Rahul Bahri

Abstract

Rehabilitation of a missing tooth with a Fixed Dental Prosthesis is a commonly used treatment option with proven clinical results and longevity. Recreating good proximal contacts is the key to successful rehabilitation. However, in clinical situations where a certain amount of diastema may be desired by the patient or deemed necessary by the clinician to achieve esthetic treatment, use of loop connectors is necessary. Digital evaluation of the tooth material arch length discrepancy and following esthetic proportions like golden percentage ensures a well planned treatment procedure and a more predictable treatment outcome. This case report highlight rehabilitation of a missing anterior tooth in esthetic zone utilizing digital planning software and using loop connector to maintain esthetics. The intent of this case is to highlight loop connector as a viable treatment option for maintenance of diastema in cases where desired and the use of simple, commonly available software to implement esthetic proportions in designing of restorations.   Keywords: Digital, Golden percentage, Loop connector

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Abstract

Fixed Dental Prosthesis is a treatment modality to replace the missing tooth by utilizing the adjacent teeth as abutments. The health, periodontal surface area, crown root ratio and other parameters govern the condition of abutment. The examination of these teeth by clinical and radiographic parameters determine its usage as abutments to support and retain the prosthesis. Adjunctive therapy like crown lengthening, foundation restorations and others can be used to improve the condition of abutments keeping in mind the basic periodontal and prosthodontic principles. This case report highlights the importance of Perio-Prostho relationship in successful rehabilitation of a questionable abutment in esthetic region. Keywords: Crown Lengthening, Stratos 200, Questionable abutment

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Abstract

Partial coverage restorations have been used in Prosthodontic practice with variable success rates. Resin Bonded Restorations have been used successfully since 1973. With modifications in design of prosthesis, the need for preparation and with advancements in adhesive technology, the success rate has improved drastically. This treatment option is technique sensitive, but it conserves the natural tooth structure and provides desirable esthetic outcome. Proper case selection and treatment planning is utmost important for execution and success of resin bonded restorations. Keywords: RBFDP, Esthetics, PDI

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