Dijital İş Akışıyla Anterior Diş Eksikliklerinin Rezin Bağlı Sabit Bölümlü Protezler ile Rehabilitasyonu

Öz

Amaç: Rezin bağlı sabit bölümlü protezler (RBSBP) anterior bölgedeki diş eksikliklerinde minimal invaziv, estetik ve ekonomik bir tedavi seçeneğidir. Bu restorasyonlarda tümüyle dijital iş akışının kullanımı hem hasta hem hekim konforunu arttırmaktadır. Olgu Sunumu: Bu olgu sunumunda konjenital diş eksikliği olan ve ortodontik tedavi görmüş olan genç hastaya, implant tedavisi gerçekleşene kadar geçen sürede kullanılmak üzere bilgisayar destekli tasarım ve bilgisayar destekli üretim (CAD/CAM) sistemi kullanılarak cam seramik RBSBP üretilmiş ve adeziv rezin siman kullanılarak simante edilmiştir. Sonuç: Konjenital diş eksikliği olan genç hastanın lityum disilikat RBSBP restorasyonu ile rehabilitasyonu sonrası 1 yıllık klinik takibinde başarılı sonuçlar elde edilmiştir.

Anahtar Kelimeler

• Adeziv simantasyon
• CAD-CAM
• Lityum disilikat
• Rezin bağlı sabit protez

Digital Workflow in the Anterior Tooth Rehabilitation with Resin-Bonded Fixed Partial Dentures

Öz

Objective: Resin-bonded fixed partial dentures (RBFPDs) are a minimally invasive, aesthetic, and cost-effective treatment option for anterior tooth deficiencies. The use of a fully digital workflow in these restorations enhances comfort for both the patient and the clinician. Case Report: In this case report, a glass-ceramic RBFPD was fabricated using a computer-aided design and computer-aided manufacturing (CAD/CAM) system for a young patient with congenital tooth agenesis who had undergone orthodontic treatment. The RBFPD was intended for use until implant treatment could be performed. The restoration was cemented using adhesive resin cement. Conclusion: After a one-year clinical follow-up of the lithium disilicate RBFPD restoration in a young patient with congenital tooth agenesis, successful outcomes were achieved.

Anahtar Kelimeler

• Adhesive cemantation
• CAD-CAM
• Lithium disilicate
• Resin-bonded fixed partial dentures

Kaynakça

1. Tezulas E, Yildiz C, Evren B, Ozkan Y. Clinical procedures, designs, and survival rates of all-ceramic resin-bonded fixed dental prostheses in the anterior region: A systematic review. J Esthet Restor Dent. 2018;30(4):307-18.
2. Sun Q, Chen L, Tian L, Xu B. Single-tooth replacement in the anterior arch by means of a cantilevered IPS e.max Press veneer-retained fixed partial denture: case series of 35 patients. Int J Prosthodont. 2013;26(2):181-7.
3. Paduano S, Laino A, Michelotti A, Viglione G. Uso del Maryland Bridge come mantenitore di spazio: considerazioni su un caso clinico [Use of the Maryland Bridge for space maintenance: discussion of a clinical case]. Arch Stomatol (Napoli). 1988;29(6):1317-26.
4. Zitzmann NU, Arnold D, Ball J, Brusco D, Triaca A, Verna C. Treatment strategies for infraoccluded dental implants. J Prosthet Dent. 2015;113:169-74.
5. Zhang X, Li T, Wang X, Yang L, Wu J. Glassceramic resin-bonded fixed partial dentures for replacing a single premolar tooth: A prospective investigation with a 4-year follow-up. J Prosthet Dent. 2020;124(1):53-9.
6. Zitzmann NU, Büren AV, Glenz F, Rohr N, Joda T, Zaugg LK. Clinical outcome of metal- and all-ceramic resin-bonded fixed dental prostheses. J Prosthodont Res. 2021;65(2):243-8.
7. Edelhoff D, Sorensen JA. Tooth structure removal associated with various preparation designs for anterior teeth. J Prosthet Dent. 2002;87:503-9.
8. Mourshed B, Samran A, Alfagih A, Samran A, Abdulrab S, Kern M. Anterior Cantilever Resin- Bonded Fixed Dental Prostheses: A Review of the Literature. J Prosthodont. 2018;27:266-75.

9. Yoshida T, Kurosaki Y, Mine A, Kimura-Omo A, Mino T, Osaka S, et al. Fifteen-year survival of resinbonded vs full-coverage fixed dental prostheses. J Prosthodont Res. 2019;63:374-82.
10. Durkan R, Deste G, Özkır SE. Adeziv Maryland köprü restorasyonunda Y-TZP tam kontür zirkonya seramik sisteminin kullanılması: Klinik vaka raporu. A.Ü. Diş Hek. Fak. Derg. 2017;44(2):123-8.
11. 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.
12. Thakur A, Dwivedi S, GV Babu. Maryland bridge in a 4 year old patient: A case report. J Adv Med Dent Scie Res. 2022;10(3):53-5.
13. Leos MFS, Flores LEC, Cruz N, Palencia PG. Materials used in rehabilitation of anterior teeth with Maryland adhesive bridge. IJADS. 2023;9(4):154-8.
14. Stylianou A, Liu PR, O'Neal SJ, Essig ME. Restoring Congenitally Missing Maxillary Lateral Incisors Using Zirconia-Based Resin Bonded Prostheses. J Esthet Restor Dent. 2016;28(1):8-17.
15. Lally U. Resin-bonded fixed partial dentures past and present--an overview. J Ir Dent Assoc. 2012;58(6):294-300.
16. Augusti D, Augusti G, Borgonovo A, Amato M, Re D. Inlay-retained fixed dental prosthesis: a clinical option using monolithic zirconia. Case Rep Dent. 2014;2014:629786.
17. Moslehifard E, Farid F. Single Tooth Replacement Using InCeram Resin Bonded Fixed Partial Denture: A Clinical Report. J Dent (Tehran). 2014;11(1):106- 10.
18. Edelhoff D, Spiekermann H, Yildirim M. Metal-free inlay-retained fixed partial dentures. Quintessence Int. 2001;32(4):269-81.
19. Rosentiel SF, Land MF, Fujimoto J. Fiber reinforced composite fixed prostheses. Contemporary Fixed Prosthodontics. 4th ed. St.Louis, Miss: Elsevier Mosby; 2006. p.830-40.
20. Bahadırlı G, Ayyıldız S, Turp V, Şen D. Anterior Diş Eksikliklerinde Fiberle Güçlendirilmiş Adeziv Köprü Uygulamaları: Üç olgu sunumu. ADO Klinik Bilimler Dergisi. 2013;7(1):1419-26.
21. Kihara T, Shigeta Y, Ikawa T, Sasaki K, Shigemoto S, Ogawa T. Designing anterior cantilever resin-bonded fixed dental prostheses based on finite element analysis. J Prosthodont Res. 2023;67(3):418-23.
22. Gresnigt MMM, Tirlet G, Bošnjak M, van der Made S, Attal JP. Fracture strength of lithium disilicate cantilever resin bonded fixed dental prosthesis. J Mech Behav Biomed Mater. 2020;103:103615.
23. Mendes JM, Bentata ALG, de Sá J, Silva AS. Survival Rates of Anterior-Region Resin-Bonded Fixed Dental Prostheses: An Integrative Review. Eur J Dent. 2021;15(4):788-97.
24. Habibzadeh S, Khamisi F, Mosaddad SA, Fernandes GVO, Heboyan A. Full-ceramic resin-bonded fixed dental prostheses: A systematic review. J Appl Biomater Funct Mater. 2024;22:22808000241250118.
25. Jurado CA, Tsujimoto A, Watanabe H, et al. Chairside CAD/CAM fabrication of a single-retainer resin bonded fixed dental prosthesis: a case report. Restor Dent Endod. 2020;45(2):e15.
26. Alqutaibi AY, Alghauli MA, Almuzaini SA, Alharbi AF, Alsani AA, Mubarak AM, et al. Failure and complication rates of different materials, designs, and bonding techniques of ceramic cantilever resinbonded fixed dental prostheses for restoring missing anterior teeth: A systematic review and meta-analysis. J Esthetic Restor Dent. 2024;36(10):1396-411.