Prosthodontics & Occlusion · single question

After removing the bridge you confirm caries on the canine abutment and a defective margin from the original preparation. What is the most appropriate definitive treatment?

  1. Remove the caries, then fabricate a NEW bridge
  2. Recement the original bridge
  3. Extract the canine and place no replacement
  4. Re-prepare the margin on the existing cast bridge and recement it
Show answer and explanation

Correct answer: A. Remove the caries, then fabricate a NEW bridge

  • A. Correct. Once caries is excavated/restored and the original margin is known to be defective, the failed cast restoration cannot simply be reused — a NEW bridge with a properly fitting margin is required.
  • B. Recementing reuses a restoration with a known faulty margin and ignores the abutment caries.
  • C. Extracting a restorable canine abutment is unnecessarily destructive and leaves a span unrestored.
  • D. You cannot 'reshape' the margin of an already-cast metal framework to make it fit the tooth; the casting is fixed and was made to a flawed preparation.

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