- Try-in wing bridge to verify fit and contact.
- Silicoating is available from Aurum Ceramic/Classic to maximize the
adhesive result.
- Clean abutment teeth thoroughly with a bristle brush (either dry or
with pumice powder and water) or intraoral sandblaster (Micro Etcher)
to remove plaque and debris. Do not use a commercial prophy paste as
it contains oils that can weaken bond.
- Wash surfaces thoroughly with an abundant amount of water and adequate
evacuation for 15 to 30 seconds. Dry completely with a clean, oil free
air supply for 15 seconds.
- Isolate surfaces from mouth fluids with well-placed rubber dam or
adequate cotton rolls or sponges, and from adjacent teeth with Mylar
strips.
- Use 30 to 40% acid-etch solution or gel. Use small sponges or cotton
pellets to saturate tooth surfaces (lingual only) for 30 to 60 seconds.
Use a continuous, gentle wiping motion. Do not rub. Rinse well with
water and evacuation for 30 seconds.
- Replace cotton rolls if needed and dry surfaces thoroughly (i.e.,
15 seconds).
- Apply unfilled resin as per manufacturer's instructions if needed.
- Mix self-cure adhesive system using same proportions as determined
during esthetic try-in. Mix paste according to powder-to-liquid ratio
suggested by manufacturer (should result in consistency of thick honey).
- Paint abutment teeth and metal with thin layer of cement.
- Seat restoration. While holding it in place, use a disposable brush
tip to wipe away all excess resin at the margins and interproximally
around the pontic sections. Hold until cement is set. Light cure the
periphery if the cement is dual-cured.
- Verify occlusion. Finish with disks or diamonds (do not overheat).
Use composite carbide finishing burs for final finishing. Polish with
microfill composite with abrasive strips and disks.
- Instruct patient on proper care.
Return
to Maryland Bridge product page
|