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An Evidence Based Restoration of Esthetically Challenged Maxillary Anterior Arch with Andrews Bridge System - A Case Report with 5 Years of Follow Up

Dhanasekar Balakrishnan,Manawar Ahmad*,Abdullatif Albinali,Ahmed Areashi,Hina Naim

The replacement of missing teeth and restoration of alveolar contour has always presented a problem in those patients who have suffered traumatic injuries to the anterior dentition and alveolar processes. Many of these injuries lead to excessive loss of the residual ridge and make it extremely difficult to restore with a conventional fixed prosthesis. Due to constrain of fixed pontic in relation to these residual ridges, the use of this modality is virtually eliminated as a successful means of restoring such defects. An approach to the treatment in such patients has been conceived whereby a removable pontic section is supported directly by adjacent abutment teeth in a manner similar to that of fixed prosthesis. This case report represents restoration of esthetically compromised partially edentulous maxillary anterior arch with a fixed-removable prosthesis. This article also illustrates the indications, advantages, disadvantages and limitations of the Andrews bridge system.