Putty Index: An Important Aid for the Direct Fabrication of Fiber Reinforced Composite Resin FPD.

Fiber reinforced composite resin fixed partial dentures (FRCFPD) with composite resin, PFM or all ceramic pontic can be used as a short term or long term alternative to conventional fixed partial dentures or implant supported crown in young patients where conventional FPD is contraindicated (large pulp chambers) or in patient's unwilling to invasive implant placement surgical procedure and those who do not want to allow preparation of natural sound abutments for placement of retainers for FPD. FRCFPD can be successfully used for replacing missing anterior tooth (Turker and Sener, J Prosthet Dent 100:254-258, 2008), in conditions which allows minimum occlusal loading of pontic, over jet and overbite not greater than 3 mm (Ricketts, Provocations and perceptions in craniofacial orthopedics: dental science and facial art/parts 1 and 2. Rocky Mountain Orthodontics, Denver, p 7023, 1990) and structurally sound and intact abutments for the fiber reinforced matrix (Rose et al.

Modification of existed prosthesis into a flexible wall hollow bulb obturator by permanent silicone soft liner for a hemimaxillectomy patient with restricted mouth opening.

Patient: A patient of hemimaxillectomy with restricted mouth opening, wearing a hard acrylic bulb obturator encountered difficulty in insertion and removal of the prosthesis. The prosthesis was converted into a open hollow bulb obturator with flexible walls with permanent silicone soft liner for easy insertion and removal.

Discussion: Patients having acquired maxillary defects due to surgical resection of the maxilla often suffer with difficulty in mastication, swallowing, nasal regurgitation, speech disturbances and poor esthetics.

A direct approach for fabrication of a provisional restoration immediately after tooth preparation for custom cast dowel and core.

When a tooth is fractured at the gingival level due to accidental trauma and there is insufficient coronal tooth structure to retain a crown, a custom cast dowel and core often is necessary, followed by the fabrication of a definitive crown. It is very difficult to fabricate the provisional restoration for a tooth until the custom cast dowel and core are cemented permanently. This article describes a direct procedure for fabricating a provisional restoration (with a prefabricated temporary titanium post and an acrylic resin denture tooth) immediately after the tooth has been prepared for a custom cast dowel and core.

Knowledge of mothers with different education levels about the emergency management of avulsed teeth.

Purpose: The present study was undertaken to evaluate and assess, through questionnaire, the knowledge of mothers with different education levels regarding the emergency management of avulsed permanent teeth.

Background: The replantation is the preferred treatment for avulsed tooth. The prognosis depends upon the handling of the periodontal ligament and speed of replantation.

Esthetic and functional rehabilitation of missing anterior teeth with a conservative treatment approach: a clinical case series.

The current scenario in dentistry proposes several treatment modalities for the esthetic and functional replacement of a congenitally or traumatically missing anterior tooth in young and adult patients which includes implant supported single crown, conventional FPD, Resin Bonded FPD (RBFPD) or RPD. However when certain clinical conditions or unwillingness of the patient preclude the replacement of missing tooth with any of these prostheses, in such cases, a more conservative treatment modality, fiber reinforce composite resin fixed partial denture with composite resin, porcelain fused to metal, all ceramic or natural tooth pontic can be consider as a definitive treatment alternative in certain clinical conditions. This article describes successful rehabilitation of three different patients with three types of pontics by this technique.

A conservative treatment approach to replacing a missing anterior tooth.

An implant-supported crown or conventionally fixed partial denture is the most common treatment modality to replace a missing anterior tooth but a more conservative approach, with a fiber reinforced composite resin FPD, can be used to replace a missing anterior tooth in young patients or when the patient does not agree for an implant, or conventional FPD or RPD therapy. It is an esthetic, conservative single sitting chairside procedure which can be used as a definitive treatment alternative in certain clinical situations for esthetic and functional replacement of a missing anterior tooth. To achieve desirable results, putty matrix was used for proper positioning of the pontic during direct fabrication of FRCFPD.

Prevention of trauma to soft tissues from opposing dental implants in completely edentulous patients.

Objective: To suggest a technique to prevent trauma of the edentulous ridge from opposing dental implants when prosthesis kept out during night.

Background: In modern dentistry, implant-supported overdentures are commonly fabricated to minimise the problems associated particularly with mandibular conventional removable denture such as the lack of retention or stability, decreased chewing efficiency, difficulties in speech and soft tissue abrasion. The patients wearing two implant-retained overdentures that are mainly soft tissues supported-implant-retained overdentures are advised to keep prosthesis out of the oral cavity during night to allow the tissues to rest and remain healthy.

Prosthodontic management of a patient with Gardner's syndrome: A clinical case report.

Gardner's syndrome is a genetic condition demonstrating an autosomal dominant trait and characterized by the multiple colonic polyps (familial adenomatous polyposis coli) with sebaceous cysts and jaw osteomas. Various dental abnormalities present in patient's suffering with this syndrome includes multiple impacted or unerupted teeth, supernumerary teeth, hypodontia, compound odontomes and dentigerous cyst. In this case report, a patient with Gardner's syndrome who suffered from functional and psychological problems owing to multiple impacted, unerupted teeth and hypodontia was presented.

Prosthetic rehabilitation with collapsible hybrid acrylic resin and permanent silicone soft liner complete denture of a patient with scleroderma-induced microstomia.

Scleroderma is an autoimmune multisystem rheumatic condition characterized by fibrosis of connective tissues of the body, resulting in hardening and impairment of the function of different organs. Deposition of collagen fibers in peri-oral tissues causes loss of elasticity and increased tissue stiffness, resulting in restricted mouth opening. A maximal oral opening smaller than the size of a complete denture can make prosthetic treatment challenging.

Flexible thermoplastic denture base materials for aesthetical removable partial denture framework.

Conventional fixed partial dentures, implant supported Fixed Partial Dentures (FDPs) and removable partial dentures are the most common treatment modalities for the aesthetic and functional rehabilitation of partially edentulous patients. Although implants and FDP have certain advantages over removable partial dentures, in some cases, removable partial dentures may be the only choice which is available. Removable cast partial dentures are used as definitive removable prostheses when indicated, but location of clasps may affect aesthetics.

Hader bar and clip attachment retained mandibular complete denture.

Bar and clip attachments significantly improve the level of satisfaction of denture-wearing patients by enhancing the retention and stability of the prosthesis. These attachments have been most commonly used for connecting the prosthesis to implants, but they can be effectively used to retain tooth-supported prosthesis as well. The primary functions of bar attachments are splinting the abutments together, even distribution of forces to the abutments and supporting areas, guiding the prosthesis into place, improving the retention, stability, support and comfort of the patient.

Unconventional prosthodontics for the aesthetic rehabilitation of discoloured rotated maxillary central incisor.

Orthodontics is always the first choice treatment for aesthetic and functional rehabilitation of malaligned teeth but in some exceptionally rare cases, the unwillingness of the patient for orthodontic correction poses a tough challenge to the dentist. In such cases, the only other option for aesthetic restoration is the change in angulation with custom cast post and core followed by the placement of an aesthetic crown.

Bilateral radix entomolaris with primary and permanent mandibular first molars.

Dental practitioners should be aware of the morphological dental anomalies like additional roots; their location, incidence and associated unusual root canal morphology. They should also carefully interpret the intraoral radiographs so that such anomalies do not go unnoticed.

Palateless custom bar supported overdenture: a treatment modality to treat patient with severe gag reflex.

Objective: To suggest a custom bar supported overdenture treatment modality for prosthodontic management of patients with severe gag reflex.

Background: Some patients have a severe gag reflex and cannot tolerate conventional maxillary complete dentures with maximum palatal coverage and extensions of all borders. The condition further gets complicated in patients suffering from respiratory problems along with severe gag reflex.

Prevention of trauma to edentulous ridge from opposing natural teeth.

Objective: To suggest a technique to prevent trauma of the edentulous ridge from opposing natural or restored teeth.

Background: The prevalence of the condition where one edentulous arch opposes a natural or restored dentition is quite common. In most of cases, the maxillary arch is completely edentulous and either all teeth or only anterior teeth are present in the mandibular arch.