Resin-retained Bridge
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Resin-retained Bridge
A resin-retained bridge (also known as resin-bonded-bridge or resin-bonded fixed dental prosthesis (RBFDP)) is a bridge (a fixed dental prosthesis) replacing a missing tooth that relies for its retention on a composite resin cement. It is one of many available dental restoration methods which is considered minimally invasive and conservative of tooth tissue. The resin-retained-bridge has gone through a number of iterations. Perhaps the best known is the Maryland bridge and other designs used in the past include the Rochette bridge. The five-year survival rate is around 83.6% and the ten-year rate at 64.9%. The case selection is important and as with any dental prosthesis, good oral hygiene is paramount for success. In recent years, the indications for the use of resin-retained-bridges have diminished significantly and there have been changes in the principles underpinning their design. Resin-retained-bridges should be considered when a fixed prosthesis retained by natural teeth is ...
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Bridge (dentistry)
A bridge is a fixed dental restoration (a fixed dental prosthesis) used to replace one or more missing teeth by joining an artificial tooth definitively to adjacent teeth or dental implants. Definitions Fixed bridge: A dental prosthesis that is definitively attached to natural teeth and replaces missing teeth. Abutment: The tooth that supports and retains a dental prosthesis. Pontic: The artificial tooth that replaces a missing natural tooth. Retainer: The component attached to the abutment for retention of the prosthesis. Retainers can be major or minor. Unit: Pontics and abutment teeth are referred to as units. The total number of units in a bridge is equal to the number of pontics plus the number of abutment teeth. Saddle: The area on the alveolar ridge which is edentulous where at least one missing tooth is to be reinstated. Connector: Joins the pontic to the retainer or two retainers together. Connectors may be fixed or movable. Span: The length of the alveolar rid ...
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Yttria-stabilized Zirconia
Yttria-stabilized zirconia (YSZ) is a ceramic in which the cubic crystal structure of zirconium dioxide is made stable at room temperature by an addition of yttrium oxide. These oxides are commonly called "zirconia" ( Zr O2) and "yttria" ( Y2 O3), hence the name. Stabilization Pure zirconium dioxide undergoes a phase transformation from monoclinic (stable at room temperature) to tetragonal (at about 1173 °C) and then to cubic (at about 2370 °C), according to the scheme : monoclinic (1173 °C) ↔ tetragonal (2370 °C) ↔ cubic (2690 °C) ↔ melt. Obtaining stable sintered zirconia ceramic products is difficult because of the large volume change, about 5%, accompanying the transition from tetragonal to monoclinic. Stabilization of the cubic polymorph of zirconia over wider range of temperatures is accomplished by substitution of some of the Zr4+ ions (ionic radius of 0.82 Å, too small for ideal lattice of fluorite characteristic for the cubi ...
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Dental Dam
A dental dam or rubber dam is a thin, square sheet, usually latex or nitrile, used in dentistry to isolate the operative site (one or more teeth) from the rest of the mouth. Sometimes termed "Kofferdam" (from German), it was designed in the United States in 1864 by . It is used mainly in endodontic, fixed prosthodontic (crowns, bridges) and general restorative treatments. Its purpose is both to prevent saliva interfering with the dental work (e.g. contamination of oral micro-organisms during root canal therapy, or to keep filling materials such as composite dry during placement and curing), and to prevent instruments and materials from being inhaled, swallowed or damaging the mouth. In dentistry, use of a rubber dam is sometimes referred to as ''isolation'' or ''moisture control''. Dental dams are also used for safer oral sex. Dentistry Background The technique used to apply the dental dam is selected according to the tooth requiring treatment. Several techniques can be ...
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Dental Porcelain
Dental porcelain (also known as dental ceramic) is a dental material used by dental technicians to create biocompatible lifelike dental restorations, such as crowns, bridges, and veneers. Evidence suggests they are an effective material as they are biocompatible, aesthetic, insoluble and have a hardness of 7 on the Mohs scale. For certain dental prostheses, such as three-unit molars porcelain fused to metal or in complete porcelain group, zirconia-based restorations are recommended. The word "ceramic" is derived from the Greek word ''keramos'', meaning "potter's clay". It came from the ancient art of fabricating pottery where mostly clay was fired to form a hard, brittle object; a more modern definition is a material that contains metallic and non-metallic elements (usually oxygen). These materials can be defined by their inherent properties including their hard, stiff, and brittle nature due to the structure of their inter-atomic bonding, which is both ionic and covalent. In c ...
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Bridge (dentistry)
A bridge is a fixed dental restoration (a fixed dental prosthesis) used to replace one or more missing teeth by joining an artificial tooth definitively to adjacent teeth or dental implants. Definitions Fixed bridge: A dental prosthesis that is definitively attached to natural teeth and replaces missing teeth. Abutment: The tooth that supports and retains a dental prosthesis. Pontic: The artificial tooth that replaces a missing natural tooth. Retainer: The component attached to the abutment for retention of the prosthesis. Retainers can be major or minor. Unit: Pontics and abutment teeth are referred to as units. The total number of units in a bridge is equal to the number of pontics plus the number of abutment teeth. Saddle: The area on the alveolar ridge which is edentulous where at least one missing tooth is to be reinstated. Connector: Joins the pontic to the retainer or two retainers together. Connectors may be fixed or movable. Span: The length of the alveolar rid ...
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Sandblasted
Sandblasting, sometimes known as abrasive blasting, is the operation of forcibly propelling a stream of abrasive material against a surface under high pressure to smooth a rough surface, roughen a smooth surface, shape a surface or remove surface contaminants. A pressurised fluid, typically compressed air, or a centrifugal wheel is used to propel the blasting material (often called the ''media''). The first abrasive blasting process was patented by Benjamin Chew Tilghman on 18 October 1870. There are several variants of the process, using various media; some are highly abrasive, whereas others are milder. The most abrasive are shot blasting (with metal shot) and sandblasting (with sand). Moderately abrasive variants include glass bead blasting (with glass beads) and plastic media blasting (PMB) with ground-up plastic stock or walnut shells and corncobs. Some of these substances can cause anaphylactic shock to individuals allergic to the media. A mild version is sodablastin ...
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Adhesion
Adhesion is the tendency of dissimilar particles or surfaces to cling to one another ( cohesion refers to the tendency of similar or identical particles/surfaces to cling to one another). The forces that cause adhesion and cohesion can be divided into several types. The intermolecular forces responsible for the function of various kinds of stickers and sticky tape fall into the categories of chemical adhesion, dispersive adhesion, and diffusive adhesion. In addition to the cumulative magnitudes of these intermolecular forces, there are also certain emergent mechanical effects. Surface energy Surface energy is conventionally defined as the work that is required to build an area of a particular surface. Another way to view the surface energy is to relate it to the work required to cleave a bulk sample, creating two surfaces. If the new surfaces are identical, the surface energy γ of each surface is equal to half the work of cleavage, W: γ = (1/2)W11. If the surfac ...
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Dentures
Dentures (also known as false teeth) are prosthetic devices constructed to replace missing teeth, and are supported by the surrounding soft and hard tissues of the oral cavity. Conventional dentures are removable (removable partial denture or complete denture). However, there are many denture designs, some which rely on bonding or clasping onto teeth or dental implants (fixed prosthodontics). There are two main categories of dentures, the distinction being whether they are used to replace missing teeth on the mandibular arch or on the maxillary arch. Medical uses Dentures do not feel like real teeth, nor do they function like real teeth. Dentures can help people through: * Mastication or chewing ability is improved by replacing edentulous areas with denture teeth. * Aesthetics, because the presence of teeth gives a natural appearance to the face, and wearing a denture to replace missing teeth provides support for the lips and cheeks and corrects the collapsed appearance that ...
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Abutment (dentistry)
In dentistry, an abutment is a connecting element. This is used in the context of a fixed bridge (the "abutment teeth" referring to the teeth supporting the bridge), partial removable dentures (the "abutment teeth" referring to the teeth supporting the partial) and in implants (used to attach a crown, bridge, or removable denture to the dental implant fixture). The implant fixture is the screw-like component that is osseointegrated. Bridge abutments Dental bridge abutments are made such that the path of insertion of the teeth involved is nearly parallel with each other. Partial denture abutments Partial denture abutments are unique in that they may incorporate elements such as rest seats, guide planes, and recontouring. Implant abutments These are usually called prosthetic implant abutments and are responsible for making the connection between the prosthesis and the implant. These abutments can be made from a variety of materials, such as titanium, surgical stainless steel, ...
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Alloy
An alloy is a mixture of chemical elements of which at least one is a metal. Unlike chemical compounds with metallic bases, an alloy will retain all the properties of a metal in the resulting material, such as electrical conductivity, ductility, opacity (optics), opacity, and lustre (mineralogy), luster, but may have properties that differ from those of the pure metals, such as increased strength or hardness. In some cases, an alloy may reduce the overall cost of the material while preserving important properties. In other cases, the mixture imparts synergistic properties to the constituent metal elements such as corrosion resistance or mechanical strength. Alloys are defined by a metallic bonding character. The alloy constituents are usually measured by mass percentage for practical applications, and in Atomic ratio, atomic fraction for basic science studies. Alloys are usually classified as substitutional or interstitial alloys, depending on the atomic arrangement that forms the ...
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Metal
A metal (from Greek μέταλλον ''métallon'', "mine, quarry, metal") is a material that, when freshly prepared, polished, or fractured, shows a lustrous appearance, and conducts electricity and heat relatively well. Metals are typically ductile (can be drawn into wires) and malleable (they can be hammered into thin sheets). These properties are the result of the ''metallic bond'' between the atoms or molecules of the metal. A metal may be a chemical element such as iron; an alloy such as stainless steel; or a molecular compound such as polymeric sulfur nitride. In physics, a metal is generally regarded as any substance capable of conducting electricity at a temperature of absolute zero. Many elements and compounds that are not normally classified as metals become metallic under high pressures. For example, the nonmetal iodine gradually becomes a metal at a pressure of between 40 and 170 thousand times atmospheric pressure. Equally, some materials regarded as metals ...
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