Restor Dent Endod.  2014 Aug;39(3):220-225.

Esthetic rehabilitation of single anterior edentulous space using fiber-reinforced composite

• Kim H
• Song MJ
• Shin SJ
• Lee Y
• Park JW

Abstract

A fiber-reinforced composite (FRC) fixed prosthesis is an innovative alternative to a traditional metal restoration, as it is a conservative treatment method. This case report demonstrates a detailed procedure for restoring a missing anterior tooth with an FRC. A 44-year-old woman visited our department with an avulsed tooth that had fallen out on the previous day and was completely dry. This tooth was replanted, but it failed after one year. A semi-direct technique was used to fabricate a FRC fixed partial prosthesis for its replacement. The FRC framework and the pontic were fabricated using a duplicated cast model and nanofilled composite resin. Later on, interproximal contact, tooth shape, and shade were adjusted at chairside. This technique not only enables the clinician to replace a missing tooth immediately after extraction for minimizing esthetic problems, but it also decreases both tooth reduction and cost.

Keyword

Avulsion; Fiber-reinforced composite; Immediate restoration; Single anterior tooth replacement

MeSH Terms

Adult
Denture, Partial, Fixed
Female
Humans
Prostheses and Implants
Rehabilitation*
Tooth
Tooth Avulsion

Figure

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  Figure 1 Intraoral photograph of avulsed maxillary left central incisor.

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  Figure 2 Eight weeks after trauma. (a) Intraoral photograph (labial view); (b) Periapical view.

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  Figure 3 One year after trauma. (a) Intraoral photograph (labial view); (b) Intraoral photograph (palatal view); (c) Periapical view.

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  Figure 4 Palatal view of study model on CO bite. Minimal contact was visible.

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  Figure 5 Temporary composite pontic was bonded after extraction of the maxillary left central incisor.

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  Figure 6 Diagram of the restoration, which shows how the FRC framework was placed.

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  Figure 7 Two weeks after extraction of the maxillary left central incisor.

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  Figure 8 Palatal view after the abutment preparation (3 × 1 × 1 mm) was done. All margins were in the enamel, and the internal line angle was rounded.

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  Figure 9 Prefabricated FRC framework and pontic. (a) FibreKor; (b) Light-cured FRC after forming the framework; (c) Pontic fabrication up to body layer.

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  Figure 10 Prefabricated FRC fixed partial prosthesis was bonded to the abutment.

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  Figure 11 Postoperative view. (a) Labial view; (b) Occlusal view.

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  Figure 12 One-year recall. (a) Labial view; (b) Palatal view; (c) Periapical view.

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