Aesthetic And Functional Treatment Of Missing Central Incisor With Lithium Disilicate Adhesive Bridge

Alyssa Salsabila; Aulia Chandra Dahana; Seto Pramudita; Setyawan Bonifacius

Authors

Alyssa Salsabila Padjadjaran University Author
Aulia Chandra Dahana Padjadjaran University Author
Seto Pramudita Padjadjaran University Author
Setyawan Bonifacius Padjadjaran University Author

Keywords:

Minimal Invasive, Adhesive bridge, lithium disilicate

Abstract

Loss of anterior teeth is associated with aesthetic, phonetic, and functional disturbances. Due to the lower chewing load on the anterior teeth compared to the posterior teeth, a fixed partial denture with a lithium disilicate adhesive bridge can be a good alternative and compromise in this case with minimal invasive preparation, because it has better adhesive system, retention, strength, and aesthetics compared to metal material. To guarantee a strong long-term bonding, it is mandatory to perform adhesive procedures on enamel. Therefore, careful attention must be paid to guarantee that all margins and the tooth restoration interphase remain within the thickness of sound enamel. This case report aims to describe adhesive bridge treatment using lithium disilicate in cases of missing central incisor teeth. A 25-year-old female patient came to Padjadjaran University Dental Hospital (RSGM) with a chief complained of fractured central incisor with only the remaining mobility root or radix due to a previous accident and it caused aesthetic concerns as her job requires frequent interaction. The patient wanted to use a fixed denture without significant reduction of the adjacent teeth. After the remaining root or radix was extracted, the patient was inserted with a fixed denture using an adhesive bridge made of lithium disilicate material. Use of adhesive bridge dentures with lithium disilicate material for maxillary anterior teeth and provided satisfaction for patients because it can overcome aesthetic problems and improved good phonetic and masticatory functions.

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