Page 37 - Dental Practice Vol 17 No.5_

FIG 1B: Tooth #41 held with tweezers and marked for root amputation FIG 2: The teeth in the mouth are cleaned well and the coronal portion of the
tooth #41 is cleaned of coronal pulp and shaped to be used as Natural Tooth
Pontic that is sealed from its cervical end.

FIG 3: A wire was used as a temporary holding device, which helps position, the FIG 4: Etching the lingual surfaces of teeth before bonding Fiber Splint
NTP in its desired place. It is connected to the adjacent teeth with the wire and
flowable composite (note: no etching or bonding agent is used on the labial
side of the teeth here, for the wire fixation as the holding wire will be removed
later)

FIG 5: Lingual adaptation of Fiber Splint Multi-Layer (which is a woven fiber- FIG 6: The Fiber Split is light cured, through the teeth while being adapted firm-
glass splinting material by POLYDENTIA SA) was done using custom made putty ly from lingual side by index. The putty index (sky-blue in the background) is
index adapter, shown in the next figure. removed and Fiber Splint is directly light cured further from the lingual side as
well and then coated with composite. Further, as tooth #41 is attached as a NTP,
the adjacent tooth here also received composite build-up for esthetic enhance-
ment and improved strength.

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Dental Practice // May-June 2021 // Vol 17 No 5 37