Abstract
Resin bonded bridge (RBB) is a conservative, medium to long-term restoration of missing teeth. A high rate of debonding was the main limitation in a clinically demanding situation. Objective: To highlight the critical evaluation in identifying the contributing factors leading to the failure of RBBs and avoiding as well as controlling such factors optimally prior to providing further rehabilitative treatment. Case report: This case illustrates a young patient who received resin bonded bridges to replace her missing lateral incisors. Unfortunately, she had issues with bridge debonding, in which one of the abutment teeth was extracted due to caries under the retainer. The patient was then treated with multiple cantilever bridges to restore the missing dentition after optimising the risk factors. Conclusion: With an improved understanding and material advancement, RBB survival tends to be longer nowadays. As it was conservative, in the incidence of failure, other treatment options remain open. However, each failed case should undergo a critical evaluation of the failing aetiology and its mechanism to prevent future occurrences.
References
1. Botelho MG, Chan AW, Leung NC, Lam WY. Long-term evaluation of cantilevered versus fixed-fixed resin-bonded fixed partial dentures for missing maxillary incisors. J Dent. 2016; 45:59-66.
2. Gulati JS, Tabiat-Pour S, Watkins S, Banerjee A. Resin-bonded bridges–the problem or the solution? Part 1: Assessment and design. Dent Update. 2016; 43(6):506-21.
3. Pjetursson BE, Tan WC, Tan K, Brägger U, Zwahlen M, Lang NP. A systematic review of the survival and complication rates of resin bonded bridges after an observation period of at least 5 years. Clin Oral Implants Res. 2008; 19(2):131-41.
4. Thoma DS, Sailer I, Ioannidis A, Zwahlen M, Makarov N, Pjetursson BE. A systematic review of the survival and complication rates of resin-bonded fixed dental prostheses after a mean observation period of at least 5 years. Clin Oral Implants Res. 2017; 28(11):1421-32.
5. Abuzar M, Locke J, Burt G, Clausen G, Escobar K. Longevity of anterior resin-bonded bridges: Survival rates of two tooth preparation designs. Aust Dent J. 2018; 63(3):279-84.
6. Balasubramaniam GR. Predictability of resin bonded bridges - A systematic review. Br Dent J. 2017; 222(11):849-58.
7. Durey K, Nixon P, Robinson S, Chan M-Y. Resin bonded bridges: Techniques for success. Br Dent J. 2011; 211(3):113-8.
8. Alraheam IA, Ngoc CN, Wiesen CA, Donovan TE. Five year success rate of resin bonded fixed partial dentures: A systematic review. J Esthet Restor Dent. 2019; 31(1):40-50.
9. Cheung G, Lai S, Ng R. Fate of vital pulps beneath a metal ceramic crown or a bridge retainer. Int Endod J. 2005; 38(8):521-30.
10. Djemal S, Setchell D, King P, Wickens J. Long term survival characteristics of 832 resin retained bridges and splints provided in a post graduate teaching hospital between 1978 and 1993. J Oral Rehabil. 1999; 26(4):302-20.
11. Mourshed B, Samran A, Alfagih A, Samran A, Abdulrab S, Kern M. Anterior cantilever resinbonded fixed dental prostheses: A review of the literature. J Prosthodont. 2018; 27(3):266-75.
12. Lam WYH, McGrath CPJ, Botelho MG. Impact of complications of single tooth restorations on oral health-related quality of life. Clin Oral Implants Res. 2014; 25(1):67-73.
13. Pitts NB, Ismail AI, Martignon S, Ekstrand K, Douglas G, Longbottom C. Iccms™ guide for practitioners and educators. 2014.
14. Gulati JS, Tabiat-Pour S, Watkins S, Banerjee A. Resin-bonded bridges–the problem or the solution? Part 2: Practical techniques. Dent Update. 2016; 43(7):608-16.
15. Quigley NP, Loo DSS, Choy C, Ha WN. Clinical efficacy of methods for bonding to zirconia: A systematic review. J Prosthet Dent. 2020; 125(2):231-40.
16. Sharma A, Rahul GR, Poduval ST, Shetty K. Assessment of various factors for feasibility of fixed cantilever bridge: A review study. ISRN Dent. 2012; 2012:259891.
Recommended Citation
Beh, Y., & Ariffin, A. Critical Evaluation of Failed Maxillary Resin Bonded: A Case Study. J Dent Indones. 2022;29(2): 147-153
cover letter
