This patient presented with on old temporary bridge, I advised the patient that is was starting to get some decay and it wouldn’t last much longer.
I gave the patient a three options:
- Leave it till it falls out – hopefully will be able to fix it when this happens.
- New temporary bridge – not as long lasting, less expensive, takes less time.
- Porcelain bridge – lasts longer, more expensive and takes longer.
Patient decided to go with option 3, Porcelain bridge. So I set out replacing her resin FPD with something a little more traditional.
One thing I like to keep in mind is that it is the same distance to the pulp for caries regardless of the restorative material. I find most resin FPD fail because of caries interproximally. They are exceedingly difficult to bond and polish in this area.
Composite FPD
The most common point of failure of bonded composite FPD is caries interproximally, likely because this area is difficult to bond and finish properly.
Caries on incisor
After caries removal and air abrasion.
Ready for the impression
0.6mm margins for PFZ FPD.
New bridge cemented
Bridge polished
Replacing Composite FPD
The purpose of this blog is to help fellow dentists.
Disclaimer: Dr Lincoln Harris has no economic interests with any company referred to in this or other blogs on this website. All dentistry, surgery and photography by Dr Lincoln Harris is with patient permission. Individual results may vary. Any surgical or invasive procedure carries risks. Before proceeding, you should seek a second opinion from an appropriately qualified health practitioner.
