RESIN BONDED FIXED

PARTIAL DENTURE

DR VAISHALI
SENIOR LECTURER
PROSTHODONTICS
 INTRODUCTION

A prosthesis that requires minimal removal

of tooth structure , particularly for abutment

teeth that are intact and caries free.

The primary goal of the resin bonded FPD is

the replacement of missing teeth and

maximum conservation of tooth structure.

 DEFINITION
RESIN BONDED PROSTHESIS

 A prosthesis that is luted to tooth structure , primarily enamel ,

which has been etched to provide mechanical retention for the
composite resin.
 TYPES OF FPD

Cantilever

Fixed-fixed

Fixed-movable

Hybrid
 CANTILEVER BRIDGE

Involves the use of single retainer

Abutment tooth maybe either mesial or distal .
 Less expensive, but limited to replacing one
missing tooth.
 FIXED-FIXED BRIDGE

One or more retainers are placed on either side of the pontic.

Differential movement of abutments can result in bond failure.

This design of bridge is indicated where excursive movements on

pontics cannot be avoided.
 FIXED-MOVABLE BRIDGE

• Design is in two parts, keyed together by a non-rigid attachment .

• Connector which may be either ready or laboratory-made, permits movement

of the two parts relative to each other in vertical direction mainly.

• Provides stress breaking action.

• Should be used in short spans and where opposing proximal walls of

abutment cant be prepared parallel.
 HYBRID BRIDGE
• A combination of a conventional Retainer at one end and a
resin-bonded retainer at the other end of the pontic.

• Indicated where one of the abutments is minimally

restored,and a resin-bonded retainer is used at this site

to conserve tooth tissue.

• The male part of the joint is often attached to the

resin-bonded retainer to simplify maintenance when de-bond

occurs.
ADVANTAGES OF RESIN BONDED BRIDGES.

1) Reduced cost .

2) No anesthetic needed.

3) Supragingival margins.

4) Minimal tooth preparation.

5) Rebonding possible.
 DISADVANTAGES

1. Uncertain longevity.

2. No space correction.

3. No alignment correction.

4. Difficult temporization.
 INDICATIONS

1) Adolescents with single missing teeth (traumatic or congenital).

2) Caries- free abutment teeth and good oral hygiene.

3) Maxillary incisor replacements (most favorable prognosis) and

Mandibular incisor replacements.

4) Periodontal splints.

5) Single posterior tooth replacements.

 CONTRAINDICATIONS

Extensive caries.

Nickel sensitivity.

Deep vertical overbite.

Extensive restoration on abutment teeth.

Parafuncitonal habits
 TYPES OF RESIN BONDED
BRIDGES

Rochette bridge(Macro
Mechanical Retention )

Developed in 1973.

It was a complete innovation.

Use of Wing like retainers , with funnel shaped

perforations through them to enhance resin retention.
THE PERFORATION TECHNIQUE PRESENTS
THE FOLLOWING LIMITATIONS:

1. Weakening of the metal retainer by the perforations.

2. Exposure to wear of the resin at the perforations.

3. Limited adhesion of the metal provided by the perforations.

MARYLAND RIDGE(MICRO MECHANICAL
RETENTION)
• An electrolytic etching

procedure for non-precious

ceramic bonding alloys to

provide a microporous

surface that allows micromechanical

interlock with the cement

• Thinner wings and no perforations

VIRGINIA BRIDGE.(LOST SALT TECHNIQUE)
MEDIUM MECHANICAL RETENTION)

Roughend surface of the retainer itself provides for retention

Achieved by lost salt technique.

Air abrasion with aluminium oxide.

This was a time saving method and more retention is achieved

compared to the technique of etching.

 CAST MESH FIXED BRIDGE
• A net like nylon mesh is placed over lingual surface of
abutment teeth on the cast

• It is then covered by wax, with the undersurface of the

retainer becoming mesh like when retainer is cast.
 PRINCIPLE OF ABUTMENT PREPARATION:-

1-Distinct path of insertion

2-Proximal undercuts removed.

3-Occlusal or cingulum rest.

4-Proximal groove or slots to increase resistance.

5-Definitive supra gingival margin established.

 TOOTH PREPARATION

 The strength of bonding to prepared and etched enamel is greater

than that to etched but unprepared enamel.

Preparation should cover as large as area as esthetically possible

Idealy single missing tooth,single mesial or
distal abutment is sufficient.

Cantilever design proved successful.

Supragingival chamfer finishing line is

perfered.

Light chamfer line is 0.1 supragingivaly.

 BONDING STEPS
• Sand blasting of metal
framework.

• Acid etching

• Rinsing and drying.

• Contamination to be
avoided at all cost.
 CASE

• Missing mandibular

Right central incisor

• Bone loss and gingival
recession in abutment
teeth.

• Grade 1 mobility.
 TREATMENT PLAN

Resin bonded fixed partial denture was the treatment of choice.

As patient wanted a fixed replacement of the missing teeth.

Need for splinting the lower anteriors.

TOOTH PREPARATION
• Conventional Maryland bridge
fabricated with porcelain fused
to metal pontic.
• Bonded with
composite resin