Direct-Bonded Splint & Natural Tooth Pontic
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(technique
photos for dentists & would-be dentists) |
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| 1) |
Incisor 3.1 is very loose, having lost most
of its bone support. |
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Before treatment. Six teeth
will be splinted. |
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Loose tooth 3.1 was extracted. All six teeth
were cleaned. |
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Apical third of 3.1 was removed. Root canal
treatment was done.. |
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Composite resin filled and sealed the root
canal. |
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3.1 is repositioned. Blue resin secures
it. Putty matrix records position. |
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Small piece of green rubber dam and wedges
are positioned. |
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Second rubber dam sits over the first dam
and over the wedges. This guarantees a dry field and subsequent
space for cleaning between teeth. |
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Matrix is trimmed and used
to reposition 3.1. |
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From labial access, 3.1 is bonded to adjacent
teeth. |
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Aluminum foil was fitted to the lingual
surfaces of 6 teeth to determine length for cutting RIBBOND
that will be used as reinforcement inside the bulk of
composite resin to be soon applied. |
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Old restorations and new caries were removed. |
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Composite resin bonding has been completed. |
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Composite resin bonding has been completed
to fill cavities and to splint 6 teeth, with RIBBOND buried
internally, against lingual enamel. |
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Treatment is complete, except for some additional
smoothing to be done next appointment. The extracted tooth
has been well repositioned. There is adequate space for
patient to clean between teeth, under the splint, using
dental floss, tooth picks, and/or Proxa-brush. |
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Note that composite resin might break, but
RIBBOND will prevent separation of segments. In this patient,
there is an opposing complete upper denture, which exerts
less force than natural teeth. Fracture of this splint
is unlikely. |
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Treatment
was done March 16, 2007, on referral from periodontist, by
Dr. Mel Perlmutter.
(Patient’s regular general dentist had no experience
doing this type of treatment.)
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