Missing anterior teeth is still a common problem affecting the patient's psychological and social life. Fiber Reinforced Composite (FRC) bridge is a promising alternative treatment to replace missing anterior teeth. The indirect FRC method can be a solution to reduce chairside time and optimize bridge aesthetics. Patients with missing maxillary central incisors were planned for indirect FRC bridge treatment. Reduction of palatal abutment area (maxillary central incisors and canines) using a diamond bur and taking impressions using a two-step putty wash technique. Fabrication of FRC bridges by an indirect method in the laboratory with polyethylene fiber and composite resin. The insertion procedure starts with surface treatment with etching (37% Phosphoric Acid) on the reduced abutment area. The FRC bridge was cemented using self-adhesive resin cement. Indirect FRC bridge provides treatment results with high esthetics and maximally preserves tooth tissue. It is minimally invasive to tooth tissue, so it can be an alternative treatment for missing anterior teeth. Patients showed high satisfaction with this treatment.
Background: Edentulism post tooth extraction is an undesirable state among patients, specifically with the involvement of anterior dentition. Immediate denture in cases of anterior teeth extraction is a selected treatment to recover aesthetic and phonetic function. This treatment shows an impact on psychological stability and improves patients’ confidence level. Objective: This case report provides information on the management of immediate removable partial denture for maxillary and mandibular teeth. Case: A female teacher suffered from tooth loss of 26, 28, 36, 46, 47. Tooth 11, 14, 21, 22, 31, 32, 41, 42 were not supported with adequate periodontal tissue and presented with level 3 tooth mobility. Patient expected the teeth to be removed and managed with prosthodontic appliance, yet disfavoring the stage of edentulism because her profession demanded high social performance. Case management: The treatment for this case includes immediate removable partial denture with acrylic material in upper and lower jaw. Denture was fabricated prior to the extraction of tooth 11, 14, 21, 22, 31, 32, 41, 42, and inserted promptly. The insertion result showed good occlusion, retention, stabilization, and tissue adaptation of denture. It also demonstrated good aesthetic result. On 24 hours control post insertion, wound closure was gradually established with the presence of redness. A week after insertion, wounded tissue had been fully covered and redness had been diminished. Conclusion: Immediate removable partial denture provides good aesthetic and function. Patient was satisfied with the treatment because it improved her appearance without experiencing any period of edentulism.Keywords: Aesthetics, Edentulous, Extraction, Immediate Removable Partial Denture.
An immediate denture is a denture that could replace the teeth immediately after the teeth are extracted. Therefore patient doesn’t experience an edentulous period. This study aims to assess the ability of lower immediate removable partial dentures as a prosthodontic treatment for cases in which anterior teeth have lost their periodontal support. A 35-year-old male patient complained of difficulty eating because his lower front teeth were loose, and the patient did not want to appear edentulous. Intraoral examination showed grade 3 mobility in the lower anterior teeth region. Case management involves anamnesis, clinical examination, and prosthodontics rehabilitation using lower immediate removable partial dentures. This case report concludes that immediate removable partial dentures can be used in anterior teeth that have lost periodontal support.
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