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Category: Volume 09 Issue 11 November 2021
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Title: Spring Bridge in Rehabilitation of Kennedy Class 3 Partial Edentulous Situation

Authors: Meena Mudgal, George Francis, Pratik Jain, Ramprasad Verma, Jacob John H

 DOI: https://dx.doi.org/10.18535/jmscr/v9i11.04

Abstract

Rehabilitation of partial edentulous spaces using abutment on either side is one of the ideal treatment in the field of fixed Prosthodontics. Using an abutment that is distant from the missing tooth, has peculiar conditions which have not been much reported in the literature. This article presents a case of an adult male patient whose maxillary right central incisor was missing. The maxillary first premolar on the same side was rotated due to loss of adjacent tooth contact. In order to restore the balance of entire dentition, it was important to restore lost proximal contact of the maxillary first premolar utilizing a full restoration. Using a bar as a spring connector, the crown on the maxillary right premolar served as an abutment to replace the missing central incisor on the same side. This form of bridge is relatively less done in clinical practice. The patient was extremely satisfied with the outcome of the fixed partial denture design.

Keywords:  cast restoration, cantilever, fixed partial denture, pontic, retainer.

References

  1. Goswami R, Garg R, Mattoo K. Impact of anterior guidance in designing of All-ceramic anterior fixed partial denture - Case Report. Journal of Advanced Medical and Dental Sciences Research 2019;7 (11): 59-61.
  2. Parai P, Ojah P, Jain S, Khan N, Gangwar S, Mattoo K. A comparative evaluation of the efficacy of two gingival retraction systems: an in vivo study. European Journal of Molecular & Clinical Medicine, 7, 8, 2021, 4870-4880.
  1. Jain K, Mattoo K. Using a partial veneer crown as a conservative retainer in fixed prosthodontics. Medico Research Chronicles 2015;2(2):187-90.
  1. Kumar L, Mattoo K, Goswami R. Spring Fixed Partial Denture Designing. International Journal of Medical Research and Pharmaceutical Sciences 2017; 4 (10):1-3
  2. Henderson D, Blevins WR, Wesley RC, Seward T. The cantilever type of posterior fixed partial dentures: a laboratory study. The Journal of Prosthetic Dentistry. 1970;24(1):47–67.
  3. Valderhaug J. Periodontal conditions and carious lesions following the insertion of fixed prostheses: a 10-year follow-up study. International Dental Journal. 1980;30(4):296–304.
  4. Mattoo K, Singh M, Goswami R. Resin bonded loop connector fixed partial denture – A subtle solution to maintain midline diastema. International Journal of Dental Sciences and Research 2014; 2(6):168-170
  5. Khurshid AM, Garg N. Significance of Anterior Guidance in Selection of Posterior Teeth. Open Access Journal of Dental Sciences 2017, 2(5): 000148
  6. Sharma A, Rahul GR, Poduval ST, Shetty K. Assessment of various factors for feasibility of fixed cantilever bridge: a review study. ISRN Dent. 2012;2012:259891.
  7. Mattoo KA, Mahajan P. Role of overjet and overbite fixed partial denture aesthetics. EAS J Dent Oral Med 2020; 2(2): 52-54
  8. Himmel R, Pilo R, Assif D, Aviv I. The cantilever fixed partial denture—a literature review. The Journal of Prosthetic Dentistry. 1992;67(4):484–487.
  9. Gohal MRA, Mattoo KA, Nazish A, Youseef AM. Corrective Prosthodontics – Curating Semi Functional Anterior Guidance in Full Mouth Rehabilitation: Case Report. Journal of Medical Science and Clinical Research   2017;5(08):26777-781.
  1. Lundgren D, Laurell L. Occlusal force pattern during chewing and biting in dentitions restored with fixed bridges of cross-arch extension. II. Unilateral posterior two-unit cantilevers. Journal of Oral Rehabilitation. 1986;13(2):191–203.
  2. Yadav L, Mattoo KA, Kapoor A, Shuja S. Factors associated with post core correction of malpositioned teeth. International Journal of Research in Medical Sciences and Technology 2015;1(2):5-7
  3. Wright WE. Success with the cantilever fixed partial denture. The Journal of Prosthetic Dentistry.1986;55(5):537–539.
  4. Landolt A, Lang NP. Results and failures in extension bridges. A clinical and roentgenological follow-up study of free-end bridges. Schweizer Monatsschrift fur Zahnmedizin. 1988;98(3):239–244.
  5. Brar A, Mattoo K, Jain P. Designing Cantilever Prosthesis: A Case Study. (Research & Reviews: A Journal of Dentistry ) RRJoD 2014;5(3): 5-9

Corresponding Author

Jacob John H

Assistant Professor, Department of Prosthodontics, CIIDSRC, KUHS, India