A nine-year clinical case study of a resin-bonded fixed partial denture seated on the maxillary anterior teeth

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• 作者：Naomi Tanoue ; Kiyoshi Nagano ; Takashi Sawase ; Hideo Matsumura
• 关键词：Abutment tooth ; Edge fracture ; Noble metal ; Resin-bonded fixed partial denture ; Thiol
• 刊名：Journal of Prosthodontic Research
• 出版年：2010
• 出版时间：July 2010
• 年：2010
• 卷：54
• 期：3
• 页码：143-146
• 全文大小：314 K

文摘

Patient

This report describes the longevity of a resin-bonded fixed partial denture (RBFPD). This denture was seated on the maxillary anterior teeth with minimal tooth preparation. The RBFPD was cast from a silver–palladium alloy (Castwell M.C. 12), and the pontic was veneered with an indirect composite material (Estenia). The retainers were primed with a metal conditioner (V-Primer) and seated with a tri-n-butylborane initiated adhesive resin (Super-Bond C&B). After an observation period of eight years, a fracture occurred in the incisal edge of the central incisor abutment. The fractured area was restored with light-polymerizing composite resin and the anterior guidance was re-adjusted.

Discussion

RBFPD abutment teeth with deep vertical overlap should be carefully prepared to avoid abutment tooth fracture.

Conclusion

The clinical performance of the RBFPD made from a silver–palladium–copper–gold alloy was sufficient when seated with tri-n-butylborane initiated adhesive resin after surface modification using vinyl-thiol primer.

Clinical significance

The use of vinyl-thiol primer and tri-n-butylborane initiated adhesive resin is a clinically reliable bonding system for seating resin-bonded fixed partial denture (RBFPD) made from a silver–palladium–copper–gold alloy. The RBFPD, based on a reliable bonding system, can clinically function for a long time, even if the vertical overlap of the abutment teeth is excessive.