Replacement of a fixed partial denture secondary to abutment fracture

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Replacement of a fixed partial denture secondary to abutment fracture
J Am Dent Assoc, Vol 138, No 6, 785-790.
Michael S. Block, DMD, Paulino Castellon, DDS and Julio Zavala, CDT

Background. The authors present a case that demonstrates the efficient replacement of a fixed prosthesis after a patientĚs abutment tooth fractured and required extraction. The fractured tooth had a local infection, and the maxillary bone was low-density and limited in height.

Case Description. The authors removed the tooth and grafted the site with particulate bone, while concurrently placing two implants in the edentulous region. After four months, they placed one additional implant and secured a fixed provisional prosthesis within one week.

Clinical Implications. The patient wanted to minimize the time that she would have to be without a fixed prosthesis. The authors met her expectations by using an accelerated treatment plan.

Key Words: Bone grafting; dental implants; fixed prosthesis; infection

Š 2007 American Dental Association