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Textbook of Prosthodontics- E Book

Textbook of Prosthodontics- E Book

V Rangarajan | T V Padmanabhan

(2017)

Additional Information

Book Details

Abstract

Textbook of Prosthodontics,, 2e encompasses all the different subspecialities of prosthodontics like Complete Dentures (CD), Removable Partial Dentures (RPD), Fixed Partial Dentures (FPD), Oral Implantology (OI) and Maxillofacial Prosthetics (MFP) with an aim to demystify the subject. The book provides a strong basic foundation along with contemporary clinical and laboratory applications. The book is written in an easy -to-comprehend-and-remember style, the clinical and laboratory aspects are depicted with colour photographs, radiographs, line arts, tables, boxes and flowcharts to make text self-explanatory.

Useful for UGs as a prosthodontic textbook, an easy-to-practice book for the general practitioners and a basic reference for the PGs

  • Covers DCI prescribed syllabus for UGs
  • Contains numerous tables, boxes, flowcharts and more than 3000 high quality colour photos and line diagrams to supplement the text
  • Contains dedicated chapters on Porcelain Laminate Veneers, Attachment Retained Dentures, Overdentures, and Smile Design
  • Provides section wise Suggested Reading and chapter wise Sample Questions in Appendices section
  • Companion website (www.Medenact.com)) provides latest Glossary of Prosthodontic Terms for
  • Additional reading

Table of Contents

Section Title Page Action Price
Front Cover Cover
Front matter i
Textbook of prosthodontics iii
Copyright iv
Foreword v
Preface to the second edition vii
Preface to the First Edition ix
Acknowledgements xi
Brief Contents xiii
Table of Contents xv
I Complete Dentures 1
1 Introduction 3
Introduction 3
Effects of ageing 3
Bone 3
Residual ridge resorption 3
Classification 3
Resorption pattern 3
Aetiology 4
Consequences of residual ridge resorption 4
Treatment 4
Oral mucosa 5
Taste 5
Saliva 5
Mastication and deglutition 5
Skin 5
Nutrition 5
Nutritional requirements of the elderly 5
Factors affecting the nutritional intake 5
1. physiologic factors 5
2. cognitive factors 5
3. oral factors 6
4. economic factors 6
5. psychological factors 6
6. pharmacological factors 6
Impact of wearing dentures on dietary intake 6
Dietary counselling 6
Complete dentures 6
Definitions 6
Objectives 6
Surfaces of complete dentures 6
Impression surface (intaglio surface) (fig. 1.3) 7
Occlusal surface (fig. 1.4b) 7
Polished or external surface (cameo surface) (fig. 1.4a) 7
Component parts of complete dentures 7
Denture base 7
Denture flange 7
Labial flange 7
Buccal flange 8
Lingual flange 8
Denture border 8
Denture teeth 8
Steps in fabrication of complete dentures 9
2 Diagnosis and treatment planning 10
Diagnosis 10
Patient evaluation 10
Gait 10
Age 10
Facial expression 10
Complexion 10
Speech 10
Breathing pattern 10
Personality 10
Mental attitude 11
Class I: Philosophical patients 11
Class II: Exacting patients 11
Class III: Indifferent patients 11
Class IV: Hysterical patients 11
History 11
General information 11
Name 11
Age 11
Sex 11
Occupation/social information 11
Location/address 11
Habits 12
Nutritional history 12
Medical history 12
Debilitating diseases 12
Diseases of the joints 12
Cardiovascular disease 12
Neurological conditions 12
Oral malignancies 12
Epilepsy 12
Diseases of the skin 12
Menopause 12
Medications 12
Dental history 13
Chief complaint 13
Patient’s desires and expectations 13
Past dental history 13
Current denture 13
Pre-extraction records 13
Diagnostic casts 13
Examination 13
Extraoral examination 13
Facial examination 13
Face form 13
Facial profile 13
Colour of face, hair and eye 14
Lip examination 14
Lip health 14
Lip support 14
Lip thickness 14
Lip length 14
Muscular examination 15
Temporomandibular joint 15
Intraoral examination 15
Teeth present 15
Mucosa 15
Colour 15
Thickness 15
Condition 15
Residual alveolar ridge 15
Arch size 15
Arch form 15
Ridge contour 16
Ridge relation 16
Interridge distance 16
Parallelism 16
Positional relation 16
Flabby tissue 16
Hyperplastic tissue 17
Bony undercuts 17
Muscle and frenal attachments 17
Relation with floor of the mouth 17
Palate 17
Hard palate 17
Soft palate 17
Palatal sensitivity or gag reflex 18
Lateral throat form 18
Tongue 18
Size 18
Position 18
Tori 19
Saliva 19
Consistency 19
Radiographic examination 19
Treatment planning 19
Mouth preparation 19
Prosthodontic treatment 19
Prosthodontic diagnostic index for complete edentulism 20
PDI for Edentulous Class I Patient 20
PDI for Edentulous Class II Patient 20
PDI for Edentulous Class III Patient 20
PDI for Edentulous Class IV Patient 20
SUMMARY 23
3 Mouth preparation 24
Introduction 24
Sequelae of wearing complete dentures 24
Direct sequelae 24
Mucosal reactions 24
Denture stomatitis 24
Classification (newton) 24
Aetiology 24
Diagnosis 24
Prevention and management 25
Denture irritation hyperplasia (epulis fissuratum) (fig. 3.3) 25
Aetiology 25
Clinical features 25
2 Removable Partial Dentures 253
18 Introduction 255
Introduction 255
Definitions 255
Indications and contraindications 257
Indications 258
Extraoral factors 258
Age 258
Sex 258
General health – physical and emotional 258
Occupation and economic considerations 258
Patient desires and attitude 258
Time factor 258
Intraoral factors 258
Distal extension situations 258
Long edentulous span 258
Reduced periodontal support of remaining teeth 258
Cross-arch stabilization 258
Excessive residual ridge resorption 259
Aesthetics and replacement of multiple anterior teeth 259
Immediate replacement of teeth following extraction 259
Obturation of intraoral defects 259
Abutments with questionable prognosis 259
Alteration of vertical dimension 259
Poor prognosis for complete dentures 259
Contraindications 259
Steps in fabrication of a clasp-retained cast removable partial denture 259
Component parts of removable partial denture 263
SUMMARY 263
19 Sequelae of partial edentulism 264
Introduction 264
Sequelae of partial edentulism 264
Aesthetics 264
Speech 264
Drifting and tilting of adjacent teeth 264
Tipped molars 264
Supraerupted teeth 265
Classification of supraerupted teeth 266
Class I 266
Class II 266
Class III 266
Class IV 266
Overloading of remaining teeth 266
Loss of masticatory efficiency 266
Loss of vertical dimension 266
Mandibular deviation 266
Loss of alveolar ridge 267
Combination syndrome 267
SUMMARY 267
20 Classification of partially edentulous arches 268
Introduction 268
Need for classification 268
Requirements of classification 268
Classification systems 268
Kennedy’s classification system 268
Applegate’s rules for kennedy’s classification 269
Merits 270
Demerits 272
Applegate–kennedy classification 272
Cummer’s classification 272
Bailyn’s classification 273
Neurohr’s classification 273
Class I: Tooth bearing 274
Class II: Tooth and tissue bearing 274
Class III: Tissue bearing complete dentures 277
Mauk’s classification system 277
Godfrey’s classification 277
Beckett’s classification 278
Class 1 278
Class 2 278
Class 3 278
Friedman’s classification 280
Austin–lidge classification 280
Skinner’s classification system 280
Swenson’s classification 280
Acp classification 281
Class I 282
Class II 282
Class III 282
Class IV 284
SUMMARY 284
21 Component parts 285
Introduction 285
Major connectors 285
Maxillary major connectors 288
Beading 288
Relief 289
Types of Maxillary Major Connectors 289
Palatal Bar 289
Indication 289
3 Fixed Partial Dentures 437
31 Introduction 439
Introduction 439
Definitions 439
Indications for fixed partial denture 440
Contraindications 441
Advantages 441
Disadvantages 441
Classification of fixed partial dentures 441
Location of the edentulous space 441
Location of abutment 442
Types of connector 442
Classification based on type of materials used 444
Duration of use 444
Span length 445
Classification based on type of retention 445
Type of support 445
SUMMARY 446
32 Component parts 447
Introduction 447
Retainer 447
Classification 447
Amount of tooth coverage 447
1. complete coverage or full veneer retainers 447
2. partial coverage or partial veneer retainers 448
3. conservative retainers 448
Mechanism of retention 448
1.extracoronal retainers 448
2. intracoronal retainers 448
3. radicular retainers 448
Material used 448
1. all metal retainers 448
2. metal-ceramic retainers 449
3. all ceramic retainers 449
4. acrylic retainers 449
Criteria for selection of retainers 449
Abutment angulations 449
Condition of the abutment 449
Aesthetics 449
Preservation of tooth structure 449
Retention 450
Cost 450
Pontics 450
Ideal requirements of pontics 450
Classification of pontics 450
Mucosal contact 450
1. with mucosal contact 450
I. ridge lap or saddle pontic 450
Design 450
Advantage 451
4 Miscellaneous 687
46 Ceramic laminate veneers 689
Introduction 689
Definitions 689
History 689
Indications 689
Contraindications 690
Advantages and disadvantages 690
Shade selection 690
Tooth preparation 690
Principles of tooth preparation 690
Rationale 690
Types of preparation 690
Armamentarium 691
Procedure 691
Labial reduction 691
1. depth cuts 691
Depth cuts using only round bur 691
Depth cuts diamond depth cutter 692
2. reducing remaining enamel 692
Proximal reduction 692
Reasons to preserve contact area 692
Sulcular extension 692
Advantages of supragingival margin 693
Advantages of chamfer finish line 693
Incisal reduction 693
Indications for incisal coverage 693
Lingual reduction 693
Soft tissue management 694
Impression procedure 694
Provisional restorations 694
Direct method 695
Composite resin 695
Autopolymerizing acrylic resin 695
Indirect method 695
Laboratory procedures 695
Cementation 695
Initial veneer inspection 695
Preparation of site 695
Try-in 695
Factors influencing colour 696
Bonding 697
Preparation of veneer 698
Preparation of tooth 698
Luting 699
Finishing 699
Maintenance 699
Failures of laminate veneers 699
SUMMARY 700
47 Attachment-retained dentures 701
Introduction 701
Applications 702
Classification 702
Methods of fabrication 702
Precision attachments 702
Semiprecision attachments 703
Function 703
Rigid 703
Class IA 703
Class ib 703
Resilient 703
Class II 703
Class III 703
Class IV 703
Class V 705
Class VI 705
Retention 706
Frictional 706
Mechanical 706
Frictional and mechanical 706
Magnetic 706
Location 706
Coronal 707
Intracoronal 707
Parts 707
Retention principle 707
Classification 707
Applications 708
Advantages (over extracoronal attachments) 708
Appendices 805
Questions 805
Chapter 1 introduction 805
Suggested Reading 815
Section I Complete Dentures 815
Section II Removable Partial Dentures 816
Section III Fixed Partial Dentures 819
Section IV Miscellaneous 821
Index 825
A 825
B 825
C 826
D 827
E 827
F 827
G 828
H 828
I 828
J 829
K 829
L 829
M 829
N 830
O 830
P 830
Q 831
R 831
S 832
T 833
U 833
V 833
W 833
X 834
Y 834
Z 834