Long term observation of fixed prosthesis using adhesion pontic and adhesion splint for missing upper lateral incisors of a patient with severe periodontitis

Abstract

PATIENT: Adhesion pontic bridges, consisting of composite denture teeth and adhesion metal splint, were installed for missing lateral incisors for a patient with severe periodontitis. DISCUSSION: Peeling off or falling off of the adhered pontics and metal splint was not observed during 7 years after placement. This prosthetic treatment method may be advantageous to both dentist and patient, as it enables immediate esthetic recovery. Making an impression for fabrication of the metal splint was carried out after controlling the mobility of each abutment tooth by adhering pontics, which might have led to the excellent adaptation of the metal splint to abutment teeth and pontics. Furthermore, appropriate surface treatment for each bonding interface might have resulted in the durable bonding of pontics and metal splint to abutment teeth. CONCLUSION: The current method provided satisfactory long-term results after placement equivalent to conventional fixed partial denture and adhesion bridge.