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Article: Volume 47 Number 2 Page 127 - February 2020

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  Dental Update 475: 127-134

Restorative dentistry:  Case Study: Management of Failing Maxillary Bridgework

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Abstract: The current trend, and often gold standard, for replacement of missing teeth is implant-retained fixed or removable prostheses. These, however, are not always suitable, whether due to financial constraints, or the patient wishing to avoid the associated surgical treatment. Utilizing crowns as retainers for partial removable dental prostheses in such cases can provide a favourable aesthetic and functional outcome, whilst avoiding many of the retentive pitfalls that patients fear are associated with a removable appliance.

Clinical relevance: A systematic approach is required when approaching failing bridgework in order to overcome the unique challenge involving unpredictable abutment status, which often cannot be appraised until the bridgework is dismantled.

Author notes: David Gray, BDSHons(Cardiff), MScPrimary Dental Care(Kent), MFDS RCPS(Glasg), DipRestDentRCS(Eng), Associate Dentist, The Broadway Dental Practice, Catford, London, SE6 4SN and Specialty Doctor in Prosthodontics, Eastman Dental Hospital, 47-49 Huntley Street, London WC1E 6DG, UK (email:

Objective: To consider the options in the management of failing maxillary bridgework.