PubMed · 785571
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A Banon. [Surface properties and fixed prosthesis].. https://pubmed.ncbi.nlm.nih.gov/785571/
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Fixed partial denture abutments severely damaged by dental caries or fracture present a challenge to the dentist. The fixed partial denture may need to be removed for endodontic treatment with post and core fabrication. Frequently, the existing fixed partial denture can be recycled as a provisional restoration. Retrofitting the post and core greatly improves the stabilization of the interim as well as the remake of the definitive fixed partial denture. This article describes a chair side procedure for retrofitting posts and cores and, at the same appointment, converting the original fixed partial denture to an effective provisional restoration.
STATEMENT OF PROBLEM: A clinical situation may arise with 2 edentulous spaces and a single intact pier tooth. A dentist may restore these edentulous spaces with a long span resin-bonded fixed partial denture using the pier and the 2 terminal abutments for bonding. PURPOSE: This study analyzed the stresses induced in a pier retainer of an anterior resin-bonded fixed partial denture and determined the effect on a pier abutment. MATERIAL AND METHODS: Photoelastic materials were selected to represent the relative stiffness of 3- and 5-unit resin-bonded fixed partial dentures. The models were scaled to x2.5 to enhance visual analysis of the stress pattern. RESULTS: Isochromatic fringes indicated a stress magnitude at the proximolingual areas of the pontic in the 3-unit resin-bonded fixed partial denture. In the 5-unit resin-bonded prosthesis, the stress pattern appeared to involve the entire surface of the pier retainer. CONCLUSION: The use of pier abutments should be avoided and it is more favorable to use 3-unit resin-bonded fixed partial dentures.
Dentists are beginning to see a new type of patient who requires removable prosthodontic rehabilitation. These patients are the result of both increases in longevity and dental treatment that has retained teeth, despite the onslaught of caries and periodontal disease. The current procedures for transitioning patients into removable prostheses can be modified for this new group of patients. This article presents a transition procedure for patients who are receiving removable prostheses, which dissociates the surgical phase of treatment from the prosthetic stage. The patient's existing teeth are incorporated into a removable prosthesis in a way that ensures the exact replication of the tooth position in the oral cavity. This method addresses many of the inadequacies of current procedures while at the same time requiring a minimum of chair time. Even with this procedure, this transition is still difficult for the patient.