Restoring Congenitally Missing Maxillary Lateral Incisors Using Zirconia-Based Resin Bonded Prostheses

Abstract

Objective This clinical report describes an alternative treatment modality for the replacement of congenitally missing maxillary lateral incisors in a 17-year-old patient. Clinical Considerations Zirconia-based resin-bonded fixed partial dentures (RBFPDs) were selected as a viable and conservative treatment option in a young individual with highly aesthetic expectations. Fabrication of all-ceramic RBFPDs followed specific preparation design and features to accommodate two retainers. The zirconia frameworks with bilateral wings were digitally designed and then milled by a computer-aided design and computer-aided manufacturing (CAD/CAM)-controlled milling machine. Zirconia surface was treated with a two-step chairside tribochemical silica-coating/silane coupling surface treatment protocol, and adhesive resin luting cement was used to achieve micromechanical and chemical bonding. Completion of the treatment resulted in a functional and aesthetic successful outcome and a 17-month follow-up presented uneventful. Conclusion Contemporary adhesive techniques involving resin-bonded zirconia-based prostheses can be utilized successfully and predictably in young patients with single missing teeth when implant therapy is currently not a treatment of choice and a less invasive approach is desired. Clinical Significance The zirconia-based resin-bonded prosthesis constitutes a viable and conservative treatment modality for the replacement of missing teeth either congenitally or from another etiology in young patients in which implant therapy and a fixed partial denture are currently contraindicated.