THE
MONODONT®
The
Monodont® Bridge is a resin pontic with a patented stainless steel
framework. The framework has small retentive"talons" on
each side that fit into undercut preps on the adjacent abutment teeth.
Available for both anterior and posterior applications, the Monodont®
is a conservative, economical and easy solution for your patients
and your practice.
Our experience has shown that dentists of all specialties have embraced
these components and the procedures they make possible. The reversibility
of the procedure allows greater flexibility in a dynamic treatment
plan as in developing dentitions, long-term reconstructive therapy
and periodontal maintenance. The patient base includes not only those
with economic considerations, but also those engaged in any treatment
plan requiring potentially long term provisional fixed prosthetics.
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BASIC
THEORY BEHIND THE MONODONT®
The
basic theory behind the engineering principle of the Monodont®
really is pretty straightforward. In order to offer a fixed bridge
option at an end-user (patient) price point that is comparable to
a single unit of porcelain fused to metal, and still make it profitable
for the Dental Laboratory to fabricate, and the Dentist to
install, we needed to eliminate the most time consuming aspect of
the production line, i.e. the casting procedure. By doing this, we
also eliminated the one step that has the most inherent margins of
error. We further innovated a new application for a prep guide/positioning
stent, so that the placement of the retentive preparations would be
under the control of the laboratory and the dentist because of the
time efficiency that is gained as a result.
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Dentist is asked to provide an accurate impression, opposing
arch, and a shade, preferably using an acrylic shade guide
utilized by your lab |
The
lab pours the models and marks the preps to correspond
with the contact areas of the abutment teeth. |
The
preps are cut using an undercut bur, usually a 37, 39
depending on the size and location of the prep relative
to the abutment. |
The
appropriate size Monodont® component is chosen to
allow for at least a 2mm penetration into the abutment
teeth. |
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BENDING
CONFIGURATIONS OF THE MONODONT®
The
bending of the components is accomplished using regular serrated flat
and needle nose lab pliers |
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"A" bend is used for cuspid and first bicuspid
pontics where the preps will be skewed roughly 90 degrees. |
The
"B" bend is utilized for posterior teeth with
sufficient axial height. |
The
"C" bend is simply a radius contour bend as
needed across the edentulous space. |
The
"D" bend or "Texas Long-Horn Steer"
bend, is used to gain space on the occlusal aspect of
posteriors for adequate thickness of pontic material.
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LAB
FEES:
Generally the lab
fees for this procedure are in keeping with customary procedure fee/lab
fee ratios. Some laboratories choose to include the prep guide/positioning
stent as part of the total laboratory service, while others charge
a separate fee for the stent in addition to the base fee for the appliance.
Much like anything else, fees vary in different regions of the country.
This procedure is gaining in popularity, and labs constantly get in
touch with us to let us know how successful this procedure is becoming
in landing new accounts. |
VIEW
STEP-BY-STEP MONODONT® PROCEDURES
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