Clinical case with the Quartz Splint UD, Tooth Replacement (Composite)

The sequelae of untreated periodontitis is a big problem, many times, leading to the following:

• Increased tooth mobility resulting from bone loss.
• Gum recession
• Over eruption of teeth
• Patient lack of self-esteem due to poor dental aesthetics
• Dental implants, bone grafts and fixed partial dentures are considered to be expensive treatments for patients
• Difficulty in attaining desired objectives with complex restorations .

Not all patients are candidates for implants, and perio-restorative therapy using fiber and composite have been a staple in my practice for 18 years, achieving a reliable, economic result in one appointment.

Quartz Splint fibers are available in Unidirectional, Woven, Rope and a Mesh. The Uni-Directional was selected for this case because of the high mechanical properties”.

Unfortunately, in this case, an implant would not resolve the significant amount of bone loss in tooth 1.1 and the mobility of the teeth. Placement of an implant, for this case, would be challenging as would be the possibility of attaining a good aesthetic result.

The advantages of using fiberglass splints include:

• Impressive tooth stability
• No need for excessive reduction of teeth
• Good aesthetic results
• Short duration of the procedure which lasts 2-3 hours.
• Easily repairable
• No need to use a dental laboratory
• The dentist has total control of the results, occlusion, shade and fit
• Predictable results
• Biocompatible material
• Patients are extremely satisfied with the results.

Products used in this case

• RTD Quartz Splint (UD)
• 3M Universal Single Bond
• 3M Nano-filled Filtek Z350 Flowable composite
• 3M Universal Composite

Affiliations

Dr. Rodriguez Posada maintains a private practice in San Jose, Costa Rica.