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Usha Radke1, Rajesh Kubde, Aditi Paldiwal
1Department of Prosthodontics, VSPM's Dental College & Research Centre, Nagpur 440019, India.
Case Reports in Dentistry
|August 29, 2012
Summary
Dentists can now save teeth previously slated for extraction. A modified fixed partial denture can splint remaining tooth portions, successfully preserving natural dentition.
Area of Science:
- Dentistry
- Endodontics
- Prosthodontics
Background:
- Patient desire to retain natural teeth is increasing.
- Mandibular first molars are frequently extracted due to caries and periodontal disease.
- Root defects in these molars often lead to extraction.
Purpose of the Study:
- To present a conservative treatment alternative for severely damaged mandibular molars.
- To describe the fabrication and maintenance of a modified fixed partial denture for tooth preservation.
Main Methods:
- Endodontic treatment of the affected molar.
- Surgical removal of only the diseased root portion.
- Fabrication of a custom modified fixed partial denture to splint the remaining tooth structure to adjacent teeth.
Main Results:
- The described procedure allows for the successful preservation of teeth that would typically be extracted.
- The modified fixed partial denture provides a stable and maintainable prosthetic solution.
- This approach addresses the functional and aesthetic concerns associated with tooth loss.
Conclusions:
- A modified fixed partial denture following endodontic treatment and hemisection is a viable option for saving compromised mandibular molars.
- This conservative approach enhances patient satisfaction by maintaining natural dentition.
- The procedure is technically achievable and offers long-term success with proper maintenance.
