Replacing an anterior metal-ceramic restoration with an all-ceramic resin-bonded fixed partial denture: a case report

Since the first resin-bonded fixed partial denture was described, this adhesive technique for splinting mobile teeth has developed into a conservative method for replacing missing teeth. Heat-pressed all-ceramic materials have been introduced for the fabrication of 3-unit fixed partial dentures in the anterior and premolar region. This clinical report describes the replacement of a conventional partial coverage metal-ceramic resin-bonded fixed partial denture with an all-ceramic resin-bonded fixed partial denture in the anterior maxillary area.     

Successful use of a single-retainer all-ceramic resin-bonded fixed partial denture for replacement of a maxillary canine: a clinical report.

This clinical report describes the prosthodontic treatment of a 60-year-old woman to close an edentulous space in the region of the maxillary canine. Single-retainer resin-bonded fixed partial dentures (FPD) have shown satisfactory results in different studies. Recent in vivo studies have shown excellent results for all-ceramic anterior FPDs after 5 years. In the present situation, a cantilevered all-ceramic FPD chosen to replace a missing maxillary canine showed success at the 2.5-year follow-up. Special attention was given to functional and minimal restorative considerations. The use of single-retainer all-ceramic FPDs is discussed. The present case does not represent a routine and well-documented approach for the replacement of a missing maxillary canine. Rather, it is a rarity that was successful because of space availability, present occlusal scheme, and patient cooperation. Implant-supported restorations always should be considered as the first treatment option in such a clinical situation.     

成功应用单端固位全瓷粘结桥修复上颌尖牙：病例报告

本病例报告介绍了对一位60岁女性进行修复治疗．以关闭上颌尖牙缺牙间隙的病例。各种研究表明．单端固位树脂粘结桥的修复效果令人满意。最近．Vivo的研究表明，前牙全瓷粘结桥5年后的效果修复仍然良好。本文讨论了单端全瓷粘结桥修复上颌尖牙的临床应用．其后两年半的随访观察显示，本病例取得了成功。修复体的功能和对牙体的最少损伤是修复设计主要考虑的问题。对于修复上颌尖牙缺失，本方法只是成功的个例．其成功是基于适宜修复的空间、良好咬合设计以及患者配合。尚不能证实本方法能够成为一种常规的治疗方法．对于此类临床病例，种植支持式义齿通常是首选的治疗方法。     

Replacement of missing posterior teeth with an all-ceramic inlay-retained fixed partial denture: a case report

Adhesively luted all-ceramic inlay-retained fixed partial dentures can be a clinical alternative for the replacement of missing posterior teeth in certain situations. This type of restoration allows satisfactory esthetics and reduced tooth preparation compared to a conventional metal-ceramic fixed restoration. This case report describes the use of an inlay-retained fixed partial denture as a conservative alternative for the replacement of missing posterior teeth.     

单端全瓷树脂粘接桥在修复个别前牙缺失中的应用

目的 探讨单端全瓷树脂粘接桥在修复个别前牙缺失中的临床效果。方法 选择20例个别前牙缺失患者进行单端全瓷树脂粘接桥修复,并进行2年随访,采用美国公共健康协会（APHA）制定的修复体临床评价标准进行临床疗效评价分析。结果 20例单端全瓷树脂粘接桥在修复完成后6个月,APHA的6项评价指标均达到A级;修复完成后1年,1例修复体周围龋为B级,其余均为A级;修复完成后2年,1例修复体周围龋为B级,1例修复体折断为B级,其余均为A级。结论 对于个别前牙缺失,单端全瓷树脂粘接桥是可供临床选择的修复方式之一。     

改良式烤瓷粘接桥的临床研究

目的研究改良式烤瓷粘接桥的修复效果。方法2000—2001年选择100例前牙或单个后牙缺失的患者,采取改良式烤瓷粘接桥修复。结果120个修复体中,15个松动脱落,5个有继发龋,8个有基牙变色。结论改良式烤瓷粘接桥是一种较好的修复方式,应严格选择适应证,合理设计修复体。     

A stress-relieved resin-bonded fixed partial denture

Reports of bonding failures with resin-bonded fixed partial dentures (commonly called the "Maryland Bridge") are common. Failures are due to individual tooth mobility as much as they are to bonding inadequacy. The incorporation of stress relievers in the design of resin-bonded fixed partial dentures has created a dramatic reversal in bonding failures.     

单端全瓷树脂粘接桥在青少年正畸后缺失切牙间隙保持中的应用1例

本文报道1例右下侧切牙缺失的正畸后青少年病例,利用右下尖牙为基牙,以单端全瓷树脂粘接桥恢复牙列完整,保持缺牙间隙并恢复功能与美观。     

An application of a splint purposeful resin-bonded fixed partial denture after orthodontic treatment: a case report

An adult male patient who had lost his maxillary left central incisor seven years ago in a traffic accident presented with a chief complaint about his unaesthetic appearance associated with the loss of his maxillary left central incisor space, a Class III molar occlusion, and an anterior open bite malocclusion due to tongue-thrust swallowing. Fixed orthodontic treatment was rendered following fan-type expansion of the maxilla. A Maryland bridge as a minimally invasive dentistry approach was used as a retention appliance and the patient's aesthetic appearance was restored.     

A nine-year clinical case study of a resin-bonded fixed partial denture seated on the maxillary anterior teeth

PatientThis report describes the longevity of a resin-bonded fixed partial denture (RBFPD). This denture was seated on the maxillary anterior teeth with minimal tooth preparation. The RBFPD was cast from a silver–palladium alloy (Castwell M.C. 12), and the pontic was veneered with an indirect composite material (Estenia). The retainers were primed with a metal conditioner (V-Primer) and seated with a tri-n-butylborane initiated adhesive resin (Super-Bond C&B). After an observation period of eight years, a fracture occurred in the incisal edge of the central incisor abutment. The fractured area was restored with light-polymerizing composite resin and the anterior guidance was re-adjusted.DiscussionRBFPD abutment teeth with deep vertical overlap should be carefully prepared to avoid abutment tooth fracture.ConclusionThe clinical performance of the RBFPD made from a silver–palladium–copper–gold alloy was sufficient when seated with tri-n-butylborane initiated adhesive resin after surface modification using vinyl-thiol primer.Clinical significanceThe use of vinyl-thiol primer and tri-n-butylborane initiated adhesive resin is a clinically reliable bonding system for seating resin-bonded fixed partial denture (RBFPD) made from a silver–palladium–copper–gold alloy. The RBFPD, based on a reliable bonding system, can clinically function for a long time, even if the vertical overlap of the abutment teeth is excessive.     

Anterior maxillary resin-bonded fixed partial denture to preserve occlusal surface area for anterior guidance. A clinical report

One of the problems with anterior maxillary resin-bonded fixed partial dentures is anterior-guided occlusion. An anterior maxillary resin-bonded fixed partial denture was fabricated. The reduction of the lingual surface of the abutment was restricted to the nonocclusal surface area for anterior guidance. The patient's original mandibular movement did not change after the denture was seated. The denture has been functioning satisfactorily without any problems for more than 72 months. This article emphasizes the concept of fabricating an anterior maxillary resin-bonded fixed partial denture without reduction of the occlusal surface area for anterior guidance.     

The design of a two-part acid-etched resin-bonded fixed partial denture.

A new framework design is presented for resin-bonded, acid-etched, fixed partial dentures. This innovative design divided the restoration into two parts, each with a separate path of insertion. The preparation of abutment teeth required minimal reduction and the pontic could not be displaced during function. Thirty-five patients with missing posterior teeth have been treated with this imaginative approach and after approximately 2 years, there have been no debonding failures.     

Single tooth replacement using a modified metal-ceramic resin-bonded fixed partial denture: a clinical report

This article describes the use of a modified metal-ceramic resin-bonded fixed partial denture (MMC RBFPD) as a conservative solution for the replacement of an incisor. It is a minimally invasive technique which does not discolor the abutment teeth.     

全瓷粘接桥的临床研究进展

为契合当代微创的治疗理念,粘接桥在口腔修复领域有着较大的应用前景.近年来,随着全瓷材料及粘接技术的发展,全瓷粘接桥在临床上的应用越来越广泛.全瓷粘接桥具有微创、美观、省时和低成本等优势,若适应证选择恰当,能体现出优良的中短期修复效果,但其远期的临床效果仍有待进一步研究.本文综合国内外文献,就全瓷粘接桥及其病例的选择、设计方式、粘接技术和预后情况等临床研究进展作一综述,以供参考.     

Longevity of a maxillary 2-unit cantilever fixed partial denture: clinical report

In this clinical report, we discuss the length of service and subsequent replacement of a maxillary anterior 2-unit cantilever fixed partial denture (FPD). The FPD provided 53 years of service to the patient and was finally replaced with a 2-unit porcelain-fused-to-metal (PFM) FPD. The original prosthesis replaced a missing maxillary lateral incisor using a partial coverage metal retainer, whereas the new FPD was designed with a complete coverage PFM retainer.     

Treatment of a microvascular reconstructed mandible using an implant-supported fixed partial denture: case report.

Oral rehabilitation of patients with mandibular discontinuity defects is a problem that faces both the oral surgeon and the restorative dentist. Advances in microvascular surgery can provide the mandible with vital bone grafts. Often, reconstruction of the bony defect alone does not guarantee an adequate foundation for successful conventional prosthetic rehabilitation. Osseointegrated implants placed in the microvascularized grafted bone offer an opportunity for improved function and patient satisfaction. This case report describes the use of an implant-supported bridge in a vascularized fibular bone graft to reconstruct a traumatic partially resected mandible.