title: Resin-bonded restorations: a strategy for managing anterior tooth loss in adolescence.
abstract: In children or adolescents with anterior tooth loss, space closure with the patient's own teeth should be considered as the first choice to avoid lifelong restorative needs. Thorough diagnostics and treatment planning are required when autotransplantation or orthodontic space closure is considered. If these options are not indicated and a single tooth implant restoration is considered, implant placement should be postponed until adulthood, particularly in young women and in patients with hyperdivergent skeletal growth pattern. A ceramic resin-bonded fixed dental prosthesis with 1 retainer is an excellent treatment solution for the interim period; it may also serve as a long-term restoration, providing that sound enamel structure is present, sufficient framework dimensions have been provided, adhesive cementation techniques have been meticulously applied, and functional contacts of the cantilever pontic avoided. In contrast, a resin-bonded fixed dental prosthesis with a metal framework and retentive preparation is indicated if the palatal enamel structure is compromised, interocclusal clearance is limited, splinting (such as after orthodontic treatment) is required, or more than 1 tooth has to be replaced.
authors.affiliation: Professor, Department of Periodontology, Endodontology and Cariology, University of Basel, Basel, Switzerland. Electronic address: n.zitzmann@unibas.ch.
authors.forename: Nicola U
authors.initials: NU
authors.lastname: Zitzmann
authors.affiliation: Professor, Head of Dental Materials Unit, Center for Dental and Oral Medicine, Clinic for Fixed and Removable Prosthodontics and Dental Materials Science, University of Zurich, Zurich, Switzerland.
authors.forename: Mutlu
authors.initials: M
authors.lastname: Özcan
authors.affiliation: Associate Professor, University Clinics Dental Medicine, Division of Prosthodontics-Biomaterials, Geneva, Switzerland.
authors.forename: Susanne S
authors.initials: SS
authors.lastname: Scherrer
authors.affiliation: Senior resident, Department of Periodontology, Endodontology and Cariology, University of Basel, Basel, Switzerland.
authors.forename: Julia M
authors.initials: JM
authors.lastname: Bühler
authors.affiliation: Professor and Chair, Department of Periodontology, Endodontology and Cariology, University of Basel, Basel, Switzerland.
authors.forename: Roland
authors.initials: R
authors.lastname: Weiger
authors.affiliation: Professor and Chair, Department of Conservative Dentistry and Periodontology, Julius-Maximilians-University of Würzburg, Würzburg, Germany.
authors.forename: Gabriel
authors.initials: G
authors.lastname: Krastl
mesh_terms: D000293:Adolescent; D000328:Adult; D000367:Age Factors; D064592:Autografts / Q000637:transplantation; D002484:Cementation / Q000379:methods; D002516:Ceramics / Q000737:chemistry; D002648:Child; D003188:Composite Resins / Q000737:chemistry; D003481:Cuspid / Q000473:pathology; D003722:Dental Alloys / Q000737:chemistry; D019250:Dental Implants, Single-Tooth; D003764:Dental Materials / Q000737:chemistry; D003776:Dental Porcelain / Q000737:chemistry; D003779:Denture Design; D003781:Denture Retention / Q000295:instrumentation; D003830:Denture, Partial, Fixed; D016379:Denture, Partial, Fixed, Resin-Bonded; D005260:Female; D006801:Humans; D007180:Incisor / Q000473:pathology*; D008297:Male; D019516:Orthodontic Space Closure / Q000379:methods; D010347:Patient Care Planning; D019279:Resin Cements / Q000737:chemistry; D014070:Tooth / Q000637:transplantation; D016388:Tooth Loss / Q000628:therapy*; D055815:Young Adult
chemical_list: D003188:Composite Resins; D003722:Dental Alloys; D003764:Dental Materials; D019279:Resin Cements; C493120:lithia disilicate; D003776:Dental Porcelain; C023506:Glass ceramics