Management of missing incisor with tooth malposition using removable orthodontic appliances and modified design adhesive bridge: a case report
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
Full Text:
PDFReferences
Wiedel AP. Fixed or removable appliance for early orthodontic treatment of functional anterior crossbite. Swed Dent J Suppl. 2015;(238):10–72.
Gahlod N. Management of anterior single tooth crossbite using removable posterior teeth bite plane along with z-spring: a case report. J Pharm Res Int. 2023;35(20):47–51. https://doi.org/ 10.9734/jpri/2023/v35i207406
Amin E, Bangash A. Problems with removable orthodontic appliances and patient preceived problems. Pak Armed Forces Med J. 2020;70(1):101–5.
Chahal S, Rathee M, Malik S, Jain P, Alam M. Maryland bridge as a minimally invasive treatment modality for missing anterior teeth: A case report. J Dent Spec. 2022;10(2):67–9. http://dx.doi.org/10.18231/j.jds.2022.018
Potdukhe S. All ceramic pressable lithium disilicate maryland bridge: a case with two-year follow-up. J Clin Diagn Res. 2022;16(3):1–2. http://dx.doi.org/10.7860/JCDR/2022/52084.16069
Chen J, Cai H, Suo L, Xue Y, Wang J, Wan Q. A systematic review of the survival and complication rates of inlay-retained fixed dental prostheses. J Dent. 2017; 59:2–10. https://doi.org/10.1016/j.jdent.2017.02.006
Audenino G, Giannella G, Morello GM, Ceccarelli M, Carossa S, Bassi F. Resin-bonded fixed partial dentures: Ten-year follow-up. J Prosthet Dent. 2016 Sep;96(3):223.
Botelho MG, Chan AWK, Leung NCH, Lam WYH. Long-term evaluation of cantilevered versus fixed–fixed resin-bonded fixed partial dentures for missing maxillary incisors. J Dent. 2016;45:59–66. https://doi.org/10.1016/j.jdent.2015.12.006
Alraheam IA, Ngoc CN, Wiesen CA, Donovan TE. Five‐year success rate of resin‐bonded fixed partial dentures: A systematic review. J Esth & Resto Dent. 2019;31(1):40–50. https://doi.org/10.1111/jerd.12431
Wei YR, Wang XD, Zhang Q, Li XX, Blatz MB, Jian YT, et al. Clinical performance of anterior resin-bonded fixed dental prostheses with different framework designs: A systematic review and meta-analysis. J of Dent. 2016;47:1–7. https://doi.org/10.1016/j.jdent.2016.02.003
Balasubramaniam GR. Predictability of resin bonded bridges – a systematic review. Br Dent J. 2017;222(11):849–58. https://doi.org/10.1038/sj.bdj.2017.497
Zitzmann NU, Büren A von, Glenz F, Rohr N, Joda T, Zaugg LK. Clinical outcome of metal and all ceramic resin-bonded fixed dental prostheses. J Pros Res. 2021;65(2):243–8. https://doi.org/10.2186/jpr.jpr_d_20_00014
Benalcázar-Jalkh EB, Bergamo ETP, Campos TMB, Coelho PG, Sailer I, Yamaguchi S, et al. A Narrative Review on Polycrystalline Ceramics for Dental Applications and Proposed Update of a Classification System. Dent Mater J. 2023;16(24):7541. https://doi.org/10.3390/ma16247541
Sailer I, Makarov NA, Thoma DS, Zwahlen M, Pjetursson BE. All-ceramic or metal-ceramic tooth-supported fixed dental prostheses (FDPs). A systematic review of the survival and complication rates. Part I: Single crowns (SCs). Dent Mater J. 2015;31(6):603–23. https://doi.org/10.1016/j.dental.2015.02.011
Albakry M, Guazzato M, Vincent Swain M. Biaxial flexural strength and microstructure changes of two recycled pressable glass ceramics. J of Prost. 2014;13(3):141–9.
Shujaulla S. Influence of abutment evaluation on designing of fixed partial denture : a new study. Int Journal of Adv Res. 2019;7(5):390–8. https://dx.doi.org/10.21474/IJAR01/9050
Abuzar M, Locke J, Burt G, Clausen G, Escobar K. Longevity of anterior resin‐bonded bridges: survival rates of two tooth preparation designs. Aus Dent J. 2018;63(3):279–84. https://doi.org/10.1111/adj.12612
Jurado CA, Fischer NG, Sayed ME, Villalobos-Tinoco J, Tsujimoto A. Rubber Dam Isolation for Bonding Ceramic Veneers: A Five-Year Post-Insertion Clinical Report. Cureus. 2021;13(12). https://doi.org/10.7759/cureus.20748
Patel S, Hamer S. A simple guide to using dental dam. Br Dent J. 2021;230(10):644–50. https://doi.org/10.1038/s41415-021-3016-x
Daleprane B, De Barros Pereira CN, Oréfice RL, Bueno AC, Vaz RR, Moreira AN, et al. The effect of light-curing access and different resin cements on apical bond strength of fiber posts. J Oper Dent. 2014;39(2).http://dx.doi.org/10.2341/12-477-L
DOI: https://doi.org/10.24198/pjd.vol37no1.59214
Refbacks
- There are currently no refbacks.
Visitor Stat
Padjadjaran Journal of Dentistry is licensed under Creative Commons Attribution 4.0 International License