Prosthetic Rescue of Fractured Abutments Under an Existing Fixed Partial Denture: A Conservative Clinical Approach

Fractures of abutment teeth under fixed prostheses pose a major prosthetic challenge, particularly when full reconstruction is contraindicated or refused by the patient. This paper shows a clinical case study of the fabrication and adaptation of two metallic inlaycores on teeth 21 and 12, designed to support a pre-existing anterior metal ceramic bridge. Thanks to a precise impression of the intaglio surface of the prosthesis and rigorous laboratory fitting, it was possible to reconstruct the endodontically treated abutments without removing or replacing the bridge. This conservative approach demonstrates the importance of conservative management solutions for prosthetic complications that may occur while or after achieving the prosthetic treatment, ensuring long-lasting functional and esthetic. restoration.

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Publication Details

Published
2025-11-04
DOI
https://doi.org/10.38124/ijisrt/25jun1558
Primary Topic
Dental materials and restorations
Type
article
Field-Weighted Citation Impact
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article

Prosthetic Rescue of Fractured Abutments Under an Existing Fixed Partial Denture: A Conservative Clinical Approach

Dalenda Hadyaoui, Belhassen Harzallah, Zohra Nouira, Zeineb Riahi et al.
Dental materials and restorations
article

Prosthetic Rescue of Fractured Abutments Under an Existing Fixed Partial Denture: A Conservative Clinical Approach

Dalenda Hadyaoui, Belhassen Harzallah, Zohra Nouira, Zeineb Riahi, Leila Mamlouk, Cyrine Jebali
article en

Abstract

Fractures of abutment teeth under fixed prostheses pose a major prosthetic challenge, particularly when full reconstruction is contraindicated or refused by the patient. This paper shows a clinical case study of the fabrication and adaptation of two metallic inlaycores on teeth 21 and 12, designed to support a pre-existing anterior metal ceramic bridge. Thanks to a precise impression of the intaglio surface of the prosthesis and rigorous laboratory fitting, it was possible to reconstruct the endodontically treated abutments without removing or replacing the bridge. This conservative approach demonstrates the importance of conservative management solutions for prosthetic complications that may occur while or after achieving the prosthetic treatment, ensuring long-lasting functional and esthetic. restoration.

Openalex Percentile: Top 63%
Dental materials and restorations
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