Beruflich Dokumente
Kultur Dokumente
ABSTRACT
The loss of anterior teeth is often a serious esthetic concern. Conventional fixed partial denture and implant-supported restorations
may be the treatment of choice although non-impregnated fibers and fiber reinforced composite resins offer a conservative
alternative for improved esthetics. This article describes a clinical situation in which non-impregnated fiber glass ribbon and
fiber reinforced composite are successfully used to provisionally restore anterior edentulous area in an esthetic, functional and
timely manner.
Key words: Esthetic, fiber reinforced composite resin, pontic
INTRODUCTION
DOI:
10.4103/2229-5194.94195
CASE REPORT
A 12-year-old patient with missing maxillary right
central incisor was referred for prosthetic treatment
to Department of Prosthodontics, Chattrapati
Sahuji Maharaj Medical University. Chief complaint
was demand for esthetic replacement of missing
maxillary anterior tooth. The clinical and radiographic
examinations revealed that the patient had missing
maxillary right central incisor, stablemaximum
intercuspation position, canine protected occlusion
and adequate periodontal health and root support
without any residual ridge deficiency but mandibular
right central incisor impinging incisive papilla
[Figure1]. Conventional fixed partial denture and
implant supported restoration could not be planned
due to large pulp chamber of abutment teeth and
unwillingness of patient for surgical procedure
respectively, so provisional restoration was planned.
Interim removable partial denture and glass fiber
reinforced composite resin fixed partial denture
51
DISCUSSION
This clinical report describes the successful esthetic
provisional replacement of a central incisor in pre-adolescent
patient with conservative FRCFPD over short-term follow-up.
The development of dentin adhesive systems has led to
simpler and minimally invasive preparations.[3,4] Adhesive
resin cements are composite resins that have a decreased
proportion of filler, with an organic polymer matrix of
bis-GMA and UDMA, an inorganic filler, bonding agent,
initiators and pigments.[5] Newly introduced resin luting
agents have higher proportions of filler.[5] The combination
of the resin luting agent and bonding systems is one of the
most important factors for retention of these restorations.
FRCFPDs have potential to be used as long-term provisional
restoration.[6] Continuous fiber-reinforced composites (FRCs)
have good flexure strength and other desirable physical
characteristics as a fixed prosthesis substructure material.[7-9]
In addition, the FRC substructure is translucent and requires
no opaque masking, which allows for a relatively thin layer of
particulate covering composite and excellent esthetics. The
light-polymerized FRC substructure retains a sticky oxygeninhibited layer on its external surface that allows direct
chemical bonding with the covering composite.[10] Although,
unnecessary preparation and etching of the abutment teeth
(though minimally done) is an irreversible damage.
The successful FRC restorations have following limitations:
1. Functional stresses and occlusal loading of the pontic
should be minimum.
2. Vertical and horizontal overlap should not be greater
than 3mm.[11]
3. Supporting abutment teeth should be structurally vital
and intact.[12]
CONCLUSION
This clinical report describes a conservative, esthetic
fiber-reinforced composite FPD using a direct technique
REFERENCES
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strength of fiber-reinforced composites designed for prosthodontic
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9. Freilich MA, Karmaker AC, Burstone CJ, Goldberg AJ. Flexure
strength and handling characteristics of fiber-reinforced composites
used in prosthodontics. J Dent Res 1997;76:18.
10. Freilich MA, Karmaker AC, Burstone CJ, Goldberg AJ. Development
and clinical applications of a light-polymerized fiber-reinforced
composite. J Prosthet Dent 1998;80:311-8.
11. Ricketts RM. Provocations and perceptions in craniofacial
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12. Rose E, Frucht S, Jonas IE. Clinical comparison of a multistranded wire
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How to cite this article: Agrawal KK, Chand P, Mishra N, Singh K. Glass fiber
reinforced composite fixed partial denture as provisional tooth replacement
in pre-adolescent age: A clinical report. J Interdiscip Dentistry 2012;2:51-3.
Source of Support: Nil, Conflict of Interest: None declared.
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