Bonded Functional Esthetic Prototypes (BFEPt): Review and a Case Report
Received Date: Dec 12, 2017 / Accepted Date: Jan 27, 2018 / Published Date: Feb 03, 2018
In this review & case report we will introduce & discuss uses, indications & step by step of BFEPt this technique is considered the most applicable technique to produce effective direct composite veneers and reaches the aesthetics outcome near the indirect restoration with medium price because everyone deserve to have a beautiful smile even he hasn’t much money to go for ceramic restorations.
Keywords: Aesthetic dentistry; Injection flowable; Digital smile design; Wow effect; Long term Provisionals; Direct composite veneers; Bonded functional aesthetic prototypes
As we all know convincing an aesthetic case about your treatment plane is not easy to do and depending on a lot of factors Such as
1. Patient’s imagination
2. Your communication skills
3. Economic factor and patient’s life priorities
So however you a are very talented clinician you cannot convince your own patient about your aesthetic point of view.
So motivational mock-up & (BFEPt) was introduced to the field of aesthetic or especially in smile makeover cases making the life of cosmetic dentist easy, not only in convincing the patient about treatment plane but also helping the clinician to do guided minimally invasive preparation and control the quality of each step in his treatment plane
Introducing this concept to our field helped us a lot and gave the patient chance to (test drive) his final restoration even before we touch his teeth & if he agreed to our treatment plane we can go through BFEPt which is considered a medium cost effective procedure.
This article will introduce in brief BFEPt concept with Case report.
Uses of BFEPt
1. Motivational mock –up
2. Temp restoration
3. Long term provisionals
4. Direct composite veneers
1. Wear or loss of vertical dimension
3. Slight tilting
5. Short teeth
Step by Step
We will discuss this on our case young female patient 17 years old who Chief complaint was spacing between the teeth which makes it look smaller.
Impressions & photos
Well defined impression voids free with dimensionally stable impression material is a must to maintain the accuracy of the stent We need 2 photos minimum to do DSD Frontal smiling photo and frontal retracted photo (Figure 1).
Digital smile design (DSD)
Including facial analysis (facial mid-line&horizontal line) Dento facial analysis (smile curve, width of the anteriors teeth) Dental analysis (width to length ratio, gingival curve) (Figure 2).
Wax-up follows the smile frame exactly
Send the Digital design & impressions to your lab asking him to do wax-up following the design accurately. After finishing the wax ask him to send frontal photo for the waxed design to do a quality control using DSD software to make sure the wax follows the design accurately (Figure 3).
Transparent silicon fabrication
Take impression by using transparent silicon material over the waxed cast after complete setting we remove it and drill a hole over the incisal edge of each tooth that act as a tunnel through which the flowable composite will inject through it (Figure 4).
For visual communication, Motivation & make sure that everything follows the plane (Figures 5 and 6).
Etching & bonding
1. 1-If you want your BFEPt stay weeks not more than 8 weeks
2. Only 3mm spot etch technique should be accomplished
3. 2-If you want your BFEPt stay from 8 weeks to 6 months
4. Full facial etching just before proximals &gingival margin
5. 3-If you want your BFEPt to stay more than 6 months
6. full facial etching including proximal, gingival margin & incisal edge if lengthing is done.
We put Teflon on the right & left adjacent teeth to avoid making a composite bridge.
Make sure that the tip of flowable composite is inserted to cervically, withdrawed slowly to avoid air bubbles entrapment.
Finishing & polishing
Using pumice and felt brush or goat hair brush (Figures 7-9).
Case no 1
Bonded functional aesthetic prototypes (BFEP) has many uses as Motivational mock-up, Long term Provisional to test functional load over future restoration and direct composite veneer for patient with low economical factor. Motivational Mock up is very useful in smile make over cases is very useful even to convince your patient and during your preparation Easy steps to follow and reach the ideal result only do your smile design and find a good technician to do the wax up. Reaching the wow effect helping your patient to re-arrange his priorities and make it easy to accept your treatment plane.
- McLaren DA (2013) Bonded functional Aesthetic prototypes. Inside dent 9.
- Shenker A, Weinstein LS, Moran A, Pescovitz OH, Charest NJ, et al. ( 1993) Severe endocrine and nonendocrine manifestations of the McCune-Albright syndrome associated with activating mutations of stimulatory G protein Gs. J Pediatr 123: 509-518.
- Weinstein LS, Liu J, Sakamoto A, Xie T, Chen M (2004) Minireview:GNAS: normal and abnormal functions. Endocrinology 145:5459-5464.
- Riminucci M, Saggio I, Robey PG, Bianco P (2006) Fibrous dysplasia as a stem cell disease. J Bone Miner Res 21: 125-131.
- Riminucci M, Liu B, Corsi A, Shenker A, Spiegel AM, et al, (1999) The histopathology of fibrous dysplasia of bone in patients with activating mutations of the Gs alpha gene: site-specific patterns and recurrent histological hallmarks. J Pathol 187: 249-258.
- Metwally T, Burke A, Tsai JY, Collins MT, Boyce AM (2016) Fibrous Dysplasia and Medication-Related Osteonecrosis of the Jaw. J Oral MaxillofacSurg74:1983-1999.
- Boyce AM, Burke A, Cutler Peck C, DuFresne CR, Lee JS, et al. (2016) Surgical Management of Polyostotic Craniofacial Fibrous Dysplasia: Long-Term Outcomes and Predictors for Postoperative Regrowth. PlastReconstSurg 137: 1833-1839.
- Akintoye SO, Lee JS, Feimster T, Booher S, Brahim J, et al. (2003) Dental characteristics of fibrous dysplasia and McCune-Albright syndrome. Oral Surg Oral Med Oral Pathol Oral RadiolEndod 96: 275-282.
- Cheung LK, Samman N, Pang M, Tideman H (1995) Titanium miniplate fixation for osteotomies in facial fibrous dysplasia--a histologic study of the screw/bone interface. Int J Oral MaxillofacSurg 24: 401-405.
- Bajwa MS, Ethunandan M, Flood TR (2008) Oral rehabilitation with endosseous implants in a patient with fibrous dysplasia (McCune-Albright syndrome): a case report. J Oral MaxillofacSurg66: 2605-2608.
- Petrocelli M, Kretschmer W (2014) Conservative treatment and implant rehabilitation of the mandible in a case of craniofacial fibrous dysplasia: a case report. J Oral MaxillofacSurg 72: 901-906.
Citation: Abouzeid AAE (2018) Bonded Functional Esthetic Prototypes (BFEPt): Review and a Case Report. Dentistry 8: 470. DOI: 10.4172/2161-1122.1000470
Copyright: © 2018 Abouzeid AAE. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
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