American Journal of Health Research
Volume 4, Issue 4, July 2016, Pages: 109-116
Received: Jun. 8, 2016;
Accepted: Jun. 20, 2016;
Published: Jul. 18, 2016
Views 7638 Downloads 736
Mohammed Mohammed Al Moaleem, Department of Prosthetics, College of Dentistry, Jazan University, Jazan, Kingdom of Saudi Arabia
FPDs have a long life span but sometimes they should be removed for several reasons at which they are; secondary caries, the need for root canal treatment, severe gingival recession or periodontal disease, loosened retainer of a bridge, post loosening, root fracture, over contoured and unaesthetic restorations. The removal of temporary crowns and bridges are usually straightforward, while the removing of permanent cemented restorations are always an unpleasant, anxiety-ridden, risky subject for both dentist and patient. So the objective of the bridge removal is the ability to reuse them and to avoid damaging of the underlying tooth and supporting structures. The FPDs removal instruments are: large spoon excavator, scalar tip, brass ligature wires, matrix band, chisel and hammer. In addition to that, there are also coronal disassembly crown remover forceps, precision-made air-activated units; modified techniques have also been highlighted in this article for ease of use for the clinician. The aim of this review is to give an overview and describe the various available systems and techniques to remove the FPDs and to provide different options for each clinical condition. A PubMed literature was conducted up to June 2015 using the keywords: Crown and bridge (removal, disassembly, failure). Additionally, the bibliographies of 5 previous reviews, their cross references were manually searched.
Mohammed Mohammed Al Moaleem,
Systems and Techniques for Removal of Failed Fixed Partial Dentures: A Review, American Journal of Health Research.
Vol. 4, No. 4,
2016, pp. 109-116.
Janardanan K, Varkey V K, Lovely M, Anuroopa A. Coronal disassembly systems and techniques: An overview. J Interdisciplinary Dent 2014; 4: 33-40
Gupta A. A Simple Chair side Technique of Removing Crown and Fixed Partial Denture Restorations. JDMT 2015; 4: 8-12.
Goodacre CJ, Bernal G, Rungcharassaeng K, Kan JY. Clinical complications in fixed Prosthodontics. J Prosthet Dent 2003; 90: 31-41.
Sorensen JA. A rationale for comparison of plaque-retaining properties of crown systems. J Prosthet Dent 1989; 62: 264-9.
Gregory WA, Hagen CA, Powers JM. Composite resin repair of porcelain using different bonding materials. Oper Dent 1988; 13: 114-8.
Al Moaleem MM: Evaluation of the Bonding Strength of the Intra-Oral Porcelain Repairing System with Different Surface Treatments. (2011), ISBIN: 978-3-639-32764-9. pp 53-7.
Al Moaleem MM, Al-Qahtani NM. A combination of intra and extra oral technique for repairing a multi-unit metal ceramic fixed partial denture. Int J Dent Clinics 2012; 4: 84–86.
Sharma A, Rahul GR, Poduval ST, Karunakar S. Removal of failed crown and bridge. J Clin Exp Dent 2012; 4: e167-72.
Ingle JI, Bakland LK, Baumgartner JC. Ingle’s Endodontics. 6th ed. Hamilton, Ontario: BC Decker Inc.; 2008. pp 1095-7.
Williams FB, Portera JJ, Stephens AP. Removing a cemented metal-ceramic fixed prosthesis without damage: a custom-made appliance. J Prosthet Dent 1984; 51: 656-9.
Pruitt CO. A review of methods and instrumentation for removing crowns and bridges from prepared teeth. Gen Dent 1994; 42: 320-6.
Sutherland JK, Cheeseman SL. Multiple prosthodontic uses for permanent crown remover forceps. J Prosthet Dent 1997; 77: 99-101.
Williamson RT, Breeding LC. Removing a cemented fixed prosthesis using a crown remover. J Prosthet Dent 1993; 69: 634-5.
Parreira FR, O’Connor RP, Hutter JW. Cast prosthesis removal using ultrasonics and a thermoplastic resin adhesive. J Endodo 1994; 20: 141-3.
Loney RW. Practical uses for provisional crown remover forceps in fixed and removable prosthodontics. J Prosthet Dent 1992; 67: 734-6.
Walton J. Gardner F, Agar J. A survey of crown and fixed partial denture failures: length of service and reasons for replacement. J Prosthet Dent 1986; 56: 416-21.
Reuter J, Brose MO. Failures in full crown retained dental bridges. Br Dent J 1984; 157: 61-3.
Wise MD. Failure in restored dentition-management and treatment, 2nd Ed, Quintessence Publishing co 1996. Pp: 207-235.
Addy LD, Bartley A, Hayes SJ. Crown and bridge disassembly, when, why and how. Dent Update 2007; 34: 140-50
Rosenstiel SF, Land MF, Fujimoto J. Contemporary Fixed Prosthodontics, 4th Ed. St. Louis (MO): Mosby Elsevier 2006: pp. 935-41.
Alsiyabi AS1, Felton DA. Technique for removing cement between a fixed prosthesis and its substructure. J Prosthodont 2009; 18: 279-82.
Abbott PV. Incidence of root fractures and methods used for post removal. Int Endod J 2002; 35: 63-7.
McQuade MJ, Huget EF, de Simon LB, Levin MP. Effect of ultrasonic instrumentation on the retention of simulated cast crowns. J Prosthet Dent 1978; 39: 640-2.
Melo Filho AB, Mori M, Jardini MA, Landim KT, Solis AC. Effect of ultrasonic instrumentation on the bond strength of crowns cemented with zinc phosphate cement to natural teeth. An in vitro study. Braz Oral Res 2008; 22: 270-4.
Oliva RA. Clinical evaluation of a new crown and fixed partial denture remover. J Prosthet Dent 1980; 44: 267-9.
Westerman RD. A new paradigm for the construction and service of fixed prosthodontics. Dent Today 1999; 18: 62-9.
Glenn A. van As. Using the Erbium Laser to Remove Porcelain Veneers in 60 Seconds Minimally Invasive, Efficient, and Safe, J Cosm Dent 2013; 28: 21-34
van As Glenn. Laser Removal of Porcelain Veneers. Dent Today 2012; 16: 34-44.
Morford CK, Buu NC, Rechmann BM, Finzen FC, Sharma AB, Rechmann P. Er: YAG laser debonding of porcelain veneers. Lasers Surg Med 2011; 43: 965-74.
Oztoprak MO, Tozlu M, Iseri U, Ulkur F, Arun T. Effects of different application durations of scanning laser method on debonding strength of laminate veneers. Lasers Med Sci 2012; 27: 713-6.
Berk N, Berk G. The new era for porcelain veneers-remove them with your LASERS! Laser Congress. 4th Congress of the International Society for Oral Laser Applications SOLA, Bruges, Belgium, Oud St. Jan; 2007.
Girard JL. Advancement in the removal of permanently cemented crowns and bridges. Smile Dent J 2010; 5: 30-6.
Garver DG, Wisser RC. A safe crown-removal technique. J Prosthet Dent 1978; 39: 56-8.
Liebenberg WH. Modification to a ‘safe crown-removal technique’: A case report. Br Dent J 1994; 176: 71-3.
Shuman IE. Removing of fixed prostheses using ATD automatic crown and bridge remover. Dental Products Report 2002; 36: 80
Oruç S. Handmade fixed partial prosthesis remover. J Prosthet Dent 2002; 88: 232-3.
Verrett RG, Mansueto MA. Removal of a metal-ceramic fixed partial denture with a loose retainer. J Prosthodont 2003; 12: 13-6.
AL-Moaleem M M, Shah FK, Nausheen Saied Khan NS, Amit Porwal. The effect of thermocycling on the bonding of different restorative materials to access opening through porcelain fused to metal restorations. J Adv Prosthodont 2011; 3: 186-9
Herman GL. Bucco-lingual ‘dimple’ technique for removing full-crown and cast-metal restorations. J Mich Dent Assoc 2011; 93: 42-4.
Siegel SC, von Fraunhofer JA. Comparison of sectioning rates among carbide and diamond burs using three casting alloys. J Prosthodont 1999; 8: 240-4.