Fixed Dental Prosthesis, when replacement of long span edentulous area is concerned. There are many factors which come into play when choosing a specific treatment plan, which mostly depends on the amount of bone remaining, length of the edentulous span, time, financial status, etc. In this case, we decided to use PFM bridge for the rehabilitation of the anterior edentulous area.

Introduction

A 48- year old female patient visited the dental clinic with the chief complain of wanting to restore her missing anterior teeth using fixed prosthetics options. Pt. was wearing a removable partial denture, but she expressed the desire to have a fixed prosthesis.