Page 11 - EADS Scientific Magazine .... 2nd Edition

Complaint : 40-year-old man has a missing upper

incisor replaced by a spring cantilever bridge which

became detached History of complaint .

Dental history Intraoral examination The dentition

The upper left is in good condition with few carious

central incisor lesions and a restorations. The upper

had been lost left premolars are the abutment

as a result of a teeth they are vital, have relatively

bicycle accident conservative crown preparation

at aged 16, and there is bleeding on probing

replaced by between the abutment premolars.

spring cantilever (the probing depth is 4mm ) . There

bridge attached is superficial caries over much of the

to full coverage surface of the first premolar crown

crowns on exposed below the crown margin

the left first and a larger cavity at the distal

and second gingival margin. The mesial surface

premolars. the of the second premolar is also

adjacent upper slightly carious.

right central The bridge pontic has moved buccally

incisor was and upwards this may be due to alveolar

fractured and it ridge resorption and distortion of the
spring cantilever. It moved distally
was root treated ncreasing the median diastema.The

and a post crown abutment teeth will both require re-

fitted. The patient restoration to avoid the risk of further
has missing caries and

upper left lateral periodontitis.

incisor.