Abstract
The life of a fixed partial denture depends largely on how well the partial denture is able to maintain the health of the periodontium. Periodontal breakdown of any sort due to a prosthesis means the failure of the restoration. This is applicable to a normal and healthy abutment. Some situations like pier abutment require special attention and understanding of the biomechanics of occlusion. We present a clinical case of a female patient who had a pier abutment situation in the mandibular arch. A fixed fixed partial denture was cemented in place since the patient was not able to afford the cost of a precision attachment that was necessary to fabricate a fixed movable bridge for such case. The patient reported to be satisfied after one year follow up.
Keywords: abutment, lever, decementation, precision attachment, long span bridge.
References
- Markley K. Broken-Stress ‘Principle & design in fixed bridge prosthesis. JPD 1951;1: 416-23.
- Shillingburg HT, Fisher DW. Non-rigid connectors for fixed partial dentures. J Am Dent Assoc 1973; 87:1195-99.
- Standlee JP, Caputo AA. Load transfer by fixed partial denture with three abutments. Quintessence Int 1988;19:403-10.
- Mattoo KA, Jain S. Managing a case of sensitive abutment situations through use of a Fixed Movable Prosthesis. J Med Sci Clin Res 2014;2:1858-63
- Gaba N, Mattoo KA. Converting a removable prosthetic option into fixed by using custom made non-rigid connector. Webmed Central DENTISTRY 2014;5:1-7:WMC004695
- Oruc S, Eraslan O, Tukay HA, Atay A. Stress analysis of effect of non rigid connectors on fixed partial dentures with pier abutments.J Prosthet Dent 2008;99:185-92.
- Mattoo KA, Brar A, Goswami R. Elucidating the problem of pier abutment through the use of a fixed movable prosthesis – A Clinical case report. International Journal of Dental Sciences and Research 2014;2:154-57
- Darraj A, Mattoo KA. Full Mouth Rehabilitation Involving Occlusal Plane Correction. Journal of Medical Sciences and Clinical Research 2017;5(9):28204-208
- Rahman S, Mattoo KA. Partial veneer retained fixed partial denture in conjunction with cantilevered bridge to fulfill the objective of patient perceived aesthetics. Ann Int Med Dent Res 2017;3;32-35
- Al Moaleem MM, Alkhayrat FM, Madkhali HA, Geathy IH, Qahhar MA, Yaqoub A and Mattoo KA. Subjective differences between dentists and patients about relative quality of metal ceramic restorations placed in the Esthetic Zone. J Contemp Dent Pract 2017;18:112-116
Corresponding Author
Kavita Raj
Lecturer, Department of Prosthodontics, Chandra Dental College, RMLA University