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Dental Tribune United Kingdom Edition

References 1. M.A.Freilich,J.C.Meiers,J.P.Duncan,A .J.Goldberg. Fiber-Reinforced Compos- ites in Clinical Dentistry. Quintessence Publishing Co,Inc 2000. 2. Estefan DJ, Dussetschleger F. Fabrica- tion of resin-bonded three-unit prostheses . Am J Dent. 1999; 12:51-52. 3. Vallittu PK, Sevelius C. Resin-bonded glass fiber-reinforced composite fixed partial dentures: A clinical study. J Pros- thet Dent 2000; 84:413-418. 4. Vallittu PK. Prosthodontic treatment with a glass fiber-reinforced resin- bonded fixed partial denture: A clinical report. J Prosthet Dent 1999; 82:132-135. 5. Bohlsen F,Kern M. Clinical outcome of glass fiber-reinforced crowns and fixed partial dentures .A three year retro- spective study. Quintessence Int 2003; 34;493-496. 6. H.T.Shillingburg et al. Fundamentals of fixed prosthodontics. Quintessence Publishing Co, Inc. 1997. maximise polymerisation of fibre-reinforced composite. Bridge delivery involves the same procedures as for all bonded restorations. Abutment teeth were cleaned with pumice and rubber prophy cup, etched with 37 per cent phos- phoric acid and thoroughly rinsed, then lightly dried and treated with bonding agent. Bonding areas of prosthesis were sandblasted, following by etching and application of bonding agent. Low-vis- cosity, dual-cured resin lut- ing material [RelyX Unicem] was placed inside the retain- ers. After insertion, the ex- cess of luting cement was removed with floss and small brush and prosthesis light- cured. The luting cement will form unified structure with composite retainers linking them to the etched enamel. Final occlusal adjustments were made using a high-speed hand piece and composite pol- ishing bur. Discussion This type of bridge may prove to be a successful way for fixed tooth replacement in an- terior and premolar areas as well as long term provisional restoration, providing many benefits for patients result- ing from aesthetic appear- ance of porcelain pontic, due to the good adhesive property of fibre-reinforced composite and minimally invasive na- ture of resin bonded bridge. Porcelain pontics and crowns continue to be a mainstay of fixed prosthodontics with long track record of reliabil- ity, low plaque accumulation and shade stability. Fibre- reinforced bridges alone did not gain wide spread accept- ance among dental prac- titioners, however many publications underlined high potential of this tech- nique resulting from favour- able mechanical properties, good bonding and ease to repair. Further improvements and clinical developments are needed to combine glass fibre with porcelain pontic, but this idea shows great potential. DT ‘Bonding areas of prosthesis were sand- blasted, following by etching and applica- tion of bonding agent’ March 11-17, 201318 United Kingdom EditionClinical page 17DTß About the author Dariusz Sinkiewicz is a dental prac- titioner at 1A Dental Practice in Bret- ton, Peterborough. During his career he has developed an interest in resin bonded bridges , particularly made of fiber-reinforced composite. He has recently constructed an innovative combined porcelain and FRC bridge which he believes has a potential to be useful in some clinical situations. C M Y CM MY CY CMY K FMC_SC_DHT_advert_A2ZDental_final.pdf 1 22/11/2012 13:20:23