Use of a natural tooth crown as a pontic following cervical root fracture: a case report

Abstract

The loss of anterior teeth can be psychologically and socially damaging to the patient. Despite a wide range of treatment options available, traumatised teeth may be inevitably lost on certain occasions. This paper describes the immediate replacement of a right central incisor using a fibre-composite resin with the natural tooth crown as a pontic. The abutment teeth can be conserved with minimal or no preparation, thus keeping the technique reversible, and can be completed at chair side thereby avoiding laboratory costs. It can be used as an interim measure or a definitive prosthesis.

Tooth Pontic As An Immediate Replacement For Periodontally Compromised Tooth Adopting Polyethylene Fiber Reinforced Composite Technology: A Case Report

“…Ribbond fibers are also characterized by impact strength tooth pontic as an immediate replacement for periodontally compromised tooth adopting polyethylene fiber reinforced composite technology: a case report five times higher than that of iron (10). Moreover, apart from significant benefits in terms of mechanical properties, the possibility of direct chair side application and the ability to bond to tooth structure make fiber-reinforced composite an attractive choice for a variety of dental applications such as stabilizing traumatized teeth, restoring fractured teeth and for directbonded endodontic posts and cores, orthodontic fixed lingual retainers and space maintainers (4,(9)(10)(11). Despite this versatility, there are few reports demonstrating the replacement of a severely periodontally compromised tooth utilizing a prefabricated composite resin framework reinforced with plasma-treated woven polyethylene fiber and the existing tooth as pontic.…”

Immediate natural tooth bridges

“…This includes cases describing traumatised teeth and periodontally involved teeth. [5][6][7][8][9] This case series compares different retainer types for immediate natural tooth bridges. The factors affecting the prognosis of these restorations will also be explored.…”

“…Bruxism is also cited in the literature as a negative prognostic indicator for these restorations. 7,9 Design of the immediate bridge will also contribute to its success. Pontic design should allow for optimum aesthetics and allow for the maintenance of good oral hygiene.…”

Immediate Esthetic Rehabilitation of Periodontally Compromised Anterior Tooth Using Natural Tooth as Pontic

“…Dentists occasionally face complex situations that warrant removal of teeth from high esthetic zone. Despite wide range of treatment options that can be provided to conserve the tooth, extraction of an single anterior tooth is inevitable in case of trauma, advanced periodontal disease, root resorption, or failed endodontic therapy [ 1 ]. Following loss of the anterior tooth, it is important that an immediate replacement is provided in order to avoid esthetic, masticatory, and phonetic difficulties and to maintain the edentulous space [ 2 ].…”