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Article: Volume 43 Number 6 Page 506 - July/August 2016

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  Dent Update 2016; 43: 506-521

Restorative dentistry:  Resin-Bonded Bridges – the Problem or the Solution? Part 1- Assessment and Design

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Abstract: Resin-bonded bridges (RBBs) have an important role to play in the minimally invasive prosthodontic replacement of missing teeth. This treatment modality is perceived to have a high clinical failure rate by some practitioners, which may be associated with poorly planned and executed designs and adhesive techniques. This paper, the first part of a two-part series, discusses the important planning stages in the successful provision of RBBs, including assessment, appropriate abutment selection and design considerations. The second part of this series will focus on the clinical stages of RBB provision.

Clinical relevance: This paper aims to provide the general dental practitioner with a guide to appropriate case selection and an overview of the planning stages involved for the provision of RBBs.

Author notes: Jasneet Singh Gulati, BDS, PgCert(DentEd), MFDS RCPS(Glas), Dental Core Trainee 1 (gulatij@gmail.com), Sara Tabiat-Pour, BDS, MSc, MFDS RCS(Eng) FDS(Rest Dent) RCS, Consultant in Restorative Dentistry, Sophie Watkins, BDS, MSc, FDS(Rest Dent), RCPS FDS RCS(Eng), Consultant in Restorative Dentistry, Guy’s and St Thomas’ NHS Foundation Trust, King’s Health Partners and Avijit Banerjee, BDS, MSc, PhD(Lond), LDS FDS(Rest Dent), FDS RCS(Eng) FHEA, Professor of Cariology and Operative Dentistry/Honorary Consultant and Clinical Lead, Restorative Dentistry, KCL Dental Institute at Guy’s Hospital, King’s Health Partners, London, UK.

Objective: To understand the importance of careful case selection for the provision of resin-bonded bridges in the minimally invasive prosthodontic replacement of missing teeth.