The Maryland bridge is very good and common in patients with lost teeth (one, two or three teeth). Maryland bridges are made of metal, resin for dentures, porcelain and sticked by Enforce material and halogen light. We would like to present 30 patients with 42 Maryland bridges: 22 cases had one Maryland bridge, 5 cases had two Maryland bridge, 3 cases had three Maryland bridges, 1 case had four Maryland bridge. We repaired two bridges. The remaining Maryland bridges showed good results. With a few adjustments the patients feel comfortable in chewing, speaking and smiling. Maryland Bridge has many advantages, safe results, especially no damage of the tooth pulp.
Tooth ; Denture, Partial, Fixed, Resin-Bonded

OBJECTIVETo compare the difference of stress distribution among models with different fiber frameworks.

METHODSFour models were generated in Marc 2003 software. Four types of loads simulating normal mastication were selected. The stress within models was calculated, and output by means of graph and data.

RESULTSThere was stress concentration around connectors and retainers near connectors under cusp -fossa load, occlusal even load, and lateral load. When dentures were reinforced with fiber framework, area of stress concentration and principal stress max could decrease in comparison with pure composite resin bonded fixed partial denture. Under buccal-lingual load, there was another stress concentration around central fossa beside above two stress concentration areas. Only modified fiber framework constructed with both mesial-distal and lingual-buccal directional glass fiber could markedly reduce principal stress under buccal-lingual cusp loads.

CONCLUSIONUnder 4 types of loads simulating normal mastication, three critical regions were disclosed at the area of retainers adjacent connectors, connectors and occlusal central fossa and fissures. Only modified fiber framework constructed with both mesial-distal and lingual-buccal directional glass fiber could markedly reduce stress concentration under buccal-lingual cusp loads.

OBJECTIVETo discuss the cause of food impaction after fixed denture restoration and to analyze the therapeutic effect of gap expansion and resin repair.

METHODSA total of 100 patients who suffered from food impaction after they received fixed partial denture were chosen. The cause of food impaction was analyzed. Treatment methods were applied on the basis of different causes. Gap expansion and resin repair were implemented to remove food impaction caused by the poor contact of the denture with healthy adjacent teeth.

RESULTSThe poor contact between fixed denture and healthy adjacent teeth was the major cause of food impaction (70%) . The effective rate of treatment among patients who received fixed partial denture but suffered from food impaction after 3 years was 100%.

CONCLUSIONSThe proposed method can be applied to treat food impaction caused by the poor contact of denture with healthy adjacent teeth.

Loss of anterior tooth impairs patients physically and emotionally as well as presents a challenge for dentists. This article presented a method of replacing one anterior tooth that was extracted because of periodontitis. The proposed method involves the use of the natural crown as pontic with fiber-reinforced composite resin-bonded fixed partial denture.
Composite Resins ; Denture Design ; Denture, Partial, Fixed ; Denture, Partial, Fixed, Resin-Bonded ; Humans ; Maxilla ; Mouth, Edentulous

This article reports a case of an orthodontic adolescent patient without a right inferior incisor. The right lower canine was used as the abutment. The single-retainer all-ceramic resin-bonded fixed partial denture was used to restore the complete dentition. Thus, the missing space was filled, and the function and aesthetics were restored.
Adolescent ; Ceramics ; Denture Design ; Denture, Partial, Fixed ; Denture, Partial, Fixed, Resin-Bonded ; Esthetics, Dental ; Humans ; Incisor

PURPOSE: The purpose of this study was to evaluate the microleakage of various types of resin-bonded fixed partial dentures (RBFPDs) after artificial aging. MATERIALS AND METHODS: Forty models with missing first molar were fabricated using artificial resin teeth and were divided into four groups: Group A, conventional RBFPDs design; Group B, modified RBFPDs design; Group C, assembled 3-piece RBFPDs design; and Group D, assembled 3-piece RBFPDs with different occlusal rest positions. Half of the specimens underwent chewing simulation process (240,000 cycles, 50 N load, 1.7 Hz) and thermocycling (temperatures 5℃~55℃, dwelling time 30 seconds) and the remaining 20 specimens didn't receive any treatment. All the specimens were immersed in 2% methylene blue solution for 24 hours to evaluate microleakage, and were sectioned at the middle part of abutment teeth. To evaluate the microleaskage, a dye penetration was calculated. RESULT: With artificial aging, cyclic loading and thermocycling, a 3-piece RBPFD and a 2-piece RBPFD using original tooth undercuts have significantly lower microleakge (P<0.05) compared to the conventional design of RBPFD and modified RBPFD. CONCLUSION: Within the limit of this experiment, the assembled RBFPDs exhibited a smaller microleakage than the conventional RBFPDs, implying that the assembled RBFPDs can be more effective for reducing the dislodgement of the RBFPDs.
Aging ; Denture, Partial, Fixed* ; Denture, Partial, Fixed, Resin-Bonded ; In Vitro Techniques* ; Mastication ; Methylene Blue ; Molar ; Tooth

Resin-bonded bridge has been an alternative to conventional bridge, since resin-bonded bridge has many attractive advantages such as minimal tooth preparation, short chair time and low cost over conventional bridge. Unfortunately, however, it was reported that resin-bonded bridge showed high failure rate from debonding of retainer in spite of consecutive advances in preparation and materials. And it was shown that multiple abutments were more likely to fail. The majority of debonding failure was considered due to the mobility of the abutment during function. In this view, recently, modification in resin-bonded bridge design was tried. Single retainer, single pontic, 2-unit cantilevered resin-bonded bridge was applied to clinical performance and was shown as retentive or more retentive than fixed-fixed type resin-bonded bridge. This was consistent with the results of studies in 2-unit cantilevered resin-bonded bridges made with all ceramic, In-Ceram. The purpose of this article was to overview principles of design and to analyze clinical results of 2-unit cantilevered resin-bonded bridge in comparison with the reports of fixed-fixed resin-bonded bridge.
Ceramics ; Denture, Partial, Fixed ; Denture, Partial, Fixed, Resin-Bonded* ; Tooth Preparation

Resin-bonded fixed partial denture using In-Ceram or Targis-Vectris system allows conservative replacement of missing maxillary lateral incisor, but sufficient clinical crown length and adequate occlusal clearance are necessary for restoration. Resin-bonded fixed partial dentures using In-Ceram or Targis-Vectris system require only minor tooth preparation and allow access to maintain esthetics and periodontal health. Longitudinal studies are needed to verify theefficacy of all-ceramic or fiber-reinforced composite RBFPDs.
Crowns ; Denture, Partial, Fixed ; Denture, Partial, Fixed, Resin-Bonded* ; Esthetics ; Incisor ; Tooth Preparation

PURPOSE: Conventional resin-bonded fixed partial dentures (RBFPDs) are usually made with a two-retainer design. Unlike conventional RBFPDs, cantilever resin-bonded fixed partial dentures (Cantilever RBFPDs) are, for their part, made with a single-retainer design. The aim of this study was to compare the effect of tooth surface preparation on the bond strength of zirconia cantilever single-retainer RBFPDs. The objective is to evaluate the shear bond strength of these single-retainer RBFPDs bonded on 3 different amount of tooth surface preparation. MATERIALS AND METHODS: Thirty extracted bovine incisors were categorized to 3 groups (n=10), with different amounts of tooth surface preparations. Teeth were restored with single-retainer RBFPDs with different retainer surfaces: large retainer of 32 mm²; medium retainer of 22 mm²; no retainer and only a proximal connecting box of 12 mm². All RBFPDs were made of zirconia and were bonded using an adhesive system without adhesive capacity. Shear forces were applied to these restorations until debonding. RESULTS: Mean shear bond strength values for the groups I, II, and II were 2.39±0.53 MPa, 3.13±0.69 MPa, and 5.40±0.96 MPa, respectively. Statistical analyses were performed using a one-way ANOVA test with Bonferroni post-hoc test, at a significance level of 0.001. Failure modes were observed and showed a 100% adhesive fracture. CONCLUSION: It can be concluded that the preparation of large tooth surface preparation might be irrelevant. For zirconia single-retainer RBFPD, only the preparation of a proximal connecting box seems to be a reliable and minimally invasive approach. The differences are statistically significant.
Adhesives ; Denture, Partial, Fixed ; Denture, Partial, Fixed, Resin-Bonded ; Incisor ; Tooth

STATE OF PROBLEM: In dentistry, the minimally prepared inlay resin-bonded fixed partial denture (FPD) made of new ceromer / fiber-reinforced composite (FRC) was recently introduced. However, the appropriate dimensions for the long-term success and subsequent failure strength are still unknown. PURPOSE: The aim of this study was to investigate the most fracture-resistible thickness combination of the ceromer / FRC using a universal testing machine and an AE analyzer. MATERIAL AND METHODS: A metal jig considering the dimensions of premolars and molars was milled and 56-epoxy resin dies, which had a similar elastic modulus to that of dentin, were duplicated. According to manufacturer's instructions, the FRC beams with various thicknesses (2 to 4 mm) were constructed and veneered with the 1 or 2 mm-thick ceromers. The fabricated FPDs were luted with resin cement on the resin dies and stored at room temperature for 72 hours. AE (acoustic emission) sensors were attached to both ends, the specimens were subjected to a compressive load until fracture at a crosshead speed of 0.5 mm/min. The AE and failure loads were recorded and analyzed statistically. RESULTS: The results showed that the failure strength of the ceromer / FRC inlay FPDs was affected by the total thickness of the connectors rather than the ceromer to FRC ratio or the depth of the pulpal wall. Fracture was initiated from the interface and propagated into the ceromer layer regardless of the change in the ceromer / FRC ratio. CONCLUSION: Within the limitations of this study, the failure loads showed significant differences only in the case of different connector thicknesses, and no significant differences were found between the same connector thickness groups. The application of AE analysis method in a fiber-reinforced inlay FPD can be used to evaluate the fracture behavior and to analyze the precise fracture point.
Bicuspid ; Dentin ; Dentistry ; Denture, Partial, Fixed, Resin-Bonded ; Elastic Modulus ; Inlays* ; Molar ; Resin Cements