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Anterior Bridge - Clinical Cases

Both Upper Lateral Incisors Missing

Courtesy Phillip Kraver, DMD, FICOI, Cape Dental Care,  www.capedental.com
 
Previous solution
Previous solution

Previous solution

Initial situation
Initial situation

Initial situation

Working on a stone model
Working on a stone model

Working on a stone model

Before placing bridges
Before placing bridges

Before placing bridges

Finished bridges
Finished bridges

Finished bridges

Finished bridges
Finished bridges

Finished bridges

Provisional Bridge with a Denture Tooth

Courtesy Frank Nelson, DDS (Phoenix, AZ)
After a tooth extraction, bone graft and membrane, a strong provisional bridge is made while healing
After a tooth extraction, bone graft and membrane, a strong provisional bridge is made while healing (vs a flipper). Dentapreg PFM glass fiber strip is placed to form a framework.

After a tooth extraction, bone graft and membrane, a strong provisional bridge is made while healing

I took an oversized polycarbonate crown, cut the contacts away so it slipped down while letting the
I took an oversized polycarbonate crown, cut the contacts away so it slipped down while letting the composite touch the adjacent teeth for contact. The picture shows the slot I cut in it to fit over the Dentapreg.

I took an oversized polycarbonate crown, cut the contacts away so it slipped down while letting the

Provisional bridge during healing period
Provisional bridge during healing period

Provisional bridge during healing period

Provisional bridge during healing period
Provisional bridge during healing period

Provisional bridge during healing period

Provisional bridge during healing period
Provisional bridge during healing period

Provisional bridge during healing period

Without the risk of pressure on the healing site and esthetic and no cutting of teeth.
Without the risk of pressure on the healing site and esthetic and no cutting of teeth.

Without the risk of pressure on the healing site and esthetic and no cutting of teeth.

Provisional Bridge with an Extracted Tooth

Courtesy of Dr. Martin Sachs (Germany)
Initial situation - a tooth in need of extraction
Initial situation - a tooth in need of extraction

Initial situation - a tooth in need of extraction

After extraction
After extraction

After extraction

Root and old fillings of the extracted tooth are removed
Root and old fillings of the extracted tooth are removed

Root and old fillings of the extracted tooth are removed

Extracted tooth with new fillings ready to be used as a pontic
Extracted tooth with new fillings ready to be used as a pontic

Extracted tooth with new fillings ready to be used as a pontic

Pontic is attached to the neighboring teeth with drops of composite in the interpoximal contact area
Pontic is attached to the neighboring teeth with drops of composite in the interpoximal contact area

Pontic is attached to the neighboring teeth with drops of composite in the interpoximal contact area

Lingual surface is prepped
Lingual surface is prepped

Lingual surface is prepped

Dentapreg® PFM strip is placed into a layer of uncured composite in the preparation.
Dentapreg® PFM strip is placed into a layer of uncured composite in the preparation.

Dentapreg® PFM strip is placed into a layer of uncured composite in the preparation.

Finished bridge
Finished bridge

Finished bridge

Finished bridge
Finished bridge

Finished bridge

Missing Upper Central Incisor

Courtesy Dr. Pazdzior Klocek (Poland)
Initial Situation
Initial Situation

Initial Situation

Placing the Dentapreg PFM strip
Placing the Dentapreg PFM strip

Placing the Dentapreg PFM strip

Crown Reinforcement with Fibers
Crown Reinforcement with Fibers

Crown Reinforcement with Fibers

Finished Maryland Bridge
Finished Maryland Bridge

Finished Maryland Bridge

After 2 Years
After 2 Years

After 2 Years

After 2 Years (1)
After 2 Years

After 2 Years (1)

Upper Incisor Missing

Courtesy dr. Dr. Steffen Biebl, Würzburg, Germany.
 
 
 
Initial sitituation
Initial sitituation

Initial sitituation

Adapted Dentapreg PFM strip (1)
Adapted Dentapreg PFM strip

Adapted Dentapreg PFM strip (1)

Adapted Dentapreg PFM strip
Adapted Dentapreg PFM strip

Adapted Dentapreg PFM strip

Finished bridge on the model
Finished bridge on the model

Finished bridge on the model

Finished bridge before placement
Finished bridge before placement

Finished bridge before placement

Finished bridge
Finished bridge

Finished bridge

Two Lower Incisors Missing

Courtesy dr. Steffen Biebl, Würzburg, Germany.
 
 
 
Initial sitituation
Initial sitituation

Initial sitituation

Adapted Dentapreg PFM strip
Adapted Dentapreg PFM strip

Adapted Dentapreg PFM strip

Finished bridge on the model
Finished bridge on the model

Finished bridge on the model

Finished bridge before placement
Finished bridge before placement

Finished bridge before placement

Finished bridge - Detailed view
Finished bridge - Detailed view

Finished bridge - Detailed view

Finished bridge
Finished bridge

Finished bridge

First Premolar Missing

Courtesy dr. András Volom, Budapest, Hungary.
 
 
 
Initial sitituation
Initial sitituation

Initial sitituation

Framework from Dentapreg PFM strip
Framework from Dentapreg PFM strip

Framework from Dentapreg PFM strip

Building of the bridge
Building of the bridge

Building of the bridge

Building of the bridge (1)
Building of the bridge

Building of the bridge (1)

Finished bridge
Finished bridge

Finished bridge

Finished bridge (1)
Finished bridge

Finished bridge (1)

Canine Missing

Courtesy dr. András Volom, Budapest, Hungary.
 
 
 
Initial sitituation
Initial sitituation

Initial sitituation

Minimal preparation of neighboring teeth
Minimal Preparation of Neighboring Teeth

Minimal preparation of neighboring teeth

Etching
Etching

Etching

Framework from Dentapreg PFM strip
Framework from Dentapreg PFM strip

Framework from Dentapreg PFM strip

Building of the bridge
Building of the bridge

Building of the bridge

Building the pontic from composite build-up material
Building the pontic from composite build-up material

Building the pontic from composite build-up material

Finished bridge
Finished bridge

Finished bridge

Finished bridge
Finished bridge

Finished bridge

Finished bridge
Finished bridge

Finished bridge

Missing Centrals due to Tooth Agenesis

Courtesy dr. Ronald Rist, Germany
 
 
 
 
Initial situation
Initial situation

Initial situation

Finished direct bridge
Finished direct bridge

Finished direct bridge

Finished direct bridge
Finished direct bridge

Finished direct bridge

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