A prosthesis that requires minimal

removal of tooth structure, particularly

of intact, caries free abutment teeth
as compared to conventional fixed
partial dentures.

It involves bonding b/w etched enamel &

metal casting.

Minimal removal of tooth structure.

Minimal potential for pulpal trauma.
Anaesthesia not usually required.
Supragingival preparation.
Easy impression making.
Interim prosthesis not usually required.
Reduced chair time.
Reduced patient expense.

Rebonding possible.
removal of retainer by
Monobevel chisel.
Ultrasonic scalers

1955 Buonocore
described acid etching of enamel.
Bonded pontic
Natural or acrylic teeth were bonded to
proximal and lingual surfaces of
abutment teeth with composite resin.

1973 Rochette
1977 Howe & Denehy
Livaditis

Cast perforated
resin retained FPDs cont.
Drawbacks

Weakening of metal retainer by

perforations.
Exposure to wear of resin at perforations.
Limited adhesion of metal provided by
perforations.

50% fail in 110 months

Maryland bridge
Thompson & Livaditis (Univ. of Maryland)
developed a technique for electrolytic
etching of
Ni-Cr and Cr-Co alloy.

Advantages

Retention is improved because resin to

etched metal bond is substantially stronger
than resin to etched enamel. The retainers
can be thinner and still resist flexing.
The oral surface of cast retainers is highly
polished and resists plaque accumulation.

First generation of resin cements Comspan

was used.

by Moon in 1987
Lost Salt Crystal technique,
Alternative technique using Cast
Mesh Pattern

1990 Japan

Super Bond (Sun Medical, Osaka, Japan)

Could not be used with noble alloys.

Panavia (Kuraray co., Osaka, Japan)

has sown excellent bonds to air abraded
Ni-Cr & Co-Cr alloys as well as tin plated
gold &gold palladium based alloys

Roactec system

Roactec system
Initially particle abrasion with 120um
alumina particles followed by abrasion
with Silicate particle containing alumina.

Reduced restoration longevity.

Enamel modifications are required.

Require extensive moisture control.

Space correction is difficult.

Good alignment of abutment teeth is
required.
Aesthetics is compromised on posterior
teeth.

Replacing missing anterior teeth in

children, adolescents and medically
compromised patients.
Short span.
Unrestored abutments.
Single posterior teeth.
Periodontal splinting.
Stabilizing dentitions after
orthodontics.

Para functional habits.

Long edentulous spaces.
Restored or damaged abutments.
Compromised enamel.
Significant pontic width discrepancy.
Deep vertical overlap.
Nickel allergy.

Basic principles

The prosthesis should have a

distinct path of insertion with
axial reduction and guide
planes.

Resistance form by
Preparation encompassing
180degress of
tooth
Proximal grooves and slots.
Occlusal rest seat.
Occlusal clearance of 0.5 mm in
anterior teeth.
Definite gingival margin.

High speed hand piece

Articulating ribbon.
Small wheel and short needle
diamonds.
Flat end and round end tapered
diamonds.

Maxillary central incisor

Maxillary central incisor

Maxillary central incisor

Maxillary canine

Maxillary first
premolar

Mandibular
Second premolar

Mandibular
First premolar

Maxillary
First Molar

Mandibular first
Molar

Wax the framework and cast in Ni-Cr

alloy.

Build up pontic in porcelain, fire it and

contour it.
Evaluate the restoration clinically.
Cleaning of casting is finished by
abrading it with aluminum oxide.

Abraded FPD placed in detergent

in ultrasonic unit.

Tin plating
of

Cleaning

abutments.

Etchant application.

Drying
liquids

Primer

Primer application

Resin pastes

Applied resin.

application

Oxyguard

Final restoration.