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Esthetic rehabilitation of single anterior edentulous space using fiber-reinforced composite.

Kim H, Song MJ, Shin SJ, Lee Y, Park JW - Restor Dent Endod (2014)

Bottom Line: A 44-year-old woman visited our department with an avulsed tooth that had fallen out on the previous day and was completely dry.The FRC framework and the pontic were fabricated using a duplicated cast model and nanofilled composite resin.This technique not only enables the clinician to replace a missing tooth immediately after extraction for minimizing esthetic problems, but it also decreases both tooth reduction and cost.

View Article: PubMed Central - PubMed

Affiliation: Department of Conservative Dentistry, Gangnam Severance Dental Hospital, Yonsei University College of Dentistry, Seoul, Korea.

ABSTRACT
A fiber-reinforced composite (FRC) fixed prosthesis is an innovative alternative to a traditional metal restoration, as it is a conservative treatment method. This case report demonstrates a detailed procedure for restoring a missing anterior tooth with an FRC. A 44-year-old woman visited our department with an avulsed tooth that had fallen out on the previous day and was completely dry. This tooth was replanted, but it failed after one year. A semi-direct technique was used to fabricate a FRC fixed partial prosthesis for its replacement. The FRC framework and the pontic were fabricated using a duplicated cast model and nanofilled composite resin. Later on, interproximal contact, tooth shape, and shade were adjusted at chairside. This technique not only enables the clinician to replace a missing tooth immediately after extraction for minimizing esthetic problems, but it also decreases both tooth reduction and cost.

No MeSH data available.


Related in: MedlinePlus

Palatal view of study model on CO bite. Minimal contact was visible.
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Figure 4: Palatal view of study model on CO bite. Minimal contact was visible.

Mentions: One year after the trauma, the patient came to our department again for checkups. The patient was free of symptoms, and #21 was retained by a lingual fixed retainer, which was made at a local clinic. Clinical examination showed a gingival recession of about 4 mm on #21 and full probing depth around #21. Additionally, a black triangle was formed between #11 and #21 (Figure 3). The patient complained about the conventional treatment options and refused both conventional fixed partial prosthesis and implant restoration. In case of treatment with conventional fixed partial prosthesis, excessive preparation of the adjacent tooth was necessary for crowding relief, and additional endodontic treatment was required. She refused this option because of the tooth preparation of the adjacent teeth. When we considered an implant, additional bone graft was necessary due to the loss of the buccal plate in the extraction socket area. In addition, she was anxious about implant treatment due to past experience during implant surgery on the left mandibular second molar. Also, due to crowding on the left maxillary lateral incisor, implant placement was particularly difficult. After discussing all treatment options with the patient, the FRC fixed partial prosthesis was chosen. An impression was made with alginate for the FRC fixed partial prosthesis fabrication. It was possible to avoid occlusal stress on restoration because the avulsed tooth was out of contact (Figure 4).


Esthetic rehabilitation of single anterior edentulous space using fiber-reinforced composite.

Kim H, Song MJ, Shin SJ, Lee Y, Park JW - Restor Dent Endod (2014)

Palatal view of study model on CO bite. Minimal contact was visible.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4125587&req=5

Figure 4: Palatal view of study model on CO bite. Minimal contact was visible.
Mentions: One year after the trauma, the patient came to our department again for checkups. The patient was free of symptoms, and #21 was retained by a lingual fixed retainer, which was made at a local clinic. Clinical examination showed a gingival recession of about 4 mm on #21 and full probing depth around #21. Additionally, a black triangle was formed between #11 and #21 (Figure 3). The patient complained about the conventional treatment options and refused both conventional fixed partial prosthesis and implant restoration. In case of treatment with conventional fixed partial prosthesis, excessive preparation of the adjacent tooth was necessary for crowding relief, and additional endodontic treatment was required. She refused this option because of the tooth preparation of the adjacent teeth. When we considered an implant, additional bone graft was necessary due to the loss of the buccal plate in the extraction socket area. In addition, she was anxious about implant treatment due to past experience during implant surgery on the left mandibular second molar. Also, due to crowding on the left maxillary lateral incisor, implant placement was particularly difficult. After discussing all treatment options with the patient, the FRC fixed partial prosthesis was chosen. An impression was made with alginate for the FRC fixed partial prosthesis fabrication. It was possible to avoid occlusal stress on restoration because the avulsed tooth was out of contact (Figure 4).

Bottom Line: A 44-year-old woman visited our department with an avulsed tooth that had fallen out on the previous day and was completely dry.The FRC framework and the pontic were fabricated using a duplicated cast model and nanofilled composite resin.This technique not only enables the clinician to replace a missing tooth immediately after extraction for minimizing esthetic problems, but it also decreases both tooth reduction and cost.

View Article: PubMed Central - PubMed

Affiliation: Department of Conservative Dentistry, Gangnam Severance Dental Hospital, Yonsei University College of Dentistry, Seoul, Korea.

ABSTRACT
A fiber-reinforced composite (FRC) fixed prosthesis is an innovative alternative to a traditional metal restoration, as it is a conservative treatment method. This case report demonstrates a detailed procedure for restoring a missing anterior tooth with an FRC. A 44-year-old woman visited our department with an avulsed tooth that had fallen out on the previous day and was completely dry. This tooth was replanted, but it failed after one year. A semi-direct technique was used to fabricate a FRC fixed partial prosthesis for its replacement. The FRC framework and the pontic were fabricated using a duplicated cast model and nanofilled composite resin. Later on, interproximal contact, tooth shape, and shade were adjusted at chairside. This technique not only enables the clinician to replace a missing tooth immediately after extraction for minimizing esthetic problems, but it also decreases both tooth reduction and cost.

No MeSH data available.


Related in: MedlinePlus