Key Points
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This paper illustrates an effective means of providing a provisional restoration for a missing single tooth.
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The Rochette design remains useful as it permits simple removal and replacement during implant treatment.
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The provisional Rochette bridge can use an adjacent tooth or a distant tooth as an abutment.
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The Rochette bridge has a probability of survival of 80% after 200 days.
Abstract
A retrospective clinical audit of the role and survival of 69 Rochette bridges used as immediate provisional restorations for single tooth, implant-retained crowns was carried out over the period between February 1991 and May 2001. In each case the extracted tooth was immediately temporised using a Rochette bridge with a single wing and pontic and cemented to the abutment tooth without any tooth preparation (Phase I). This bridge was removed at the time of implant placement and recemented (Phase II). At the implant exposure stage the bridge was removed and discarded. In Phase I, 15.9% of the bridges required recementation and 27.5% of the bridges required recementations in phase 2; 7.2% of the bridges required recementations in both phases. An 80% probability of survival was noted after an interval of 200 days for phase I and a 78% probability of survival over the same time interval was observed for Phase II. A significant debond rate was observed when the retainer was a canine in comparison to the other bridges in Phase I. In Phase I the spring cantilever debond rate was significantly higher than that observed on the other bridges. More debondings were observed in males (25.8%) compared with females (7.9%) in Phase I. More debondings were noted in the maxilla than in the mandible in Phase II. The performance characteristics of the metal acrylic Rochette bridge observed in this report supports the conclusion that this type of restoration is an effective means of immediate temporisation for patients undergoing single tooth implant retained restorations.
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Acknowledgements
This project forms the final part of the Masters of Clinical Dentistry (Prosthodontics) degree course run by the Guy's, King's and St. Thomas' Dental Institute at King's College London. Romesh Paul is thanked for his assistance with the statistics.
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Banerji, S., Sethi, A., Dunne, S. et al. Clinical performance of Rochette bridges used as immediate provisional restorations for single unit implants in general practice. Br Dent J 199, 771–775 (2005). https://doi.org/10.1038/sj.bdj.4813027
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DOI: https://doi.org/10.1038/sj.bdj.4813027
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