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References

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The coping-retained bridge: a modified approach to conventional bridge design – review and case report

From Volume 40, Issue 8, October 2013 | Pages 606-612

Authors

Stuart C Campbell

BDS, MFDS RCS(Edin)

General Dental Practitioner, Loanhead Dental Practice, 50 Fountain Place, Midlothian EH20 9DU, UK

Articles by Stuart C Campbell

Amy L Harper

BDS

General Dental Practitioner, Loanhead Dental Practice, 50 Fountain Place, Midlothian, Scotland

Articles by Amy L Harper

Kenneth H Scott

RDT

Dental Technician, A-Plus Dental Laboratory, 17 George Buckman Drive, Camperdown Industrial Park, Dundee, Scotland

Articles by Kenneth H Scott

Abstract

Missing teeth may be restored with conventional bridgework. A modified approach to traditional bridge design may be necessary to restore edentulous spaces in the presence of poorly aligned abutment teeth and abutment teeth of guarded prognosis. The coping bridge is a useful technique in the dentist's armamentarium for patients in whom implant-supported or removable prostheses are inappropriate. This paper examines the use of coping-retained bridges as a modification on traditional design and discusses how these appliances may be applied in general practice. A case report is presented describing the application of this design in general practice.

Clinical Relevance: Applying a modified approach to bridge design may allow complicated edentulous spaces to be restored successfully in general practice.

Article

Patients are motivated to seek dental treatment to replace missing teeth. In general practice, conventional bridgework can be used to restore the functional and aesthetic problems created by missing teeth.

The restoring dentist may encounter challenges when fixed bridgework is planned:

Although these challenges may be overcome with orthodontics or implant dentistry, these approaches are not appropriate to all patients and a modified approach to bridge design may be necessary.

Conventional bridge design can be modified by using telescopic copings to retain a fixed bridge. Copings may be described as inner crowns or sleeves which are permanently cemented to prepared abutment teeth. The fixed bridge superstructure is then cemented onto the copings using a weak cement. This allows removal of the bridge should further treatment of the abutment teeth be necessary. This technique was first described in 1886 by Starr,1 and is in common practice in Sweden and Germany.2

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