Eksik Lateral Dişlerin Fiberle Güçlendirilmiş Kompozit Köprü ile Minimal İnvaziv Tedavisi


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Erdemir U., Kement P., Duman Ö.

Uluslararası Adeziv Diş Hekimliği Kongresi, Konya, Turkey, 1 - 03 June 2023, pp.1

  • Publication Type: Conference Paper / Summary Text
  • City: Konya
  • Country: Turkey
  • Page Numbers: pp.1
  • Istanbul University Affiliated: Yes

Abstract

Minimal-Invasive Treatment of Missing Lateral Incisors with Fiber-Reinforced Composite

Bridge

Özge Duman, Pınar Kement, Ahmed Alshawi, Rabia Yıldırım, Ugur Erdemir

Istanbul University Faculty of Dentistry Department of Restorative Dentistry

Keywords: Fiber reinforced bridge, Missing teeth, Direct composite restoration, Minimal

invasive dentistry, adhesion

Introduction,

Missing lateral incisors is one of the most common congenital tooth anomalies. Treatment of

such tooth anomalies in the anterior region, functionally and aesthetically with minimally

invasive methods is very important, especially in patients with incomplete growth.

Case Report,

A-16-year-old female referred by an orthodontist after finishing her orthodontic treatment.

Medical history was clear and clinical-radiographic examination showed bilateral missing lateral

incisors and median diastema. Patient stated that she was not satisfied with the photographs and

afraid to laugh. All treatment options including a removable prosthesis were discussed with the

patient and her parents (due to her age). The decision was to apply fiber reinforced composite

bridge until growth is complete. Button technique was used to determine the suitable resin

composite shade. Rubber-dam was applied and retention grooves of 1 mm depth were prepared

on the palatal surfaces of the abutment teeth. The distance between the retention grooves was

measured with flexible metal tapes and pre-impregnated fiber (Interlig-Angelus) was cutted with

scissors according to the length.

The retention grooves were etched with orthophosphoric acid 35%(3M Scotchbond Universal

Acid); a universal adhesive bond (3M Scotchbond Universal Plus) was then applied and

light-cured. A thin layer of flowable composite (Tetric power-flow Ivoclar) was applied to the

grooves, the fiber strips were adapted to the grooves and light-cured. The retention grooves were

filled with a nano-hybrid composite and composite restorations (Diamond A1,OL and A1-

Kulzer) were made directly in the mouth using the polychromatic layering-technique. The

finishing process was initiated with yellow ring bur and coarse disk (3M-Sof-Lex) to produce the

contours of the teeth followed by silicon polisher. Polishing twist (EVE-Diacomp), diamond

paste with goat-hair brush and felt wheel (Enamel Plus Shiny-Micerium) were used after

occlusion adjustment.

Conclusion,

Although fiber-reinforced composite bridges are initially considered as a temporary method for

the restoration of missing anterior teeth, it can also be applied as a permanent restoration in

correctly selected cases due to its minimal invasive and simplicity. After 6-months of follow-up

the periodontal health was very good, no color change was observed, and the patient was

satisfied with the treatment results.