Do you believe that Resin Bonded Bridges are exclusively a temporary or short-term solution? Lots of our colleagues around the world mistakenly believe this. It's not a secret that I am a fan of this treatment modality—I want to break down the misconceptions about them because IN THE RIGHT CASE they can be a very predictable tooth replacement option.
In this episode, Dr. Salman Pirmohamed shared successes and failures and what we can learn from them to improve our clinical protocols from abutment selection to adhesive techniques.
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https://youtu.be/rKJyqcb6uqI
Check out this full episode on YouTube
The Protrusive Dental Pearl: Always visualise your path of insertion - do you need to do some additional prep to get a more favourable path of insertion?
It's not just for dentures! For any indirect crowns/bridges, it is important to assess for a path of insertion. Make a visualisation of this - you may have to prep more or prepare the adjacent tilted teeth to allow for a suitable path of insertion sometimes.
Salman's Webinar on Sunday 4th Dec LIVE: https://buy.stripe.com/4gw14Pb8Q47Q8yk5kk
Need to Read it? Check out the Full Episode Transcript below!
Highlight of this episode:
1:48 The Protrusive Dental Pearl3:17 Dr. Salman Pirmohamed’s Introduction 8:16 Resin-bonded Bridges being underutilized9:43 Resin-bonded bridges over the years and its Protocol12:18 RBB - functional for patients?17:26 Case Selection Criteria20:25 Case Number 122:43 Case Number 223:16 Dahl Technique on RBB24:57 Cantilever as the standard design of choice for RBB27:40 Case Number 329:25 Case Number 432:47 Mesial cantilever vs Distal Cantilever37:34 RBB Lab Prescription39:43 Incisal Overlap42:06 Pontic Design ideal for RBB47:48 RBB Clinical Protocol1:00:09 Zirconia RBB protocols1:06:46 Periodontal Splinting1:15:21 Two failures with Resin-bonded bridges
Have a read about this evidence-based literature as referenced by Dr. Salman
Survival-characteristics-of-771-resin-retained-bridges-provided-at-a-UK-dental-teaching-hospitalDownload
Also, check out this paper written by Dr. Jaz Gulati
Resin-Bonded-Bridges-−-the-Problem-or-the-Solution Part 1Download
Resin-Bonded-Bridges-−-the-Problem-or-the-Solution-Part-2Download
If you loved this episode, you might also love this Group Function talking about Dahl Technique and ‘Maryland Bridges’
Click below for full episode transcript:
Jaz's Introduction: This episode is dedicated to any dentist in the world who thinks that RESIN BONDED BRIDGES, or dare I say Maryland bridges are a temporary or SHORT TERM SOLUTION.
Jaz's Introduction:I've got plenty of friends in North America and in Singapore who felt that way. And I just feel like it's a massive misconception because resin bonded bridges, or sticky bridges or adhesive bridges, call them what you want. They are such a fantastic and UNDERUTILIZED TREATMENT modality to replace missing teeth. Hello, Protruserati. I'm Jaz Gulati. And it's no secret that I'm a huge fan of these bridges. I've published about this technique before and something that I did a lot of in dental hospital. And I took this into private practice. And the funny thing is that when I started to work in the practice that I work in now in Reading the dentist whose list I inherited, who was working there for 30 plus years, he was also a huge fan of resin bonded bridges. So, I've had the privilege of looking after and reviewing patients who've had their resin bonded bridges, both anterior and posterior in service for 34 years, 32 years loads in the 27, 28 year mark, plenty in the 20 year plus mark. So, he was fantastic at doing them.
It really validated my belief system in resin bonded bridges. But I know what you're thinking, you're thinking, 'Jaz, that's like N equals 15. How is that even valid in this world of evidence based dentistry?' Well, let me tell you, the evidence is out there.
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