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Immediate natural tooth bridges

From Volume 45, Issue 11, December 2018 | Pages 1016-1023

Authors

Anna C Greer

StR and Honorary Clinical Teacher in Restorative Dentistry, Charles Clifford Dental Hospital, 76 Wellesley Road, Sheffield, S10 2SZ

Articles by Anna C Greer

Juzaily Husain

Specialist and Clinical Lecturer in Periodontics, Kulliyyah of Dentistry, Kuantan, The International Islamic University, Malaysia, 25200

Articles by Juzaily Husain

Nicolas Martin

BDS, PhD, PgCertEd, MFDSRCS, FDSRCS

Professor and Consultant in Restorative Dentistry, Academic Unit of Restorative Dentistry, School of Clinical Dentistry, Claremont Crescent, The University of Sheffield, S10 2TA, UK

Articles by Nicolas Martin

Abstract

Abstract: This article describes four cases in which immediate natural tooth bridges have been provided. Four different techniques are described for creating these. The four different retainer types discussed are silanated glass fibres impregnated with PMMA and bis-GMA, laboratory-made metal wings, metal mesh and mesh-type titanium wire. With the support of photographs and diagrams, the techniques for each retainer type are described. The final section of this article discusses the factors that affect the prognosis of immediate natural tooth bridges. Providing information on prognosis is an important part of the consent process; this includes patient factors and clinician factors.

CPD/Clinical Relevance: This article details four different techniques for creating immediate natural tooth bridges. It also discusses the important factors to consider for the prognosis of immediate natural tooth bridges.

Article

With the loss of an anterior tooth, psychosocial, aesthetic and functional issues can arise, and patients may not wish to leave anterior spaces unrestored for any length of time. The options for restoring anterior spaces immediately following an extraction are with a denture, bridge or dental implant. Many patients exhibit a preference for a fixed prosthesis rather than a removable denture.1, 2 Immediate implants are not appropriate for all cases and immediate loading may also be unsuitable; this option is case specific.3, 4 In any case, it is normally best to allow time for healing with bone and soft-tissue remodelling prior to the provision of a definitive fixed prosthesis.

Immediate natural tooth bridges can provide a quick, fixed and aesthetic solution for loss of a single anterior tooth. These are also minimally invasive and can be fully reversible. There are case reports in the literature detailing different approaches to immediate natural tooth bridges. This includes cases describing traumatized teeth and periodontally involved teeth.5, 6, 7, 8, 9 This case series compares different retainer types for immediate natural tooth bridges. The factors affecting the prognosis of these restorations will also be explored.

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