7 Suleyman Aguloglu a Fibre Reinforced Fixed Partial Denture Case
7 Suleyman Aguloglu a Fibre Reinforced Fixed Partial Denture Case
7 Suleyman Aguloglu a Fibre Reinforced Fixed Partial Denture Case
7 Suleyman Aguloglu a Fibre Reinforced Fixed Partial Denture Case

7 Suleyman Aguloglu a Fibre Reinforced Fixed Partial Denture Case

  • View
    214

  • Download
    0

Embed Size (px)

Text of 7 Suleyman Aguloglu a Fibre Reinforced Fixed Partial Denture Case

  • 8/13/2019 7 Suleyman Aguloglu a Fibre Reinforced Fixed Partial Denture Case

    1/4

    Case Report Int Dent Res 2011;1:38-41

    38 IDR Volume 1, Number 1, 2011

    A Fibre-Reinforced Fixed Partial Denture ona Hemisectioned Tooth: A Case ReportSleyman AGLOLU1 , Emrah AYNA2 , Eylem ZDEM R 1 1 Assistant Professor, Dicle University, Faculty of Dentistry, Department of Prosthetic Dentistry, Diyarbak r, TURKEY2 Associate Professor, Dicle University, Faculty of Dentistry, Department of Prosthetic Dentistry, Diyarbak r, TURKEY

    Key WordsFibre-reinforced, adhesivebridge, hemisection

    Correspondence:Eylem ZDEMRDicle University,Faculty of Dentistry,Department of Prosthetic Dentistry,21280, Diyarbakir, TURKEY.e-mail: dteylem@yahoo.com

    Abstract In modern dentistry, fibre-reinforced fixed dental prostheses are

    considered a useful alternative to classical metal-ceramicrestorations. This method allows a conservative approach forreplacing missing teeth that overcomes some of the drawbacks ofconventional prostheses. Our patient required extraction of tooth#46 because of an apical lesion of the mesial root, and underwentextraction by hemisection. After healing, using the superiorproperties of the combined fibre/composite, an adhesive bridgerestoration was applied with support from the distal root of tooth#46 and teeth #45 and #47.

    (Int Dent Res 2011;1:38-41)

    IntroductionFor many years, the only prosthetic application

    used to deal with cases with a single missing toothwas a fixed partial prosthesis. However, thepreparation of the two teeth required for correctionof a single tooth deficiency causes unnecessarytissue loss. Subsequently, implant-supported fixedprostheses have been developed as an effectivesolution for this situation. Inevitably, implantscannot be used in some patients because surgicalintervention is contraindicated due to systemicdisease or the high cost of the operation. Adhesivebridges are a good alternative, as they are lessexpensive than implants, they do not requiresurgical intervention and the loss of material fromthe supporting tooth is small compared toconventional bridges. With the development of fibre-strengthened composites, alternative restorationshave become very popular (1-4).

    Fibre-reinforced composites have goodmechanical properties and their endurance/weightratios are high compared to metal alloys. Fibre-reinforced composites have several advantages:they are translucent, unlike metals; non-corrosive,easy to repair, have good adhesive properties and it

    is easy to prepare the mouth to receive them. Indentistry, glass, polyethylene and carbon fibres aremainly used as the strengthening materials forcomposites. Saturated fibres are used as thesubstructure material for a fixed partial prosthesis,whereas ceramic-reinforced restorative compositesare used as the superstructure material (1-7)

    Case Report

    A 31-year-old male patient visited our facultycomplaining of problems with tooth #46, and anapical lesion of the mesial root was detected. Basedon the results of radiography and intraoralinspections, the distal root of the tooth was deemedusable (Fig. 1A). After endodontic therapy, the toothwas hemisectioned and the mesial root wasseparated (Fig. 1B and Fig. 1C). Following thehealing period, a mandibular impression wasobtained and tooth wax was used to plan the body-gum relationship for model preparation (Fig. 1D andFig. 1E).

  • 8/13/2019 7 Suleyman Aguloglu a Fibre Reinforced Fixed Partial Denture Case

    2/4

    Aglo lu e

    Internati

    FiguThe remairelationshigum relati

    Usingof the waThis imprregion anthe next svisit, a rufirst glassJapan) wtooth #4length waplacing po

    these werseconds aKerr Corp.of the reswashed aMedical)dried withthe body-the modeClearfil SEthe cavitipreviouslywith bondbetween t

    t al.

    nal Dental

    e 1 . (A) Thning distalp for modelonship for m

    a piece oftooth wasssion wasthe compo

    tep in proceber dam wfibre post

    s placed in (Fig. 2B)s increasedlyethylene fi

    etched witter the poly, Switzerlantoration regd dried. Clas appliedslow air floum, silicon

    l was plac Bond (Kurs. In additicut to the

    ing agente cavities i

    esearch

    radiographoot; (D) Tpreparationodel prepar

    silicon, a subtained (Fi

    then placesites were bssing the ms placed in(Snowpost;the remai

    for strengt. Cavitiesbre in teeth

    h 35% phothylene fibr) was cut t

    ion, and tharfil SE Bonfor 20 s, aw. To givepreviouslyd over th

    aray Medicaon, a polyeappropriatend placedteeth #45

    2011

    ic image ofe buccal d (E) The lintion; (F) Th

    -body impr. 1F and Fi in the toouilt on top oouth. On ththe mouth,Kuraray M

    ing distal r, and theere prepar#45 and #

    phoric acide cord (Cono twice the

    cavity wad primer (K d the cavithe ideal shrepared on

    crest andl) was applhylene fibr size wass a doublend #47 suc

    he tooth #sign of thegual designe obtained i

    ession. 2A).thlessf it as

    nextand adical,ot of

    crownd for7 and

    for 15struct,length

    thenurarayy waspe to

    top ofthen

    ied tocord

    ettedlayer

    h that

    itwPplthpcuoc(F

    stFrprteroinPrean

    6; (B) Sepatooth waxof the tootmpression o

    also adheres then poloto Postericed on top

    e entire fiblymerised wt and remclusion of thig. 2D and F

    In this sengthen an

    ansson repefabricatedhnique for

    ots, especiawhom a proz et al.sults in lowd that it is p

    Fibre-rei

    rating the rthat was us wax that w the tooth

    to the distmerised wir (Kurarayof the silic

    re and tooith light. Thved from

    e new toothig. 2E).

    Discu

    udy, a glasd lengthenrted that

    posts and r weakenedly for the ast-core croreported thr microleak

    referred for

    forced Fixed

    ots of the ted to planas used toax.

    l root of #th light for

    Medical) cn model foh #46 wa silicon mothe mouth was shape

    ssion

    s fibre postthe root. Tcrown fabsin compos

    , endodonnterior teet

    n is contrat adhesivage and himetal posts

    Partial Dentu

    oth #46; (the body-gulan the bod

    6 (Fig. 2C).10 s. Cleamposite w

    rmer to cov shaped ael former w

    . Finally, t and polish

    was usedorbjorner aication usiite is a viaically treat of teenagindicated ( cementatiher retenti

    (9).

    e

    9

    ) my-

    Itfilaserd

    ased

    todgled

    rs).nn

  • 8/13/2019 7 Suleyman Aguloglu a Fibre Reinforced Fixed Partial Denture Case

    3/4

    Fi

    4

    tg

    rrsypoh

    aufibtas

    atiirsp

    bre-reinforce

    0

    Figureoth #46; (

    um relations

    Previouslinforced costorations.ience, thesars. Furthe

    orcelain teepposite tooave good a

    nd repair, ase of fibre-xed partialecause the

    the framend the friffness.

    The replloy/resin-boe rebonded the statiscrease toferred to audies havlaced in th

    Fixed Partial

    . (A) The s) The silico

    hip design.

    y, adhesivemposites wHowever,restoration

    rmore, thesth, whichh. In addithesive prop

    d they arereinforceddentures (Fcomposite lork, the remework

    orted 5-yended FPDsFPDs in thi

    ical analysi6% after 5the functio

    indicatedmandible

    Denture

    ilicon modeln model for

    bridges mere conside

    ith progres have been teeth areeduces theion, they aerties, are

    resistant toomposite iPDs) has bting agentults are goaterial ha

    r survivalith one po

    s study wer, the surviyears, and

    nal survivalthat resin

    have lower

    former; (Ber at work;

    de with fibred temporss in mateused for m

    not as hardwear on

    re transluceasy to prep

    corrosion.resin-boneen suggesadheres betd aesthetic physiologi

    rate of mntic is 61%.e reconsideal rate wothis has b

    rate (5). Sobonded FPsurvival ra

    ) Glass fibre (D) The pr

    re-ry

    rialnyashent,re

    heededterlly

    cal

    tal. Ifed

    ulden

    meDstes

    thanindicin thapplireinf prepa one

    I

    our pthatbeca#46,#47.

    1

    2

    post was plepared toot

    those placeted no diff e mandibled fixedrced comring the too-year periodn summary

    atient is a rthe restorase of the stogether wi

    Altieri JV,LongitudincompositeProsthet D

    Mudassir,I. Padihar

    IDR V

    aced in the; (E) The l

    in the maxrences in sand maxill

    dhesive prosite inth and achie (1)., although

    gion used f ion will support fromh the supp

    Refer

    Burstone CJ,l clinical eva

    fixed partialent. 1994 Jan

    .E. Aboush,. Long-term

    Ag

    lume 1, Num

    remaining dist occlusion

    illa, while otrvival of FP

    a (2-5). Alostheses14 patientved 50% su

    the region

    or chewing,rvive for athe distal rort from tee

    nces

    , Goldberg A luation of fibdentures: a;71(1):16-6M. Hosein, T.

    clinical perf

    lolu et al.

    ber 1, 2011

    stal root ofand body-

    her studiesDs locatedieri et al.ith fibre-

    s withoutccess after

    estored in

    we believelong timeot of toothh #45 and

    , Patel AP.r-reinforcedilot study. J

    Hosein andormance of

  • 8/13/2019 7 Suleyman Aguloglu a Fibre Reinforced Fixed Partial Denture Case

    4/4

    Aglolu et al. Fibre-reinforced Fixed Partial Denture

    International Dental Research 2011 41

    resin-bonded fixed partial dentures placed in adeveloping country. J Prosthodont 1995; 4: 2333

    3- P. Rammelsberg, P. Pospiech and W. Gernet.Clinical factors affecting adhesive fixed partialdentures: a 6-year study. J Prosthet Dent. 1993;70: 3007

    4- M. Behr, A. Leibrock, W. Stich, P. Rammelsberg,M. Rosentritt and G. Handel. Adhesive-fixedpartial