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Esthetic rehabilitation of single anterior edentulous space using fiber-reinforced composite

Identifieur interne : 001487 ( Pmc/Checkpoint ); précédent : 001486; suivant : 001488

Esthetic rehabilitation of single anterior edentulous space using fiber-reinforced composite

Auteurs : Hyeon Kim [Corée du Sud] ; Min-Ju Song [Corée du Sud] ; Su-Jung Shin [Corée du Sud] ; Yoon Lee [Corée du Sud] ; Jeong-Won Park [Corée du Sud]

Source :

RBID : PMC:4125587

Abstract

A fiber-reinforced composite (FRC) fixed prosthesis is an innovative alternative to a traditional metal restoration, as it is a conservative treatment method. This case report demonstrates a detailed procedure for restoring a missing anterior tooth with an FRC. A 44-year-old woman visited our department with an avulsed tooth that had fallen out on the previous day and was completely dry. This tooth was replanted, but it failed after one year. A semi-direct technique was used to fabricate a FRC fixed partial prosthesis for its replacement. The FRC framework and the pontic were fabricated using a duplicated cast model and nanofilled composite resin. Later on, interproximal contact, tooth shape, and shade were adjusted at chairside. This technique not only enables the clinician to replace a missing tooth immediately after extraction for minimizing esthetic problems, but it also decreases both tooth reduction and cost.


Url:
DOI: 10.5395/rde.2014.39.3.220
PubMed: 25110647
PubMed Central: 4125587


Affiliations:


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PMC:4125587

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<p>A fiber-reinforced composite (FRC) fixed prosthesis is an innovative alternative to a traditional metal restoration, as it is a conservative treatment method. This case report demonstrates a detailed procedure for restoring a missing anterior tooth with an FRC. A 44-year-old woman visited our department with an avulsed tooth that had fallen out on the previous day and was completely dry. This tooth was replanted, but it failed after one year. A semi-direct technique was used to fabricate a FRC fixed partial prosthesis for its replacement. The FRC framework and the pontic were fabricated using a duplicated cast model and nanofilled composite resin. Later on, interproximal contact, tooth shape, and shade were adjusted at chairside. This technique not only enables the clinician to replace a missing tooth immediately after extraction for minimizing esthetic problems, but it also decreases both tooth reduction and cost.</p>
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<pmc article-type="case-report">
<pmc-dir>properties open_access</pmc-dir>
<front>
<journal-meta>
<journal-id journal-id-type="nlm-ta">Restor Dent Endod</journal-id>
<journal-id journal-id-type="iso-abbrev">Restor Dent Endod</journal-id>
<journal-id journal-id-type="publisher-id">RDE</journal-id>
<journal-title-group>
<journal-title>Restorative Dentistry & Endodontics</journal-title>
</journal-title-group>
<issn pub-type="ppub">2234-7658</issn>
<issn pub-type="epub">2234-7666</issn>
<publisher>
<publisher-name>The Korean Academy of Conservative Dentistry</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="pmid">25110647</article-id>
<article-id pub-id-type="pmc">4125587</article-id>
<article-id pub-id-type="doi">10.5395/rde.2014.39.3.220</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Case Report</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>Esthetic rehabilitation of single anterior edentulous space using fiber-reinforced composite</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Kim</surname>
<given-names>Hyeon</given-names>
</name>
<xref ref-type="aff" rid="A1">1</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Song</surname>
<given-names>Min-Ju</given-names>
</name>
<xref ref-type="aff" rid="A1">1</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Shin</surname>
<given-names>Su-Jung</given-names>
</name>
<xref ref-type="aff" rid="A1">1</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Lee</surname>
<given-names>Yoon</given-names>
</name>
<xref ref-type="aff" rid="A2">2</xref>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Park</surname>
<given-names>Jeong-Won</given-names>
</name>
<xref ref-type="aff" rid="A1">1</xref>
</contrib>
</contrib-group>
<aff id="A1">
<label>1</label>
Department of Conservative Dentistry, Gangnam Severance Dental Hospital, Yonsei University College of Dentistry, Seoul, Korea.</aff>
<aff id="A2">
<label>2</label>
Department of Conservative Dentistry, Yonsei University Wonju College of Medicine, Wonju, Korea.</aff>
<author-notes>
<corresp>Correspondence to Jeong-Won Park, DDS, MSD, PhD. Associate Professor, Department of Conservative Dentistry, Gangnam Severance Dental Hospital, Yonsei University College of Dentistry, 712 Unju-ro, Gangnam-gu, Seoul, Korea 135-720. TEL, +82-2-2019-1350; FAX, +82-2-3463-4052;
<email>pjw@yuhs.ac</email>
</corresp>
</author-notes>
<pub-date pub-type="ppub">
<month>8</month>
<year>2014</year>
</pub-date>
<pub-date pub-type="epub">
<day>19</day>
<month>5</month>
<year>2014</year>
</pub-date>
<volume>39</volume>
<issue>3</issue>
<fpage>220</fpage>
<lpage>225</lpage>
<history>
<date date-type="received">
<day>13</day>
<month>11</month>
<year>2013</year>
</date>
<date date-type="accepted">
<day>28</day>
<month>3</month>
<year>2014</year>
</date>
</history>
<permissions>
<copyright-statement>©Copyights 2014. The Korean Academy of Conservative Dentistry.</copyright-statement>
<copyright-year>2014</copyright-year>
<license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by-nc/3.0/">
<license-p>This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (
<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by-nc/3.0/">http://creativecommons.org/licenses/by-nc/3.0/</ext-link>
) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p>
</license>
</permissions>
<abstract>
<p>A fiber-reinforced composite (FRC) fixed prosthesis is an innovative alternative to a traditional metal restoration, as it is a conservative treatment method. This case report demonstrates a detailed procedure for restoring a missing anterior tooth with an FRC. A 44-year-old woman visited our department with an avulsed tooth that had fallen out on the previous day and was completely dry. This tooth was replanted, but it failed after one year. A semi-direct technique was used to fabricate a FRC fixed partial prosthesis for its replacement. The FRC framework and the pontic were fabricated using a duplicated cast model and nanofilled composite resin. Later on, interproximal contact, tooth shape, and shade were adjusted at chairside. This technique not only enables the clinician to replace a missing tooth immediately after extraction for minimizing esthetic problems, but it also decreases both tooth reduction and cost.</p>
</abstract>
<kwd-group>
<kwd>Avulsion</kwd>
<kwd>Fiber-reinforced composite</kwd>
<kwd>Immediate restoration</kwd>
<kwd>Single anterior tooth replacement</kwd>
</kwd-group>
</article-meta>
</front>
<floats-group>
<fig id="F1" orientation="portrait" position="float">
<label>Figure 1</label>
<caption>
<p>Intraoral photograph of avulsed maxillary left central incisor.</p>
</caption>
<graphic xlink:href="rde-39-220-g001"></graphic>
</fig>
<fig id="F2" orientation="portrait" position="float">
<label>Figure 2</label>
<caption>
<p>Eight weeks after trauma. (a) Intraoral photograph (labial view); (b) Periapical view.</p>
</caption>
<graphic xlink:href="rde-39-220-g002"></graphic>
</fig>
<fig id="F3" orientation="portrait" position="float">
<label>Figure 3</label>
<caption>
<p>One year after trauma. (a) Intraoral photograph (labial view); (b) Intraoral photograph (palatal view); (c) Periapical view.</p>
</caption>
<graphic xlink:href="rde-39-220-g003"></graphic>
</fig>
<fig id="F4" orientation="portrait" position="float">
<label>Figure 4</label>
<caption>
<p>Palatal view of study model on CO bite. Minimal contact was visible.</p>
</caption>
<graphic xlink:href="rde-39-220-g004"></graphic>
</fig>
<fig id="F5" orientation="portrait" position="float">
<label>Figure 5</label>
<caption>
<p>Temporary composite pontic was bonded after extraction of the maxillary left central incisor.</p>
</caption>
<graphic xlink:href="rde-39-220-g005"></graphic>
</fig>
<fig id="F6" orientation="portrait" position="float">
<label>Figure 6</label>
<caption>
<p>Diagram of the restoration, which shows how the FRC framework was placed.</p>
</caption>
<graphic xlink:href="rde-39-220-g006"></graphic>
</fig>
<fig id="F7" orientation="portrait" position="float">
<label>Figure 7</label>
<caption>
<p>Two weeks after extraction of the maxillary left central incisor.</p>
</caption>
<graphic xlink:href="rde-39-220-g007"></graphic>
</fig>
<fig id="F8" orientation="portrait" position="float">
<label>Figure 8</label>
<caption>
<p>Palatal view after the abutment preparation (3 × 1 × 1 mm) was done. All margins were in the enamel, and the internal line angle was rounded.</p>
</caption>
<graphic xlink:href="rde-39-220-g008"></graphic>
</fig>
<fig id="F9" orientation="portrait" position="float">
<label>Figure 9</label>
<caption>
<p>Prefabricated FRC framework and pontic. (a) FibreKor; (b) Light-cured FRC after forming the framework; (c) Pontic fabrication up to body layer.</p>
</caption>
<graphic xlink:href="rde-39-220-g009"></graphic>
</fig>
<fig id="F10" orientation="portrait" position="float">
<label>Figure 10</label>
<caption>
<p>Prefabricated FRC fixed partial prosthesis was bonded to the abutment.</p>
</caption>
<graphic xlink:href="rde-39-220-g010"></graphic>
</fig>
<fig id="F11" orientation="portrait" position="float">
<label>Figure 11</label>
<caption>
<p>Postoperative view. (a) Labial view; (b) Occlusal view.</p>
</caption>
<graphic xlink:href="rde-39-220-g011"></graphic>
</fig>
<fig id="F12" orientation="portrait" position="float">
<label>Figure 12</label>
<caption>
<p>One-year recall. (a) Labial view; (b) Palatal view; (c) Periapical view.</p>
</caption>
<graphic xlink:href="rde-39-220-g012"></graphic>
</fig>
</floats-group>
</pmc>
<affiliations>
<list>
<country>
<li>Corée du Sud</li>
</country>
<region>
<li>Région capitale de Séoul</li>
</region>
<settlement>
<li>Séoul</li>
</settlement>
</list>
<tree>
<country name="Corée du Sud">
<region name="Région capitale de Séoul">
<name sortKey="Kim, Hyeon" sort="Kim, Hyeon" uniqKey="Kim H" first="Hyeon" last="Kim">Hyeon Kim</name>
</region>
<name sortKey="Lee, Yoon" sort="Lee, Yoon" uniqKey="Lee Y" first="Yoon" last="Lee">Yoon Lee</name>
<name sortKey="Park, Jeong Won" sort="Park, Jeong Won" uniqKey="Park J" first="Jeong-Won" last="Park">Jeong-Won Park</name>
<name sortKey="Shin, Su Jung" sort="Shin, Su Jung" uniqKey="Shin S" first="Su-Jung" last="Shin">Su-Jung Shin</name>
<name sortKey="Song, Min Ju" sort="Song, Min Ju" uniqKey="Song M" first="Min-Ju" last="Song">Min-Ju Song</name>
</country>
</tree>
</affiliations>
</record>

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