Dentaltown April 2013 - (Page 32)

cosmetic message board » Missing Laterals, Bonded Maryland Bridges, Ribbond or Something Else? > Message Boards > Cosmetic Dentistry > Missing Laterals, Bonded Maryland Bridges, Ribbond or Something Else? Heisman Member Since: 12/15/08   Post: 1 of 70 t Keep the conversation about implants and Maryland Bridges rolling on’s other message boards. Missing Laterals… Not Enough Room for Implants… Help! Search: Patient Blames Me I’m looking for some guidance on a case. Patient is 22 years old and has missing laterals. He’s had consults with two oral surgeons about implants and they both agree that there is not sufficient space needed for implants. He is not interested in orthodontics to try and create the room for implants and was told it would take quite a while and still might not be successful. Here are some pictures I took from hygiene. He is coming back next week for impressions and after that we will plan and then present the case to him. He currently wears a retainer and that has served him well for the last eight to 10 years. But he is getting ready to graduate college and wants to have something more permanent in his mouth. Of 6, 8, 9 and 11, he is only hitting on #9 and the rest of the anterior bite is slightly open. I am leaning toward bonded Maryland bridges, but I did not know if others would choose Ribbond or another option. Thoughts? F ig. 1 A More Predictable Alternative to Maryland Bridges Search: Implants and Maryland Bridges t A Townie seeks the best option for a young patient with missing laterals. F ig. 2 F ig. 3 Fig. 1: Pano indicating insufficient space for implants Fig. 2: Missing laterals Fig. 3: With ortho retainer in place n JAN 18 2013 AJeziorski Member Since: 12/03/11 Post: 2 of 70 I would like to know the dimensions of the bone currently. I think a CT would be a good second opinion so you know how much bone is there and then look into every implant maker to see if there is something that could work. Maryland bridges done well can last quite some time or you could you do a traditional bridge. n JAN 18 2013 drrick Member Since: 03/19/00 Post: 3 of 70   That makes sense. Plus, if he only needs a little room that really shouldn’t be that long of an ortho case (at least from looking at the records posted). Some distal root tip on the canines and mesial root tip on the centrals could do wonders here if we are lookcontinued on page 34 32 APRIL 2013 »

Table of Contents for the Digital Edition of Dentaltown April 2013 Highlights
Howard Speaks: What Winners Do and Losers Don’t
Professional Courtesy: Three Cheers for IT
Continuing Education Update
Dentaltown Research: Lasers
“Funny Feeling” on Lower Right Jaw
Missing Laterals, Bonded Maryland Bridges, Ribbond or Something Else?
Corporate Profile: Henry Schein
New Products
Office Visit: A Giant in Dentistry
Do-it-Yourself Finance, Part V: Insurance
Two Techniques to Make a Bite Record for a Full-arch Case
Team Strength: What Drives Your Team to Do More?
Living by the Golden Dozen
Diagnosing Aesthetic Disharmonies
Cosmetic Case Presentation
Using Tetric EvoCeram Bulk Fill to Easily and Predictably Place Direct Posterior Restorations
Continuing Education: Utilizing Laser Procedures for Restorative Access
Product Profile: Imaging Sciences International’s i-CAT FLX
In This Issue: Preparing for the Future
Perio Reports
Ad Index
Profile in Oral Health: The RDH’s Approach to Periodontal Therapy: Past, Present and Future
Perio Maintenance
Dentally Incorrect
Dentaltown Special Supplement
Product Profile: Zimmer Dental
Full Lower – Converted to Immediate Load
Immediate Placement #19 and 20 with BSB
American Academy of Implant Dentistry 62nd Annual Meeting Preview
Raising Your Denture Patient to a Higher Standard
Back to the Future – Extractions and Small Diameter Implants for Overdentures
Continuing Education: Top Implantology Breakthroughs for the GP: Part 2

Dentaltown April 2013