Implant Treatments

Repairing Broken Bridges
with MTI-Monorail™ Transitional Implants

It’s a matter of "physics 101." Support the pontic as if it were a tooth
and the splinted repair will hold.

One of the most difficult patient emergency situations for the practitioner is the intraoral repair of a bridge that has broken between two pontics or between a pontic and an abutment. Chance of long-term success is minimal, and, often, it becomes a financial and stress provoking nightmare for you the clinician. The traditional method of repair involves cutting an occlusal groove or notch in two of the crowns; some type of splint mesh, wire or bar is placed within the cutout as a connection; the remaining voids are filled with composite or amalgam to hold everything in position.

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Unfortunately, due to the extreme occlusal forces of mastication or in some case grinding or clenching, it’s usually a matter of time before the repair fails and the patient has returned and so has your headache. If you were the clinician who fabricated the original bridge and it’s less than 5 years old, you probably will end up "eating the cost" of a remake, and it becomes your financial burden. Emotionally, getting a "free" bridge is not enough for the patient. In their eyes, they picture losing more time from their daily schedule for more visits to their dentist with more injections, more impressions and more anxiety.

If this sounds familiar, then you are really going to love what you are about to read. Dentatus has come to the rescue with our MTI-Monorail Transitional Implant System. We have solved the missing piece of the puzzle. Originally the framework for the bridge was cast as one piece or soldered in sections. Typical intraoral repairs fail because while crowns are splinted together, the splint materials become a weak link, and the two sections of the bridge are basically cantilevered.

It’s a matter of "physics 101." Support the pontic as if it were a tooth and the splinted repair will hold. Here's the technique:

Recommended Reference Article
• Rasvasini, G. Ugolini, G. Dalla Turca, S. Ravasomo, F. “Protocollo operativo per l’utilizzo di impianti provisori immediati (Mini Transitional Implants-MTI)” Dialog: Rivista Pratica Per II Team Odontoiatrico Edizoni Mattina Bologna, Anno 1’ Numero 1

See also:
Bone Augmentation with MTI-Monorail Transitional Implants
Replacement of Congenitally Missing Laterals with MTI-Monorail Transitional Implants
Fixed Provisional Restorations with MTI-Monorail Transitional Implants
Orthodontic Anchorage with MTI-Monorail Transitional Implants
Stabilizing Existing Dentures with MTI-Monorail Transitional Implants

Continuing Education:
CE for MTI-Monorail™ Transitional Implant Courses