Management of missing incisor with tooth malposition using removable orthodontic appliances and modified design adhesive bridge: a case report

Cindy Lestari Marshaliana, Valentine Rosadi Sinaga, Setyawan Bonifacius, Vita Mulya Passa Novianti

Abstract


Introduction: The loss of anterior teeth can lead to aesthetic, phonetic, and functional issues. A lithium disilicate adhesive bridge can be a good alternative and a viable compromise in cases of anterior tooth loss. The advantages include minimally invasive preparation, adhesive system, better retention, and aesthetics compared to metal materials. Removable orthodontic treatment is a preliminary option for cases of minor tooth malposition to achieve an ideal dental arch. This case report describes the management sequence for a missing incisor with tooth malposition using removable orthodontic appliances and modified design adhesive bridge. Case report: A 19-year-old female patient visited Dental Hospital Universitas Padjadjaran, Bandung with an issue of missing left central incisor due to traffic accident, and the right central incisor being in a crossbite position. The patient wanted to use a fixed dental prosthesis to improve her appearance but had not yet undergone correction for the misaligned tooth. Discussion: The patient was provided with a temporary removable dental prosthesis with removable orthodontic modifications including the addition of bite risers. Subsequently, a modified design adhesive bridge with lithium disilicate material was planned. Conclusion: The combination of removable orthodontic treatment with a final restoration utilizing a modified design adhesive bridge using lithium disilicate material for the upper anterior teeth can enhance patient satisfaction by addressing aesthetic concerns and improving phonetic function and chewing ability.


Keywords


Lithium disilicate, modified design adhesive bridge, removable orthodontic appliances

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References


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DOI: https://doi.org/10.24198/pjd.vol37no1.59214

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