Abstract
This paper presents a series of case reports which demonstrate the replacement of the causes of tooth loss which primarily affect children by the use of all-ceramic resin-bonded bridges.
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The use of zirconium, single-retainer, resin-bonded bridges in adolescents
From Volume 38, Issue 10, December 2011 | Pages 706-710
Article
Patients have missing teeth for a variety of reasons. Although the most common cause of tooth loss is extraction as a result of caries or periodontal disease,1 children are frequently affected by developmental disorders affecting tooth formation, including cleft lip and palate, and are at an increased risk of trauma leading to tooth loss.
In such childhood cases, the type of prosthesis provided to replace these missing teeth requires careful consideration. The options for replacing missing teeth include:
Implants, although often considered the treatment option of choice for adults, have been shown to react similarly to an ankylosed tooth when placed before the growth of the alveolar process has ceased,2 and hence have a poor prognosis and cannot be recommended in children. Alternative treatment should be considered in these young patients until alveolar bone growth is completed and the patient is able to give informed consent for this complicated and irreversible treatment. Any treatment offered, however, should not preclude the placement of implants in the future should the patient so wish. For this reason, the conventional fixed-fixed or cantilever bridge is not appropriate. The preparation is not only irreversible, but damaging to tooth structure and, due to the presence of larger pulp chambers in young patients, there is a high risk of damage to the pulp.3 This, therefore, leaves the remaining viable options to be a removable partial denture or a resin-bonded bridge. The resin-bonded bridge is therefore often favoured.
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