SlideShare a Scribd company logo
1 of 45
Download to read offline
Repairing FracturedPorcelain-Fused-to-MetalBridge Pontics,[object Object],By: JehanneCalinga,[object Object]
Repairing Fractured PFM,[object Object],This procedure is:,[object Object], less costly ,[object Object],less invasive ,[object Object],requires much less chair time than does total bridge replacement,[object Object]
Porcelain,[object Object],The porcelain of a porcelain-fused-to-metal bridge:,[object Object],is brittle in nature and,[object Object],It is susceptible to fracture,[object Object]
Porcelain,[object Object],porcelain has roughly 2.5 times less compressive strength than does enamel,[object Object], not surprisingly it can and does fracture occasionally.,[object Object]
Fracture can result from: ,[object Object],excessive forces in function,,[object Object],interferences from malocclusion, ,[object Object],Parafunctional habits,[object Object]
Fracture can result from: ,[object Object],Impact trauma.,[object Object], ,[object Object],Poor case selection  or inadequate design ,[object Object],also  result in the overlaid porcelains being unable to withstand the physiological stresses placed on the bridge. ,[object Object]
Replacing fractured PFM,[object Object],When a fracture occurs, one solution is to replace the bridge.,[object Object],In the case of a three-unit bridge, this option is costly and requires a lot of time in the dental chair. ,[object Object]
Disadvantage of Replacing ,[object Object],every time a tooth is manipulated to remove and reprepare a bridge, it increases the risk of:,[object Object], ,[object Object],abutment fracture,,[object Object], root fracture,[object Object],or irreversible pulpal damage,[object Object],caused by mechanical trauma.,[object Object]
Disadvantage of Replacing PFM,[object Object],In the case of bridges on periodontally compromised teeth, the trauma of removing a bridge can lead to the loss of an abutment tooth.,[object Object]
Numerous solutions to theproblem of pontic fracture:,[object Object],1) It is possible to remove the bridge intact and have the porcelain refired.,[object Object],This presents the possibility of damage to an abutment tooth, ,[object Object],damage to the metal framework of the bridge,[object Object],further damage to the porcelain.,[object Object],More often than not, it is impossible to remove the bridge without damaging or destroying it.,[object Object]
Numerous solutions to theproblem of pontic fracture:,[object Object],2) Another option is to repair the damaged pontic with resin-based composite.,[object Object],Problems encountered with this option:,[object Object],Retention always has been the problem,,[object Object],Most of these repairs were temporary.,[object Object]
Repairing the damaged pontic with resin-based composite.,[object Object],This is done by bonding resin to:,[object Object],exposed metal ,[object Object],exposed porcelain,[object Object]
Bonding on exposed metal,[object Object]
Bonding on Exposed Metal,[object Object],bonding on exposed metal  involves achieving macromechanical retention by:,[object Object],Making grooves,[object Object], Making notches,[object Object],Abrading,[object Object]
Bonding on exposed Porcelain,[object Object]
Bonding on exposed porcelain involves:,[object Object],Abrading,[object Object],Hydrofluoric acid etching,[object Object],Silanating,[object Object],Conventional bonding procedure,[object Object]
Disadvantages,[object Object],Howeverbest composite repairs were not predictable in longevity, ,[object Object],They are not as color-stable as the porcelain repairs,[object Object],The patient must be informed, however, that the prognosis of such a repair is guarded, but hopeful.,[object Object]
case example:,[object Object],there was one case in which the overlay was dislodged and recemented twice with zinc phosphate cement in a relatively short time,,[object Object], ,[object Object],but, with the use of a resin cement, the overlay crown has remained in place since the second recementation.,[object Object]
Technique for repairing PFM:,[object Object],The key to success lies less with:,[object Object],the cement than with careful case selection ,[object Object], knowing the cause of the previous fracture,[object Object], ,[object Object]
Technique for repairing PFM:,[object Object],maintain the adequate metal coping thickness for strength,[object Object],It is important not to compromise the strength of the original substructure,[object Object], ,[object Object]
Causes of fracture that would not be ideal candidates for this repair procedure are:,[object Object],Patients with a deep overbite,,[object Object],Occlusal interferences,,[object Object], ,[object Object],Heavy protrusive guidance,,[object Object], ,[object Object],Bruxing,[object Object], ,[object Object], Other parafunctional habits ,[object Object]
The fracture as viewed from the labial aspect.,[object Object]
The slide shows a typical anterior three-unit bridge that was fractured in an altercation (in which the injured patient allegedly was an innocent bystander).,[object Object]
 The patient came to the dentist with limited funds, requesting a repair. ,[object Object],She reported that the bridge was more than 15 years old and that she had been happy with its appearance and function until it was fractured and the entire incisal edge was destroyed.,[object Object]
Procedures in Repairing Porcelain Repair ,[object Object]
Procedure:,[object Object],1)Without administering anesthetic, use coarse diamonds from the labial approach to remove all the porcelain from the broken  tooth pontic.,[object Object], ,[object Object],2) Extend the preparation into metal to gain as much surface area as possible on the incisal and gingival walls and thus maximize resistance form.,[object Object]
Procedure:,[object Object],3) keep the incisal and gingival planes as parallel as possible to increase retention form,[object Object],The dentist can achieve additional retention and antirotational:,[object Object],the prepped margins of the pontic,,[object Object],the incisal and proximal surfaces of  the retainers,,[object Object],and the tissue surface of the edentulous ridge,[object Object]
4)the clinician in this procedure used resin cement for its adhesive strength,[object Object], ,[object Object], the additional micromechanical retention of a roughened surface was desirable.,[object Object],( the clinician made no attempt to smooth the rough surface of the prepared pontic),[object Object]
5) To perform the procedure, use a modified sectional custom tray, with an open lingual area and sufficient length to cover the labial and incisal surfaces of the bridge retainers.,[object Object]
6) Take the impression with a low-viscosity polyvinylsiloxane impression material, to have adequate rigidity and  flexibility to disengage from the minor undercuts. ,[object Object]
Impression taking,[object Object],The impression must draw to the labial aspect, and care must be taken to prevent the impression material from flowing lingually and locking in around the pontic.,[object Object], To achieve this, a gloved finger or cotton roll should be held in place on the lingual surface as a barrier to prevent excessive overflow of the impression material.,[object Object]
Impression taking,[object Object],The crucial areas that need to be captured in the impression are:,[object Object],the prepped margins of the pontic,[object Object],the incisal and proximal surfaces of  the retainers,,[object Object],and the tissue surface of the edentulous ridge,[object Object],No opposing cast was needed in this case as the practitioner finalized the occlusion intraorally. ,[object Object]
Procedure,[object Object],7) select a shade to match the rest of the bridge.,[object Object], Note that the metal coping design should replace the ideal form of the original pontic substructure with adequate room for porcelain.,[object Object]
Procedure,[object Object],8) Send the impression and shade information to the dental laboratory, along with adequate drawings and a good description of the properties desired in the finished product. ,[object Object],Detailed instructions are important, as this sort of  repair is a bit unusual and few laboratories will have performed this before.,[object Object]
Procedure,[object Object],9) Fabricate a temporary restoration of acrylic and cement it with zinc oxide eugenol.,[object Object],keep the incisal edge of the temporary restoration short enough to be out of occlusion,[object Object]
Procedure,[object Object],10)  The laboratory fabricated an overlay crown that had:,[object Object], a metal coping with extensions into the incisal,[object Object],    gingival porcelain and proximal boxes to slot into the connectors, like a jigsaw puzzle ,[object Object]
Procedure,[object Object],The surfaces that would contact cement were left unfinished and were sandblasted for additional micromechanical retention.,[object Object]
Procedure,[object Object],The surfaces that would contact cement were left unfinished and were sandblasted for additional micromechanical retention.,[object Object]
Procedure,[object Object],11) When receiving the overlay pontic from the laboratory,  Take it to the patient’s mouth, insert it and adjusted it for fit and occlusion.,[object Object],12)  Prepare both metal surfaces for cementation with primers and bonding agents according  to adhesive cementation protocols.,[object Object]
Procedure,[object Object],13) cement the overlay crown pontic with the corresponding resin cement.,[object Object]
Conclusion,[object Object],Repairing a porcelain-fused-to-metal bridge pontic is clinically acceptable and has served well as an alternative to replace a completely new bridge ,[object Object],clinician must attain a labial lingual shelf as wide as possible on the incisal portion of the preparation.,[object Object]
Fractured PFM,[object Object],Prepared PFM,[object Object]
Overlay Crown,[object Object],Finished product,[object Object]
Reference,[object Object],Fred C. Quarnstrom, Tar C. AW. Repairing fractured porcelain-fused-to-metal bridge pontics. The Journal of the American Dental Association 2010.,[object Object]
END,[object Object]

More Related Content

What's hot

Impression techniques in complete denture
Impression techniques in complete dentureImpression techniques in complete denture
Impression techniques in complete dentureNikitaChhabariya
 
journal club presentation on prosthodontics
journal club presentation on prosthodonticsjournal club presentation on prosthodontics
journal club presentation on prosthodonticsNAMITHA ANAND
 
Custom made post & Core in endodontics
Custom made post & Core in endodonticsCustom made post & Core in endodontics
Custom made post & Core in endodonticsDr. Arpit Viradiya
 
Prosthetic options in implant dentistry
Prosthetic options in implant dentistryProsthetic options in implant dentistry
Prosthetic options in implant dentistryBibin Bhaskaran
 
Complete overdenture(3)
Complete overdenture(3)Complete overdenture(3)
Complete overdenture(3)Ahmed Samir
 
Remounting of complete dentures
Remounting of complete denturesRemounting of complete dentures
Remounting of complete denturesRajvi Nahar
 
Dental veneer @
Dental veneer  @Dental veneer  @
Dental veneer @sheenu vk
 
impression making-theories and techniques in complete denture
impression making-theories and techniques in complete dentureimpression making-theories and techniques in complete denture
impression making-theories and techniques in complete denturePriyanka Makkar
 
Restoration of endodontically treated teeth
Restoration of endodontically treated teethRestoration of endodontically treated teeth
Restoration of endodontically treated teethNivedha Tina
 
Provisional restoration in fixed partial denture
Provisional restoration in fixed partial dentureProvisional restoration in fixed partial denture
Provisional restoration in fixed partial denturebhuvanesh4668
 
Procedural errors in endodontics
Procedural errors in endodonticsProcedural errors in endodontics
Procedural errors in endodonticsEdward Kaliisa
 
Altered Cast Impression Technique for Fabrication of Maxillary Obturator- Jou...
Altered Cast Impression Technique for Fabrication of Maxillary Obturator- Jou...Altered Cast Impression Technique for Fabrication of Maxillary Obturator- Jou...
Altered Cast Impression Technique for Fabrication of Maxillary Obturator- Jou...Dr. Prathamesh Fulsundar
 
Implant abutment and implant abutment connections
Implant abutment and implant abutment connectionsImplant abutment and implant abutment connections
Implant abutment and implant abutment connectionsDR.BHAVESH JHA
 
Failures in Fixed Partial Denture
Failures in Fixed Partial DentureFailures in Fixed Partial Denture
Failures in Fixed Partial DentureJehan Dordi
 
Laminates Veneers in Dentistry
Laminates Veneers in DentistryLaminates Veneers in Dentistry
Laminates Veneers in DentistryNaveed AnJum
 

What's hot (20)

Precision attachments
Precision attachmentsPrecision attachments
Precision attachments
 
Obturation materials ppt
Obturation materials pptObturation materials ppt
Obturation materials ppt
 
Impression techniques in complete denture
Impression techniques in complete dentureImpression techniques in complete denture
Impression techniques in complete denture
 
journal club presentation on prosthodontics
journal club presentation on prosthodonticsjournal club presentation on prosthodontics
journal club presentation on prosthodontics
 
Obturators
ObturatorsObturators
Obturators
 
Custom made post & Core in endodontics
Custom made post & Core in endodonticsCustom made post & Core in endodontics
Custom made post & Core in endodontics
 
Prosthetic options in implant dentistry
Prosthetic options in implant dentistryProsthetic options in implant dentistry
Prosthetic options in implant dentistry
 
Complete overdenture(3)
Complete overdenture(3)Complete overdenture(3)
Complete overdenture(3)
 
Remounting of complete dentures
Remounting of complete denturesRemounting of complete dentures
Remounting of complete dentures
 
Dental veneer @
Dental veneer  @Dental veneer  @
Dental veneer @
 
impression making-theories and techniques in complete denture
impression making-theories and techniques in complete dentureimpression making-theories and techniques in complete denture
impression making-theories and techniques in complete denture
 
Restoration of endodontically treated teeth
Restoration of endodontically treated teethRestoration of endodontically treated teeth
Restoration of endodontically treated teeth
 
Provisional restoration in fixed partial denture
Provisional restoration in fixed partial dentureProvisional restoration in fixed partial denture
Provisional restoration in fixed partial denture
 
Procedural errors in endodontics
Procedural errors in endodonticsProcedural errors in endodontics
Procedural errors in endodontics
 
Altered Cast Impression Technique for Fabrication of Maxillary Obturator- Jou...
Altered Cast Impression Technique for Fabrication of Maxillary Obturator- Jou...Altered Cast Impression Technique for Fabrication of Maxillary Obturator- Jou...
Altered Cast Impression Technique for Fabrication of Maxillary Obturator- Jou...
 
Flexible resin denture presentation power point
Flexible resin denture presentation power pointFlexible resin denture presentation power point
Flexible resin denture presentation power point
 
Implant abutment and implant abutment connections
Implant abutment and implant abutment connectionsImplant abutment and implant abutment connections
Implant abutment and implant abutment connections
 
Failures in Fixed Partial Denture
Failures in Fixed Partial DentureFailures in Fixed Partial Denture
Failures in Fixed Partial Denture
 
stress breakers in prosthodontics
stress breakers in prosthodonticsstress breakers in prosthodontics
stress breakers in prosthodontics
 
Laminates Veneers in Dentistry
Laminates Veneers in DentistryLaminates Veneers in Dentistry
Laminates Veneers in Dentistry
 

Viewers also liked

Comparison of repair methods for ceramic fused-to-metal crowns/cosmetic denti...
Comparison of repair methods for ceramic fused-to-metal crowns/cosmetic denti...Comparison of repair methods for ceramic fused-to-metal crowns/cosmetic denti...
Comparison of repair methods for ceramic fused-to-metal crowns/cosmetic denti...Indian dental academy
 
the Veneer step by step
 the Veneer step by step the Veneer step by step
the Veneer step by stepAhmed Alrashedi
 
2013.03.01專題報告
2013.03.01專題報告2013.03.01專題報告
2013.03.01專題報告佐任 林
 
Dental+ceramics
Dental+ceramicsDental+ceramics
Dental+ceramicsIAU Dent
 
The metal ceramic crown preparation
The metal ceramic crown preparationThe metal ceramic crown preparation
The metal ceramic crown preparationguest33a456f1
 
2009 interaction of color studies smal formaat
2009 interaction of color studies smal formaat2009 interaction of color studies smal formaat
2009 interaction of color studies smal formaatCornelissen Consultancy
 
Failures of fixed restorations
Failures of fixed restorationsFailures of fixed restorations
Failures of fixed restorationsMaged El-Gendy
 
bonding in chemistry-govt. model science college jabalpur [ Manorama Singh ]
bonding in chemistry-govt. model science college jabalpur [ Manorama Singh ]bonding in chemistry-govt. model science college jabalpur [ Manorama Singh ]
bonding in chemistry-govt. model science college jabalpur [ Manorama Singh ]Manorama Singh
 
Structural durability (seminar)/endodontic courses
Structural durability (seminar)/endodontic coursesStructural durability (seminar)/endodontic courses
Structural durability (seminar)/endodontic coursesIndian dental academy
 
02-20-08 - Thermodynamics
02-20-08 - Thermodynamics02-20-08 - Thermodynamics
02-20-08 - Thermodynamicswjerlinger
 
Two Viewpoints: Prepared and Minimal Prep Veneers
Two Viewpoints: Prepared and Minimal Prep VeneersTwo Viewpoints: Prepared and Minimal Prep Veneers
Two Viewpoints: Prepared and Minimal Prep Veneerstheaacd
 
Sd v10 n9-lithium disilicate veneers-dr.adolfi
Sd v10 n9-lithium disilicate veneers-dr.adolfiSd v10 n9-lithium disilicate veneers-dr.adolfi
Sd v10 n9-lithium disilicate veneers-dr.adolfiArtedesorrir
 
Different Materials for Different Situations
Different Materials for Different SituationsDifferent Materials for Different Situations
Different Materials for Different Situationstheaacd
 
Mechanical and physical properties of Prosthodontic materials
Mechanical and physical properties of Prosthodontic materialsMechanical and physical properties of Prosthodontic materials
Mechanical and physical properties of Prosthodontic materialsSubuhi Siddiqui
 
Glass ceramics dental materials
Glass ceramics dental materialsGlass ceramics dental materials
Glass ceramics dental materialsAlfredo Nevárez
 
Evolution of Conservative Odontology
Evolution of Conservative OdontologyEvolution of Conservative Odontology
Evolution of Conservative Odontologytheaacd
 

Viewers also liked (20)

Porcelain fracture
Porcelain fracturePorcelain fracture
Porcelain fracture
 
Comparison of repair methods for ceramic fused-to-metal crowns/cosmetic denti...
Comparison of repair methods for ceramic fused-to-metal crowns/cosmetic denti...Comparison of repair methods for ceramic fused-to-metal crowns/cosmetic denti...
Comparison of repair methods for ceramic fused-to-metal crowns/cosmetic denti...
 
the Veneer step by step
 the Veneer step by step the Veneer step by step
the Veneer step by step
 
2013.03.01專題報告
2013.03.01專題報告2013.03.01專題報告
2013.03.01專題報告
 
Dental+ceramics
Dental+ceramicsDental+ceramics
Dental+ceramics
 
The metal ceramic crown preparation
The metal ceramic crown preparationThe metal ceramic crown preparation
The metal ceramic crown preparation
 
2009 interaction of color studies smal formaat
2009 interaction of color studies smal formaat2009 interaction of color studies smal formaat
2009 interaction of color studies smal formaat
 
Failures of fixed restorations
Failures of fixed restorationsFailures of fixed restorations
Failures of fixed restorations
 
bonding in chemistry-govt. model science college jabalpur [ Manorama Singh ]
bonding in chemistry-govt. model science college jabalpur [ Manorama Singh ]bonding in chemistry-govt. model science college jabalpur [ Manorama Singh ]
bonding in chemistry-govt. model science college jabalpur [ Manorama Singh ]
 
Structural durability (seminar)/endodontic courses
Structural durability (seminar)/endodontic coursesStructural durability (seminar)/endodontic courses
Structural durability (seminar)/endodontic courses
 
02-20-08 - Thermodynamics
02-20-08 - Thermodynamics02-20-08 - Thermodynamics
02-20-08 - Thermodynamics
 
Two Viewpoints: Prepared and Minimal Prep Veneers
Two Viewpoints: Prepared and Minimal Prep VeneersTwo Viewpoints: Prepared and Minimal Prep Veneers
Two Viewpoints: Prepared and Minimal Prep Veneers
 
Sd v10 n9-lithium disilicate veneers-dr.adolfi
Sd v10 n9-lithium disilicate veneers-dr.adolfiSd v10 n9-lithium disilicate veneers-dr.adolfi
Sd v10 n9-lithium disilicate veneers-dr.adolfi
 
Different Materials for Different Situations
Different Materials for Different SituationsDifferent Materials for Different Situations
Different Materials for Different Situations
 
All ceramic-restoration
All ceramic-restorationAll ceramic-restoration
All ceramic-restoration
 
Mechanical and physical properties of Prosthodontic materials
Mechanical and physical properties of Prosthodontic materialsMechanical and physical properties of Prosthodontic materials
Mechanical and physical properties of Prosthodontic materials
 
Glass ceramics dental materials
Glass ceramics dental materialsGlass ceramics dental materials
Glass ceramics dental materials
 
Biomechanics of space closure
Biomechanics of space closureBiomechanics of space closure
Biomechanics of space closure
 
Glass ceramics
Glass ceramicsGlass ceramics
Glass ceramics
 
Evolution of Conservative Odontology
Evolution of Conservative OdontologyEvolution of Conservative Odontology
Evolution of Conservative Odontology
 

Similar to Repairing fractured pfm

Resin retained fpd/ academy general dentistry
Resin retained fpd/ academy general dentistryResin retained fpd/ academy general dentistry
Resin retained fpd/ academy general dentistryIndian dental academy
 
Resin bonded bridge: A forgotten first frontier for an aesthetically critical...
Resin bonded bridge: A forgotten first frontier for an aesthetically critical...Resin bonded bridge: A forgotten first frontier for an aesthetically critical...
Resin bonded bridge: A forgotten first frontier for an aesthetically critical...iosrjce
 
Resin retained fpd/ oral surgery courses / oral surgery courses
Resin retained fpd/ oral surgery courses  / oral surgery courses  Resin retained fpd/ oral surgery courses  / oral surgery courses
Resin retained fpd/ oral surgery courses / oral surgery courses Indian dental academy
 
A Novel Approach to Fracture Resistance Using Horizontal Posts after Endodont...
A Novel Approach to Fracture Resistance Using Horizontal Posts after Endodont...A Novel Approach to Fracture Resistance Using Horizontal Posts after Endodont...
A Novel Approach to Fracture Resistance Using Horizontal Posts after Endodont...Nadeem Aashiq
 
17 implant abutment 1
17  implant abutment 117  implant abutment 1
17 implant abutment 1Rehman Atiq
 
j- carolina bridge.pptx
j- carolina bridge.pptxj- carolina bridge.pptx
j- carolina bridge.pptxSusovanGiri6
 
article_1459953290 (1).pdf
article_1459953290 (1).pdfarticle_1459953290 (1).pdf
article_1459953290 (1).pdfAntariksha Dod
 
Acid etches bridges and its scope/certified fixed orthodontic courses by Indi...
Acid etches bridges and its scope/certified fixed orthodontic courses by Indi...Acid etches bridges and its scope/certified fixed orthodontic courses by Indi...
Acid etches bridges and its scope/certified fixed orthodontic courses by Indi...Indian dental academy
 
The-principles-of-tooth-preparation-may-be-divided-into-three-broad-categorie...
The-principles-of-tooth-preparation-may-be-divided-into-three-broad-categorie...The-principles-of-tooth-preparation-may-be-divided-into-three-broad-categorie...
The-principles-of-tooth-preparation-may-be-divided-into-three-broad-categorie...MuhammadArif275963
 
Finish lines/cosmetic dentistry course by Indian dental academy
Finish lines/cosmetic dentistry course by Indian dental academyFinish lines/cosmetic dentistry course by Indian dental academy
Finish lines/cosmetic dentistry course by Indian dental academyIndian dental academy
 
Failures in fpd /certified fixed orthodontic courses by Indian dental academy
Failures in fpd  /certified fixed orthodontic courses by Indian dental academy Failures in fpd  /certified fixed orthodontic courses by Indian dental academy
Failures in fpd /certified fixed orthodontic courses by Indian dental academy Indian dental academy
 
Failures in fixed partial dentures /certified fixed orthodontic courses by In...
Failures in fixed partial dentures /certified fixed orthodontic courses by In...Failures in fixed partial dentures /certified fixed orthodontic courses by In...
Failures in fixed partial dentures /certified fixed orthodontic courses by In...Indian dental academy
 
Failures in Fixed Partial Denture
Failures in Fixed Partial Denture Failures in Fixed Partial Denture
Failures in Fixed Partial Denture Queenie Delgado
 
Screw retained vs cement retained prosthesis.pptx
Screw retained vs cement retained prosthesis.pptxScrew retained vs cement retained prosthesis.pptx
Screw retained vs cement retained prosthesis.pptxRanjanaRavindran1
 

Similar to Repairing fractured pfm (20)

Resin retained fpd/ academy general dentistry
Resin retained fpd/ academy general dentistryResin retained fpd/ academy general dentistry
Resin retained fpd/ academy general dentistry
 
Resin bonded bridge: A forgotten first frontier for an aesthetically critical...
Resin bonded bridge: A forgotten first frontier for an aesthetically critical...Resin bonded bridge: A forgotten first frontier for an aesthetically critical...
Resin bonded bridge: A forgotten first frontier for an aesthetically critical...
 
Resin retained fpd/ oral surgery courses / oral surgery courses
Resin retained fpd/ oral surgery courses  / oral surgery courses  Resin retained fpd/ oral surgery courses  / oral surgery courses
Resin retained fpd/ oral surgery courses / oral surgery courses
 
inlays and onlays.ppt
inlays and onlays.pptinlays and onlays.ppt
inlays and onlays.ppt
 
A Novel Approach to Fracture Resistance Using Horizontal Posts after Endodont...
A Novel Approach to Fracture Resistance Using Horizontal Posts after Endodont...A Novel Approach to Fracture Resistance Using Horizontal Posts after Endodont...
A Novel Approach to Fracture Resistance Using Horizontal Posts after Endodont...
 
17 implant abutment 1
17  implant abutment 117  implant abutment 1
17 implant abutment 1
 
j- carolina bridge.pptx
j- carolina bridge.pptxj- carolina bridge.pptx
j- carolina bridge.pptx
 
article_1459953290 (1).pdf
article_1459953290 (1).pdfarticle_1459953290 (1).pdf
article_1459953290 (1).pdf
 
unconventional fpd
 unconventional fpd unconventional fpd
unconventional fpd
 
6.my unconventional fpd
6.my unconventional fpd6.my unconventional fpd
6.my unconventional fpd
 
complex restorations
complex restorationscomplex restorations
complex restorations
 
altered-cast.pptx
altered-cast.pptxaltered-cast.pptx
altered-cast.pptx
 
Acid etches bridges and its scope/certified fixed orthodontic courses by Indi...
Acid etches bridges and its scope/certified fixed orthodontic courses by Indi...Acid etches bridges and its scope/certified fixed orthodontic courses by Indi...
Acid etches bridges and its scope/certified fixed orthodontic courses by Indi...
 
The-principles-of-tooth-preparation-may-be-divided-into-three-broad-categorie...
The-principles-of-tooth-preparation-may-be-divided-into-three-broad-categorie...The-principles-of-tooth-preparation-may-be-divided-into-three-broad-categorie...
The-principles-of-tooth-preparation-may-be-divided-into-three-broad-categorie...
 
Finish lines/cosmetic dentistry course by Indian dental academy
Finish lines/cosmetic dentistry course by Indian dental academyFinish lines/cosmetic dentistry course by Indian dental academy
Finish lines/cosmetic dentistry course by Indian dental academy
 
Finish lines
Finish linesFinish lines
Finish lines
 
Failures in fpd /certified fixed orthodontic courses by Indian dental academy
Failures in fpd  /certified fixed orthodontic courses by Indian dental academy Failures in fpd  /certified fixed orthodontic courses by Indian dental academy
Failures in fpd /certified fixed orthodontic courses by Indian dental academy
 
Failures in fixed partial dentures /certified fixed orthodontic courses by In...
Failures in fixed partial dentures /certified fixed orthodontic courses by In...Failures in fixed partial dentures /certified fixed orthodontic courses by In...
Failures in fixed partial dentures /certified fixed orthodontic courses by In...
 
Failures in Fixed Partial Denture
Failures in Fixed Partial Denture Failures in Fixed Partial Denture
Failures in Fixed Partial Denture
 
Screw retained vs cement retained prosthesis.pptx
Screw retained vs cement retained prosthesis.pptxScrew retained vs cement retained prosthesis.pptx
Screw retained vs cement retained prosthesis.pptx
 

Recently uploaded

ayurvedic formulations herbal drug technologyppt
ayurvedic formulations herbal drug technologypptayurvedic formulations herbal drug technologyppt
ayurvedic formulations herbal drug technologypptPradnya Wadekar
 
Different drug regularity bodies in different countries.
Different drug regularity bodies in different countries.Different drug regularity bodies in different countries.
Different drug regularity bodies in different countries.kishan singh tomar
 
AORTIC DISSECTION and management of aortic dissection
AORTIC DISSECTION and management of aortic dissectionAORTIC DISSECTION and management of aortic dissection
AORTIC DISSECTION and management of aortic dissectiondrhanifmohdali
 
Pharmacokinetic Models by Dr. Ram D. Bawankar.ppt
Pharmacokinetic Models by Dr. Ram D.  Bawankar.pptPharmacokinetic Models by Dr. Ram D.  Bawankar.ppt
Pharmacokinetic Models by Dr. Ram D. Bawankar.pptRamDBawankar1
 
Female Reproductive Physiology Before Pregnancy
Female Reproductive Physiology Before PregnancyFemale Reproductive Physiology Before Pregnancy
Female Reproductive Physiology Before PregnancyMedicoseAcademics
 
Male Infertility, Antioxidants and Beyond
Male Infertility, Antioxidants and BeyondMale Infertility, Antioxidants and Beyond
Male Infertility, Antioxidants and BeyondSujoy Dasgupta
 
BENIGN BREAST DISEASE
BENIGN BREAST DISEASE BENIGN BREAST DISEASE
BENIGN BREAST DISEASE Mamatha Lakka
 
AUTONOMIC NERVOUS SYSTEM organization and functions
AUTONOMIC NERVOUS SYSTEM organization and functionsAUTONOMIC NERVOUS SYSTEM organization and functions
AUTONOMIC NERVOUS SYSTEM organization and functionsMedicoseAcademics
 
Basic structure of hair and hair growth cycle.pptx
Basic structure of hair and hair growth cycle.pptxBasic structure of hair and hair growth cycle.pptx
Basic structure of hair and hair growth cycle.pptxkomalt2001
 
Adenomyosis or Fibroid- making right diagnosis
Adenomyosis or Fibroid- making right diagnosisAdenomyosis or Fibroid- making right diagnosis
Adenomyosis or Fibroid- making right diagnosisSujoy Dasgupta
 
"Radical excision of DIE in subferile women with deep infiltrating endometrio...
"Radical excision of DIE in subferile women with deep infiltrating endometrio..."Radical excision of DIE in subferile women with deep infiltrating endometrio...
"Radical excision of DIE in subferile women with deep infiltrating endometrio...Sujoy Dasgupta
 
CONNECTIVE TISSUE (ANATOMY AND PHYSIOLOGY).pdf
CONNECTIVE TISSUE (ANATOMY AND PHYSIOLOGY).pdfCONNECTIVE TISSUE (ANATOMY AND PHYSIOLOGY).pdf
CONNECTIVE TISSUE (ANATOMY AND PHYSIOLOGY).pdfDolisha Warbi
 
ORAL HYPOGLYCAEMIC AGENTS - PART 2.pptx
ORAL HYPOGLYCAEMIC AGENTS  - PART 2.pptxORAL HYPOGLYCAEMIC AGENTS  - PART 2.pptx
ORAL HYPOGLYCAEMIC AGENTS - PART 2.pptxNIKITA BHUTE
 
Red Blood Cells_anemia & polycythemia.pdf
Red Blood Cells_anemia & polycythemia.pdfRed Blood Cells_anemia & polycythemia.pdf
Red Blood Cells_anemia & polycythemia.pdfMedicoseAcademics
 
SGK RỐI LOẠN KALI MÁU CỰC KỲ QUAN TRỌNG.pdf
SGK RỐI LOẠN KALI MÁU CỰC KỲ QUAN TRỌNG.pdfSGK RỐI LOẠN KALI MÁU CỰC KỲ QUAN TRỌNG.pdf
SGK RỐI LOẠN KALI MÁU CỰC KỲ QUAN TRỌNG.pdfHongBiThi1
 
Role of Soap based and synthetic or syndets bar
Role of  Soap based and synthetic or syndets barRole of  Soap based and synthetic or syndets bar
Role of Soap based and synthetic or syndets barmohitRahangdale
 
historyofpsychiatryinindia. Senthil Thirusangu
historyofpsychiatryinindia. Senthil Thirusanguhistoryofpsychiatryinindia. Senthil Thirusangu
historyofpsychiatryinindia. Senthil Thirusangu Medical University
 

Recently uploaded (20)

ayurvedic formulations herbal drug technologyppt
ayurvedic formulations herbal drug technologypptayurvedic formulations herbal drug technologyppt
ayurvedic formulations herbal drug technologyppt
 
Different drug regularity bodies in different countries.
Different drug regularity bodies in different countries.Different drug regularity bodies in different countries.
Different drug regularity bodies in different countries.
 
AORTIC DISSECTION and management of aortic dissection
AORTIC DISSECTION and management of aortic dissectionAORTIC DISSECTION and management of aortic dissection
AORTIC DISSECTION and management of aortic dissection
 
Pharmacokinetic Models by Dr. Ram D. Bawankar.ppt
Pharmacokinetic Models by Dr. Ram D.  Bawankar.pptPharmacokinetic Models by Dr. Ram D.  Bawankar.ppt
Pharmacokinetic Models by Dr. Ram D. Bawankar.ppt
 
Female Reproductive Physiology Before Pregnancy
Female Reproductive Physiology Before PregnancyFemale Reproductive Physiology Before Pregnancy
Female Reproductive Physiology Before Pregnancy
 
Male Infertility, Antioxidants and Beyond
Male Infertility, Antioxidants and BeyondMale Infertility, Antioxidants and Beyond
Male Infertility, Antioxidants and Beyond
 
BENIGN BREAST DISEASE
BENIGN BREAST DISEASE BENIGN BREAST DISEASE
BENIGN BREAST DISEASE
 
AUTONOMIC NERVOUS SYSTEM organization and functions
AUTONOMIC NERVOUS SYSTEM organization and functionsAUTONOMIC NERVOUS SYSTEM organization and functions
AUTONOMIC NERVOUS SYSTEM organization and functions
 
Basic structure of hair and hair growth cycle.pptx
Basic structure of hair and hair growth cycle.pptxBasic structure of hair and hair growth cycle.pptx
Basic structure of hair and hair growth cycle.pptx
 
Adenomyosis or Fibroid- making right diagnosis
Adenomyosis or Fibroid- making right diagnosisAdenomyosis or Fibroid- making right diagnosis
Adenomyosis or Fibroid- making right diagnosis
 
"Radical excision of DIE in subferile women with deep infiltrating endometrio...
"Radical excision of DIE in subferile women with deep infiltrating endometrio..."Radical excision of DIE in subferile women with deep infiltrating endometrio...
"Radical excision of DIE in subferile women with deep infiltrating endometrio...
 
GOUT UPDATE AHMED YEHIA 2024, case based approach with application of the lat...
GOUT UPDATE AHMED YEHIA 2024, case based approach with application of the lat...GOUT UPDATE AHMED YEHIA 2024, case based approach with application of the lat...
GOUT UPDATE AHMED YEHIA 2024, case based approach with application of the lat...
 
CONNECTIVE TISSUE (ANATOMY AND PHYSIOLOGY).pdf
CONNECTIVE TISSUE (ANATOMY AND PHYSIOLOGY).pdfCONNECTIVE TISSUE (ANATOMY AND PHYSIOLOGY).pdf
CONNECTIVE TISSUE (ANATOMY AND PHYSIOLOGY).pdf
 
ORAL HYPOGLYCAEMIC AGENTS - PART 2.pptx
ORAL HYPOGLYCAEMIC AGENTS  - PART 2.pptxORAL HYPOGLYCAEMIC AGENTS  - PART 2.pptx
ORAL HYPOGLYCAEMIC AGENTS - PART 2.pptx
 
Rheumatoid arthritis Part 1, case based approach with application of the late...
Rheumatoid arthritis Part 1, case based approach with application of the late...Rheumatoid arthritis Part 1, case based approach with application of the late...
Rheumatoid arthritis Part 1, case based approach with application of the late...
 
Red Blood Cells_anemia & polycythemia.pdf
Red Blood Cells_anemia & polycythemia.pdfRed Blood Cells_anemia & polycythemia.pdf
Red Blood Cells_anemia & polycythemia.pdf
 
American College of physicians ACP high value care recommendations in rheumat...
American College of physicians ACP high value care recommendations in rheumat...American College of physicians ACP high value care recommendations in rheumat...
American College of physicians ACP high value care recommendations in rheumat...
 
SGK RỐI LOẠN KALI MÁU CỰC KỲ QUAN TRỌNG.pdf
SGK RỐI LOẠN KALI MÁU CỰC KỲ QUAN TRỌNG.pdfSGK RỐI LOẠN KALI MÁU CỰC KỲ QUAN TRỌNG.pdf
SGK RỐI LOẠN KALI MÁU CỰC KỲ QUAN TRỌNG.pdf
 
Role of Soap based and synthetic or syndets bar
Role of  Soap based and synthetic or syndets barRole of  Soap based and synthetic or syndets bar
Role of Soap based and synthetic or syndets bar
 
historyofpsychiatryinindia. Senthil Thirusangu
historyofpsychiatryinindia. Senthil Thirusanguhistoryofpsychiatryinindia. Senthil Thirusangu
historyofpsychiatryinindia. Senthil Thirusangu
 

Repairing fractured pfm

  • 1.
  • 2.
  • 3.
  • 4.
  • 5.
  • 6.
  • 7.
  • 8.
  • 9.
  • 10.
  • 11.
  • 12.
  • 13.
  • 14.
  • 15.
  • 16.
  • 17.
  • 18.
  • 19.
  • 20.
  • 21.
  • 22.
  • 23.
  • 24.
  • 25.
  • 26.
  • 27.
  • 28.
  • 29.
  • 30.
  • 31.
  • 32.
  • 33.
  • 34.
  • 35.
  • 36.
  • 37.
  • 38.
  • 39.
  • 40.
  • 41.
  • 42.
  • 43.
  • 44.
  • 45.