Resin-bonded restorations: A strategy for managing anterior tooth loss in adolescence

Abstract In children or adolescents with anterior tooth loss, space closure with the patient’s own teeth should be considered as the first choice to avoid lifelong restorative needs. Thorough diagnostics and treatment planning are required when autotransplantation or orthodontic space closure is con...

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Bibliographic Details
Published in:The Journal of prosthetic dentistry 2015-04, Vol.113 (4), p.270-276
Main Authors: Zitzmann, Nicola U., Prof Dr Med Dent, PhD, Özcan, Mutlu, Prof Dr Med Dent, Scherrer, Susanne S., Prof Dr Med Dent, Bühler, Julia M., Dr Med Dent, Weiger, Roland, Prof Dr Med Dent, Krastl, Gabriel, Prof Dr Med Dent
Format: Article
Language:English
Subjects:
Adolescent
Adult
Age Factors
Autografts - transplantation
Cementation - methods
Ceramics - chemistry
Child
Composite Resins - chemistry
Cuspid - pathology
Dental Alloys - chemistry
Dental Implants, Single-Tooth
Dental Materials - chemistry
Dental Porcelain - chemistry
Dentistry
Denture Design
Denture Retention - instrumentation
Denture, Partial, Fixed
Denture, Partial, Fixed, Resin-Bonded
Female
Humans
Incisor - pathology
Male
Orthodontic Space Closure - methods
Patient Care Planning
Resin Cements - chemistry
Tooth - transplantation
Tooth Loss - therapy
Young Adult
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Summary:Abstract In children or adolescents with anterior tooth loss, space closure with the patient’s own teeth should be considered as the first choice to avoid lifelong restorative needs. Thorough diagnostics and treatment planning are required when autotransplantation or orthodontic space closure is considered. If these options are not indicated and a single tooth implant restoration is considered, implant placement should be postponed until adulthood, particularly in young women and in patients with hyperdivergent skeletal growth pattern. A ceramic resin-bonded fixed dental prosthesis with 1 retainer is an excellent treatment solution for the interim period; it may also serve as a long-term restoration, providing that sound enamel structure is present, sufficient framework dimensions have been provided, adhesive cementation techniques have been meticulously applied, and functional contacts of the cantilever pontic avoided. In contrast, a resin-bonded fixed dental prosthesis with a metal framework and retentive preparation is indicated if the palatal enamel structure is compromised, interocclusal clearance is limited, splinting (such as after orthodontic treatment) is required, or more than 1 tooth has to be replaced.
ISSN:0022-3913
1097-6841
DOI:10.1016/j.prosdent.2014.09.028