Адгезивный фотокомпозитный зубной протез – вариант восстановления дефекта зубного ряда во фронтальных участках (описание клинического случая)

Abstract

Summary. Having and maintaining a smile aesthetic is an essential component of modern popular culture. Adhesive bridges («Maryland bridge») have been developed to eliminate single included defects in the dentition in the frontal areas, without preparing the supporting teeth. In modern conditions this technology is the method of choice since single defects in the anterior part of the dentition can also be eliminated through orthodontic treatment, manufacturing of a partially removable plate prosthesis, a traditional dental bridges, the manufacturing of cantilever orthopedic structures and prosthetics based on a dental implant. Adhesive dentures are a relatively new dental technology (which is on the border of orthopedic and therapeutic dentistry) the first work in this direction was carried out in the early 80s of the twentieth century. Modern adhesive bridges are divided into two large groups – solid metal and photopolymer (composite) which prevail in practice. The optimal form of the release of the reinforcing element which combines a slight preparation of abutment teeth to a safe depth, high physical and mechanical properties, simple achievement of the anatomical shape of the teeth in the bridge structures of the anterior and posterior teeth is fiberglass in the form of ribbons 2 mm wide, up to 0.5 mm (this is the most effective width and thickness for clinical practice) and braided type. Using adhesive bridges, it is possible to optimally restore the aesthetics of the anterior part of the dentition in one visit without preliminary preparation of adjacent teeth. An example of the manufacture of a photocomposite adhesive prosthesis reinforced with glass fiber for the restoration of a single included defect in the dentition in the frontal area using domestically produced materials is given. Key words: teeth, defect, composite, adhesion, fiberglass.