Do the implant surgery again after placing more bone!texas_dds said:never done a maryland bridge, my attending doc wants me to try on my patient tomorrow (missing #10, implant did not integrate)
HOW do you prep one?
I need to know kinda soon!
If she is financially challenged removeable may be the way to go.texas_dds said:yes i know the MD bridge is not ideal
poor lady has been through 2 implant surgeries and a bone graft already - she does not have the funds to try again. and she is wearing a flipper right now but wants something fixed. its strange that one side failed the conventional FPD would be overkill for her - i think that is why i'm doing it. oh yea, shillingburg has some great pics of the prep if anyone needs to see it sometime.
Ok, now I get it!texas_dds said:i am not doing the conventional FPD because
1)there is nothing wrong at all with 9 and 11, i would hate to mow them down
2)its 1/2 the price of a regular bridge at our school
3)occlusally she is ideal for this
this patient is mildly ******ed and she tends to try to choke herself with the flipper. her mother is aware of the guarded prognosis of this type of prosthesis but this is what they want.
and damn that impression was easy - and no provisionals...
i could get used to this kind of pros!
What is a flipper?Fullosseousflap said:Do the implant surgery again after placing more bone!
In the meantime do a flipper.
Maryland Bridges have not been mainstream for over ten years.
If you really want to do it....... reduce the lingual with a football shaped diamond but try to stay in enamel to increase your bonding chances.