KLASİK PROTETİK TEDAVİLERE ALTERNATİF OLARAK FİBER ALTYAPI İLE GÜÇLENDİRİLMİŞ KOMPOZİT REZİN KÖPRÜ UYGULAMALARI: DÖRT OLGU SUNUMU

Öz

ABSTRACT

In some situations like, economic failure, general health problems or patient’s fear to other more invasive operations, fiber-reinforced composite (FRC) resin bridge applications may be an alternative treatment method in single tooth missed cases.

A variety of treatment modalities, from implants to conventional Maryland bridges, can be used for replacing missed single tooth. In this article the purpose was to report FRC bridge restorations of missed single tooth in four cases (who did not want expensive treatment options or have health problems) and to evaluate the short-term clinical performance of such applications.

In four different patients with maxillar bilateral canine teeth absence, maxillar left second premolar tooth absence, maxillar left central incisor tooth absence and mandibular left central incisor absence the FRC adhesive bridges were designed and performed. The restorations have provided important benefits in addressing deficiencies mainly aesthetically, phonational and functional. These procedures were very effective in terms of patient satisfaction because of the fact that they were minimal invasive, conservative and economic. There were no clinical problem and patient dissatisfaction in any case after one year of follow-up.

Ekonomik yetersizlik, sağlık problemleri veya hastanın daha girişimsel olan diğer uygulamalara olan korkusu gibi durumlarda fiber ile güçlendirilmiş kompozit (FGK) rezin köprü uygulamaları tek diş eksikliği vakalarında alternatif bir tedavi yöntemi olabilmektedir. Tek diş eksikliklerinde geleneksel Maryland köprülerden implant uygulamalarına kadar çeşitli tedavi yöntemleri kullanılabilir. Bu makale de tek diş eksikliği bulunan dört vakanın sunumu (ki bu hastalar pahalı tedavileri istemeyen veya genel sağlık problemleri bulunan kişilerdir)  ve kısa dönemli klinik performanslarının değerlendirilmesi amaçlanmıştır. Maksiller iki taraflı kanin diş eksikliği, maksiller sol ikinci premolar diş eksikliği, maksiller sol santral diş eksikliği ve madibular sol santral diş eksikliği bulunan dört hastada adeziv FGK köprüler dizayn edildi ve uygulandı. Restorasyonlar estetik, fonksiyonel ve fonasyonel eksiklikleri giderme bakımından önemli faydalar sağladı. Bu tür uygulamalar az girişimsel, doku bütünlüğünü koruyucu ve ekonomik olmaları nedeniyle hasta memnuniyetini sağlama bakımından etkili olabilmektedirler. Sunulan vakaların bir yıllık takipleri sonucu herhangi bir hasta memnuniyetsizliği ve klinik probleme rastlanılmamıştır. Geleneksel yöntemler ile kıyaslandığında FGK köprü uygulamaları çok daha doku koruyucudur. Sunulan vakalarda tatmin edici sonuçlar elde edilmiştir ancak daha uzun dönemli klinik takip sonuçları gereklidir.

Anahtar Kelimeler

• Fiber altyapı, sabit bölümlü protez, kompozit köprü

FIBER FRAMEWORK REINFORCED COMPOSITE RESIN BRIDGE APPLICATIONS AS AN ALTERNATIVE PROCEDURE TO CLASSIC PROSTHODONTIC TREATMENTS: FOUR CASE REPORTS

Öz

In some situations like, economic failure, general health problems or patient’s fear to other more invasive operations, fiber-reinforced composite (FRC) resin bridge applications may be an alternative treatment method in single tooth missed cases. A variety of treatment modalities, from implants to conventional Maryland bridges, can be used for replacing missed single tooth. In this article the purpose was to report FRC bridge restorations of missed single tooth in four cases (who did not want expensive treatment options or have health problems) and to evaluate the short-term clinical performance of such applications. In four different patients with maxillar bilateral canine teeth absence, maxillar left second premolar tooth absence, maxillar left central incisor tooth absence and mandibular left central incisor absence the FRC adhesive bridges were designed and performed. The restorations have provided important benefits aesthetically, phonational and functional. These procedures were very effective in terms of patient satisfaction because of the fact that they were minimal invasive, conservative and economic. There were no clinical problem and patient dissatisfaction in any case after one year of follow-up

Anahtar Kelimeler

• Fiber framework, fixed partial denture, composite bridge

Kaynakça

1. Rappelli G, Putignano A. Tooth splinting with fiber-reinforced composite materials: Achieving predictable aesthetics. Pract Proced Aesthet Dent 2002;14:495-500.
2. Vitale MC, Caprioglio C, Martignone A, Marchesi U, Botticelli AR. Combined technique with polyethlene fibers and composite resins in restoration of traumatized anterior teeth. Dent Traumatol 2004;20:172–7.
3. Vallittu PK, Vojtkova H, Lassila VP. Impact strength of denture polymethyl methacrylate reinforced with continuous glass fibers or metal wire. Acta Odontol Scand 1995;53:392–6.
4. Uzun G, Hersek N, Tincer T. Effect of five woven fiber reinforcements on the impact and transverse strenght of a denture base resin. J Prosthet Dent 1999;81:616–20.
5. DeBoer J, Vermilyea SG, Brady RE. The effect of carbon fiber orientation on the fatigue resistance and bending properties of two denture resins. J Prosthet Dent 1984;51:119–21.
6. Berrong JM, Weed RM, Young JM. Fracture resistance methacrylate) resin: a preliminary study. Int J Prosthodont 1990;3:391–5. poly(methyl
7. Colán Guzmán P, Freitas FF, Ferreira PM, Freitas CA, Reis KR. Influence of different cantilever extensions and glass or polyaramide reinforcement fibers on fracture strength of implant-supported temporary. J Appl Oral Sci 2008;16:111-5.
8. Vallittu PK. Ultra-high-modulus polyethylene ribbon for methacrylate: A short communication. Dent Mater 1997;13:381-2. denture polymethyl

9. Ganesh M, Tandon S. Versatility of ribbond in contemporary practice. Trends Biomater Artif Organs 2006; 20:53–8.
10. Karaman AI, Kir N, Belli S. Four applications of reinforced orthodontic practice. Am J Orthod Dentofacial Orthop 2002;121:650–4. fiber material in
11. Heling I, Gorfil C, Slutzky H, Kopolovic K, Zalkind M, Slutzky-Goldberg I. Endodontic failure caused by inadequate restoration procedures: review and treatment recommendations. J Prosthet Dent 2002;87:674-8.
12. Rudo DN, Karbhari VM. Physical behaviors of fiber reinforcement as applied to tooth stabilization. Dent Clin North Am 1999;43:7-35.
13. Ajlouni R, Ajlouni K, Oonsombat C, Ruder G. Conservative inlay fixed partial denture: a clinical and laboratory technique. Gen Dent 2005;53:266- 9.
14. Belvedere PC. Single-sitting, fiber-reinforced fixed bridges for the missing lateral or central incisors in adolescent patients. Dent Clin North Am 1998;42:665-82.
15. Ferreira ZA, Carvalho EK, Mitsudo RS, Bergamo PM. Bondable reinforcement ribbon: clinical applications. Quintessence Int 2000; 31:547-52.
16. Rappelli G, Coccia E. Fiber-reinforced composite fixed partial denture to restore missing posterior teeth: a case report. J Contemp Dent Pract. 2005;6:168-77.
17. Trushkowsky R. Fiber-reinforced composite bridge and splint. Replacing congenitally missing teeth. N Y State Dent J 2004;70:34-8.
18. Karaalioğlu O, Duymuş ZY. Fiberle Güçlendirilmiş Kompozitlerin Sabit Bölümlü Protez Yapımında Kullanımları. Fiber Reinforced Composites Used In Fixed Partial Dentures. Atatürk Üniv Diş Hek Fak Derg 2008;18:70-7.
19. Karaalioğlu O, Aladağ Lİ. Cam Fiber İle Kompozit Güçlendirilmiş Restorasyonu-Vaka Raporu. Glass Fıber Reınforced Composıte Resın Fıxed Partıal Dentures-Case Report. Atatürk Üniv Diş Hek Fak Derg 2009; 19:111-4. Rezin Köprü
20. Güngör H, Kürklü D, Holoğlu B. Fiber İle Güçlendirilmiş Rezin Tutuculu Köprü Restorasyonu: Olgu Sunumu. Fıber Reınforced Resın-Bonded Brıdge: Case Report. Atatürk Üniv Diş Hek Fak Derg 2010; Suplement 3:21-4.
21. Pröbster B, Henrich GM. 11-year follow-up study of resinbonded fixed partial dentures. Int J Prosthodont 1997;10:259-68.
22. van Heumen CCM, Kreulen CM, Creugers NHJ. Clinical studies of fiber-reinforced resin-bonded fixed partial dentures: a systematic review. Eur J Oral Sci 2009;117:1-6.
23. Cenci M.S, Rodolpho P.A.R., Cenci T.P, Cury A.A., Demarco F.F. Fixed partial dentures in an up to 8- year follow-up. J Appl Oral Sci 2010;18:364-71.
24. Piovesan EM, Demarco FF, Piva E. Fiber-reinforced fixed partial dentures: a preliminary retrospective clinical study. J Appl Oral Sci 2006;14:100–4.
25. Unlu N, Belli S. Three-year clinical evaluation of fiber-reinforced composite fixed partial dentures using prefabricated pontics. J Adhes Dent 2006;8:183–8.
26. Freilich MA, Meiers JC, Duncan JP, Eckrote KA, Goldberg AJ. Clinical evaluation of fiber-reinforced fixed bridges. J Am Dent Assoc 2002;133:1524–34.
27. Benjamin G, Kurtzman GM. An indirect matrix technique for fabrication of fiber-reinforced direct bonded anterior bridges. Compend Contin Educ Dent 2010;31:60-4.
28. Creugers NH, Van't Hof MA. An analysis of clinical studies on resin-bonded bridges. J Dent Res 1991;70:146-9.
29. Yokoyama D, Shinya A, Lassila LV, Gomi H, Nakasone Y, Vallittu PK, Shinya A. Framework design of an anterior fiber-reinforced hybrid composite fixed partial denture: a 3D finite element study. Int J Prosthodont 2009;22:405-12.
30. Chen Y, Li H, Fok A. In vitro validation of a shape- optimized fiber-reinforced dental bridge.Dent Mater 2011;27:1229-37.