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A different pontic design for fiber-reinforced composite bridgeworks: a clinical report.

Kumbuloglu O, Ozdemir N, Aksoy G, User A - Eur J Dent (2007)

Bottom Line: The restoration has served the patient for 2 year, seemingly without discomfort, and it has not required any maintenance.The patient has kept up with his oral hygiene.Although additional clinical experience is necessary, fiber-reinforced composite materials can be used in combination with a lithium disilicate ceramic material in fixed partial dentures.

View Article: PubMed Central - PubMed

Affiliation: Research Associate, Department of Prosthodontics, School of Dentistry, Ege University, Izmir, Turkey.

ABSTRACT

Objectives: This clinical report describes a relatively simple but esthetic, non-invasive and functional prosthodontic treatment option for a patient with missing tooth.

Methods: A patient with a missing maxillary left canine was non-invasively treated with a fiber reinforced composite (FRC) bridgework with an all ceramic (Empress II, Ivoclar Vivadent, Schaan, Liech-tenstein) pontic design, using laboratory technique.

Results: The restoration has served the patient for 2 year, seemingly without discomfort, and it has not required any maintenance. The patient has kept up with his oral hygiene.

Conclusions: Although additional clinical experience is necessary, fiber-reinforced composite materials can be used in combination with a lithium disilicate ceramic material in fixed partial dentures.

No MeSH data available.


Related in: MedlinePlus

Buccal appearance of fiber reinforced adhesive restoration on the cast.
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f4-0010050: Buccal appearance of fiber reinforced adhesive restoration on the cast.

Mentions: A 29-year-old male patient referred to our clinic with loss of aesthetics and function because of a missing maxillary left canine (Figure 1). Following detailed clinical and radiographic examinations and receiving patient’s uneventful medical history, a FPD rehabilitation made with glass FRC and an all ceramic pontic design, which does not necessitate any preparation on abutment teeth and would be satisfactory both esthetically and functionally, was considered to be the ideal treatment approach for the patient. After having consent of the patient, maxillary and mandibular impressions were made with silicone based impression material and then cast models were prepared in the laboratory. A glass ceramic core veneered with sintered glass ceramic (IPS Empress II, Ivoclar Vivadent, Schaan, Liechtenstein) pontic was designed and fabricated for the missing tooth on the cast model (Figure 2). A silicone key was prepared in order to give the ceramic pontic its correct position. To provide the adhesion of ceramic to glass fiber material and composite resin, bonding surface of the ceramic pontic was 9.5% hydrofluoric acid etched (Ultradent, USA) for 1 min. After rinsing and air-drying, silane coupling agent (Monobond, Ivoclar Vivadent, Schaan, Liechtenstein) was applied over the surface and left to dry for 1 min. It was followed by the application of bonding agent (Heliobond, Ivoclar Vivadent, Schaan, Liechtenstein), distribution over the surface of pontic by air spray and light-polymerization with a light curing device (Elipar Freelight, 3M ESPE, USA) for 40 sec. A thin layer of flowable composite resin (Filtek Flow, 3M ESPE, USA), together with the polymer resin-impregnated unidirectional glass fiber reinforcement material (EverStick C&B, Stick Tech, Finland) was applied to the palatinal surfaces of the adjacent teeth on the isolated model together with the ceramic pontic and they were both light-polymerized through steps for 40 secs. The outer surface of glass fiber was covered with a thin layer of flowable composite and light-polymerized for 40 secs from each aspect. Following finishing and polishing procedures, the fiber bridgework was controlled in the patient’s mouth and it was continued with cementation procedures (Figures 3, 4). Bonding surfaces of the wings of FRC bridgework were roughened using a stone bur with low-speed handpiece. Bonding surfaces of the restoration were covered with the bonding agent (Heliobond, Ivoclar Vivadent, Schaan, Liechtenstein) and kept in a dark place for 5 min. Meanwhile, the abutment teeth were cleaned with pumice using a prophylaxy brush on a low-speed handpiece. The restoration was cemented with dual-cure composite resin luting cement (Variolink II, Ivoclar Vivadent, Schaan, Liechtenstein) according to manufacturer’s directions and light-polymerized from each aspect for 40 sec. Following controls for occlusal adjustment, self-assessment of oral hygiene was described and recalled periodically.


A different pontic design for fiber-reinforced composite bridgeworks: a clinical report.

Kumbuloglu O, Ozdemir N, Aksoy G, User A - Eur J Dent (2007)

Buccal appearance of fiber reinforced adhesive restoration on the cast.
© Copyright Policy
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC2612952&req=5

f4-0010050: Buccal appearance of fiber reinforced adhesive restoration on the cast.
Mentions: A 29-year-old male patient referred to our clinic with loss of aesthetics and function because of a missing maxillary left canine (Figure 1). Following detailed clinical and radiographic examinations and receiving patient’s uneventful medical history, a FPD rehabilitation made with glass FRC and an all ceramic pontic design, which does not necessitate any preparation on abutment teeth and would be satisfactory both esthetically and functionally, was considered to be the ideal treatment approach for the patient. After having consent of the patient, maxillary and mandibular impressions were made with silicone based impression material and then cast models were prepared in the laboratory. A glass ceramic core veneered with sintered glass ceramic (IPS Empress II, Ivoclar Vivadent, Schaan, Liechtenstein) pontic was designed and fabricated for the missing tooth on the cast model (Figure 2). A silicone key was prepared in order to give the ceramic pontic its correct position. To provide the adhesion of ceramic to glass fiber material and composite resin, bonding surface of the ceramic pontic was 9.5% hydrofluoric acid etched (Ultradent, USA) for 1 min. After rinsing and air-drying, silane coupling agent (Monobond, Ivoclar Vivadent, Schaan, Liechtenstein) was applied over the surface and left to dry for 1 min. It was followed by the application of bonding agent (Heliobond, Ivoclar Vivadent, Schaan, Liechtenstein), distribution over the surface of pontic by air spray and light-polymerization with a light curing device (Elipar Freelight, 3M ESPE, USA) for 40 sec. A thin layer of flowable composite resin (Filtek Flow, 3M ESPE, USA), together with the polymer resin-impregnated unidirectional glass fiber reinforcement material (EverStick C&B, Stick Tech, Finland) was applied to the palatinal surfaces of the adjacent teeth on the isolated model together with the ceramic pontic and they were both light-polymerized through steps for 40 secs. The outer surface of glass fiber was covered with a thin layer of flowable composite and light-polymerized for 40 secs from each aspect. Following finishing and polishing procedures, the fiber bridgework was controlled in the patient’s mouth and it was continued with cementation procedures (Figures 3, 4). Bonding surfaces of the wings of FRC bridgework were roughened using a stone bur with low-speed handpiece. Bonding surfaces of the restoration were covered with the bonding agent (Heliobond, Ivoclar Vivadent, Schaan, Liechtenstein) and kept in a dark place for 5 min. Meanwhile, the abutment teeth were cleaned with pumice using a prophylaxy brush on a low-speed handpiece. The restoration was cemented with dual-cure composite resin luting cement (Variolink II, Ivoclar Vivadent, Schaan, Liechtenstein) according to manufacturer’s directions and light-polymerized from each aspect for 40 sec. Following controls for occlusal adjustment, self-assessment of oral hygiene was described and recalled periodically.

Bottom Line: The restoration has served the patient for 2 year, seemingly without discomfort, and it has not required any maintenance.The patient has kept up with his oral hygiene.Although additional clinical experience is necessary, fiber-reinforced composite materials can be used in combination with a lithium disilicate ceramic material in fixed partial dentures.

View Article: PubMed Central - PubMed

Affiliation: Research Associate, Department of Prosthodontics, School of Dentistry, Ege University, Izmir, Turkey.

ABSTRACT

Objectives: This clinical report describes a relatively simple but esthetic, non-invasive and functional prosthodontic treatment option for a patient with missing tooth.

Methods: A patient with a missing maxillary left canine was non-invasively treated with a fiber reinforced composite (FRC) bridgework with an all ceramic (Empress II, Ivoclar Vivadent, Schaan, Liech-tenstein) pontic design, using laboratory technique.

Results: The restoration has served the patient for 2 year, seemingly without discomfort, and it has not required any maintenance. The patient has kept up with his oral hygiene.

Conclusions: Although additional clinical experience is necessary, fiber-reinforced composite materials can be used in combination with a lithium disilicate ceramic material in fixed partial dentures.

No MeSH data available.


Related in: MedlinePlus