Applications of Polyethylene fiber (Ribbond) and Resin Composite Bridge for Anterior Tooth Aesthetic and Periodontal Stabilization: Case Report, One Year Clinical Follow-up


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Çetin Tuncer N., Barutçugil Ç.

7'th International Congress on Adhesive Dentistry (IAD), Konya, Turkey, 1 - 03 June 2023, pp.148

  • Publication Type: Conference Paper / Summary Text
  • City: Konya
  • Country: Turkey
  • Page Numbers: pp.148
  • Akdeniz University Affiliated: Yes

Abstract

Introduction: The main reasons for splinting teeth are tooth bonding to replace missing teeth or as an adjunct to periodontal treatment. This clinical report's aim is to present a conservative and cost-effective bedside procedure that uses a resin composite bridge and polyethylene fiber (Ribbond) in combination to enhance both appearance and functionality. Case Report: A 28-year-old female patient who complained of an diastema between 31 and 41 teeth and mobility of her mandibular anterior teeth was referred to the Akdeniz University Restorative Dentistry Clinic by the Periodontology clinic. A polyethylene fiber (Ribbond) siplint was planned in the anterior region using an artificial resin composite tooth pontic after a clinical intraoral examination. Using the button try technique, the Dentsply Sirona Neo Spectra ST, A1 and D2 colors were chosen. Following the recording of lower arch alginate impressions, dental stone casts were made. Model silicone index was obtained, and using a technique of layering, a resin composite pontic tooth was produced.The pontic was additionally polymerized for 10 minutes. Following intraoral alignment, a light-cured gingival barrier was used to attach the pontic tooth to the lateral teeth. Between the lower anterior canine and canine teeth, lingual surfaces were marked and 2 mm wide cavity was then created. The length of the polyethylene fiber was measured on the cavity, wetted with Prime&Bond Universal adhesive resin, and stored in a dish away from dental lighting until use. After the lingual enamel surfaces were etched with 37% phosphoric acid for 15 s applying adhesive and allowing it to light-cure for 10 seconds. The fiber was photopolymerized for 40 s surface was coated with composite resin. After checking the occlusion, the last touches of finishing and polishing were applied. 1 month and year clinical follow-ups were made. Conclusion: The chairside approach described in this 1 year clinical follow up report, which used a combined technique of polyethylene fibers and resin composite bridge, provided a fast, minimally invasive approach that combined the benefits of fiber-reinforced technology for a functional and durable result. Keywords: polyethylene fiber, periodontal siplint, pontic, diastema