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Fibre Bond Techniques CLINICAL CASE REPORT - an immediate anterior cantelever bridge
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A patient from the UK, on holiday at
a nearby golfing estate in South Africa, fractured the root of her
upper left second incisor. She subsequently lost her porcelain
veneered metal crown that was anchored to the root with a metal
post. She attended the surgery of Dr van Rensburg as an emergency
case, as she was due to return to her home in England the next day
and was horrified by the possibility of having to do without her
front tooth. After the extraction of the fractured root, a rubber
dam was placed.1
Fractured root removed,
rubber dam isolation placed
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2 Shallow retention groove prepared by removing old restoration and dental caries. The caries and the old tooth-coloured filling on the mesio-buccal aspect of the 23 was removed, providing the clinician with a retentive slot. |
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3
Cantilever fibre frame
A fibre framework using everSTICK® Crown and Bridge (Stick Tech Ltd) fibres was constructed and imbedded in the cavity of the upper left canine, using Filtek Flow Composite (3M-ESPE) as a luting cement after the tooth was etched, bonded with Optibond Solo Plus (KerrHawe) and light-cured for 30 seconds. The rest of the cavity was restored with Z100 MP Restorative (3M-ESPE). |
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4
Tooth built up directly in mouth
A pontic was built up on the sturdy
fibre framework using the layering technique and Z100 MP
Restorative (3M-ESPE) composite. The patient could |
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5 End result. As
the healing process take place the gingival part of the pontic can
easily be adjusted by adding more composite.
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Copyright © 2006 Fibre Bond Ltd. All rights reserved |
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