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A nine-year clinical case study of a resin-bonded fixed partial denture seated on the maxillary anterior teeth.

机译:一项为期九年的临床病例研究,其中一个树脂粘合固定局部义齿坐在上颌前牙上。

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摘要

PATIENT: This report describes the longevity of a resin-bonded fixed partial denture (RBFPD). This denture was seated on the maxillary anterior teeth with minimal tooth preparation. The RBFPD was cast from a silver-palladium alloy (Castwell M.C. 12), and the pontic was veneered with an indirect composite material (Estenia). The retainers were primed with a metal conditioner (V-Primer) and seated with a tri-n-butylborane initiated adhesive resin (Super-Bond C&B). After an observation period of eight years, a fracture occurred in the incisal edge of the central incisor abutment. The fractured area was restored with light-polymerizing composite resin and the anterior guidance was re-adjusted. DISCUSSION: RBFPD abutment teeth with deep vertical overlap should be carefully prepared to avoid abutment tooth fracture. CONCLUSION: The clinical performance of the RBFPD made from a silver-palladium-copper-gold alloy was sufficient when seated with tri-n-butylborane initiated adhesive resin after surface modification using vinyl-thiol primer. CLINICAL SIGNIFICANCE: The use of vinyl-thiol primer and tri-n-butylborane initiated adhesive resin is a clinically reliable bonding system for seating resin-bonded fixed partial denture (RBFPD) made from a silver-palladium-copper-gold alloy. The RBFPD, based on a reliable bonding system, can clinically function for a long time, even if the vertical overlap of the abutment teeth is excessive.
机译:患者:本报告描述了树脂粘结的固定局部义齿(RBFPD)的寿命。该假牙以最少的牙齿准备就位在上颌前牙上。 RBFPD由银-钯合金(Castwell M.C. 12)铸造而成,桥体采用间接复合材料(Estenia)贴面。用金属调节剂(V-Primer)涂上底漆,并用三正丁基硼烷引发的粘合树脂(Super-Bond C&B)固定。经过八年的观察期后,中切牙基台的切缘出现了骨折。用光聚合复合树脂修复骨折部位,并重新调整前路导向。讨论:应仔细准备RBFPD基牙深垂直重叠,以免基牙断裂。结论:使用乙烯基-硫醇底漆对三正丁基硼烷引发的粘合剂树脂进行表面改性后,由银-钯-铜-金合金制成的RBFPD的临床性能足够。临床意义:乙烯基硫醇底漆和三正丁基硼烷引发的粘合树脂的使用是一种临床可靠的粘合系统,用于固定由银-钯-铜-金合金制成的树脂粘合的固定局部义齿(RBFPD)。即使基牙的垂直重叠过多,基于可靠的粘合系统的RBFPD仍可在临床上长时间发挥作用。

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