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Consequences Of Tooth Loss
DR AYESHA SADAF
HEAD OF PROSTHODONTIC DEPARTMENT SHIFA COLLEGE OF
DENTISTRY
Learning Outcomes
 Causes of tooth loss
 Various consequences of tooth loss
 Prosthetic options for replacement of missing teeth
 Managing the tooth loss
 SIX phases of partial denture service
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Causes Of Tooth Loss
PERIODONTAL PROBLEMS ( PERIODONTITIS, GINIGIVITIS)
PLAQUE
PLAQUE
RETENTIVE
FACTORS
Causes Of Tooth Loss
DIABETES
MELLITUS
RHEUMATOID
ARTHRITIS
HIGH
BLOOD
PRESSU
RE
SYSTEMIC DISEASES
Causes Of Tooth Loss
PERIODONTAL BONE
LOSS IN A PATIENT WITH
UNCONTROLLED
DIABETES MELLITUE
Causes Of Tooth Loss
CARIES/ TOOTH DECAY
Causes Of Tooth Loss
Syndromic or Genetic
CAUSES OF TOOTH LOSS
AGING
CONSEQUENCES OF TOOTH LOSS
BONE RESORPTION
Consequences of tooth loss
CONSEQUENCES OF TOOTTH LOSS
• Compromised Facial
Aesthetics
• Decreased lip
support
• Decreased lower
facial height
COSEQUENCES OF TOOTH LOSS
UNDESIRABLE TOOTH MOVEMENTS
A)MESIAL DRIFTING
B)PREMATURE OCCLUSAL
CONTACTS
C)TRAUMATIC OCCLUSION
COSEQUENCES OF TOOTH LOSS
UNDESIRABLE TOOTH
MOVEMENTS
B) OVERERUPTIONS
CONSEQUENCES OF TOOTH LOSS
COMPROMISED
AESTHETICS/
APPEARANCE
CONSEQUENCES OF TOOTH LOSS
COMPROMISED
SPPECH
Consequences of tooth loss
Increased occlusal load
on existing teeth
Drifting, tooth surface loss
Consequences of tooth loss
Tooth
surface loss
CONSEQUENCES OF TOOTH LOSS
Prosthetic options for replacement of missing
teeth
Implant Prosthodontics
FIXED PROSTHODONTICS (FPD)
REMOVABLE PARTIAL DENTURE(
RPD)
BENEFITS OF REMOVABLE PARTIAL
DENTURE
ESTHETICS
Esthetics
IMMEDIATE RESTORATION OF ESTHETICS
Maintenance of space
Managing the tooth loss
Patient
expectations
Shared decision
making
Informed
consent
Phases of partial denture treatment
First
Phas
e
History, examination
& diagnosis
Slection of
prosthodontic
option
Patient
education
regarding partial
denture
Phases of partial denture treatment
2ND
PHASE
TREATMENT
PLANNING
DESIGN OF
RPD
PRE PROSTHETIC
MOUTH
PREPARATION
Phases of partial denture treatment
3RD
PHAS
E
PROVISION OF ADEQUATE
SUPPORT
Phases of Partial Denture Treatment
4TH PHASE
ESTABLISHMENT OF
OCCLUSION
Phases of Partial Denture Treatment
5TH
PHASE
INITIAL PLACEMENT OF
RPD
ADJUSTMENT OF RPD
INSTRUCTIONS
TO PATIENTS
Phases of Partial Denture Treatment
6TH
PHASE
OF RPD
FOLLOWUP VISITS
PERIODIC
EVALUATIONS
GOALS OF REMOVABLE PARTIAL
DENTURE TREATMENT
1) It permits treatment for the largest number of patients at a reasonable cost.
(2) It provides restorations that are comfortable and efficient over a long period of
time, with adequate support and maintenance of occlusal contact relations.
(3) It can provide for healthy abutments, free of caries and periodontal disease.
(4) It can provide for the continued health of restored, healthy tissue of the basal
seats
(5)It makes possible a partial denture service that is definitive and not merely an
interim treatment.
REFERENCE BOOK
Mackracken book of Removable Partial denture, 13th edition
Q & A
PURPOSE
 Esthetics
 Maintenance of space
 Reestablishment of occlusal relations
 Conditioning of teeth and residual ridges
 Interim restoration during treatment
 Conditioning the patient to wear the prosthesis

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CONSEQUENCES OF TOOTH LOSS.pptx

Notes de l'éditeur

  1. Prosthodontics is one of the earliest branches of dentistry. George Washington first president of America. He was experiencing tooth loss since his teens and was replaced with a set of removable partial denture.
  2. ECTODERMAL DYSPLASIA, PAPILLON LEFEVERE SYNDROME
  3. If an incisor is not replaced soon after extraction, successful treatment at a later date may be compromised. Here, the adjacent teeth have drifted into the unrestored UL1(21) space. The reduced space does not allow for an artificial tooth of a realistic size to be used on a denture. If a reasonable aesthetic result is to be obtained the space must be re- established by orthodontic treatment.
  4. The loss of maxillary anterior teeth may prevent the clear reproduction of certain sounds, particularly the ‘F’ and ‘V’ which are made by the lower lip contacting the edges of the maxillary incisors. The replacement of missing maxillary anterior teeth will make a significant contribution to the quality of speech.
  5. The loss of a large number of teeth puts an increasing functional burden on the remaining teeth. In this example there is existing periodontal disease. The increased functional load has hastened the destruction of the periodontal attachments of the maxillary anterior teeth, which have become increasingly mobile and have drifted labially.