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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 after the abutment preparation (3 × 1 × 1 mm) was done. All margins were in the enamel, and the internal line angle was rounded.
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Figure 8: Palatal view after the abutment preparation (3 × 1 × 1 mm) was done. All margins were in the enamel, and the internal line angle was rounded.

Mentions: When the patient arrived, the abutment teeth were anesthetized and the temporary composite crown was removed (Figure 7). The abutment teeth were prepared using tapered diamond burs (835.31.009, Brasseler, Savannah, GA, USA). The preparations consisted of removing approximately 1.0 mm of the lingual surface of the abutment teeth to ensure adequate space for the placement of the fibers and composite resin. All margins were in enamel (Figure 8). After the preparation, a 37% phosphoric acid gel (ETCH-37, Bisco Inc., Schaumburg, IL, USA) was applied to the enamel margin for 20 seconds. The etchant was thoroughly rinsed off and gently dried. Clearfil SE bond (Kuraray Medical Inc., Tokyo, Japan) was applied following the manufacturer's instructions, and a thin layer of flowable composite resin was placed on the prepared surfaces of the abutment teeth. The prefabricated FRC fixed partial prosthesis (Figure 9) was inserted in the cavity. Fiber was pressed into the unpolymerized flowable composite resin (Aelite Flow, Bisco Inc.) using a hand instrument and cured for 20 seconds. The exposed fiber surfaces on the abutment teeth were covered with Filtek Z350 XT and cured for 40 seconds (Figure 10). Composite was added to the pontic in order to obtain a more natural shape and shade of the final restoration and to reinforce the connector area of the interproximal surface. Occlusal adjustment was made using articulating paper and diamond finishing burs, and surfaces were polished with Soflex (3M ESPE) (Figure 11).


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 after the abutment preparation (3 × 1 × 1 mm) was done. All margins were in the enamel, and the internal line angle was rounded.
© Copyright Policy - open-access
Related In: Results  -  Collection

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

Figure 8: Palatal view after the abutment preparation (3 × 1 × 1 mm) was done. All margins were in the enamel, and the internal line angle was rounded.
Mentions: When the patient arrived, the abutment teeth were anesthetized and the temporary composite crown was removed (Figure 7). The abutment teeth were prepared using tapered diamond burs (835.31.009, Brasseler, Savannah, GA, USA). The preparations consisted of removing approximately 1.0 mm of the lingual surface of the abutment teeth to ensure adequate space for the placement of the fibers and composite resin. All margins were in enamel (Figure 8). After the preparation, a 37% phosphoric acid gel (ETCH-37, Bisco Inc., Schaumburg, IL, USA) was applied to the enamel margin for 20 seconds. The etchant was thoroughly rinsed off and gently dried. Clearfil SE bond (Kuraray Medical Inc., Tokyo, Japan) was applied following the manufacturer's instructions, and a thin layer of flowable composite resin was placed on the prepared surfaces of the abutment teeth. The prefabricated FRC fixed partial prosthesis (Figure 9) was inserted in the cavity. Fiber was pressed into the unpolymerized flowable composite resin (Aelite Flow, Bisco Inc.) using a hand instrument and cured for 20 seconds. The exposed fiber surfaces on the abutment teeth were covered with Filtek Z350 XT and cured for 40 seconds (Figure 10). Composite was added to the pontic in order to obtain a more natural shape and shade of the final restoration and to reinforce the connector area of the interproximal surface. Occlusal adjustment was made using articulating paper and diamond finishing burs, and surfaces were polished with Soflex (3M ESPE) (Figure 11).

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