1. HENNY KARTIKA - Specialist Program in Prosthodontics, Faculty of Dentistry, Universitas Sumatera Utara, Jalan Alumni
No.2 Kampus USU, Padang Bulan, Medan, Indonesia.
2. PUTRI WELDA UTAMI RITONGA - Specialist Program in Prosthodontics, Faculty of Dentistry, Universitas Sumatera Utara, Jalan Alumni
No.2 Kampus USU, Padang Bulan, Medan, Indonesia.
3. HASLINDA Z.TAMIN - Specialist Program in Prosthodontics, Faculty of Dentistry, Universitas Sumatera Utara, Jalan Alumni
No.2 Kampus USU, Padang Bulan, Medan, Indonesia.
Background: The conventional fixed dental prosthesis is contraindicated in adolescence whose anterior teeth are missing. RBFDPs may be the ideal solution till the completion of growth and implant placement can be performed. Lithium disilicate and alumina RBFDPs offer pleasing aesthetics but have a high risk of connector fracture. Due to misaligned abutment teeth, it's not possible to fabricate conventional palatal retainer RBFDPs. Objective: This report provides a conservative yet aesthetic treatment alternative using multi-layered monolithic zirconia RBFDPs with a single labial veneer retainer. Case Report: A 16-year-old male came to USU Dental Hospital. He complained about his illfitting removable denture, unsatisfied with his smile. Clinical examination showed edentulous on 11, 21 and malposition on 12, 22 with gingival enlargement in the palatal area. Veneer preparation technique was performed on 12, 22. Two monolithic multi-layered zirconia RBFDPs with a single labial veneer retainer were cemented using the APC zirconia bonding concept. Single retainer RBFDPs have a high success rate and would not hinder the growth of dental arches. Multi-layered monolithic zirconia material has good translucency with high flexural strength to prevent connector fracture. Conclusion: Multi-layered monolithic zirconia RBFDPs with single labial veneer retainer would be a preferred treatment for malposition teeth, to achieve durable and aesthetically-pleasing restoration.
Resin-Bonded-Fixed-Dental-Prostheses, Adhesive Bridge, Maryland Bridge, Multi-Layered Zirconia, Single Retainer.