• Title/Summary/Keyword: resin bonded bridge

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CLINICAL PERSPECTIVES ON 2-UNIT CANTILEVERED RESIN-BONDED FIXED PARTIAL DENTURE (2-unit cantilever 레진접착성 가공의치 (resin-bonded fixed partial denture) 임상의 현재)

  • Yi Yang-Jin;Choi Lee-Ra;Parki Chan-Jin
    • The Journal of Korean Academy of Prosthodontics
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    • v.41 no.1
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    • pp.81-88
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    • 2003
  • Resin-bonded bridge has been an alternative to conventional bridge, since resin-bonded bridge has many attractive advantages such as minimal tooth preparation, short chair time and low cost over conventional bridge. Unfortunately, however, it was reported that resin-bonded bridge showed high failure rate from debonding of retainer in spite of consecutive advances in preparation and materials. And it was shown that multiple abutments were more likely to fail. The majority of debonding failure was considered due to the mobility of the abutment during function. In this view, recently, modification in resin-bonded bridge design was tried. Single retainer, single pontic. 2-unit cantilevered resin-bonded bridge was applied to clinical performance and was shown as retentive or more retentive than fixed-fixed type resin-bonded bridge. This was consistent with the results of studies in 2-unit cantilevered resin-bonded bridges made with all ceramic, In-ceram. The purpose of this article was to overview principles of design and to analyze clinical results of 2-unit cantilevered resin-bonded bridge in comparison with the reports of fixed-fixed resin-bonded bridge.

Fracture Resistance of Low Invasive Fixed Partial Dentures (수종 저 침습 고정성 국소의치의 수직하중에 대한 저항)

  • Choi, Jong-In;Kim, Yu-Lee;Shin, Chang-Yong;Dong, Jin-Keun
    • Journal of Dental Rehabilitation and Applied Science
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    • v.26 no.3
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    • pp.241-251
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    • 2010
  • This study aims at contributing to the restorative dentistry by examining results in the vertical load test of four different low invasive fixed partial dentures. Based on a hypothesis on the right upper first molar is missing, three units of FPDs were made for the second premolar and the second molar abutment. that is, twelve metal dies and FPDs were made for resin bonded FPD and Two Key Bridges and Human Bridge without occlusal rest and Human Bridge with occlusal rest. By using universal test machine, the numerical maximum value were recorded during the vertical load test of each FPDs after the bonding process treated by Maxcem which is resin cement. The failure process and its result of prosthesis were also observed. The maximum load was 7,295 N, 4,729 N, 2,190 N, 3,073 N from groups of resin bonded FPD, Two Key Bridge, Human Bridge without occlusal rest and Human Bridge with occlusal rest respectively. There was a statistical significance among the groups of resin bonded FPD, Two Key Bridge and Human Brides. However, there was no significant difference between Human Bridge without occlusal rest and Human Bridge with occlusal rest. Regarding the failure of prosthesis, the groups of Resin Bonded FPD and Two Key Bridge showed that one of the abutment teeth in the both side of retention part was highly failed earlier than the other one (83.2% and 66.6% respectively). While, Human Bridge without occlusal rest and Human Bridge with occlusal rest showed high percentage of failure in the abutment teeth in the both side of retention part at the same time (91.6% and 58.3% respectively). This study demonstrates that the group of Human Bridges has low resistance to the vertical loads of low invasive FPDs in comparison with the groups of resin bonded FPD and Two Key Bridge. Nevertheless, the maximum occlusal load of the restorative position, resistance to diverse restoration failure, amount of tooth reduction and patients' cooperation should be considered when they are applied in the clinic in order to choose an appropriate restoration for each patient.

Treatment plan for missing mandibular 4 incisors (하악 4전치 상실시 치료 계획)

  • Hahn, Kwang Jin
    • Journal of the Korean Academy of Esthetic Dentistry
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    • v.25 no.1
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    • pp.25-34
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    • 2016
  • Treatment of missing mandibular 4 incisors is often thought to be easier then other place during surgical and prothetic procedure. But clinicians encounter unexpected difficulties such as restricted implant site due to mesio-distal width of mandibular incisors, limited space as a result of crowing and mesial drift, esthetic problem after severe alveolar bone resorption, and difficulties of provisionalization Through cases, possible treatment options for missing mandibular incisors would be discussed. Treatment options for missing mandibular 4 incisors Place narrow type implant or one body mini implant on exact tooth position when there is no bone resorption Regular size implant on interseptal bone area when there is severe bone resorption Consider using resin bonded bridge(resin retained bridge/resin bonded fixed partial denture) as a tentative prosthesis when patient resists extracting remaining incisors with poor prognosis.

Zirconia resin-bonded fixed partial denture in maxillary single-tooth edentulous area: A case report (상악 전치부 단일치 상실 환자에서 지르코니아 레진접착성 고정성 국소의치를 이용한 수복 증례)

  • Rojee Oh;Hee-Won Jang;Na-Hong Kim;Joo-Hyuk Bang;Keun-Woo Lee;Yong-Sang Lee
    • The Journal of Korean Academy of Prosthodontics
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    • v.61 no.2
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    • pp.135-142
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    • 2023
  • Resin-bonded fixed partial denture (RBFPD)as known as Maryland bridge is is a well-known conservative method for its minimized invasion of the teeth for an anterior single tooth edentulous area. Despite of its various advantages, RBFPD was not widespread because of its high debonding rates, non-esthetic look or weak structure for material property. Currently, with the introduction of zirconia to dental material for RBFPD, Maryland bridge entered upon a new phase. Zirconia surmounts poor esthetics of metal framework, having proper strength, and overcomes ceramic's structural weakness, being sufficiently esthetic. In this case, edentulous area of maxillary left lateral incisor was restored using zirconia resin-bonded fixed partial denture. Restoration of missing tooth in anterior area was achieved using non-invasive and esthetic prosthesis, then we report this case as satisfactory results were obtained for both the operator and the patient.

Resin-bonded fixed partial denture using In-Ceram and Targis-Vectris system: A clinical report

  • Cha, Young-Joo;Yang, Jae-Ho
    • The Journal of Korean Academy of Prosthodontics
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    • v.38 no.3
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    • pp.375-381
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    • 2000
  • The conventional approach for replacing missing maxillary lateral incisors dictates the placement of either a conventional porcelain-fused-to-metal (PFM)bridge, resin-bonded fixed partial denture, or single implant prosthesis. However, several appearance-related disadvantages have been reported in the use of a prosthesis which incorporates a metal substructure. To address these limitations, metal -free restorative alternatives have been recently developed to expand the clinical options when fabrication of these prostheses is indicated. This clinical report describes the treatment of patients with a missing maxillary lateral incisor where the dentition was non-invasively restored with resin-bonded fixed partial denture(RBFPD) using In-Ceram and Targis-Vectris system.

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Effect of dentin surface roughness on the shear bond strength of resin bonded restorations

  • Koodaryan, Roodabeh;Hafezeqoran, Ali;Poursoltan, Sajjad
    • The Journal of Advanced Prosthodontics
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    • v.8 no.3
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    • pp.224-228
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    • 2016
  • PURPOSE. This study aimed to investigate whether dentin surface preparation with diamond rotary instruments of different grit sizes affects the shear bond strength of resin-bonded restorations. MATERIALS AND METHODS. The buccal enamel of 60 maxillary central incisors was removed with a low speed diamond saw and wet ground with silicon carbide papers. The polished surfaces of the teeth were prepared with four groups of rotary diamond burs with super-coarse (SC), coarse (C), medium (M), and fine (F) grit sizes. Following surface preparation, 60 restorations were casted with nickel-chromium alloy and bonded with Panavia cement. To assess the shear bond strength, the samples were mounted on a universal testing machine and an axial load was applied along the cement-restoration interface at the crosshead speed of 0.5 mm/min. The acquired data was analyzed with one way ANOVA and Tukey post hoc test (${\alpha}=.05$). RESULTS. The $mean{\pm}SD$ shear bond strengths (in MPa) of the study groups were $17.75{\pm}1.41$ for SC, $13.82{\pm}1.13$ for C, $10.40{\pm}1.45$ for M, and $7.13{\pm}1.18$ for F. Statistical analysis revealed the significant difference among the study groups such that the value for group SC was significantly higher than that for group F (P<.001). CONCLUSION. Dentin surface roughness created by diamond burs of different grit sizes considerably influences the shear bond strength of resin bonded restorations.

Dislodgement resistance of modified resin-bonded fixed partial dentures utilizing tooth undercuts: an in vitro study

  • Doh, Re-Mee;Lee, Keun-Woo
    • The Journal of Advanced Prosthodontics
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    • v.1 no.2
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    • pp.85-90
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    • 2009
  • STATEMENT OF PROBLEM. Over the years, resin-bonded fixed partial dentures (RBFPDs) have gone through substantial development and refinement. Several studies examined the biomechanics of tooth preparation and framework design in relation to the success rate of RBFPDs and considered retention and resistance form essential for increase of clinical retention. However, these criteria required preparations to be more invasive, which violates not only the original intentions of the RBFPD, but may also have an adverse effect on retention due to loss of enamel, an important factor in bonding. PURPOSE. The object of this in vitro study was to compare the dislodgement resistance of the new types of RBFPDs, the conventional three-unit fixed partial denture, and conventional design of RBFPD (Maryland bridge). MATERIAL AND METHODS. Fifty resin mandibular left second premolars and second molars were prepared on dentiforms, according to the RBFPD design. After model fabrication (five group, n = 10), prostheses were fabricated and cemented with zinc phosphate cement. After cementation, the specimens were subjected to tensile loading at a cross head speed of 4 mm/min in a universal testing machine. The separation load was recorded and analyzed statistically using one-way analysis of variance followed by Duncan's multiple range test. RESULTS. Group V, the pin-retained RBFPDs, had the highest mean dislodgement resistance, whereas specimens of group II, the conventional RBFPDs, exhibited a significantly lower mean dislodgement resistance compared to the other 4 groups (P <.05). There were no significant differences between group I, III, and IV in terms of dislodgement resistance (P>.05). Group V had the highest mean MPa (N/$mm^2$) (P <.05). There was no significant difference between groups I, II, III and IV (P > .05). CONCLUSION. Within the limits of the design of this in vitro study, it was concluded that: 1. The modified RBFPDs which utilizes the original tooth undercuts and requires no tooth preparation, compared with the conventional design of RBFPDs, has significantly high dislodgement resistance (P < .05). 2. The modified RBFPDs which utilizes the original tooth undercuts and requires minimal tooth preparation, compared with the conventional FPDs, has significantly no difference in retention and dislodgement resistance)(P>.05). 3. The pin-retained FPDs showed a high dislodgement resistance compared to the conventional three-unit FPDs (P<.05).

STRAIN ON THE LABIAL PLATES AROUND ABUTMENTS SUPPORTING REMOVABLE PARTIAL DENTURES WITH VARIOUS PROSTHETIC DESIGNS: AN IN VITRO STUDY

  • Kim, Seong-Kyun
    • The Journal of Korean Academy of Prosthodontics
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    • v.43 no.3
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    • pp.322-330
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    • 2005
  • Statement of problem. In distal extension removable partial denture, the preservation of health of abutment teeth is very important, but abutment teeth are subjected to unfavorable stress. Purpose. The purpose of this study was to investigate the biomechanical effects of mandibular removable partial dentures with various prosthetic designs using strain gauge analysis. Material and methods. Artificial teeth of both canines were anchored bilaterally in a mandibular edentulous model made of resin. Bilateral distal extension removable partial dentures with splinted and unsplinted abutments were fabricated. Group 1 : Clasp-retained mandibular removable partial denture with unsplinted abuhnents Group 2 : Clasp-retained mandibular removable partial denture with splinted abutments by 6-unit bridge Group 3 : Bar-retained mandibular removable partial denture Strain gauges were bonded on the labial plate of the mandibular resin model, approximately 2 mm close to the abutments. Two vertical experimental loadings (100N and 200N) were applied subsequently via two miniature load cells that were placed at mandibular first molar regions. Strain measurements were performed and simultaneously monitored from a computer connected to data acquisition system. For within-group evaluations, t-test was used to compare the strain values and for between-group comparisons, a one-way analysis of variance (ANOVA) was used and Duncan test was used as post hoc comparisons. Results. Strain values increased as the applied load increased from 100N to 200N for all groups (p<.05). The strain values of group 1 and 2 were tensile under loadings. In contrast, strain values of group 3 were compressive in nature. Under 100N loading, group 1 showed higher strain values than group 3 in absolute quantity (p<.05). Under 200N loading, group 3 showed higher strain values than group 1 and 2 in absolute quantity (p<.05). Group 1 showed higher strain values than group 2 (p<.05). Conclusion. Splinting of two isolated abutments by bridge reduced the peri-abutment strain in comparison with unsplinted abutments. Strain of bar-retained removable partial denture increased much more as applied load increased, but was compressive in nature.