Management of Primary Failures Related to Fixed Metal Ceramic   Bridge Prosthesis Made by Dental Students

Imen, Debbabi; Saâfi, Jilani; Anissa, Ben Moussa; Fethi, Troudi; Cherif, Mounir

doi:10.31080/asds.2019.03.0699

Cited by 2 publications

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“…Indicators of fixed denture condition can be seen from the position of the teeth and surrounding tissues. 12 Upon follow-up, the position of fixed bridge denture was good, it was not detached, not lumping, no hyperemia or other signs of inflammation on the gingival margin and the surrounding periodontal tissue, patient had no complaint, felt comfortable and no difficulty with mastication. Education was provided to the patient to maintain good oral hygiene.…”

Section: Discussionmentioning

confidence: 92%

Rehabilitation of Mastication and Lack of Space Treatment in Narrow Edentulous With Fixed-Fixed Bridge

Arifin¹,

Pertiwi²

2021

Dentino

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Background: Loss of posterior teeth can lead to disharmony in the curvature of the jaw. Antagonistic teeth and surrounding teeth will migrate to the edentulous causing reduced mastication function and TMJ disturbance. Several cases of narrow edentulous occurred due to tooth shifting caused by edentulous that was left empty for a long period. Creating a fixed-fixed bridge is aimed to restore the aesthetics, function, and comfort for patients which caused by the missing teeth. Fixed-fixed bridge consist of a retainer that function as a support to the abutment; a pontic that function to replace the missing tooth; and a connector that function to connect the pontic and the retainer. A narrow space for pontics can disrupt the aesthetic and functional aspects. Case Report: A 24 year-old male patient was referred to Prosthodontic Clinic, Gusti Hasan Aman Dental Hospital with a complain of pain on the jaw joint and missing of left lower molar for about 5 years. Patient always masticate on one side after the left lower molar was missing. Extraoral examination found the patient to be in good condition, no enlargement of major salivary glands, the vital signs were good, but upon TMJ examination there was clicking sounds on the left side. Intraoral examination showed space narrowing resulted from mesial and distal drifting of 37 and 35 but not significant, therefore it was still possible to perform rehabilitation using fixed-fixed bridge with abutments on 37 and 35 with modification of pontic shape for 36 to resemble a premolar tooth with occlusal surface resembling a molar tooth. Treatment planning for fixed prosthetic using fixed-fixed bridge with porcelain fused to metal material on 35, 36, and 37 with ridge lap pontic type modification Conclusions: Treatment was successful to provide enough space for the pontic by modification of the shape and the size of the pontic. Keywords: Fixed-fixed bridge. lack of space, mastication.

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Section: Discussionmentioning

confidence: 92%

Rehabilitation of Mastication and Lack of Space Treatment in Narrow Edentulous With Fixed-Fixed Bridge

Arifin¹,

Pertiwi²

2021

Dentino

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“…Despite their clinical effectiveness and aesthetic qualities (6), these prostheses are susceptible to both technical and biological complications (7). Technical issues may include loss of retention, disintegration of ceramic components, occlusal discrepancies, and structural damage (8), often arising from design inadequacies, clinical application errors, or patient-specific factors (9). This underscores the critical need for meticulous case selection, diagnostic evaluation, and expert prosthetic craftsmanship (10).…”

Section: Introductionmentioning

confidence: 99%

Complications Associated with Metal Ceramic Prosthesis in Fixed Partial Denture used in Peshawar

Khan,

Shahzadi,

Gul

et al. 2024

JHRR

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Background: Fixed Partial Dentures (FPDs) are a cornerstone in the restoration of missing teeth, offering both functional and aesthetic benefits. Metal-ceramic FPDs, in particular, have gained popularity due to their durability and mechanical properties. However, their associated complications can significantly impact patient satisfaction and prosthesis longevity. Objective: This study aims to investigate the complications associated with metal-ceramic FPDs in a Pakistani population, focusing on their prevalence, types, and distribution across different dental arches and locations. Methods: Conducted at Sardar Begum Dental College, Peshawar, Pakistan, this descriptive cross-sectional study involved 183 participants, selected via non-probability convenience sampling over 4 to 6 months. Participants aged 15 to 60 years, who had been wearing metal-ceramic FPDs for more than a month, were included. Data were collected through a structured questionnaire, with complications categorized into biological and technical issues. SPSS version 25 was utilized for data analysis, employing descriptive statistics to quantify the prevalence and distribution of complications. Results: The study identified pain on chewing (46.4%) and de-cementation (23.5%) as the most frequent complications. The distribution of complications was nearly even between the maxillary (49.1%) and mandibular (50.9%) arches, with a higher incidence in the posterior regions. Specifically, the mandibular posterior region recorded the most problems (45.4%), followed by the maxillary posterior (28.4%), maxillary anterior (20.8%), and mandibular anterior (5.5%) regions. Conclusion: The prevalence of complications associated with metal-ceramic FPDs, particularly pain on chewing and de-cementation, underscores the need for meticulous case selection, precise treatment planning, and enhanced patient education on oral hygiene. These measures are essential to improving the longevity of FPDs and patient satisfaction, highlighting the importance of a multidisciplinary approach in dental care.

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Management of Primary Failures Related to Fixed Metal Ceramic Bridge Prosthesis Made by Dental Students

Abstract: This case report highlights an esthetic replacement of defective metal ceramic bridge by a ceramic zirconia one after performing the necessary changes in preparations to ensure esthetic and function.

Cited by 2 publications

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Rehabilitation of Mastication and Lack of Space Treatment in Narrow Edentulous With Fixed-Fixed Bridge

Rehabilitation of Mastication and Lack of Space Treatment in Narrow Edentulous With Fixed-Fixed Bridge

Complications Associated with Metal Ceramic Prosthesis in Fixed Partial Denture used in Peshawar

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