foster5            Posts: 1             Reg.: May 2002
    posted 05-01-2002   09:30 AM                         Post 1 of 53

What the heck is a Monodont?
marshall_white_dmd
Newark OH            Posts: 3602             Reg.: Aug 2000
      posted 05-01-2002   09:57 AM                         Post 3 of 53

 It's a fixed and long-term single tooth prosthesis. Often used as a transitional modality, it also can serve pretty indefinitely.Indications are similar to the Maryland-type bridge. Easily repaired or re-inserted, if need be, chairside. Here's a link to get you started: http://www.eastflex.net

gregholm
Wichita, KS            Posts: 973             Reg.: Apr. 2001
    posted 07-26-2002   07:32 AM                         Post 5 of 53

I just placed my first Monodont. It was made by Tammy Jakubik at The 2th Company lab. This restoration replaced #8 in a 16-year old kid. It looked great and was so easy to place. She made a stent which showed where to cut preps. My question now is, I have a pt with periodontally involved teeth. She has lost #13 but wants a cemented restoration to replace it. I hesitate to place a fixed bridge, but am considering this, #14 already has a crown but #12 is virgin. Could I prep both 12 and 14 for a Monodont?

drmjlans EastFlex Corporation
Virginia            Posts: 1352             Reg.: Apr. 2001
      posted 07-26-2002   08:01 AM                         Post 6 of 53

Yes, you absolutely can cut a prep in the crown...if it's PFM, make sure you have plenty of cooling water on the bur. Make a very distinct undercut (crucial) on both preps, they should have the dimensions of a 39 bur. This is an ideal solution for perio cases. I have teeth numbers 6 and 7 in my own mouth (technically a "Polydont") hanging off a PFM on #5, and a Procera on #8. It definitely does work.

Albodmd1
Tampa, FL            Posts: 372             Reg.: May 2001
    posted 08-06-2002   02:55 PM                         Post 11 of 53

How long do you tell the patient the Monodont will last and how long do you think it will last? Do you tell the patient this is a "temporary" measure until they can get something more permanent? I think the Monodont is a great service, but I don't want to give the impression to the patient that it's better than a regular bridge or implant.
drmjlans EastFlex Corporation
Virginia            Posts: 1352             Reg.: Apr. 2001
      posted 08-06-2002   03:10 PM                        Post 12 of 53

It's better than a regular bridge or an implant if they don't have the money for either of those. I tell them that it is a "fixed transitional" with the potential for long-term service. The longest ones we've tracked are approaching seven years. I had a retired dentist contact us with pics of a similar approach he was doing cutting the stainless steel support for each individual case. He said he followed many for 20 years. The physics at work here, is what gives it that ability. It's a great extended service fixed temp over an implant site as well, because it is non-loading.
jgreen
Virginia            Posts: 7            Reg.: June 2002
    posted 09-07-2002  12:44 AM                         Post 13 of 53

I've inserted 2 Solopontic cases (Keller Lab), is this the same or similar to the Monodont?
drmjlans EastFlex Corporation
Virginia            Posts: 1352             Reg.: Apr. 2001
      posted 09-07-2002   03:24 AM                        Post 14 of 53

Yes, the heart of the Keller Solopontic is the EastFlex Monodont Universal Fixed Bridge Component, which of course doesn't become a Keller Solopontic without the skill and expertise of their talented technicians.
Jerome Smith, DDS
Louisiana            Posts: 687             Reg.: June 2001
    posted 09-07-2002  06:11 AM                        Post 17 of 53

Question: Can the dental lab fuse porcelain to these things? I realize we can use acrylic facings or denture teeth, but I was just wondering if porcelain would bond to these frameworks or if they would withstand the heat?
drmjlans EastFlex Corporation
Virginia            Posts: 1352             Reg.: Apr. 2001
      posted 09-07-2002   06:28 AM                        Post 18 of 53

We feel that porcelain would be overkill for this technique, because the lack of resiliency of the pontic material would be translated into the retentive composite in the preps. The stainless shouldn't be an issue at the temp. We know of several researchers exploring this avenue. I've done quite a few using the belleGlass over Monodont... they are holding up nicely. Mark Jackson, of Precision Ceramics in Montclair, CA is using 3M's Sinfony over Rocatec with excellent results. I think the acrylic will find the most usage.
jgreen
Virginia            Posts: 7            Reg.: June 2002
    posted 09-07-2002  11:07 PM                         Post 23 of 53

Any suggestion on marking prep areas? I tried some green disclosing spray, worked okay at best.
drmjlans EastFlex Corporation
Virginia            Posts: 1352             Reg.: Apr. 2001
      posted 09-10-2002   04:28 AM                        Post 28 of 53

I "mark" the preps with an hour glass diamond, the same kind you use for ripping out amalgams, hence you make a shallow prep through the stent... the "mark" actually becomes the outline form of the prep, if you will, then take the stent off, and simply finish cutting the prep and detailing your undercuts.
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Monodont Case History
J. Jerome Smith, DDS

The patient is a 20-year old female with congenitally missing maxillary lateral incisors. She wanted dental implants so she wouldn't have to wear a retainer fabricated with pontics in the #7 and #10 positions. Unfortunately, her budget did not allow for implants and ceramic crowns, so we discussed "bonding" teeth into the edentulous spaces with a Monodont.