pediatric prosthodontics

PEDIATRIC

PROSTHODONTICS

DR HIMANSHU KAPOOR

3RD YEAR

Dr. Himanshu Kapoor, Subharti Dental College, SVSU

HOW DOES TOOTH LOSE OCCUR?

Dr. Himanshu Kapoor, Subharti Dental College, SVSU

• CARIES • TRAUMA • FRACTURE • INFECTION • CLEFT LIP AND PALATE • SYSTEMIC DISORDER • PREMATURE LOSE OF TOOTH • RADIATION DAMAGE • NEOPLASIA

Dr. Himanshu Kapoor, Subharti Dental College, SVSU

WHY DO WE NEED PEDIATRIC PROSTHODONTICS?

Dr. Himanshu Kapoor, Subharti Dental College, SVSU

• ESTHETICS

• SPEECH

• MASTICATION

• INTEGRITY OF DENTAL ARCHES

• HEALTH OF SUPPORTING TISSUES

• PREVENTION OF UNDESIRABLE HABBITS

• PSYCHOLOGICAL AND MENTAL HEALTH OF PATIENT.

Dr. Himanshu Kapoor, Subharti Dental College, SVSU

PROSTHODONTIC REPLACEMENTS

Dr. Himanshu Kapoor, Subharti Dental College, SVSU

• COMPLETE DENTURE CONSTRUCTION

• REMOVABLE PARTIAL DENTURE

• IMMEDIATE DENTURE

• OVERDENTURE

• OBTURATOR

• INTRAORAL APPLIANCE FOR INFANTS

• PEDODONTIC IMPLANTS (UNDER TRIAL)

Dr. Himanshu Kapoor, Subharti Dental College, SVSU

ANATOMICAL AND PSYCHOLOGICAL

CONSIDERATION IN CHILD PATIENT.

Dr. Himanshu Kapoor, Subharti Dental College, SVSU

ORAL MUCOSA AND SKIN

• Unlike adults, denture bearing mucosa is thick and well circulated.

• Therefore less prone to trauma.

• Skin changes e.g. giving proper denture can compensate skin folds.

Dr. Himanshu Kapoor, Subharti Dental College, SVSU

Residual bone changes

• More porous more blood supply

• Faster healing

• Growth of dental arches required frequent change..

Dr. Himanshu Kapoor, Subharti Dental College, SVSU

TONGUE AND TASTE CHANGES

• Lose of tooth result in placement of tongue between edentulous area

• Unlike adults inflammation and taste bud alteration is uncommon.

Dr. Himanshu Kapoor, Subharti Dental College, SVSU

SALIVARY FLOW CHANGES

• Due to good salivary flow difficulty in wearing denture.

Dr. Himanshu Kapoor, Subharti Dental College, SVSU

PSYCHOLOGY OF PATIENTS

• May develop inferiority complex.

Dr. Himanshu Kapoor, Subharti Dental College, SVSU

CONDITION OF EDENTULOUS TEETH IN CHILD PATIENT

• Ectodermal dysplasia

• Ecc

• Trauma

• neoplasia

Dr. Himanshu Kapoor, Subharti Dental College, SVSU

COMPLETE DENTURES

1. TRAY SELECTION

2. IMPRESSION MATERIAL

3. IMPRESSION MAKING

4. PRIMARY CAST

5. SECONDARY IMPRESSION

6. OCCLUSAL RIM FABRICATION

Dr. Himanshu Kapoor, Subharti Dental College, SVSU

Difficulty in :-

• ECTODERMAL DYSPLASIA PATIENT

• CEREBRAL PALSY

• OSTEOPETROSIS PATIENT

Dr. Himanshu Kapoor, Subharti Dental College, SVSU

7. RECORDING JAW RELATION

8. TEETH SELECTION

Dr. Himanshu Kapoor, Subharti Dental College, SVSU

9. TEETH SETTING OF CHILDREN

• 2-5 YEAR OF AGE

• 6-7 YEAR

• 7-8 YEAR

• 9-10 YEAR

• 12-13 YEAR

Dr. Himanshu Kapoor, Subharti Dental College, SVSU

10 . DENTURE DELIVERY

Dr. Himanshu Kapoor, Subharti Dental College, SVSU

REMOVABLE PARTIAL DENTURE

ANY PROSTHESIS WHICH REPLACES SOME TEETH IN PARTIAL DENTAL ARCH .

Dr. Himanshu Kapoor, Subharti Dental College, SVSU

CONTRAINDICATION

• WHEN FPD IS POSSIBLE

• DISABLED PATIENT

• UNCOPERATIVE PATIENT

Dr. Himanshu Kapoor, Subharti Dental College, SVSU

COMPONENTS OF RPD

• DENTURE BASE

• RETENTIVE CLASP

• ARTIFICIOAL TEETH

Dr. Himanshu Kapoor, Subharti Dental College, SVSU

STEPS OF CONSTRUCTION

• DIAGNOSIS AND TREATMENT PLANNING

• PRIMARY IMPRESSION

• JAW RELATION IF REQUIRED

• SELECTION OF ARTIFICIAL TEETH

• TRY IN PARTIAL DENTURE

• INSERTION OF PARTIAL DENTURE

Dr. Himanshu Kapoor, Subharti Dental College, SVSU

LABORATORY STEPS

• POURING CASTE

• MAKING CUSTOM TRAY

• MAKING RECORD BASE AND OCLUSAL RIMS

• ARTICULATIOPN OF CAST

• TEETH ARANGEMENT

• ACRYLIZATION OF DENTURE

• FINISHING AND POLISHING

Dr. Himanshu Kapoor, Subharti Dental College, SVSU

INDICATION

• DISTAL EXTENSION CARIES

• COMPROMISED DENTAL SUPPORT OF REMAINING TEETH

• EXCESSIVE BONE LOSS

• ESTHETICS

• CLOSURE OF CLEFT

• CORRECTION OF SPEECH

• PREVEBTION OF HARMFUL HABBITS

• AS SPACEMAINTAINER

Dr. Himanshu Kapoor, Subharti Dental College, SVSU

OVERDENTURES

• Overdenture is complete or partial removable denture supported by retained roots and teeth to provide support ,stability, tactile and propioceptive sensation to reduce ridge resorption.

Dr. Himanshu Kapoor, Subharti Dental College, SVSU

INDICATIONS

• PATIENT WITH VERY FEW TEETH

• TEETH WITH SMALL CLINICAL CROWN

• SMALL DENTAL ARCHES WITH LITTLE LIP SUPPORT

• LARGE SPACES BETWEEN TEETH WHICH IS DIFFICULT TO TREAT ORTHODONTICALLY

• CONGENITAL MALFUNCTIONS

Dr. Himanshu Kapoor, Subharti Dental College, SVSU

CONTRAINDICATIONS

• COOPERATION OF PATIENT

• POOR ORAL HYGIENE

• PSYCHOLOGICAL FACTORS

Dr. Himanshu Kapoor, Subharti Dental College, SVSU

ADVANTAGES

• PROVES SUPERIOR TREATMENT METHOD

• CONSERVATION OF ALVEOLAR RIDGE

• REMAINING ABUTMENT CONSERVATION

• BETTER STABILITY

• BETTER RETENTION

• MINIMAL PALATAL COVERAGE

• FEWER ADJUSTMENTS ARE REQUIRED

Dr. Himanshu Kapoor, Subharti Dental College, SVSU

DISADVANTAGE

• BULKIER THAN COMPLETE DENTURE

• INCREASED RISK OF CARIES

• MORE EXPENSIVE THAN CONVENTIONAL DENTURES

Dr. Himanshu Kapoor, Subharti Dental College, SVSU

OBTURATORS

PROSTHESIS USED TO CLOSE CONGENITAL OR ACQUIRED OPENING IN THE PALATE.

Dr. Himanshu Kapoor, Subharti Dental College, SVSU

INDICATIONS

• CLEFT LIP AND PALATE

• ACQUIRED ORAL DEFECT OF MAXILLARY CARCINOMA

Dr. Himanshu Kapoor, Subharti Dental College, SVSU

ADVANTAGE

• RESTORATION OF MASTICATION DEGLUTITION SPEECH

• ESTHETICS

• PSYCOLOGY

• NORMAL DEVELOPMENT OF REMAINING ORAL STRUCTURES

Dr. Himanshu Kapoor, Subharti Dental College, SVSU

TYPE OF OBTURATORS

1. FEEDING OBTURATOR

2. SURGICAL OBTURATOR

3. INTERIOR OBTURATOR

4. HOLLOW OBTURATOR

5. METAL BASE OBTURATOR

6. PALATAL OBTURATOR:-

I. DENTAL

II. SPEECH BULB OBTURATOR.

Dr. Himanshu Kapoor, Subharti Dental College, SVSU

THANKS