Journal List > Restor Dent Endod > v.45(1) > 1148381

Heo, Lee, Kim, Cho, and 1: Fiber-reinforced composite resin bridges: an alternative method to treat root-fractured teeth

Abstract

The replacement of missing teeth, especially in the anterior region, is an essential part of dental practice. Fiber-reinforced composite resin bridges are a conservative alternative to conventional fixed dental prostheses or implants. It is a minimally invasive, reversible technique that can be completed in a single visit. The two cases presented herein exemplify the treatment of root-fractured anterior teeth with a natural pontic immediately after extraction.

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Figure 1.
Preoperative view. (A) Intraoral photograph (labial view); (B) intraoral photograph (lingual view); (C) periapical view.
rde-45-e8f1.tif
Figure 2.
A black dot was made to mark the gingiva level. (A) Intraoral photograph (labial view); (B) intraoral photograph (lingual view).
rde-45-e8f2.tif
Figure 3.
Extracted retained root.
rde-45-e8f3.tif
Figure 4.
Coronal fragment of tooth #41 as a natural tooth pontic. (A, D) Extracted coronal fragment; (B, E) prepared coronal fragment; (C, F) polished coronal fragment; (A-C) lingual view; (D-F) labial view.
rde-45-e8f4.tif
Figure 5.
Labial view after temporary fixation.
rde-45-e8f5.tif
Figure 6.
Lingual view of tooth preparation. (A) Preparation of space for fiber extending from the mesial aspect of tooth #42 to the distal aspect of tooth #31 across tooth #41; (B) measurement of the span using a Wedjet.
rde-45-e8f6.tif
Figure 7.
Postoperative view. (A) Intraoral photograph (labial view); (B) intraoral photograph (lingual view); (C) periapical view.
rde-45-e8f7.tif
Figure 8.
At a 10-month recall check. (A) Intraoral photograph (labial view); (B) intraoral photograph (lingual view); (C) periapical view.
rde-45-e8f8.tif
Figure 9.
Preoperative view. (A) Intraoral photograph (labial view); (B) intraoral photograph (lingual view); (C) periapical view.
rde-45-e8f9.tif
Figure 10.
#31 Coronal fragment as a natural tooth pontic. (A) Extracted coronal fragment; (B) polished coronal fragment (labial view); (C) polished coronal fragment (lingual view).
rde-45-e8f10.tif
Figure 11.
Lingual view after the abutment preparation was done.
rde-45-e8f11.tif
Figure 12.
Postoperative view. (A) Intraoral photograph (labial view); (B) intraoral photograph (lingual view); (C) periapical view.
rde-45-e8f12.tif
Figure 13.
At an 8-month recall check.
rde-45-e8f13.tif
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