A Case Report on Fiber-reinforced Composite with Natural Pontic

Abstract

To provide the best possible treatment, factors such as the patient's cosmetic and functional needs as well as the cost factor should be considered. Case DesCriptionA 13-year-old boy with the chief complaint of a missing tooth in the upper front tooth region for 2 years reported to our department. The patient gave a history of fall from a bicycle 2 years ago, following which he had undergone treatment in a private dental clinic. The patient gave no significant medical or dental history. On clinical and radiographic examination, soft tissues and avulsed socket was all healed, missing maxillary right central incisor and a part of FRC was found attached to 12 and 21 (Figs 1A and B). The implant was not introDuCtionThe loss of anterior teeth regardless of age or gender has a huge impact on the quality of life. Missing teeth in a highly visual zone due to trauma, periodontal infection, or failed endodontic treatment leads to esthetic, phonetic, and functional disability.¹ The management options for replacing the anterior missing tooth include removable temporary acrylic prosthesis, resin-bonded bridges, metal and ceramic fixed partial dentures, and implant-supported prosthesis.² There have been a number of different techniques described in the literature related to restorative dentistry, for splinting teeth using adhesive composite resins, wire, metal mesh, nylon, and so forth bonded to adjacent teeth and adding a natural tooth pontic, denture tooth, or composite resin tooth pontic.³Case selection criteria for a natural tooth pontic bonded with fiber-reinforced composite (FRC) resin are the following:• Patients requiring a minimally invasive procedure.• Patient needs an immediate esthetic fix.• The extracted tooth crown and abutments must be in good condition. • Natural tooth pontic not present in a heavy stress.• Cost-effective alternative.• Periodontally compromised teeth.• Unsuccessful reimplanted tooth.