RESIN BONDED

RESTORATIONS

DR. PARAS TALPUR

PROSTHODONTICS
Definition

 Minimally invasive prosthodontic replacement of missing

teeth
 A prosthesis that is luted to tooth structure, primarily
enamel, which has been etched to provide mechanical
retention for the composite resin
Indications
 In children
 Anterior teeth replacement
 Posterior single tooth
 Periodontal splints
 After orthodontics for stabilizing denture
 Sufficient enamel to etch for retention
 Extreme moisture control
 Good oral hygiene
 Significant crown length
Contraindications
 Extensive caries
 Para functional habits
 Deep overbite
 Nickel allergy
 Small teeth
 Long edentulous span
 F-L thin incisors
 Extensive restorations on abutment teeth
Advantages
 Conservative method
 Non invasive to dentin
 Supra gingival margins
 Anesthesia and temporization not required
 Reduced cost
 Rebond possible
 Reduced chair time
disadvantages
 Uncertain longevity
 Good alignment is required
 No space correction
 Bulky
 not optimum esthetics because of graying of incisal surface
 Not patient’s favorite
Types

 Bonded pontics
 Rochette bridge
 Maryland bridge
 Cast mesh FPDs
 Virginia bridge
 Adhesion
Bonded Pontic
 Natural extracted teeth bonded or acrylic teeth can be used
as pontic bonded directly to the proximal & lingual surfaces
of abutment teeth with composite resin

 Indications
Periodontal disease
Gross calculus
Rochette Bridge (macro-mechanical retention)
 Use of perforated ring like
retainers to increase
retention and resistance
 Limitations of perforated ring
like retainers:
1. Weakening of retainer due
to perforations
2. Exposure to wear of resin
at the perforations
3. Limited adhesion of metal
provided by perforation
Maryland Bridge (micro-mechanical retention)

 Electrolyte etching of base metal

alloys to provide microporous
surface that allows micromechanical
interlock with cement

 Advantages
Resin-metal etched bond is stronger
than resin-enamel so improved
retention
Resist plaque accumulation b/c of
highly polished oral surface
Cast mesh FPDs (macro-mechanical retention)
 A net like nylon Mash is placed over lingual surface on the
abutment teeth on cast
 wax pattern is designed on fitting surface when retainer is
casted
Virginia Bridge (medium-mechanical retention)
 Lost salt technique
 Salt crystals are used on working cast abutments followed
by application of resin pattern, after pattern investment,
crystals are dissolved from the pattern surface to obtain
voids on the acrylic resin pattern
 Air abrasion with Al. oxide
 Time saving and good retention
Adhesion Bridge
 Chemical bonding resin retained FPDs
 Direct bonding to metal using chemically active agents
 Super bond (methyl methacrylate polymer powder and
liquid)
 Bis-GMA based composite luting cement modified
 Panavia
 Panavia F2 dual cure(light and chemical)
 Improved bonding by air abrasion, silica-carbon layer and
silica with alumina