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Replacing missing teeth is an integral part of the clinical services of the dental practitioner. The fibre-reinforced composite (FRC) bridge is a relatively new method for replacing missing teeth. This article will explain and discuss this alternative treatment option. Practical instructions on how to construct a FRC bridge will be given, by means of a clinical case. Different technique options will be illustrated to provide the reader with a good understanding of the most practical way to use the FRC strips. The fibre-reinforced composite provides a non-destructive, aesthetically pleasing and cost-effective way to restore missing teeth.
Clinical Relevance: Minimally invasive options should always be considered and destruction of healthy enamel and dentine during the preparation phase of a replacement treatment should be avoided as much as possible.
Article
Providing a fixed replacement for a missing tooth is an important part of the work of a dentist and, today, we have a range of options to offer patients in order to achieve this. In some instances, an implant might be the treatment option of choice, but this may be declined for a variety of reasons, such as poor bone quality, the patient's medical history, lack of adequate bone, unfavourable position of anatomical structures and adjacent roots, periodontal susceptibility, social habits like smoking, and cost.
Conventional bridgework may also be offered but this can be relatively expensive, not to mention how destructive this can be to the abutment teeth. Another option that may be considered is a resin-retained porcelain fused to metal bridge, a treatment that, although conservative, can leave a lot to be desired when it comes to aesthetics and reliability.1 Dentures, even the chrome cobalt or flexible Valplast options, may not be the patient's preferred option. With all of these treatment options there is a delay between the initial preparation and impression and the placement of the final restoration, because laboratory work takes time. The fibre-reinforced composite (FRC) bridge is not the ultimate solution for tooth replacement but it is a treatment option available to patients which is highly conservative, aesthetically pleasing, relatively inexpensive and can be placed in one session, offering the ‘quick-fix’ required by many patients. As little or no preparation is carried out to the abutment teeth, this option can make the treatment reversible and, because the bridge is constructed in resin composite material, it can be readily repaired in the event of breakage. The FRC bridge is especially useful as an option for elderly patients where the treatment options should preferably be simple and quick.
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