Reconstruction of Natural Smile and Splinting with Natural Tooth Pontic Fiber-Reinforced Composite Bridge

Teeth replacement is challenging in old patients with severe periodontal disease, limiting prosthetics treatment options. Here, we report a fiber-reinforced composite (FRC) resin bridge using natural tooth pontic in a patient with severe periodontitis. A 60-year-old lady complaining of teeth mobilit...

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Main Authors: Maryam S. Tavangar, Fatemeh Aghaei, Massoumeh Nowrouzi
Format: Article
Language:English
Published: Wiley 2022-01-01
Series:Case Reports in Dentistry
Online Access:http://dx.doi.org/10.1155/2022/9974197
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author Maryam S. Tavangar
Fatemeh Aghaei
Massoumeh Nowrouzi
author_facet Maryam S. Tavangar
Fatemeh Aghaei
Massoumeh Nowrouzi
author_sort Maryam S. Tavangar
collection DOAJ
description Teeth replacement is challenging in old patients with severe periodontal disease, limiting prosthetics treatment options. Here, we report a fiber-reinforced composite (FRC) resin bridge using natural tooth pontic in a patient with severe periodontitis. A 60-year-old lady complaining of teeth mobility was diagnosed with severe periodontitis, recession, bone loss, and crowding in the anterior maxillary teeth. Due to a hopeless periodontal prognosis, lateral incisors were extracted and sectioned using a cylindrical diamond bur. The pulp chamber was debrided and filled with self-adhesive flowable composite resin. After three weeks, the pontics were fixed in proximal contact areas, and the FRC bridge was fabricated directly using the resin fiber strip followed by occlusion adjustment, finishing, and polishing. Esthetic, occlusion, and periodontal status were re-evaluated after six months. Here, FRC using natural pontic could successfully reconstruct a natural smile, splint the adjacent teeth, eliminate crowding, and provide stable occlusion. Therefore, this method may be considered for similar cases.
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publishDate 2022-01-01
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series Case Reports in Dentistry
spelling doaj-art-2faebccb83b74f88a1b6b50e141d5d4c2025-08-20T03:55:16ZengWileyCase Reports in Dentistry2090-64552022-01-01202210.1155/2022/9974197Reconstruction of Natural Smile and Splinting with Natural Tooth Pontic Fiber-Reinforced Composite BridgeMaryam S. Tavangar0Fatemeh Aghaei1Massoumeh Nowrouzi2Oral and Dental Disease Research CenterDepartment of Operative DentistryDepartment of PeriodonticsTeeth replacement is challenging in old patients with severe periodontal disease, limiting prosthetics treatment options. Here, we report a fiber-reinforced composite (FRC) resin bridge using natural tooth pontic in a patient with severe periodontitis. A 60-year-old lady complaining of teeth mobility was diagnosed with severe periodontitis, recession, bone loss, and crowding in the anterior maxillary teeth. Due to a hopeless periodontal prognosis, lateral incisors were extracted and sectioned using a cylindrical diamond bur. The pulp chamber was debrided and filled with self-adhesive flowable composite resin. After three weeks, the pontics were fixed in proximal contact areas, and the FRC bridge was fabricated directly using the resin fiber strip followed by occlusion adjustment, finishing, and polishing. Esthetic, occlusion, and periodontal status were re-evaluated after six months. Here, FRC using natural pontic could successfully reconstruct a natural smile, splint the adjacent teeth, eliminate crowding, and provide stable occlusion. Therefore, this method may be considered for similar cases.http://dx.doi.org/10.1155/2022/9974197
spellingShingle Maryam S. Tavangar
Fatemeh Aghaei
Massoumeh Nowrouzi
Reconstruction of Natural Smile and Splinting with Natural Tooth Pontic Fiber-Reinforced Composite Bridge
Case Reports in Dentistry
title Reconstruction of Natural Smile and Splinting with Natural Tooth Pontic Fiber-Reinforced Composite Bridge
title_full Reconstruction of Natural Smile and Splinting with Natural Tooth Pontic Fiber-Reinforced Composite Bridge
title_fullStr Reconstruction of Natural Smile and Splinting with Natural Tooth Pontic Fiber-Reinforced Composite Bridge
title_full_unstemmed Reconstruction of Natural Smile and Splinting with Natural Tooth Pontic Fiber-Reinforced Composite Bridge
title_short Reconstruction of Natural Smile and Splinting with Natural Tooth Pontic Fiber-Reinforced Composite Bridge
title_sort reconstruction of natural smile and splinting with natural tooth pontic fiber reinforced composite bridge
url http://dx.doi.org/10.1155/2022/9974197
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AT massoumehnowrouzi reconstructionofnaturalsmileandsplintingwithnaturaltoothponticfiberreinforcedcompositebridge