Bridge

1.1 Definition
Denture bridge is a denture that replaces missing one or more natural teeth which are
permanently affixed with cement, and fully supported by one or several teeth, tooth or
implant that has been prepared.
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1.2 The purpose Usage
The usability use of denture bridges among others:
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a. improve the appearance
In patients with loss of teeth, especially anterior teeth, of course penampuilan emotion
considered.
b. ability to chew
any patients can not eat properly because of missing teeth.
c. occlusal stability
!cclusal stability can be lost due to missing teeth. "oss of teeth can cause the
surrounding teeth extrusion, migration and destabili#e the patient$s occlusion.
d. Improving pronunciation
"oss of upper incisors can disrupt a person$s pronunciation.
e. %s periodontal splinting
Tooth loss can cause ad&acent teeth sha'e, so denture bridges can function as well as
splinting.
1.3 Indications and Contraindications
Indications manufacture of denture bridges are as follows.
1. "oss of one or more teeth original
2. The bite in (deep bite)
*. abutments re+uire restoration
,. abnormal diastema, the magnitude of the prosthesis is less than normal room
-. abutments re+uire mitigation in the form of stabili#ation or splint
.. There is a diastema post/treatment.
0ontraindications for roducing denture bridges are:
/ !1 ill/maintained
/ 2hysical handicap
/ !n high caries index
/ 0ross/bite, malposition, progeny
/ igration or extrusion that severe
1.4 Denture Components
Denture bridge consists of several components, which is as follows.
1. 3etainer
2. 0onnectors
*. pontic
,. 4uffer (abutment)
Denture 0omponents.
4ridge
1. 3etainer
It is part of the denture bridge denture that connects with abutment.
2. pontic
Is part of a bridge denture that replaces missing natural tooth
*. 0onnector (0onnector)
Is part of an artificial tooth pontic bridge connecting the retainer, pontic with pontic or
retainer with the retainer so that unites these parts to be able to function as a load
distributor splinting and chew.
,. 4uffer (abutments)
In accordance with the number, location and function are 'nown term:
1. 5ingle abutment only use one abutment
2. Double abutments when using two abutment
*. ultiple abutment when using more than two abutment
,. Terminal abutment
-. Intermediate 6 pier abutment
.. splinted abutment
7. Double splinted
1.5 Advantages and Disadvantages
The advantage of the use of denture bridges are as follows.
1. 4ecause it is attached to the natural teeth are not easily dislodged or swallowed.
2. 2erceived as the teeth of a patient.
*. Do not have clamps that can cause wear on the enamel surface, because each time removed
and installed again in the mouth.
,. 0an have the effect of dental splint that protects against stress.
-. 5pread pressure function so beneficial to the entire tooth supporting tissues.
1. !tages of "reparation
a'ing denture bridge consists of several parts, as follows.
*
1. 2reparation
2reparation is an act pengerindaan or grinding the teeth for the purpose of providing a
place for restorative materials artificial crown or partial denture grip &embatan.
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2. 2rinting
4efore the printing is done, the state of teeth and surrounding soft tissue needs to be
chec'ed, whether all in good health and free of inflammation. There are a wide variety
of printed materials, such as hydrocolloids, rubber base, polysulfide rubber base, silicon
rubber base, and polyeter rubber base.
*. 2reparation of the die 6 wor'ing model
Die is a positive reproduction of the prepared tooth and are made of cast stone or metal
or hard plastic. %ccording to the relationship with the wor'ing model of the die is
divided into solitair die and removable die.
*
,. 2attern a'ing 0andles
8hich is defined by the pattern of wax or wax/pattern is: a model of a retainer or
restorations are made of wax which is then reproduced into metal or a'rili'.
*
-. 2ontic
2ontic is part of a bridge denture that replaces missing natural teeth and serve to restore
chewing function and speech, aesthetic comfort (comfort), as well as maintaining the
relationship between the teeth tetangga9 prevent migration 6 relationship with the
opponent teeth a extrusion
. Cementing #ridge
0ementing the bridge means a bridge with cement to attach the abutment in the mouth.
%butment preparation before cementing should do its best to prevent a change in the
occlusal relationship and the gingiva, which may also be due to the hydraulic pressure
that interferes with the pulp. It should be avoided by the operator.
0ement is used to affix the bridge is #inc phosphate cement, cement sili'ofosfat, :4%
alumina cement, polycarboxylate cement, and composite resin cement. 5election is made
by biologic properties, biophysics, and the effect on the aesthetic.
1.$ T%pes of Bridge Denture
Denture bridge consists of three 'inds, namely:
1. Traditional ;ixed 4ridge
This type is the type most commonly used and consists of a pontic associated
with porcelain crowns on neighboring teeth teeth or dental implants. 2ontic
usually made of porcelain/metal or ceramic. 2ontic is permanent and can not be
moved.
2. 4ridge Denture 3esins !r arryland 4ridges
Denture is used to replace missing teeth where the tooth is located on the front
and on the neighboring teeth are still healthy or not there is a large fillings. Teeth
that are replaced are made of porcelain and metal wings that can be pasted on the
bac' of the teeth so as not to be seen from the front.
Conventional Marryland-upper arch.
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*. 0antilever 4ridge Denture
0antilever 4ridge Denture is a denture prosthesis which is only supported on one
side by one or more abutment teeth (buffer).
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Anterior Cantilever Bridge.
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Posterior Cantilever Bridge.
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Cantilever Bridge: Pandangan Oklusal.
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1.& The fai'ure of Usage Denture
%s for the use of some form of failure of the bridge denture that can be found
include:
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1. Intrusion supporting teeth, which changes the position of the supporting teeth,
away from the occlusal plane.
2. Dental caries supporters, generally due to restoration rtetainer periphery is too
pan&an, less long or incomplete and open. ;or others, the damage to the crown
retainer bahna loose, embrasure is too narrow, the choice of the wrong type of
retainer, and a temporary crown is merusa&' or, encourage gingival too long.
*. 2eriodontitis support networ's
,. The connector is bro'en.
-. 2eople complain that there are no bad feelings. Things that can cause this
disorder is premature contacts or improper occlusion, occlusion field is too broad
and or accumulation of food residue between the pontic and the retainer, excessive
pressure on the gingiva. Diseased cervical area, thermal shoc' because the patient
has not been accustomed to.
.. 3etainer or off of a bridge abutment. 5ometimes the whole bridge can be
cemented off after the cause of the release is 'nown restoration and removed. If
not all of the retainer off the bridge removed by means of bridges destroyed and
re/created a new one, if anything, and conditions allow
7. 4ridge lost support, may be interrupted because of the bridge, occlusal surface
area, embrasure form, shape retainer, less abutment, trauma to the periodontium
and printing techni+ues.
<. There is a change in the pulp can be caused by way of preparation, preparation
yan g is not protected with a temporary crown, hidden caries, stimulation of
cement as well as the occurrence of perforation.
=. The bro'en bridge. 0an be caused by exposure to shoulder or shoulder is bad,
wrong casting techni+ues and material fatigue.
1>. "oss of a layer of aesthetic
11. !ther causes that led to the bridge is not wor'ing
The efforts that can be done to prevent such failures may be the selection of
the number and distribution of the supporting teeth, soft coatings applications, the
use of stress/absorbing element and the use of non/rigid connectors. The
difference in the movement of teeth and implants can cause various forms of
malfunctions du'unga#n bridge denture teeth and implants. 4usinesses that are
most important to consider in preventing various forms of such failure is to
prevent excessive pressure on the denture supporting bridge that arise due to
differences in the movement.
(eferences
1. 4arclay, 0.8? 8almsley, %.D. 1==<. Fixed and Removable
Prosthodontics.4irmingham: 0hurcill "ivingstone, hal 11-.
2. 5mith,4ernard @ A?1owe, "eslie 0. 2>>7. Planning and Making Crown and Bridges,
4
th
ed. Aew Bor': Informa 1ealthcare.
*. 2ra&itno, 1.3. 1==,. Ilmu eligi !iruan "embatan# Pengetahuan $asar dan
Rancangan Pembuatan. Ca'arta : :@0.
,. Tylman 5D. Construction o% Pontics For Fixed Partial $entures# Indications, !&'es,
and Materials. In !heor& and Practice o% Crown and Fixed Partial Prosthodontics. (
th
ed. 5aint "ouis: 0D osby 1=7>: 2., 1.-, .->/<1.