Natural Tooth Pontic Using Self-Cure Adhesive Resin System - A Case Report

Abstract

Immediate replacement of periodontally compromised tooth bears a challenging task due to poor abutment support. The use of natural tooth as pontic provides an excellent technique mainly as it helps the patient to cope up from the loss of the tooth. Various bonding agents have been used to bond pontic to the adjacent abutment teeth. In the present case report tri-n-butylborane initiated adhesive resin has been used (Super-bond C&B). Replacing missing teeth using either patient’s own tooth as pontic can be done by splinting adjacent teeth with adhesive resin.The splinting has an additional advantage of stabilizing adjacent mobile teeth.This case report details the case selection procedure with follow up of case selection, procedure with follow- up of case where natural tooth of the patient was used as pontic to replace a missing anterior tooth. We present a case reprt of 30 years old women with complaint of mobile right central incisor .On clinical examination the mandibular right central incisor showed showed grade III mobility. Both clinical and radiographic examinations indicated extraction of the mandibular right central incisors and because of high aesthetic demands of the patient the decision was made to utilize the crown of the extracted tooth as natural tooth pontic and bond it with adjacent teeth using 4-META/MMA-TBB resin marketed as Super-Bond C&B, (Sun-Medical, Co., Ltd). Natural tooth pontic has been shown to have a successful longevity but it does depend on the dexterity of the oral hygiene maintenance by the patient.