Beruflich Dokumente
Kultur Dokumente
Treatment
Rochette Bridge
Perforated
Maryland Bridge
Electrolytically etched
Advantages
Tooth preservation Reversible
Esthetically pleasing
Less chair-side time Cost effective
Disadvantages
Technique Sensitive Cant be used on broken down teeth Graying
Case Selection
Healthy teeth
Free of caries Sufficient enamel
Case Selection
Occlusion clearance of 0.5 mm
Flipper
Edentulous Ridge
Without Modification Modification 4 months later
Edentulous Ridge
Without Modification Modification
Metal Choice
Numerous alloys available Higher density metal Gold Alleviate graying Gold collar produces a better fitting restoration Reduce the occurrence of caries and gingival inflammation
Try-In
Purpose: Ensure esthetic success
Fitting Color Contour Occlusion Graying
Review
Check-up appointment
Partial debonding can occur without patient noticing looseness Remove calculus Reinforce oral hygiene
Longevity
Barrack, 1993: Success of 80%
Attribute failure to:
Caries Learning curve Unplanned design Unaesthetic appearance
Priest, 1998: Reported a high retentive rate and classified Maryland Bridge as a long-term restoration or permanent restoration
Conclusion
Basic advantage: Conservation of tooth structure Preplanned design and meticulous attention to procedural details Long-term restoration for replacement of an maxillary anterior teeth
Thanks
Dr. Cutbrith Dr. Wilson
3M
References
Gerald Barrack. The Etched Cast Restoration-clinical Techniques and LongTerm Results. Quintessence International. 1993:24:701-13. Thomas L. Berekally. Post-Insertion Sensitivity With a Bonded Etched Cast Metal Prosthesis. Case report. Australian dental Journal. 1990:35(5):413-5 Ronald Berger. The Maryland Bridge Signals a New Era in Restorative Dentistry. National Association of Dental Laboratories Journal. 1982:29(9):11-13 Christian Besimo. Resin-Bonded Fixed Partial Denture Technique: Results of medium-Term clinical Follow Investigation. Journal of Prosthetic Dentistry. 1993:69(2):144-148. John Burgess, James Mccartney. Anterior Retainer Design for Resin-Bonded Acid-Etched Fixed Partial Denture. Journal of Prosthetic Dentistry. 1989:61:433-36. Huan-Kong Chang, Omar Zidan, et al. Resin-Bonded Fixed Partial Dentures: A Recall Study. Journal of Prosthetic Dentistry. 1991:65:778-81.
References
Brady T. Doukaoudakis, A. ramussen ST. Experimental Comparison Between Perforated and Etched-Metal Resin-Bonded Retainers. Journal of Prosthetic Dentistry. 1985:54:361-5 G.F. Priest, H.A. Donatelli. A Four_Year clinical Revaluation of Resin-Bonded Fixed Partial Dentures. Journal of Prosthetic Dentistry. 1998 May:59(5):5426. Richard E. Boyd. The Resin-Bonded Pontic. Clinical Impressions. 1996:5(4):18-27. Ellen Roberta Dietz. The Maryland Bridge as Restoration Alternative. Dental Assisting. 1983 Mar/Apr:2(4):30-1,38. Andrew M. Flood. Resin-Bonded Prosthesis : Clinical Guidelines. Australian Dental Journal. 1989:34(3):209-18. Howe DF, Denehy GE. Anterior Fixed Partial Dentures utilizing the Acid-Etch Technique and a Cast Metal framework. Journal of Prosthetic Dentistry. 1977:37:28-31.
References
Greg Libby, Michael Arcuri, et al. Longevity of Fixed Partial Dentures. The Journal of Prosthetic Dentistry. 1997:78:127-31. Livaditis, Gj. Cast Metal Resin-Bonded Retainers For Posterior Teeth. Journal of American Dental Association. 1980:101:926-29. Livaditis Gj, Thompson VP. Etched Casting: An Improved Retentive Mechanism for Resin-Bonded Retainers. Journal of Prosthetic Dentistry. 1982:47:52-8. Paul S. Olin, Elaine M.E. Hill, James L. Donahue. Clinical Revaluation of Resin-Bonded Bridges: A Retrospective Study. Quintessence International. 1991:22(11):873-876. Sanford Plainfield, Vincent Wood, and Ralph Podesta. A Stress-Relived Resin-Bonded Fixed Partial denture. Journal of Prosthetic Dentistry. 1989:61:291-3. Rochete AL. Attachment of a Splint to Enamel of Lower Anterior Teeth. Journal of Prosthetic Dentistry. 1973:30:418-423.
References
Stephen M. Roser. Prosthodontics-Replacing Missing Teeth. The Columbia University College of Physicians and Surgeons Complete Home Medical Guide. 3rd ed. NY. Crown Publishers Inc:1995. James F. Simon, Robert Gartrell, Anthena Grogono. Improved retention of Acid-Etched Fixed Partial Dentures: A Longitudinal Study. Journal of Prosthetic Dentistry. 1992:68:611-15. Frank M. Spear, David M. Mathew, and Vincent G. Kokich. Interdisciplinary Management of Single-Tooth Implants. Seminar in Orthodontics. 1997:3(1):45-72. Paul Van Wijlen. A Modified Technique for Direct Fiber-Reinforced, ResinBonded Bridges: Clinical Case Reports. Journal of Canadian Dental Association. 2000:66:267-271. G. Mohl, R. Mehra, A. Ford. Clinical Evaluation of Etched-Metal ResinBonded Fixed Partial Dentures. Journal of Prosthetic Dentistry. 1988:59(4)403-4. J.W. Brooks, Bob Twyman, et al. The Maryland Bridge: Is it Here to Stay? Dental Laboratory Review. 1983:58(5):16-19.