THIS HANDBOOK IS UNDER CONSTRUCTION;TARGET DATE FOR PUBLICATION IS SEPTEMBER 2019
Follow the links below to learn the Inlay-Flange Protocol
- Technique article CARDP Journal
- Categories of Inlay Flange Bridges
- Single abutment cantilever bridges with porcelain sub-tissue pontics,
- Multiple abutment anterior Inlay-Flange bridges with porcelain pontics
- Multiple abutment anterior Inlay-Flange bridges with composite pontics
- Multiple abutment Inlay-Flange splints without pontics (periodontal splints)
- Inlay-Flange applications in removable prosthetics
- Design and HIstory
- Comparison of Inlay Flange Bridges with other modalities
- Laboratory Prescription
- Debridement prior to cementation
- Isolation in cementation
- Cement mixing,application, and debridement
- Setting Fees for Inlay Flange Bridges
- Supplies and Suppliers for Inlay Flange Bridges
FOR AN OVERVIEW READ THIS TECHNIQUE ARTICLE:
ARTICLE BEGINS ON PAGE 24
WHAT IS THE INLAY-FLANGE BRIDGE?
This is a revision and fundamental evolution of the Maryland Bridge. 500 retainers have been placed over a period of 15 years. Because 490 of these are still serving, although many were applied in configurations in which failure could have been anticipated, its retentive effectiveness cannot be doubted.
What is proven? When we mate an old-school precision lingual inlay to a new-school enamel-bonded metal flange, and follow a high-performance adhesive protocol under idea isolation conditions, we conclusively obtain the retention that eluded its predecessor , the Maryland Bridge. See below for an quick idea of how it works.
Teeth blacked out with indelible pen to assist visualization of outline form
Impression taken in VPS.
Casting for a splint in non-precious alloy freshly sandblasted immediately prior to cementation. No die spacer is used to preserve sharpness of precision casting.
Precious or semi-precious alloy frameworks can be used for porcelain pontics, but splints are generally fabricated in non-precious hypoallergenic metal, providing the necessary stiffness, which non-precious hypoallergenic alloys provide inexpensively. Depending on the metal prescribed, different bonding protocols must be followed.
Teeth isolated under rubber dam after debridement, removal of temporary inlays, sandblasting, etch with liquid 37% phosphoric acid,rinse with distilled water, placement of dentin bond on dentinal base of inlay, and generous coverage of the preps with Panavia F2.0 Opaque.
Prosthesis inserted, excess cement debrided, setting finalized under Oxygard II to eliminate oxygen-inhibited layer.