I gave the patient a three options:
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.
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
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.
Dr Lincoln Harris has been completely focused on excellence and quality from the beginning of his career as a dentist. He established the first private dental practice in Bargara – Harris Dental Boutique in 2000. Since graduation he has trained extensively in Aesthetic Implant Techniques and Full Mouth Rehabilitation to attain immense skill and knowledge. With his vast dental knowledge Dr Harris coaches and trains dentists from all over the world on complex aesthetic dentistry, surgical techniques and business management. Dr Harris is the founder of RIPE. Restorative Implant Practice Excellence: Full Protocol group an international forum of over 70,000 members worldwide. The purpose of the group is to share information and excellence in the dental industry. He has also lectured in multiple cities throughout Australia, North America, Asia, Singapore, United Kingdom and Europe.