Overview: Find clinical indications, contraindications, cementation guidelines, and disposal instructions for Dandy ceramic bridges to ensure optimal patient outcomes.
Overview of Ceramic Bridges
Dandy ceramic bridges utilize digital technology for precise customization. These bridges are fabricated from durable, biocompatible materials designed for long-term oral function.
Indications for Use
Clinicians should use ceramic bridges to restore worn, carious, or broken dentition. These devices are intended to:
Replace missing permanent teeth by spanning edentulous spaces.
Restore natural dentition form, function, and aesthetics.
Maintain proper interarch relationships and occlusal stability.
Contraindications and Risks
Contraindications
Use caution when prescribing bridges for patients with:
Uncontrolled periodontal disease.
Severe bone resorption or active caries.
Active oral lesions.
Safety Warnings
Sensitivity: This device contains trace levels of cobalt and chromium oxides. Clinicians must inform patients with known metal sensitivities before treatment.
Irritation: Monitor patients post-placement for signs of localized tissue inflammation or discomfort.
Restoration and Cementation Guidelines
Follow these steps to ensure the ceramic bridge fits and adheres correctly.
Test Fit and Adjustment
Test fit the ceramic bridge to verify aesthetics and marginal integrity.
Capture an X-ray if margins are not clearly visible.
Mark high spots using articulating paper and adjust as needed.
Adjustment Recommendations
Use a high-speed handpiece with water and air spray to prevent micro-fractures.
Apply a fine-grit diamond bur with minimal pressure.
Use a football-shaped bur for occlusal and lingual surfaces.
Use a tapered bur for buccal and lingual surfaces.
Material-Specific Cementation
Zirconia Restorations: Use air-particle abrasion and a zirconia-specific primer (containing 10-MDP). Sandblast and steam-sanitize the restoration before bonding.
E.max Restorations: Restorations require etching and silanizing before placement. These can be bonded using adhesive or self-adhesive methods.
Daily Cleaning and Maintenance
Advise patients on the following hygiene habits to maintain the bridge:
Brushing: Brush twice daily with a soft-bristle toothbrush and fluoride toothpaste.
Flossing: Use a floss threader daily to remove debris from under the bridge.
Mouthwash: Avoid alcohol-based mouthwashes to prevent dry mouth and plaque buildup.
Dietary Habits: Avoid biting hard objects or using teeth to open packages.
Additional Information
- If the patient experiences any adverse events, such as pain or irritation, they should contact your practice immediately.
- Fixed restorations have a limited warranty, which may vary depending on the manufacturer.
- Smoking with restorations can cause discoloration
Disposal Instructions
Clinical Waste If the bridge has contacted saliva or been used intraorally, discard it as biomedical waste.
Non-Contaminated Disposal
Household Trash: Place non-contaminated ceramics in regular waste bins.
Recycling: Take items to specialized centers that accept mixed ceramics or construction debris.
Related Information
- Zirconia Material Safety Data Sheet
- PFZ Material Safety Data Sheet
- Full Contour E.MAX Material Safety Data Sheet