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Dental Tribune United Kingdom Edition

January 16-22, 2012United Kingdom Edition was happy with the tooth size and shape. Due to the previous bone loss, pink porcelain was added to the bridge to improve the emergence and reduce the crown lengths of the lower in- cisors. The bridge was seated and torqued to 35Ncm and compos- ite placed in the access holes, a baseline long cone periapical radiograph was taken to serve as a baseline for bone level measurements. The occlusion was checked, with the patient exhibiting canine guidance in excursive movements. The patient was shown how to clean under the bridge us- ing super floss and tepe brush- es and placed on a long term maintenance programme. Prognosis The bridge has a good long term prognosis as this patient is highly motivated, and exhibits excellent oral hy- giene. She is aware of the in- creased risk of complications, and the possibility of losing more teeth in the long run, but after having worn a den- ture for three months, she is determined to avoid becoming a long-term denture wearer. The patient will see me at six- monthly intervals and sees a hygienist every three months for maintenance. DT page 15DTß Appearance at 1 month review ‘After having worn a denture for three months, she is deter- mined to avoid be- coming a long-term denture wearer’ About the author DR NILESH R. PARMAR BDS (Lond) Msc (Pros- thDent) Msc (Imp- Dent) Was voted Best Young Dentist in East Of England in 2009 and runner up in 2010. He is one of the few dentists to hold a University Of London degree from all three London Dental Schools and is due to start his 3rd Msc in Or- thodontics at Warwick University this year. Nilesh is an Astra Tech Clini- cal Coach and has his own practice in Southend on Sea, Essex. He also works as a visiting implantologist at Sparkly Smiles in Blackheath and the London Bridge Dental Practice. www.drnileshparmar.com