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Fixed Partial Dentures - An Overview

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Fixed partial dentures are prosthetic devices that are designed to replace missing teeth to enhance both the aesthetics and function of the oral cavity.

Medically reviewed by

Dr. Shweta Sharma

Published At December 22, 2023
Reviewed AtDecember 22, 2023

Introduction:

Dental bridges, or fixed partial dentures (FPDs), are common dental devices that are used to replace missing teeth. A dentist permanently implants these custom-made prosthetic devices into the patient's mouth. These bridges are fixed to dental implants, natural teeth, or tooth roots, to cover the spaces left by lost teeth. FPDs fill in the gaps caused by missing teeth, similar to bridges. In addition to being purely aesthetic, this treatment has health benefits such as improved digestion, enhanced chewing capacity, and the potential to straighten teeth and correct overbites. FPDs are frequently in use and have established themselves as a standard remedy for individuals of all ages.

What Does FPD Mean in Dentistry?

In dentistry, FPD stands for fixed partial dentures—prosthetic teeth that patients cannot remove. FPDs help overcome the discomfort of keeping dentures in a cup overnight or the inconvenience of slipping teeth. Hence, they provide a permanent, natural-looking grin. Patients experience enhanced comfort and convenience with fixed partial dentures. Unlike removable dentures, these long-term fixes eliminate discomfort and awkwardness, providing the flexibility to enjoy a stunning grin without any trouble. Therefore, fixed partial dentures can be the ideal option for someone considering enhancing their smile. One should never hesitate to schedule a consultation with a dentist to learn more about FPDs.

What Are the Different Options of Fixed Partial Dentures?

When it comes to fixed partial dentures, there are a few options:

  • Maryland Bridge: A conservative alternative for replacing a single lost tooth is a Maryland bridge. It is made by fusing ceramic teeth with a plate made of metal or ceramic. Retention rings are then used to secure this plate to the back of the neighboring teeth. The Maryland bridge's little invasiveness is one of its main advantages. It maintains a large portion of the native tooth structure because it does not necessitate significant changes to nearby teeth. In addition, it is not too expensive compared to other choices.

  • Cantilever Bridge: When there is just one nearby tooth that may be used for support, a cantilever bridge is utilized, much like the Maryland Bridge. The cantilever bridge only needs one tooth for support, as opposed to the Maryland bridge, which is supported by two neighboring teeth. It is frequently applied to teeth like the front teeth which are not subjected to much chewing pressure. However, due to the complexity of the process, if revisions are required, the cost may increase.

  • Pier Abutment: When multiple teeth are missing, a more involved technique known as the pier abutment is used. It entails employing a sturdy framework to join replacement teeth to natural teeth. When there is not much natural tooth available to serve as an anchor, this technique is required. Because of its sturdy design, the bridge can endure the strain of regular use.

What Is the Success Rate of Fixed Partial Dentures?

Fixed partial dentures offer patients numerous advantages. They not only enhance appearance but also facilitate easier speech and chewing. A gorgeous smile increases the sense of self-worth and confidence because it supports the structures of the face. These dentures can even correct biting problems and help a person look young. They can prolong the youthful appearance of the skin by preventing wrinkles and age lines.

  • Lifespan: With proper care, fixed partial dentures can endure for up to 10 years or even longer. Regular cleaning and maintenance are crucial to extend their lifespan.

  • Failure: Despite their many advantages, fixed partial dentures present certain challenges. Incorrect cleaning is a major issue, leading to problems such as foul breath, gum disease, and other oral health concerns. Brushing and flossing should be performed with the same diligence as with natural teeth.

It is important to visit the dentist approximately every six months to ensure the optimal condition of the dentures. Dentists can provide expert cleaning assistance and advice on the best maintenance schedule. These dentures have an eight-to-10-year lifespan, or potentially longer with proper care. To ensure their proper function and longevity, frequent dental checkups and cleaning are essential.

What Are Some Important Things to Know Before Opting Fixed Partial Dentures?

Before opting for fixed partial dentures (FPD), there are several crucial considerations to keep in mind:

  • Natural Teeth Changes: The appearance of dentures may be altered if the supporting teeth require shaping.

  • Design Is Important: Designs vary, and if natural teeth are in good condition, one-sided attachments or cantilevers can help preserve them.

  • Risks During Preparation: Harm to nerves or blood vessels may occur during the preparation of natural teeth for dentures, potentially leading to future issues such as the need for a root canal treatment.

  • Care Challenges: Dentures are more challenging to clean, thereby increasing the risk of cavities and gum disease. Extra cleaning efforts are necessary.

  • Changes in Appearance: Aging and color shifts can cause dentures to appear different over time compared to natural teeth.

  • Possible Damage: The denture’s material may chip, affecting both its appearance and functionality.

How to Improve the Long-Term Success Rate of FPD?

One must take proper care of their dental health if they want their FPD to endure for a long time:

  • Fluoride toothpaste must be used to brush the teeth twice a day. Fluoride-containing toothpaste is beneficial for those who do not have many cavities.

  • Every day, the area surrounding the fake tooth and in between the teeth should be brushed. This can be challenging, particularly if a person has fixed dental implants. To ensure that this is done correctly, one can ask the dentist about any specialized tools.

  • Keeping an eye on the diet is important. One must aim to eat a balanced diet that is not overly sweet.

  • One must visit the dentist on a regular basis. One will normally need checkups every three to 12 months, as determined by the dentist. A dentist will evaluate the risk and confirm that everything is in order.

Patients may prolong the longevity of their FPD and maintain the health of their smile by adhering to these guidelines.

Conclusion:

A fixed partial denture serves as a lasting dental solution, addressing gaps in the teeth and restoring the mouth's natural appearance. These dentures offer enhanced comfort and convenience as they remain in the mouth for an extended period compared to removable alternatives. Maintaining good oral hygiene and undergoing regular dental check-ups are crucial to prevent issues like cavities, gum disease, or discoloration between natural and artificial teeth. Dentists can regularly replace or repair damaged denture components, ensuring prolonged functionality and aesthetic appeal. Collaborating closely with one’s dentist allows one to preserve a functional, aesthetically pleasing smile with the assistance of a fixed partial denture.

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Dr. Ashwini Kumar

Dentistry

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