| Direct inlay bridge
Step-by-step:
- Prepare the necessary cavities either by removing old fillings or
by preparing new ones. Cut proper length of fibers
for the inlay. The length should be fitted to reach from the end wall
of the cavity to the other end wall. When the bridge frame is shaped
into a suitable form the length will shorten slightly. Fill the cavity
partly with a thin layer of flow-composite – NOTE! Don't cure yet.
- Place EverStick glass fiber
bundle into the cavities. Make sure to have a good contact between the
cavity bottom and the fibers by pressing it
with a hand instrument.
- Limit the curing light onto the cavity with a suitable hand instrument
– for example a Stick Stepper – to keep rest of the fibers
uncured. Light cure the fibers in the cavity
for 5–10 seconds.
- Place an instrument to the proximal space in order to prevent covering
cleaning space with composite. Bend the fibers
near the gingiva to form an arch. Limit the light from the second cavity
with the hand instrument. Light cure the arch.
- Press the rest of the fibers on the next
cavity bottom and light cure for 5–10 seconds.
- The fiber frame should be placed approximately
in the middle of the pontic.
- The wood wedges can be used to keep the proximal spaces free of composite
resin while building the pontic. Complete the bridge by veneering the
pontic tooth. Alternatively a plastic bella crown or the patients own
tooth may be used. Cover the fibers in the
cavities also with composite material, occlusally. Light cure the whole
structure for 40 seconds. Finish and polish.
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