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Durey KA, Nixon PJ, Robinson S, Chan MF Resin bonded bridges: techniques for success. Br Dent J. 2011; 211:113-118 https://doi.org/10.1038/sj.bdj.2011.619
Pjetursson BE, Tan WC, Tan K, Brägger U, Zwahlen M, Lang NP A systematic review of the survival and complication rates of resin-bonded bridges after an observation period of at least 5 years. Clin Oral Implants Res. 2008; 19:131-141 https://doi.org/10.1111/j.1600-0501.2007.01527.x
King PA, Foster LV, Yates RJ, Newcombe RG, Garrett MJ Survival characteristics of 771 resin-retained bridges provided at a UK dental teaching hospital. Br Dent J. 2015; 218:423-428 https://doi.org/10.1038/sj.bdj.2015.250
Davis DM, Fiske J, Scott B, Radford DR The emotional effects of tooth loss in a group of partially dentate people: a quantitative study. Eur J Prosthodont Rest Dent. 2001; 188:53-57 https://doi.org/10.1038/sj.bdj.4800522
Wassell RW, St George G, Ingledew RP, Steele JG Crowns and other extra-coronal restorations: provisional restorations. Br Dent J. 2002; 192:619-622 https://doi.org/10.1038/sj.bdj.4801443
Oosterkamp BC, Dijkstra PU, Remmelink HJ, van Oort RP, Sandham A Orthodontic space closure versus prosthetic replacement of missing upper lateral incisors in patients with bilateral cleft lip and palate. Cleft Palate Craniofac J. 2010; 47:591-596 https://doi.org/10.1597/09-092
Gill DS, Barker CS The multidisciplinary management of hypodontia: a team approach. Br Dent J. 2015; 218:143-149 https://doi.org/10.1038/sj.bdj.2015.52
Dudding T, Martin S, Popat S An introduction to the UK care pathway for children born with a cleft of the lip and/or palate. Br Dent J. 2023; 234:943-946 https://doi.org/10.1038/s41415-023-5998-z
Diangelis AJ, Andreasen JO, Ebeleseder KA International Association of Dental Traumatology guidelines for the management of traumatic dental injuries: 1. Fractures and luxations of permanent teeth. Dent Traumatol. 2012; 28:2-12
Andersson L, Andreasen JO, Day P, Heithersay G International Association of Dental Traumatology guidelines for the management of traumatic dental injuries: 2. Avulsion of permanent teeth. Dent Traumatol. 2012; 28:88-96 https://doi.org/10.1111/j.1600-9657.2012.01125.x
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Provisionals for resin-retained bridges: case selection and effect on the final restoration

From Volume 52, Issue 4, April 2025 | Pages 276-280

Authors

Emma Louisa Smith

MChD/BChD, Associate Dentist, 4 Great Stuart Street Dental Practice, Edinburgh

Articles by Emma Louisa Smith

Email Emma Louisa Smith

Abstract

Resin-bonded bridges or resin-retained bridges (RRBs) are considered acceptable fixed prostheses for single-unit spaces in the aesthetic zone, often resulting from hypodontia or trauma. They may be used as medium-to long-term treatment options and can precede implant placement for young patients. Provisional tooth replacement before this treatment modality is not always thought to be necessary, but is often seen as appropriate. This article explores the various provisional options for single/multiple tooth space scenarios, their functional and aesthetic considerations, the risks and benefits, alongside their possible impact on the final restoration.

CPD/Clinical Relevance: Various techniques available to provisionalize RRBs to aid in RRB case planning are described.

Article

Resin-bonded bridges or resin-retained bridges (RRBs) are prostheses that require no or minimal preparation and rely on the bonding of a metal or ceramic wing to a tooth through resin cements. Developed from Rochette bridges, which have perforated metal wings to create retention, then Maryland bridges when electrochemical etching of metal allowed non-perforated wings to be used, their success rates have increased to nearly that of conventional bridge work.1,2 Now bridges constructed from zirconia are being incorporated into dental practice.

King et al reported on the survival of resin-retained bridgework, stating the highest survival rates were in single cantilever resin-bonded bridges clear of heavy occlusal force with stable abutments.3 However, they noted that where orthodontic treatment has preceded bridgework in hypodontia patients, double abutments have a much higher survival rates.

Therefore, case selection and planning are highly important for such restorations, and should take into consideration: the number of missing teeth; the quality of the abutments; prior treatment; the patient's aesthetic/functional demands (such as gingival profile, smile line, static and dynamic occlusion); and any subsequent treatment plans.

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