Additional Information
Book Details
Abstract
Concise Prosthodontics is a comprehensive exam preparatory manual written in question and answer format as per the syllabus prescribed by the Dental Council of India. Tailor-made answers to the frequently asked examination questions are provided. The book has more than 332 line illustrations , numerous flowcharts and tables to make the text self-explanatory. The book is primarily meant for undergraduate students but will also be helpful to postgraduate students for reference purpose.
- Covers the entire syllabus prescribed by the Dental Council of India in the form of questions and answer
- Provides simple, comprehensive and complete answers to questions
- Has Key Facts at the end of each chapter for quick recapitulation of the learnt topics
- Includes Question Bank at the end of the book to complete the preparation for exams
- Line diagrams are used extensively to improve understanding and reproducibility
- Primarily for UGs but will also be useful for students preparing for PG entrance exams
Table of Contents
Section Title | Page | Action | Price |
---|---|---|---|
Front cover | Cover | ||
Front matter | i | ||
Concise prosthodontics | iii | ||
Copyright | iv | ||
Dedication | v | ||
Preface to the second edition | vi | ||
Preface to the first edition | vii | ||
Acknowledgements | viii | ||
Table of Content | ix | ||
I Complete Dentures | 1 | ||
1 Introduction to edentulous state | 2 | ||
Introduction | 2 | ||
Parts of complete denture | 3 | ||
Denture surfaces (fig. 1-1) | 3 | ||
Impression surface | 3 | ||
Polished surface | 3 | ||
Occlusal surface | 3 | ||
Component parts of complete denture (fig. 1-2) | 3 | ||
Denture base | 3 | ||
Purpose | 3 | ||
Acrylic denture base | 4 | ||
Advantages | 4 | ||
Disadvantages | 4 | ||
Metallic denture base | 4 | ||
Advantages | 5 | ||
Disadvantages | 5 | ||
Denture flange | 5 | ||
Denture border | 5 | ||
Denture teeth | 5 | ||
Residual ridge resorption | 6 | ||
Pathology of RRR | 6 | ||
Pathogenesis | 6 | ||
Aetiology | 6 | ||
Treatment and prevention | 7 | ||
Importance of temporomandibular joint in complete dentures | 7 | ||
Role of TMJ in biomechanical phase of the prosthetic rehabilitation | 8 | ||
Importance of patient motivation and patient education | 9 | ||
Patient motivation and education | 9 | ||
Physiological rest position and its importance | 10 | ||
Morphological changes associated with edentulous state | 10 | ||
Soft tissue changes in denture patients | 11 | ||
2 Diagnosis and treatment planning for edentulous patients | 14 | ||
Introduction | 14 | ||
Mental attitude of the patient | 15 | ||
House classification | 16 | ||
Extraoral examination | 16 | ||
Facial examination | 16 | ||
Facial form | 16 | ||
Facial profile | 17 | ||
Facial height | 17 | ||
Facial complexion | 17 | ||
Lip examination | 18 | ||
TMJ examination | 18 | ||
Neuromuscular examination | 18 | ||
Speech | 18 | ||
Neuromuscular coordination | 19 | ||
Mandibular movements | 19 | ||
Muscle tone | 19 | ||
Intraoral examination | 19 | ||
Oral mucosa | 19 | ||
Maxillary basal seat | 20 | ||
Mandibular basal seat | 20 | ||
Residual alveolar ridge | 20 | ||
Height of the residual ridge | 20 | ||
Shape of the residual ridge | 21 | ||
Arch form | 21 | ||
Arch relationship | 21 | ||
Interarch space | 22 | ||
Ridge parallelism | 23 | ||
Hard palate | 23 | ||
Soft palate | 23 | ||
Sensitivity of the palate | 24 | ||
Tori | 24 | ||
Fibrous cord-like ridge | 24 | ||
Tongue | 24 | ||
Tongue size | 25 | ||
Classification | 25 | ||
Problems with enlarged tongue | 25 | ||
Management in patient with large tongue | 25 | ||
Tongue position | 25 | ||
Malignant and premalignant changes | 26 | ||
Frenal attachments | 26 | ||
Floor of the mouth | 26 | ||
Saliva | 26 | ||
Bony undercuts | 26 | ||
Palatal throat form | 26 | ||
Lateral throat form (postmylohyoid space) | 27 | ||
Ageing | 27 | ||
Characteristics of ageing | 28 | ||
Physiopathological conditions of ageing | 28 | ||
Psychosocial changes | 28 | ||
Effects of ageing | 28 | ||
Oral changes | 28 | ||
Oral mucosa and skin changes | 28 | ||
Residual bone and maxillomandibular relation changes | 28 | ||
Disuse atrophy | 28 | ||
Changes in size of the basal seat | 28 | ||
Maxillomandibular relations | 28 | ||
Tongue and taste | 29 | ||
Salivary flow and nutritional impairment | 29 | ||
Gag reflex | 29 | ||
Aetiology | 29 | ||
Systemic disorders | 29 | ||
Psychological factors | 29 | ||
Physiological factors | 29 | ||
Social causes | 29 | ||
Pavlovian conditioned reflex | 29 | ||
Management | 29 | ||
Clinical techniques | 30 | ||
Radiographic technique | 30 | ||
Prosthodontic management | 30 | ||
Pharmacological measures | 30 | ||
Psychological intervention | 30 | ||
Role of saliva | 30 | ||
Pre-extraction records and their importance | 31 | ||
Radiographic evaluation | 32 | ||
Nutritional requirement of edentulous patients | 32 | ||
Proteins | 33 | ||
Carbohydrates | 33 | ||
Fibres | 33 | ||
Fat | 33 | ||
Vitamins | 33 | ||
Minerals | 33 | ||
Water | 34 | ||
Role of nutrition in prosthodontics | 34 | ||
3 Mouth preparation of complete denture patients | 35 | ||
Introduction | 35 | ||
Nonsurgical methods | 35 | ||
Preprosthetic surgery | 36 | ||
Minor preprosthetic surgical procedures | 36 | ||
Alveoloplasties | 36 | ||
Frenectomy | 37 | ||
Excision of redundant soft tissues, papillary hyperplasia or epulis fissuratum | 37 | ||
Maxillary tuberosity reduction and exostosis removal | 37 | ||
Tori removal | 38 | ||
Palatal tori | 38 | ||
Technique | 38 | ||
Mandibular tori (Fig. 3-3) | 38 | ||
Mylohyoid ridge reduction | 38 | ||
Ridge augmentation | 39 | ||
Rationale of ridge augmentation | 39 | ||
Factors affecting ridge augmentation success | 39 | ||
Diagnosis and treatment planning | 39 | ||
Vestibuloplasty | 40 | ||
Indications | 41 | ||
Contraindications | 41 | ||
Techniques | 41 | ||
Mucosal advancement | 41 | ||
Secondary epithelialization (Fig. 3-5) | 41 | ||
Epithelial graft vestibuloplasty | 41 | ||
Lip switch procedures (transitional flap vestibuloplasty) (Fig. 3-6) | 42 | ||
Resilient liners | 42 | ||
Ideal requirements of resilient liners | 43 | ||
Composition | 43 | ||
Role in edentulous patient | 43 | ||
Drawbacks | 43 | ||
Role of tissue conditioners | 44 | ||
Uses | 44 | ||
Composition and characteristics | 44 | ||
Causes of abused tissues | 44 | ||
Treatment of abused tissues | 44 | ||
4 Impressions in complete dentures | 46 | ||
Introduction | 47 | ||
Impressions | 47 | ||
Definitions | 47 | ||
Retention | 47 | ||
Biological factors | 48 | ||
Anatomical factors | 48 | ||
Physiological factors | 48 | ||
Muscular factors | 49 | ||
Mechanical factors | 49 | ||
Physical factors (Fig. 4-2) | 50 | ||
Psychological factors | 50 | ||
Surgical factors | 50 | ||
Stability | 50 | ||
Definition | 50 | ||
Biological factors | 51 | ||
Residual ridge anatomy | 51 | ||
Vertical ridge height | 51 | ||
Arch form | 51 | ||
Palatal vault | 51 | ||
Residual ridge relationships | 52 | ||
Nature of soft tissues covering the ridges | 52 | ||
Importance of modiolus and associated structures | 52 | ||
Mandibular lingual flange | 52 | ||
Influence of orofacial musculature | 52 | ||
Neuromuscular control and education of the patient | 53 | ||
Mechanical factors | 53 | ||
Tooth position and teeth arrangement | 53 | ||
Relationship of the polished surfaces of the denture base to the surrounding orofacial musculature | 54 | ||
Relationship of opposing occlusal surfaces | 54 | ||
Occlusal plane | 54 | ||
Contour of polished surface of denture | 54 | ||
Physical factors | 54 | ||
Quality of impression | 54 | ||
Occlusal rims | 54 | ||
Base adaptation | 54 | ||
Support | 55 | ||
Definition | 55 | ||
Factors responsible for effective support of the prosthesis | 55 | ||
Impression techniques | 56 | ||
Mucostatic impression technique | 56 | ||
Mucocompressive impression technique | 57 | ||
Disadvantages | 57 | ||
Selective pressure technique | 57 | ||
Biological consideration in maxillary impressions | 57 | ||
Hard palate | 58 | ||
Residual ridge | 58 | ||
Rugae | 59 | ||
Maxillary tuberosity | 59 | ||
Alveolar tubercle | 59 | ||
Limiting structures | 59 | ||
Relief areas | 60 | ||
Incisive papilla | 60 | ||
Mid-palatine raphe | 60 | ||
Fovea palatini | 60 | ||
Postpalatal seal | 60 | ||
Anterior vibrating line | 61 | ||
Methods to locate anterior vibrating line | 61 | ||
Posterior vibrating line | 62 | ||
Conventional approach | 62 | ||
Fluid wax technique | 62 | ||
Arbitrary scraping of master cast | 62 | ||
Biological considerations in mandibular impressions | 62 | ||
Buccal shelf area | 62 | ||
Pear-shaped pad | 64 | ||
Residual alveolar ridge | 64 | ||
Limiting structures | 64 | ||
Labial frenum | 64 | ||
Labial vestibule | 64 | ||
Buccal frenum | 65 | ||
Buccal vestibule | 65 | ||
Lingual frenum | 65 | ||
Alveololingual sulcus | 65 | ||
Anterior region | 66 | ||
Middle region | 66 | ||
Posterior region | 66 | ||
Retromolar pad | 66 | ||
Relief areas | 66 | ||
Mylohyoid ridge | 66 | ||
Mental foramen | 67 | ||
Torus mandibularis | 67 | ||
Primary impression | 67 | ||
Definition | 67 | ||
Ideal requirement of impression trays | 67 | ||
Points to consider during tray selection | 67 | ||
Functions of the tray | 68 | ||
Primary cast | 68 | ||
Requirements of a primary cast | 68 | ||
Uses of primary cast | 68 | ||
Custom tray | 68 | ||
Ideal requirements of a custom tray | 69 | ||
Materials used for fabrication | 69 | ||
Adapting relief wax | 69 | ||
Spacer thickness and design | 69 | ||
Method of fabrication | 69 | ||
Sprinkle-on method | 69 | ||
Border moulding | 70 | ||
Multistep or incremental or sectional border moulding | 70 | ||
Refining of maxillary impression trays | 70 | ||
Refining the tissue-bearing areas of the final upper impression | 70 | ||
Refining of mandibular impression trays | 70 | ||
Border moulding of the lingual flanges | 71 | ||
Refining of the tissue-bearing areas of the final lower impression | 71 | ||
Single step or simultaneous border moulding | 71 | ||
Secondary impression or wash impression | 72 | ||
Impression materials | 72 | ||
Impression plaster | 72 | ||
II Removable Partial Dentures | 223 | ||
14 Introduction to removable partial dentures | 224 | ||
Introduction | 224 | ||
Definition | 224 | ||
Classification | 224 | ||
On the basis of type of attachment of the denture to the natural teeth | 225 | ||
On the basis of type of support | 225 | ||
On the basis of type of material | 225 | ||
Indications and contraindications of RPD | 225 | ||
Benefits of RPD | 225 | ||
Indications | 225 | ||
Contraindications | 226 | ||
Classification of partially edentulous arches | 226 | ||
Kennedy’s classification and applegate’s modification | 226 | ||
Kennedy’s classification | 226 | ||
Applegate’s modifications | 228 | ||
Applegate’s rules for applying kennedy’s classification | 228 | ||
Commonly used classification for partially edentulous arches | 228 | ||
W. cummer’s classification | 228 | ||
M. bailyn’s classification (1928) | 229 | ||
F. neurohr’s classification (1939) | 229 | ||
E. mauk’s classification (1942) | 229 | ||
R.J. godfrey’s classification (1951) | 230 | ||
J. friedman’s classification (1953) | 230 | ||
L.S. beckett’s and J.H. wilson’s classification (1957) | 230 | ||
F.W. craddock’s classification (1954) | 230 | ||
Sequential phases in treating a partially edentulous patient with removable prosthesis | 230 | ||
15 Diagnosis and treatment planning | 232 | ||
Introduction | 232 | ||
Objectives of prosthodontic treatment for a partially edentulous patient | 233 | ||
Importance of medical condition of patient before oral examination | 233 | ||
Diagnostic cast and its importance | 233 | ||
Mounted diagnostic casts as fundamental diagnostic Aids in dentistry | 234 | ||
Objective of diagnostic mounting | 235 | ||
Importance of radiographs in removable prosthodontics | 235 | ||
Radiographic evaluation of the abutment tooth | 235 | ||
Bone index area | 235 | ||
Periodontal evaluation of partially edentulous patients | 236 | ||
Signs and symptoms of periodontal disease | 236 | ||
Splinting and its role in prosthodontics | 237 | ||
Definition | 237 | ||
Removable splinting | 237 | ||
Fixed splinting | 237 | ||
Indications | 237 | ||
Contraindication | 238 | ||
Requirements of splints | 238 | ||
Objectives of splinting | 238 | ||
Advantages of splinting | 238 | ||
Disadvantages of splinting | 238 | ||
Removable permanent splints | 239 | ||
Continuous clasp devices | 239 | ||
Swing-lock devices | 239 | ||
Overdentures | 239 | ||
16 Components of removable partial denture | 240 | ||
Introduction | 241 | ||
Components of removable partial denture | 241 | ||
Major connectors | 241 | ||
Definition | 241 | ||
Ideal requirements of major connectors | 241 | ||
Beading of maxillary cast | 241 | ||
Designing of maxillary major connector | 242 | ||
Types of maxillary major connectors | 242 | ||
Single posterior palatal bar (Fig. 16-1) | 242 | ||
Indications | 242 | ||
III Fixed Partial Dentures | 319 | ||
22 Introduction to fixed prosthodontics | 320 | ||
Introduction | 320 | ||
Indications of fixed partial denture (FPD) | 320 | ||
Contraindications of FPD | 320 | ||
Fixed dental prosthesis | 321 | ||
Parts of FPD | 321 | ||
Classification of FPD | 321 | ||
Retainers | 322 | ||
Factors required for ideal retainer | 322 | ||
Selection of retainers | 322 | ||
Extracoronal retainers | 322 | ||
Intracoronal retainers | 322 | ||
Proximo-occlusal inlay (Fig. 22-2) | 322 | ||
Indications | 323 | ||
Contraindications | 323 | ||
Advantages | 323 | ||
Disadvantages | 323 | ||
Mod onlay (Fig. 22-3) | 324 | ||
Indications | 324 | ||
Contraindications | 324 | ||
Advantages | 324 | ||
Disadvantages | 324 | ||
Pontic and its design | 324 | ||
Definition | 324 | ||
Requirement of a pontic | 324 | ||
Pontic design | 324 | ||
Factors affecting pontic design | 325 | ||
23 Diagnosis and treatment planning in fixed partial denture | 333 | ||
Introduction | 333 | ||
Common medical conditions which influence the treatment of FPD | 333 | ||
Diagnostic aids used in fixed prosthodontics | 333 | ||
Diagnostic casts | 334 | ||
Importance of radiographic interpretation for successful treatment planning in fixed prosthodontics | 335 | ||
Abutment and factors influencing abutment selection | 335 | ||
Criteria for selection | 335 | ||
Ante’s law | 336 | ||
Importance of ante’s law | 336 | ||
Different types of abutments used in fixed partial denture | 337 | ||
Residual ridge defects and their management | 340 | ||
Periodontal factors which influence treatment planning in fixed prosthodontics | 342 | ||
24 Design of fixed partial denture | 344 | ||
Introduction | 344 | ||
Different designs in fixed prosthodontics | 344 | ||
Biomechanical factors affecting FPD design | 345 | ||
All ceramic FPDs | 347 | ||
Laminate veneer | 347 | ||
Indications | 347 | ||
Contraindications | 347 | ||
Advantages | 347 | ||
Disadvantages | 348 | ||
Crown preparation | 348 | ||
Steps in tooth preparation | 348 | ||
Labial reduction | 348 | ||
Proximal reduction | 348 | ||
Incisal reduction | 348 | ||
Lingual reduction | 348 | ||
Finishing | 348 | ||
Rationale of restoring an endodontically treated tooth and ideal requirements of post | 348 | ||
Functions of a post | 349 | ||
Ideal requirements of a post | 349 | ||
Prefabricated posts | 349 | ||
Salient features of prefabricated posts | 349 | ||
Tapered smooth-sided post (Fig. 24-4) | 350 | ||
Tapered post with self-threading screws | 350 | ||
Parallel-sided posts (Fig. 24-5) | 350 | ||
Carbon fibre post | 350 | ||
Glass fibre post | 350 | ||
Quartz fibre post | 350 | ||
Light-transmitting post | 351 | ||
Parallel flexi-post | 351 | ||
Steps involved in fabrication of custom-made dowel core | 351 | ||
To remove root canal filling material | 352 | ||
Enlargement of the canal | 352 | ||
Fabrication of dowel core | 352 | ||
Direct technique | 352 | ||
Indirect technique | 352 | ||
Materials used | 352 | ||
Ferrule | 353 | ||
Resin-bonded bridge | 353 | ||
Indications | 353 | ||
Contraindications | 354 | ||
Advantages | 354 | ||
Disadvantages | 354 | ||
Spring-retained FPD | 356 | ||
Advantages | 356 | ||
Disadvantages | 356 | ||
Resin cements used to lute fpds | 357 | ||
CAD/CAM assistance in fixed prosthodontics | 357 | ||
Historical background | 357 | ||
Components of CAD/CAM system | 357 | ||
CAD/CAM production concepts | 358 | ||
Additive manufacturing or 3D printing | 358 | ||
Definition | 358 | ||
Application of additive manufacturing in prosthodontics | 358 | ||
Types of 3D printing | 359 | ||
Subtractive manufacturing | 359 | ||
Uses of the CAD/CAM systems | 359 | ||
25 Clinical crown preparation in fixed prosthodontics | 360 | ||
Introduction | 360 | ||
Finish lines | 363 | ||
Types of finish lines | 364 | ||
Supragingival and subgingival finish lines | 366 | ||
Supragingival finish lines | 366 | ||
Subgingival finish lines | 366 | ||
Indications | 366 | ||
Factors that influence the extent of inflammatory changes associated with subgingival margins | 366 | ||
Porcelain jacket crown | 367 | ||
Preparation of full cast crown | 368 | ||
Occlusal reduction | 369 | ||
Buccal reduction and lingual reduction | 369 | ||
Proximal reduction | 369 | ||
Finishing the preparation | 369 | ||
Indications | 369 | ||
Contraindications | 370 | ||
Advantages | 370 | ||
Disadvantages | 370 | ||
Preparation for partial veneer crown | 370 | ||
Lingual reduction | 370 | ||
Incisal reduction | 371 | ||
Proximal axial reduction | 371 | ||
Additional features | 371 | ||
Proximal grooves | 371 | ||
Proximal flare | 371 | ||
Incisal offset | 371 | ||
Labioincisal bevel | 371 | ||
Indications | 372 | ||
Contraindications | 372 | ||
Advantages | 372 | ||
Disadvantages | 372 | ||
Preparation for PFM crown | 372 | ||
Occlusal reduction | 372 | ||
Proximal reduction | 373 | ||
Lingual reduction | 373 | ||
Buccal reduction | 373 | ||
Advantage | 373 | ||
Disadvantages | 373 | ||
26 Impressions in fixed partial denture | 375 | ||
Introduction | 375 | ||
Methods of fluid control | 375 | ||
Rubber dam | 376 | ||
High-volume suction | 376 | ||
Saliva ejector | 376 | ||
Svedopter | 376 | ||
Drawbacks | 376 | ||
Antisialagogues | 376 | ||
Contraindications | 376 | ||
Various methods of gingival retraction during impression making in fixed prosthodontics | 376 | ||
Mechanical methods | 377 | ||
Copper band | 377 | ||
Cotton cord | 377 | ||
Rubber dam | 377 | ||
Retraction cord | 377 | ||
Mechanico-chemical method (retraction cord) | 377 | ||
Criteria for selecting appropriate retraction material | 378 | ||
Epinephrine | 378 | ||
Contraindications | 378 | ||
Technique of using retraction cord | 378 | ||
Surgical method of gingival retraction | 378 | ||
Rotary curettage | 379 | ||
Criteria for gingettage | 379 | ||
Technique | 379 | ||
IV Maxillofacial Prosthodontics | 421 | ||
31 Introduction and materials | 422 | ||
Introduction | 422 | ||
Definition | 422 | ||
Objectives | 422 | ||
Scope | 423 | ||
Indications | 423 | ||
Contraindications | 423 | ||
Effect of radiation on the oral cavity | 423 | ||
Oral mucosa | 423 | ||
Bone | 423 | ||
Salivary glands | 424 | ||
Taste buds | 424 | ||
Teeth | 424 | ||
Periodontium | 424 | ||
Evolution of maxillofacial prosthesis | 424 | ||
Materials used in prosthetic restoration of the facial defects | 425 | ||
Desirable properties of ideal materials | 426 | ||
Definitive materials used in maxillofacial prosthesis fabrication | 426 | ||
Acrylic resins | 426 | ||
Uses | 426 | ||
Physical properties | 426 | ||
V Implant Dentistry | 455 | ||
33 Diagnosis and treatment planning | 456 | ||
Introduction | 456 | ||
Dental implant and its scope and limitations | 456 | ||
Historical background of dental implants | 456 | ||
Indications | 457 | ||
Contraindications | 457 | ||
Advantages | 457 | ||
Disadvantages | 458 | ||
Limitations | 458 | ||
Radiographic planning of dental implants | 460 | ||
Role of radiographs in implant treatment | 461 | ||
Panoramic radiography | 461 | ||
Advantages | 461 | ||
Disadvantages | 461 | ||
Periapical radiography | 461 | ||
Lateral cephalogram | 461 | ||
Role of CT scans in implant dentistry | 462 | ||
Uses | 462 | ||
Question bank | 488 | ||
Section I: Complete dentures | 488 | ||
Section II: Removable partial dentures | 488 | ||
Section III: Fixed partial dentures | 488 | ||
Section IV: Maxillofacial prosthodontics | 494 | ||
Section V: Implant dentistry | 494 | ||
Suggested readings | 496 | ||
Complete dentures | 496 | ||
Removable partial dentures | 497 | ||
Fixed partial dentures | 497 | ||
Maxillofacial prosthodontics | 498 | ||
Dental implants | 499 | ||
Index | 501 | ||
A | 501 | ||
B | 501 | ||
C | 502 | ||
D | 502 | ||
E | 503 | ||
F | 503 | ||
G | 503 | ||
H | 503 | ||
I | 504 | ||
J | 504 | ||
K | 504 | ||
L | 504 | ||
M | 504 | ||
N | 505 | ||
O | 505 | ||
P | 506 | ||
R | 507 | ||
S | 507 | ||
T | 508 | ||
U | 508 | ||
V | 508 | ||
W | 508 | ||
X | 508 | ||
Z | 508 |