口腔修复学精品课件（中山大学）Prosthodontics.docxVIP

Prosthodontics: the part of dentistry pertaining to the restoration and maintenance of oral function, comfort, appearance, and health of the patient by the replacement of missing teeth and contiguous tissue with artificial substitites.The goals of prosthodontics:Applying artificial substitutes for ①esthetics improvement ②dental defects replacement ③appearance reform ④functional restorationThe selection of the material and design of the restoration is based on several factors:Destruction of tooth structureEstheticsPlaque controlFinancial considerationRetentionThe selection of prosthesisRemovable partial denture (RPD)Tooth-supported fixed partial denture (FPD)Implant-supported fixed partial denturePreprosthetic Oral Preparations1. General oral preparation①Removing the unhealthy prostheses②Decision making for tooth removing or preserving③Restorative and endodontic treatment④Periodontic treatment⑤Treatment for oral mucosal disease⑥Occlusal adjustment or grinding2. Preprosthetic surgery3. Preprosthetic orthodontic treatmentPrinciples for restoration of defected teeth1.Biological principles: The health of the oral tissues①Conserve dental hard tissue during tooth preparing②Protect pulp tissue③Protect periodontal tissue2. Mechanical principles: Integrity and durability of the restoration①Retention (frictional force, constrain force, adhesion); ②Strength3. Aesthetic principles: Appearance of the patient Path of placement: The specific direction in which a prosthesis is placed on the abutment.Retention form: The feature of a tooth preparation that resists dislodgment of a crown in a vertical direction or along the path of replacement.Resistance form: The feature of a tooth preparation that enhance the stability of a restoration and resist dislodgment along an axis other than the path of placement.Margin: The outer edge of a crown, inlay, onlay, or other restoration. The boundary surface of a tooth preparation and/or restoration is termed the finish line or finish curve.Finish