DOCSLIB.ORG

Clinical Evaluation of Resin-Bonded Bridges: a Retrospective Study Paul S

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
Clinical Evaluation of Resin-Bonded Bridges: a Retrospective Study Paul S Prosthodontics Clinical evaluation of resin-bonded bridges: a retrospective study Paul S. Olin* / Elaine M. E. Hill^ " / James L. Donahue* * * Eighty-five patients with a total of 103 resin-bonded bridges placed by practitioners at the University of Minnesota School of Dentistry between 1982 and ¡989 were recalled for a clinical evaluation of their restorations. Tissue condition, patient satisfaction, bridge failures by iocation and by sex of patient, and average length of service for both successful and failed bridges were recorded. After an average service of 3.25 years, 12.6% of the fixed partial dentures had debonded. Debondings occtirred most fre- quently in the mandibular arch. Failures occurred more frequently in men than in women, and prostheses with more than two retainers had twice the probability for problems. (Quintessence Int 1991:22:873-877.) Introduction posite resin. The framework of this restoration still relied on perforations for retention, and Howe and Since Rochettc' first adapted the resin-bonding Denehy were extremely conservative in their expecta- technique to attach a fixed periodontal splint to tions regarding the longevity of the prosthesis, referring enamel without removing tooth structure, the idea of to it as a provisional restoration. a resin-bonded bridge that would not entail the re- In the perforated framework popularized by moval of healthy tooth structure on abutment teeth Rochette, retention is limited to areas around Ihe but that would provide a permanent restoration has perforations, and is not consistent within the entire been attractive to both practitioners and patients. framework. In an effort to improve the resin-to-metal Rochette's goid, perforated framework was retained bond. Lividitis and Thompson"* described a technique hy small holes placed in its structure through which whereby the inner !iide of a nonprecious-alloy bridge resin was extruded. framework could be electrolytically etched to produce This same technique, when applied to fixed a microscopically ronghened snrface that would he bridgework. became known as the "Rochette bridge." suitable for mechanical bonding to an adhesive. The Howe and Denehy" reported the first use of the "Maryland bridge," as this technique came to he Rochette sphnt to replace missing teeth. They used a called colloquially, provided the same esthetic resuh nonprecious alloy framework bonded to acid-etched and preservation of tooth structure as the Rochette enamel with a chemically cured dimethacryiate com- bridge, but was more versatile and offered the hope of improved retention. At the time of their report, Lividitis and Thompson' had placed 65 fixed partial dentures of three to six units over a period of 12 months. • Assistant Professor, Division of Prosthodontics, University of Minnesota, School of Dentistry, 9-4511 Malcolm Moos Health Brady et al'* tested the shear bond strength of elec- Sciences Tower, 515 Delaware Street SE, Minneapolis, Min- trolytically etched versus perforated frameworks. The nesota 55455, Principle Laboratory Technician, Dental Researeh Institute. etched samples in this study were able to withstand University of Minnesota, School of Dentistry, 18-104 Malcolm more than fonr times the breaking load of the per- Mous Health Sciences Tower. forated samples. However, Brady et al'' cautioned that Associate Professor, Division of Prosthodonties, University of the clinical complexity as well as shear bond strength Minnesota, School of Dentistry, 9-450 Malcolm Moos Health of etched retainers must be factored into their use. Sciences Tower. Quintessence International Volume 22, Number 11/1991 873 Prosthodontics Long-term evaluations of the Maryland or resin- Method and materials bonded bridge have been reported, Al-Shammery and Ibraheem reported a 12.2% success rate of 36 bridges All patients identified through records as having had after 38 months. Twenty posterior and 16 anterior otie or more resin-bonded bridges placed between 1982 bridges were plaeed using etched Rexilliutn alloy and 1989 were invited to participate in a recall exami- (Jeneric/Pentron Inc) and Comspan (LD Cauik/Dent- nation. Of the 85 patients who responded, 47 were sply International). Of the 10 prostheses that debonded, women and 38 were men. The 85 patients had a total six were mandibular premolars and four were man- of 1Ü3 bridges: 69 had one, 14 had two, and two had dibular molars. Priest and Donatelli" presented a three prostheses. Resin-bonded bridges, adjacent 4-year clinical evaluation of fixed partial dentures with teeth, opposing dentition, and gingiva were examined. a mean life at evaluation of 23 months (range of 2 to Failures were noted by location and retainer type. 51 months). Ten of the bridges had dislodged (17,2%) Wear of the framework or teeth, occlusion on the and the authors reported that frameworks that were hridge, tissue condition, appearance of visible bonding chemically etched performed better than electrolyt- agent, the presence or absence of caries, integrity of ically etched or perforated designs. Their results did margins, and patient satisfaction with the restoration not indicate that location affects retention, and they were noted. Because of the uncontrolled conditions were among the first to consider the resin-bonded under which the fixed partial dentures were placed, bridge a "definitive" prosthesis, bonding agents and metal types were often unavailable Williams et al' reported on the conditioti of 99 fixed and were therefore not noted, Intraoral photographs partial dentures placed over 10 years. Eighty-eight were taken of each patient. percent of the bridges evaluated in this study were made of nickel-chromium alloy and 12% of noble ceramoalloys. Seventy-two percent had perforations as the retentive mechanism, and 28% were retained with Results the electrochemieally etched metal method. The mean Bridge failures, successes, problems and wing-pontic age of prostheses at recall was 3,4 years, and the mean ratios for successful versus problem bridges are re- age of debonded prostheses was 2,2 years. The rate of ported in Tables 1 to 4. Representative clinical photo- debonding for all causes was 31%, The etched and graphs of failed (Figs 1 to 3) and successful {Figs 4 perforated restorations experienced nearly equal rates and 5) resin-bonded bridges are shown. of debonding. This is interesting in light of the claims made for superior retention of etched frameworks. The authors did not report any statistically significant Discussion differences based on the age or sex of patients in the Almost 13% of the bridges recalled had to be reluted study. Creugers et aP '" reported the results of a 5- or remade. This rate compares favorably with rates year prospective study of 203 bridges placed under reported previously.^'' As Creugers et al"^ also noted, controlled clinical conditions. They reported a de- mandibular prostheses failed nearly twice as often as bonding rate of 22% at 5 years, Mandibuiar posterior maxillary prostheses. Resin-bonded bridges with prostheses showed the lowest retention ratio and the multiple abutments were more likely to fail. This may authors characterized the results of these restorations be attributed to mandibular flexure," This flexure may "disappointing," Etched metal frameworks were more create a torquing of the tooth within the periodontal retentive than perforated frameworks, and no oper- ligament space and the bridge itself, Fischman'- noted ator effect was found. It is important to note, how- that this stress may result in a breakdown of the bonding ever, that the restorations were placed by calibrated agent. operators under controlled conditions. The rnajority (57%) of the debondings were adhesive failures at the While Williams et al' did not report any gender- metal-resin interface, "Chewing hard food'" was re- based differences in debonding täte, debondings in the corded as the most frequently known reason for de- present study were noted more frequently in men than bonding. in women. This may be attributed to physical factors, such as the lower bite force experienced by women,'"' The present study reports the condition of 103 resin- or perhaps to sociological factors, such as the higher bortded bridges plaeed between 1982 and 19S9 by level of dental awareness and utilization found among different operators at the University of Minnesota, women.'''""' 874 Quintessence Internationai Volume 22, Number 11/1991 Prosthodontics Table 1 Number of successes by loeation in the tiiouth Maxillaryariferior 41of46 (89%) Combination of maxillary 5 of 5(100%) anterior and posterior Maxillary posterior 8of 9 (89%) Mandibularatiterior 16of22 (73%) Mandibular posterior 16 of 21 (76 % ) Table 2 Number of failures bv location in the mouth Fig 1 Resin-bonded bridge loose at recall. Maxillary anterior 3of4ó (7%) Combination of maxillary Oof 5 (0%) anterior and posterior Maxillary posterior lof 9{11%) Mandibular anterior 5 of 22 (23%) Mandibular posterior 4of21(19%) Table 3 Number of problems by location in the mouth Maxillary anterior 2 of 46 (4%) Combination of maxillary Oof 5 (0%) anterior and posterior Maxillaryposterior lof 9(11%) Fig 2 Caries after wing remováis. Mandibular anterior 3 of 22 (14%) Mandibular posterior 2of21{10%) Table 4 Wng-pontic ratios of recalled resin-bonded bridges Ratio Successful Problem 2/1 82% 18% 2/2 100% 0% 3/1 100% 0% 3/2 67% 33% 4/Ü* 100% 0% 4/1 75% 25% Fig 3 Extent ot caries after wing removal. 4/2 88% 12% 5/1 50% 50% 6/3 100% 0% Splint, Qurntessence International Volutne 22, Number tt/t991 875 Prosthodontics Fig 4 Clinieally successful resin-bonded bridges. Fig 5 Clinically successful resin-bonded bridge. Six bridges were discovered at recall to have current, Acknowledgments althongh repairabie problems, highlighting the need Tlîc authors gratefully acknowledge Dr Omar Zidan. Associate for a rigorous 6-moiith recall program for patients with Professor, Division of Operative Dentistry. University of Min- resin-bonded restorations. The gross decay illustrated nesota, School of Dentistry, and Ihc graduate iludenti under his in Fig 2 remained undetected because the patient did direction for their placemen! of many of the bridges recalled in this study.
Load more

Recommended publications
  • Dentistry: Advanced Research Kalghoum I, Et Al
    Dentistry: Advanced Research Kalghoum I, et al. Dentistry Adv Res: DTAR-133. Case Report DOI: 10.29011/2574-7347. 100033 All Ceramic Bonded Bridge: Clinical Procedure and Requirements Imen Kalghoum1, Ines Azzouzi1, Amina Khiari1, Dalenda Hadyaoui2*, Belhssan Harzallah2, Mounir Cherif2 1DDM, Department of Fixed Prosthodontics, Faculty of Dental Medicine, Monastir, Tunisia 2Professor, Department of Fixed Prosthodontics, Faculty of Dental Medicine, Monastir, Tunisia *Corresponding author: Dalenda Hadyaoui, Professor, Department of Fixed Prosthodontics, Faculty of Dental Medicine, Mona- stir, Tunisia. Tel: +21655967860; Email: [email protected] Citation: Kalghoum I, Azzouzi I, Khiari A, Hadyaoui D, Harzallah B, et al. (2017) All Ceramic Bonded Bridge: Clinical Procedure and Requirements. Dentistry Adv Res: DTAR-133. DOI: 10.29011/2574-7347. 100033 Received Date: 05 September, 2017; Accepted Date: 18 September, 2017; Published Date: 25 September, 2017 Abstract One of the basic principles of tooth preparation for fixed prosthodontics is conservation of tooth structure. This is the ma- jor advantage of bonded bridge as an alternative to implant retained restorations in the esthetic zone. Especially used for juvenile patient who do not come into consideration for implant therapy?. This article describes the use of an all ceramic resin-bonded bridge as a conservative and esthetic solution for the replacement of 2 mandibular incisors for a 17 -year female patient. Keywords: All Ceramic Resin Bonded Bridge; Esthetic Pros- alumina ceramic,
    [Show full text]
  • Biodental Engineering V
    BIODENTAL ENGINEERING V PROCEEDINGS OF THE 5TH INTERNATIONAL CONFERENCE ON BIODENTAL ENGINEERING, PORTO, PORTUGAL, 22–23 JUNE 2018 Biodental Engineering V Editors J. Belinha Instituto Politécnico do Porto, Porto, Portugal R.M. Natal Jorge, J.C. Reis Campos, Mário A.P. Vaz & João Manuel R.S. Tavares Universidade do Porto, Porto, Portugal CRC Press/Balkema is an imprint of the Taylor & Francis Group, an informa business © 2019 Taylor & Francis Group, London, UK Typeset by V Publishing Solutions Pvt Ltd., Chennai, India All rights reserved. No part of this publication or the information contained herein may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical, by photocopying, recording or otherwise, without written prior permission from the publisher. Although all care is taken to ensure integrity and the quality of this publication and the information herein, no responsibility is assumed by the publishers nor the author for any damage to the property or persons as a result of operation or use of this publication and/or the information contained herein. Library of Congress Cataloging-in-Publication Data Names: International Conference on Biodental Engineering (5th: 2018: Porto, Portugal), author. | Belinha, Jorge, editor. | Jorge, Renato M. Natal editor. | Campos, J.C. Reis, editor. | Vaz, Mario A.P., editor. | Tavares, Joao Manuel R.S., editor. Title: Biodental engineering V: proceedings of the 5th International Conference on Biodental Engineering, Porto, Portugal, 22–23 June 2018 / editors, J. Belinha, R.M. Natal Jorge, J.C. Reis Campos, Mario A.P. Vaz & Joao Manuel R.S. Tavares. Description: London, UK; Boca Raton, FL: Taylor & Francis Group, [2019] | Includes bibliographical references and index.
    [Show full text]
  • HIV/ I S and Its Significance for the Ental Profession Remember To
    JOURNAL OF THE CANADIAN DENTAL ASSOCIATION December 2007/JanuaryJC 2008, Vol. 73, No. 10 DAwww.cda-adc.ca/jcda Remember to Register for the ODA Annual Spring Meeting in Conjunction with CDA in Toronto pril 10-12, 2008 HIV/I�S and its Significance for the Dental Profession PM40064661 R09961 ���JCDA • www.cda-adc.ca/jcda • December 2007/January 2008, Vol. 73, No. 10 • 861 Essential reading for Canadian dentists Straumann p/u Nov 07, p. 750 E/F 4/C December 2007/January 2008, Vol. 73, No. 10 Publisher Canadian Dental Association Mission Statement Editor-In-Chief The Canadian Dental Association is the national voice for dentistry, dedicated to Dr. John P. O’Keefe the advancement and leadership of a unified profession and to the promotion of Writer/Editor optimal oral health, an essential component of general health. Emilie Adams Assistant Editor Natalie Blais A S S O C I AT E E DITORS Coordinator, French Dr. Michael J. Casas Translation Dr. Anne Charbonneau Nathalie Upton Dr. Mary E. McNally Coordinator, Publications Rachel Galipeau Writer, Electronic Media EDITORIAL CONSULTANTS David Shaw Dr. James L. Armstrong Dr. Robert J. Hawkins Dr. Richard B. Price Manager, Design & Production Dr. Catalena Birek Dr. Asbjørn Jokstad Dr. N. Dorin Ruse Barry Sabourin Dr. Gary A. Clark Dr. Richard Komorowski Dr. Kathy Russell Dr. Jeff Coil Dr. Ernest W. Lam Dr. George K.B. Sándor Graphic Designer Dr. Pierre C. Desautels Dr. Gilles Lavigne Dr. Benoit Soucy Janet Cadeau-Simpson Dr. Terry Donovan Dr. James L. Leake Dr. David J. Sweet All statements of opinion and Dr.
    [Show full text]
  • Herbert T. Shillingburg, Jr
    Herbert T. Shillingburg, Jr, DDS David Ross Boyd Professor Emeritus Department of Fixed Prosthodontics University of Oklahoma College of Dentistry Oklahoma City, Oklahoma with David A. Sather, DDS Edwin L. Wilson, Jr, DDS, MEd Joseph R. Cain, DDS, MS Donald L. Mitchell, DDS, MS Luis J. Blanco, DMD, MS James C. Kessler, DDS Illustrations by Suzan E. Stone Quintessence Publishing Co, Inc Chicago, Berlin, Tokyo, London, Paris, Milan, Barcelona, Istanbul, Moscow, New Delhi, Prague, São Paulo, and Warsaw Cover design based on a photograph of Monument Valley on the Navajo Reservation in northern Arizona taken at sunrise by Dr Herbert T. Shillingburg, Jr. Contents Dedication vii Authors viii Preface ix Acknowledgments x 1 An Introduction to Fixed Prosthodontics 1 2 Fundamentals of Occlusion 13 3 Articulators 27 4 Interocclusal Records 35 5 Articulation of Casts 45 6 Treatment Planning for Single-Tooth Restorations 71 7 Treatment Planning for the Replacement of Missing Teeth 81 8 Fixed Partial Denture and Implant Con!gurations 99 9 Principles of Tooth Preparations 131 10 Preparations for Full Coverage Crowns 149 11 Preparations for Partial Coverage Crowns 165 12 Preparations for Intracoronal Restorations 193 13 Preparations for Severely Debilitated Teeth 203 14 Preparations for Periodontally Weakened Teeth 229 15 Provisional Restorations 241 16 Fluid Control and Soft Tissue Management 269 291 17 Impressions 325 18 Working Casts and Dies 343 19 Wax Patterns 363 20 Investing and Casting 383 21 Cementation and Bonding 413 22 Esthetic Considerations 425 23 All-Ceramic Restorations 447 24 Metal-Ceramic Restorations 471 25 Pontics and Edentulous Ridges 493 26 Solder Joints and Other Connectors 517 27 Restoration of Osseointegrated Dental Implants 531 28 Single-Tooth Implant Restoration 543 29 Multiple-Tooth Implant Restoration Index 555 Dedication In Memoriam Constance Murphy Shillingburg 1938–2008 This book is dedicated to the loving memory of Constance surgeries later in life, she was the most optimistic person I Murphy Shillingburg.
    [Show full text]
  • RETENTION of a POSTERIOR RESIN-BONDED Flxed PARTIAL DENTURE Wlth a Modlfled DESIGN - an in Vltro STUDY
    RETENTION OF A POSTERIOR RESIN-BONDED FlXED PARTIAL DENTURE WlTH A MODlFlED DESIGN - AN IN VlTRO STUDY. Marcia Helena Marangoni Rubo A thesis submitted in conformity with the requirements for the degree of Master of Science Graduate Department of Dentistry University of Toronto O Copyright by Marcia Helena Marangoni Rubo 1998 National übrary Bibliothèque nationale du Canada Acquisitions and Acquisitions et Bibliographie Services services bibliographiques 395 Wellington Street 395. rue Wellington OttawaON K1AW OttawaON K1AW Canada Canada The author has granted a non- L'auteur a accordé une licence non exclusive licence allowing the exclusive permettant a la National Library of Canada to Bibliothèque nationale du Canada de reproduce, loan, distriiute or sell reproduire, prêter, distribuer ou copies of this thesis in microfom, vendre des copies de cette thèse sous papa or electronic formats. la forme de miaofiche/nlm, de reproduction sur papier ou sur format électronique. The author retains ownership of the L'auteur conserve la propriété du copyright in this thesis. Neither the droit d'auteur qui protège cette thèse. thesis nor substantial extracts fiom it Ni la thèse ni des extraits substantiels may be printed or otherwise de celle-ci ne doivent être imprimés reproduced without the author's ou autrement reproduits sans son permission. autorisation. Retention of a Posterior ResinBonded Fixed Partial Denture with a Modified Design - an in vitro study. Marcia Helena Marangoni Rubo Degree of Master of Science Graduate Department of Dentistry University of Toronto 1998 Abstract ln vitro retention of a RBFPD made wlh a modified design (MD) was compared to that of a curent design (CD) using five experimental groups (G).
    [Show full text]
  • Article-NOVEMBER ISSUE Final
    A REVIEW ON RESIN BONDED PROSTHESIS Dr. Tanmay Biswas*, Dr. Anindita Majumder*, Dr. (Prof) T.K Giri**, Dr. (Prof) S. Mukharjee *** Abstract Resin bonded bridges are a minimally invasive option for replacing missing teeth. The minimal-preparation, resin retained adhesive bridge may be considered to be an ideal choice of fixed prosthesis to replace a single missing tooth, especially in the anterior region. Many dental practitioners do not use adhesive bridges because of concerns over high failure rates. This article highlights advantages, disadvantages, types of framework and bridge designs and clinical procedure which may improve outcome, with a special mention of all ceramic resin bonded bridges. Key Words Resin bonded bridges, adhesive bridge, bridge design, minimally invasive, all ceramic resin bonded bridges. INTRODUCTION Resin bonded or resin retained bridges (RBBs/RRBs) are minimally invasive fixed prostheses which rely on composite resin cements for retention. These restorations were first described in the 1970s and since this time they have evolved significantly. The first type of RBB was the Rochette Bridge, which relied on the retention generated by resin cement tags through a characteristic perforated metal retainer. However, longevity of this type of restoration was limited and in an effort to address this, methods of altering the surface of the metal retainer to enhance micromechanical retention were developed.2The term 'Maryland Bridge' resulted from the development of a type of electrochemical etching at the University of Maryland. More recently bridge retention has been enhanced by the development of resin cements which bond chemically to both the tooth surface and the metal alloy.
    [Show full text]
  • Peaceful Bridging RS Carlson* ISSN Private Practice, Carlson Bridge Technologies, Inc., Hawaiia, USA 2573-6191
    Open Access Journal of Oral Health and Craniofacial Science Research Article Peaceful Bridging RS Carlson* ISSN Private Practice, Carlson Bridge Technologies, Inc., Hawaiia, USA 2573-6191 In our past 200 years we have seen the advancing development of Dental Arts and *Address for Correspondence: Dr. RS Carlson, Private Practice, Carlson Bridge Technologies, Science though discoveries by its practitioners. Perhaps it will do some good to review Inc., Hawaiia, USA, Tel: (808) 735-0282; Email: the basis upon which ixed tooth replacement has evolved—that is the prosthetic [email protected] crown. Submitted: 27 November 2018 Approved: 04 December 2018 Prior to 1871, before the irst manufactured foot-treadle dental engine was Published: 05 December 2018 introduced in America, the restoration of structurally compromised teeth was with hand cutting instruments and bands of metal or wires that were place about the tooth Copyright: © 2018 Carlson RS. This is an open access article distributed under the Creative remanents. Although crude and only for the very wealthy, they seemed to be secure Commons Attribution License, which permits enough to last sometime—temporarily or permanently depending upon the time in unrestricted use, distribution, and reproduction service. Since life expectancy at this time was less than 35 years, even “temporary”—a in any medium, provided the original work is year or more—would work well. properly cited We show here in our graphic igure 1, a page from the Dental Cosmos. In it we see the art of “engrafting” a metal crown about a tooth with minimal reduction/preparation. When the electric dental drill was patented by G.
    [Show full text]
  • GPT-9 the Academy of Prosthodontics the Academy of Prosthodontics Foundation
    THE GLOSSARY OF PROSTHODONTIC TERMS Ninth Edition GPT-9 The Academy of Prosthodontics The Academy of Prosthodontics Foundation Editorial Staff Glossary of Prosthodontic Terms Committee of the Academy of Prosthodontics Keith J. Ferro, Editor and Chairman, Glossary of Prosthodontic Terms Committee Steven M. Morgano, Copy Editor Carl F. Driscoll, Martin A. Freilich, Albert D. Guckes, Kent L. Knoernschild and Thomas J. McGarry, Members, Glossary of Prosthodontic Terms Committee PREFACE TO THE NINTH EDITION prosthodontic organizations regardless of geographic location or political affiliations. Acknowledgments are recognized by many of “The difference between the right word and the almost right the Academy fellowship, too many to name individually, with word is the difference between lightning and a lightning bug.” whom we have consulted for expert opinion. Also recognized are dMark Twain Gary Goldstein, Charles Goodacre, Albert Guckes, Steven Mor- I live down the street from Samuel Clemens’ (aka Mark Twain) gano, Stephen Rosenstiel, Clifford VanBlarcom, and Jonathan home in Hartford, Connecticut. I refer to his quotation because he Wiens for their contributions to the Glossary, which have spanned is a notable author who wrote with familiarity about our spoken many decades. We thank them for guiding us in this monumental language. Sometimes these spoken words are objectionable and project and teaching us the objectiveness and the standards for more appropriate words have evolved over time. The editors of the evidence-based dentistry to be passed on to the next generation of ninth edition of the Glossary of Prosthodontic Terms ensured that the dentists. spoken vernacular is represented, although it may be nonstandard in formal circumstances.
    [Show full text]
  • Prosthodontic Management of True Generalised Microdontia in Pituitary Dwarfism – a Case Report
    IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) e-ISSN: 2279-0853, p-ISSN: 2279-0861.Volume 18, Issue 9 Ser.12 (September. 2019), PP 59-61 www.iosrjournals.org Prosthodontic Management of True Generalised Microdontia in Pituitary Dwarfism – A Case Report Dr. Mohammed Ibrahim Mathar1,Dr. Shaik Mohamed Shamsudeen2,Dr.Mohammed Ziauddeen Mustafa 3Dr. Pramod Punchiri Sadan4 Dr. Syed Shujaulla5 1. Assistant professor, Dept. of Prosthetic Dental Science, Al-Rass College of Dentistry, Qassim University, Kingdom of Saudi Arabia. 2. Assistant professor, Department of Dental Diagnostic Science ,College of Dentistry, King Khalid University,Abha, Kingdom of Saudi Arabia. 3. Assistant Professor, Dept. of Prosthetic Dental Science, College of Dentistry, Al-Zulfi, Majmaah University,Kingdom of Saudi Arabia. 4. Associate Professor, Dept. of Prosthetic Dental Science, College of Dentistry,Qassim University, Buraidah, Kingdom of Saudi Arabia. 5. Assistant Professor, Dept. of Prosthetic Dental Science,College of Dentistry,Qassim University, Buraidah,Kingdom of Saudi Arabia. Corresponding Author: Dr.Mohammed Ibrahim Mathar M.D.S.,Dr. Shaik Mohamed ShamsudeenM.D.S., Abstract: Abnormalities in size & number of teeth are occasionally recorded in clinical cases. True generalized microdontia is a rare case in which all the teeth are smaller than normal. True generalized microdontia markedly influence on physical, functional & psychological maturation of the affected individual. Thorough evaluation, proper counseling & careful treatment planning employing
    [Show full text]
  • Ceramic Bonded Bridge: Clinical Procedure and Requirements
    Case Report Adv Dent & Oral Health Volume 6 Issue 1 - October 2017 Copyright © All rights are reserved by Dalenda Hadyaoui DOI: 10.19080/ADOH.2017.06.555678 All Ceramic Bonded Bridge: Clinical Procedure and Requirements Imen kalghoum2, Ines Azzouzi1, Amina Khiari2, Dalenda Hadyaoui2*, Belhssan Harzallah2 and Mounir cherif2 1Department of Fixed Prosthodontics, Faculty of dental medicine, Tunisia 2Professor, Department of Fixed Prosthodontics, Faculty of dental medicine, Tunisia Submission: September 06, 2017; Published: October 25, 2017 *Corresponding author: Dalenda Hadyaoui, Professor, Department of Fixed Prosthodontics, Faculty of dental medicine, Monastir, Tunisia, Email: Abstract bonded bridge as an alternative to implant retained restorations in the esthetic zone. Especially used for juvenile patient who do not come into considerationOne of the for basic implant principles therapy? of tooth This articlepreparation describes for fixedthe use prosthodontics of an all ceramic is conservation resin-bonded of bridge tooth asstructure. a conservative This is and the estheticmajor advantage solution for of the replacement of 2 mandibular incisors for a 17 -year female patient. Keywords: All ceramic resin bonded bridge; Lithium discilicate; Mini invasive restoration; RBFPD; Esthetic prostheses Introduction This clinical report presents resin bonded prosthesis as a The frequency of teeth trauma permanent denture reaches prosthesis for the replacement of a missing mandible anterior 10-35% of the general population, especially, for the central viable treatment alternative to conventional fixed or removable tooth fabricated from lithium dislocate ceramic (IPS Emax CAD) mandibular incisors (3, 8 à 13, 3%) [1]. As a result, the need as a provisional solution. preparation is challenging because of their small axial.
    [Show full text]
  • Dental Lamina March 2018.Cdr
    VOL. 4 NO. 2, DECEMBER 2017 Dr. Mridula Goswami Published at : Plot No. 6, Industrial Area, NIT Faridabad, Haryana Printed at : Prabhakar Press, Plot No. 6, Industrial Area, NIT Faridabad, Haryana VOL. 4 NO. 2 DECEMBER 2017 Dental Lamina - Journal of Dental Sciences Vol. 4, No. 2, December 2017 Oral diseases are closely linked to lifestyle. Dental health encompasses the likelihood of making healthy choices in relation to diet, smoking, tobacco, oral hygiene and utilization of dental health services.3 A rise in the use of sugary diet, especially bakery products and carbonated drinks increase prevalence of Dental caries. Making choices that support and care for your body everyday and making them part of your lifestyle will help you to have a healthy life and a healthy mouth. Unfortunately more and more people living busy lifestyles are relying on caffeine and sugar to keep them going and then turning to food and alcohol to help them relax. With modern technology and the need to get more done people are staying up later, not getting enough sleep or quality sleep and feeling exceedingly stressed on a daily basis. No amount of good oral hygiene practices can make up for the affects of poor lifestyle habits. This would be like thinking that you can stay up really late every night then thinking you can make up the lost sleep hours by sleeping late on the weekends. The damage has already been done. Balancing stress, diet/nutrition, sleep quality, hydration, tooth brushing and flossing are the keys to dental health. It has to be a total body package, aimed at achieving balance and harmony throughout the body as a whole.
    [Show full text]
  • (IJDSIR) P Age 34
    ISSN: 2581-5989 PubMed - National Library of Medicine - ID: 101738774 International Journal of Dental Science and Innovative Research (IJDSIR) IJDSIR : Dental Publication Service Available Online at: www.ijdsir.com Volume – 2, Issue – 4, July – August - 2019, Page No. : 34 - 39 Resin Bonded Fixed Prosthesis a Conservative Approach to Replace Missing Teeth in the Aesthetic Zone – A Clinical Case Report 1Dr Nazish Baig, Professor and PG Guide in Dept of Prosthodontics CSMSS Dental College, Aurangabad 2Dr Yusuf Shaikh, 2nd Year PG Student Dept of Prosthodontics CSMSS dental College, Aurangabad 3Dr Babita Yashwanti, HOD and Professor in Dept of Prosthodontics CSMSS Dental College, Aurangabad Corresponding Author: Dr Yusuf Shaikh, 2nd Year PG Student Dept of Prosthodontics CSMSS dental College, Aurangabad Type of Publication: Case Report Conflicts of Interest: Nil Abstract Restoring the missing central incisors in the maxillary jaw Keywords: Resin bonded fixed partial denture, Maryland is one of the most difficult esthetic challenges in dentistry. Bridge, Missing central incisor. A space in the maxillary anterior region of the dental arch Introduction can produce a psychological impact on the young patient. There are various treatment options available for the Resin bonded bridges are highly effective treatment option replacement of the missing mandibular anterior incisors in these situations to restore the oral function and such as implant, removable partial denture and fixed aesthetics and result in high levels of patient satisfaction. partial denture. Removable partial denture may cause the Maryland bridges are the type of resin bonded bridge with bone resorption and attending of the interdental papillaein certain advantages over conventional dental prosthesis long term use however it can be used as interim prosthesis such as minimal removal of the tooth structure, minimal for initial esthetics.
    [Show full text]