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Quintessence Publishing: Journals: QI
Quintessence International

Edited by Eli Eliav

ISSN 0033-6572 (print) • ISSN 1936-7163 (online)

February 2011
Volume 42 , Issue 2

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Rehabilitation of periodontally compromised teeth with fiber-reinforced composite resin: A case report

Márcio Grama Hoeppner, DDS, MS, PhD/Rodrigo Borges Fonseca, DDS, MS, PhD/Eduardo Augusto Pfau, DDS, MS/Flávio Roberto Machado Justo, DDS, MS/Alexandre Fávero, DDS/Laerte Luiz Bremm, DDS, MS, PhD

Pages: 113–120
PMID: 21359245

The rehabilitation of prosthetic spaces resulting from severe periodontitis represents a challenge in terms of functional and esthetic aspects. Generally, tooth extraction is followed by alveolar ridge volume reduction, which increases the esthetic problem. The aim of this article is to report the integration of esthetics and functional parameters in the oral rehabilitation of extracted periodontally compromised mandibular central incisors through the construction of a direct glass fiber–reinforced composite fixed partial denture (DFPD). After periodontal therapy, the patient received a periodontal subepithelial graft, enabling an increase in the thickness and height of the alveolar ridge. The DFPD was fabricated with the use of extracted teeth. Mandibular canines and lateral incisors received cavities 2 mm deep and wide. After fiber insertion, tooth adaptation, and composite resin coverage, the teeth were finished and polished. Results showed an excellent esthetic result with stabilization and function of the remaining periodontally affected teeth. (Quintessence Int 2011;42:113–120)

Key words: adhesion, fiber-reinforced composite fixed partial dentures, rehabilitation, subepithelial tissue graft, tooth splinting

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