Two-part resin bonded cast metal bridges for use when abutment teeth have unequal effective root surface areas. 1990

P M Dummer, and J R Gidden
Department of Conservative Dentistry, University of Wales.

Resin bonded cast metal bridges have become a popular method of replacing missing teeth. Such bridges are usually constructed as single castings following modifications to the abutment teeth in order to ensure a distinct path of insertion and to secure maximum metal to tooth contact. Unfortunately, long term retention of resin bonded bridges cannot be guaranteed and many surveys have reported substantial failure rates, particularly in the posterior segments of the mouth. It is the authors contention that many of these failures occur because clinicians are neglecting one of the fundamental principles of fixed bridge prosthodontics, namely that abutment teeth should be matched for effective root surface area (bony support). This article describes how problems created by incompatible abutment teeth can be overcome successfully by the construction of resin bonded bridges in two parts which are cemented separately, but interlock to provide a movable joint. Such an arrangement allows independent movement of the abutment teeth whilst providing sufficient retention and support for the bridge. The two-part design can also overcome problems created by malaligned abutment teeth as well as allowing conventional full crown retainers to be combined with resin bonded retainers.

UI MeSH Term Description Entries
D008297 Male Males
D001840 Dental Bonding An adhesion procedure for orthodontic attachments, such as plastic DENTAL CROWNS. This process usually includes the application of an adhesive material (DENTAL CEMENTS) and letting it harden in-place by light or chemical curing. Bonding, Dental,Cure of Orthodontic Adhesives,Curing, Dental Cement,Dental Cement Curing,Orthodontic Adhesives Cure
D002484 Cementation The joining of objects by means of a cement (e.g., in fracture fixation, such as in hip arthroplasty for joining of the acetabular component to the femoral component). In dentistry, it is used for the process of attaching parts of a tooth or restorative material to a natural tooth or for the attaching of orthodontic bands to teeth by means of an adhesive. Cementations
D003188 Composite Resins Synthetic resins, containing an inert filler, that are widely used in dentistry. Composite Resin,Resin, Composite,Resins, Composite
D003779 Denture Design The plan, delineation, and location of actual structural elements of dentures. The design can relate to retainers, stress-breakers, occlusal rests, flanges, framework, lingual or palatal bars, reciprocal arms, etc. Denture Designs,Design, Denture,Designs, Denture
D003830 Denture, Partial, Fixed A partial denture attached to prepared natural teeth, roots, or implants by cementation. Fixed Bridge,Fixed Partial Denture,Pontic,Bridge, Fixed,Bridges, Fixed,Denture, Fixed Partial,Dentures, Fixed Partial,Fixed Bridges,Fixed Partial Dentures,Partial Denture, Fixed,Partial Dentures, Fixed,Pontics
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000044 Dental Abutments Natural teeth or teeth roots used as anchorage for a fixed or removable denture or other prosthesis (such as an implant) serving the same purpose. Abutments, Dental,Abutment, Dental,Dental Abutment
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults

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