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References

Starr RW. Removable bridge-work porcelain cap-crowns. Dent Cosmos. 1886; 28:17-19
Eisenburger M, Gray G, Tschernitschek H. Long term results of telescopic crown retained dentures – a retrospective study. Eur J Prosthodont Rest Dent. 2000; 8:87-91
Beschnidt SM, Chitmongkolsuk S, Prull R. Telescopic crown retained removable partial dentures: review and case report. Compend Contin Educ Dent. 2001; 22:927-940
Wise MD.London: Quintessence Publishing Co; 1995
Widbom T, Löfquist L, Widbom C, Söderfeldt B, Kronström M. Tooth supported telescopic crown retained dentures: an up to 9 year retrospective clinical follow-up study. Int J Prosthodont. 2004; 17:29-34
Cheung GSP. Fate of vital pulps beneath a metal-ceramic crown or a bridge retainer. Int Endo J. 2005; 38:521-530
Shillinburg HT, Hobo S, Whitsett LD, Jacobi R, Brackett SE.Chicago: Quintessence Publishing Co; 1997
Christensen GJ. Frequently encountered errors in tooth preparation for crowns. J Am Dent Assoc. 2007; 138:1373-1375
Langer A. Tooth supported telescope restorations. J Prosth Dent. 1981; 45:515-520
Lundgren D. Prosthetic reconstruction of dentitions seriously compromised by periodontal disease. J Clin Periodontol. 1991; 18:390-395
Wöstmann B, Kothe A, Ferger P. Dental impact on daily living of telescopic crown retained partial dentures. Int J Prosthodont. 2008; 21:419-421
Griess M, Reilmann B, Chanavaz M. Telescopic retained overdentures in mentally handicapped and schizophrenic patients – a retrospective study. Eur J Prosthodont Res Dent. 1998; 6:91-95
Valderhaug J, Heloe LA. Oral hygiene in a group of supervised patients with fixed prostheses. J Periodontol. 1977; 4:221-224
Sorensen JA. A rationale for comparison of plaque retaining properties of crown systems. J Prosthet Dent. 1989; 3:264-269
Behr M, Kolbeck C, Lang R, Hahnel S, Dirschl L, Handel G. Clinical performance of cements as luting agents for telescopic double crown retained removable partial and complete overdentures. Int J Prosthodont. 2009; 22:479-487
Bayer S, Zuziak W, Kraus D, Keilig L, Stark H, Enkling N. Conical crowns with electroplated gold copings: retention force changes caused by wear and combined off-axial load. Clin Oral Impl Res. 2011; 22:323-329
Uludag B, Sahin V, Ozturk O. Fabrication of zirconium primary copings to provide retention for a mandibular telescopic overdenture: a clinical report. Int J Prosthodont. 2008; 21:509-510
Mundt T, Heinemann F, Golecki G, Schwahn C, Biffar R. Retention force of secondary crowns to copings after temporary cementation: the effect of crown material and luting agent. Biomed Tech. 2010; 55:335-340
Gϋngör MA, Artunç C, Sonugelen M. Parameters affecting retentive forces for conus crowns. J Oral Rehab. 2004; 31:271-277
Malik K, Tabiat-Pour S. The use of a diagnostic wax set-up in aesthetic cases involving crown lengthening – a case report. Dent Update. 2010; 37:303-307
Nyman S, Lindhe J, Lundgren D. The role of occlusion for the stability of fixed bridges in patients with reduced periodontal tissue support. J Clin Periodontol. 1975; 2:53-66
Wise MD. Stability of gingival crest after surgery and before anterior crown placement. J Prosthet Dent. 1985; 53:20-23
Kamansky FW, Tempel TR, Post AC. Gingival tissue response to rotary curettage. J Prosthet Dent. 1984; 52:380-383

The coping-retained bridge: a modified approach to conventional bridge design – review and case report

From Volume 40, Issue 8, October 2013 | Pages 606-612

Authors

Stuart C Campbell

BDS, MFDS RCS(Edin)

General Dental Practitioner, Loanhead Dental Practice, 50 Fountain Place, Midlothian EH20 9DU, UK

Articles by Stuart C Campbell

Amy L Harper

BDS

General Dental Practitioner, Loanhead Dental Practice, 50 Fountain Place, Midlothian, Scotland

Articles by Amy L Harper

Kenneth H Scott

RDT

Dental Technician, A-Plus Dental Laboratory, 17 George Buckman Drive, Camperdown Industrial Park, Dundee, Scotland

Articles by Kenneth H Scott

Abstract

Missing teeth may be restored with conventional bridgework. A modified approach to traditional bridge design may be necessary to restore edentulous spaces in the presence of poorly aligned abutment teeth and abutment teeth of guarded prognosis. The coping bridge is a useful technique in the dentist's armamentarium for patients in whom implant-supported or removable prostheses are inappropriate. This paper examines the use of coping-retained bridges as a modification on traditional design and discusses how these appliances may be applied in general practice. A case report is presented describing the application of this design in general practice.

Clinical Relevance: Applying a modified approach to bridge design may allow complicated edentulous spaces to be restored successfully in general practice.

Article

Patients are motivated to seek dental treatment to replace missing teeth. In general practice, conventional bridgework can be used to restore the functional and aesthetic problems created by missing teeth.

The restoring dentist may encounter challenges when fixed bridgework is planned:

Although these challenges may be overcome with orthodontics or implant dentistry, these approaches are not appropriate to all patients and a modified approach to bridge design may be necessary.

Conventional bridge design can be modified by using telescopic copings to retain a fixed bridge. Copings may be described as inner crowns or sleeves which are permanently cemented to prepared abutment teeth. The fixed bridge superstructure is then cemented onto the copings using a weak cement. This allows removal of the bridge should further treatment of the abutment teeth be necessary. This technique was first described in 1886 by Starr,1 and is in common practice in Sweden and Germany.2

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