Fiber-reinforced Bridge…do you know what that is?🤔

When you lost a tooth or teeth, you have a few options to replace it: denture, bridge, implant, braces or more.

She first came in with loose denture replacing her two front teeth. Denture is a good replacement option for missing teeth but with time, it tend to become loosen due to bone resorption (“bone thinning”). Loose denture can be troublesome as it falls out easily (no one wants their teeth falling out during a presentation!😱) and food often get stuck underneath it.

If you ask me, implant is the best option to replace this patient’s missing teeth. However, implants (and not forgetting bone graft) placement can be costly and she is not financially ready for it. Having the option for a new denture or a fiber-reinforced bridge, she decided to choose the latter whilst preparing for her implant budget.

The challenge in this case is the total buildup of the tooth with composite, estimating it’s size/shape/shade and not forgetting occlusion. This is a non-prep case as the patient is biting rather incisally on the anteriors while having good posterior occlusion(thus made her a good candidate for this long span FRB case).

Most of it has to be done chair-side, thus a lot of clinical time has been spent. Note that the 11,21 are shortened as well although I would LOVE to give her a perfect smile arch, due to concerns of her anterior guidance.

Patient was super happy she has semi-permanent teeth inside her mouth and don’t have to worry about her denture falling out anymore. (We both still look forward to the day implants can be placed tho!🙈)

Case selection is important in FRB treatment. It is not for patients who want an easy way out, but for patients who clearly understand ALL the pros and cons of their treatment options and are willing to accept the worst-case scenario.

Okay that’s all, I know I talk a lot but I just wanted to share some of the stuff I’ve learned through this case. 😆 Have a great day y’all!

And just like that, we will be apart again. This time estimating around 6months, it will be the longest ever apart due to COVID-19 restrictions.
It’s never easy but I’m blessed to have my family, friends and team, always taking care of us and to stay focus and continue to face and resolve obstacles that life throws at us.
We miss you already hun @donnieyenofficial
Go kick some ass! 👊🏼😆
He’s all yours @chadstahelski Take good care of him 😅
#donnieyen #甄子丹 #bulletfilms #action

【#每日跟讀單元 K142】舊金山將成美首座達群體免疫之大城

👉老師唸給你聽: https://15minsengcafe.pse.is/3huk2n

摘要:
Throughout the pandemic, the vaccination goals to hit herd immunity have been a moving target, a briefing from Yale School of Medicine notes, with experts initially estimating that the virus would have difficulty spreading if 60 to 70 percent of the population was immune. With several variants in circulation, some of which are more contagious, the estimates have been climbing. Many experts now estimate that herd immunity will be achieved when 80 to 90 percent of residents have been vaccinated.

耶魯大學醫學院的一份簡報指出，對於要達到群體免疫所需接種疫苗的目標數量，因應疫情而始終在變動。專家最初估計，若百分之六十至七十的人口免疫，病毒將難以傳播。現已有數種變種病毒，有些傳染力更強，因此估算出來，應達到的目標一直在提高。許多專家現在估計，當百分之八十至九十的居民接種了疫苗後，就會達到群體免疫。

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Brad "Quake" Riddell doing some strength and conditioning with TMT coach, Andrew Wood, in preparation for his upcoming kickboxing fight. Roughly estimating the box jump to be anywhere from 45-49 inches. (114cm-124cm)