Clinical application of lithium disilicate glass ceramic cantilever resin-bonded fixed partial denture in the restoration of single anterior tooth loss / 口腔疾病防治

Objective@#To investigate the clinical effect of lithium disilicate glass ceramic cantilever resin-bonded fixed partial dentures (CRBFPDs) on single anterior tooth loss to provide a reference for the selection of restoration methods for single anterior tooth loss.@*Methods@#This study was reviewed and approved by the Ethics Committee, and informed consent was obtained from the patients. Forty-two patients with less than two anterior teeth with monomaxillary loss were included in this study. After 6 months, 1 year, 2 years, and 3 years, the aesthetic and functional effects of the restorations and the periodontal health status were evaluated, and the visual analog scale (VAS) was used to assess patient satisfaction.@*Results@#During the observation period, the connector fractured in one case within 3 months. One case had debonded within 2 years. The aesthetic restoration effect of all lithium disilicate glass ceramic CRBFPDs was categorized as Class A. The periodontal health was good, there was no clinical absorption in the soft and hard tissues of the abutment or subbridge, periodontal status according to the evaluation indices was classified as class A, and the total satisfaction rate of the patient was 100%.@*Conclusion@#For single anterior tooth loss patients, lithium disilicate glass ceramic cantilever resin-bonded fixed partial denture can achieve the restoration effect of less invasion, better adhesion, aesthetics, comfort and good biocompatibility. With high patient satisfaction, it can be considered an ideal restoration method for replacing a single anterior tooth.

A Bibliometric Analysis of Resin-Bonded Bridge: Performance Analysis and Science Mapping

@#The objective of this study was to identify and characterise various resin-bonded bridge (RBB) articles published in dental journals using bibliometric analysis. The search was performed using the Scopus database to generate publications related to RBB. Data analysis and visualisation were done using Microsoft Excel, Biblioshiny software or VOSviewer. The trend of publication shows an annual growth rate of 7.19 percent within the years 1973–2022. Sixteen articles were cited more than 100 times, with seven highly cited articles focusing on the survival and/or complications of RBB. Matthias,Kern is the most prolific author in RBB research with Journal of Prosthetic Dentistry being the most influential journal. “survival”, “dental bonding” and “zirconia” were identified as core research areas for RBB for the past 10 years. Future research on the incorporation of new technology in prosthesis fabrication to assess the survival and longevity of RBB is expected to increase, with an emphasis on bonding to new materials. This paper presents an overview of scientific production, prominent researchers and countries, emerging keywords and core research areas in RBB research.

Replacement of maxillary lateral incisors with digitally manufactured single tooth retained all-ceramic pontics: a clinical report / Reabilitação da região de incisivo lateral superior ausente por pôntico modelo cantiléver em cerâmica pura fabricado digitalmente: relato de caso clínico

Several treatment options for replacement of anterior missing teeth exist, varying from no-prep (no preparation) adhesive restorations to implants. Patients' biological, psychological, economic conditions or age have an effect on the treatment choice. It is important to perform the most conservative and beneficial treatment option considering the patient based factors. The aim of this case report was to demonstrate a single session, minimally invasive, cantilevered 2-unit all-ceramic restorations replacing anterior missing teeth combined with the advantages of CAD/CAM technology and materials. (AU)

Existem várias opções de tratamento para reabilitação de dentes anteriores ausentes, variando de restaurações adesivas sem preparo (sem preparação) até implantes. As condições biológicas, psicológicas, econômicas ou a idade dos pacientes têm um efeito na escolha do tratamento. É importante realizar a opção de tratamento mais conservadora e benéfica, considerando os fatores baseados no paciente. O objetivo deste relato de caso foi demonstrar em sessão única, minimamente invasiva, um cantiléver de restaurações de cerâmica pura de 2 unidades, reabilitando a região de dentes anteriores ausentes combinadas com as vantagens da tecnologia CAD/CAM.(AU)

Effect of captopril pretreatment on the dentin bonding durability of self-etch adhesive / 浙江大学学报·医学版

To investigate the effect of captopril on the dentin bonding durability of self-etch adhesive. Different concentrations of captopril ethanol solutions or captopril ethanol/water solutions were prepared to pretreat dentin as primer for the self-etch adhesives. The surface morphology of the dentin was observed with scanning electron microscopy (SEM). Based on the morphology analysis, the pretreatment condition was selected and two self-etch adhesives were employed to evaluate the improvement effect of the captopril pretreatment on the dentin bonding durability. : SEM showed that the pretreatment of captopril ethanol solutions and captopril ethanol/water solutions were able to remove the smear lay and partially expose collagen matrix. According to the SEM results, the pretreating condition of captopril ethanol/water solution with the pretreating time of was selected for further dentin bonding study. For Clearfil SEBOND system, the immediate bonding strength increased from to  (0.05]. For Clearfil S BOND system, there was no significant difference in the immediate bonding strength between the experimental group [(4.07) MPa] and the control group[(4.11) MPa]. But after one-year aging, the bonding strength of the experimental group was higher than that of the control group <0.05]. : The pretreatment with captopril ethanol/water solution increases the dentin bonding strength of the self-etch adhesive systems and also improves the bonding durability.

Resin Template for Guiding Preparation in Resin Bonded Fixed Partial Denture – A Case Report

@#Resin Bonded Fixed Partial Denture (RBPFD) is a popular treatment for tooth preservation. Mechanical retention is a problem for RBFPD, where debonding is the main cause of failure. RBFPD preparation is minimal invasive. It removes undercut and tooth structure that supports retention so that single insertion guide can be achieved. This preparation was achieved by using surveyor on diagnostic cast, but there was a concern how to copy the surveyed cast to intraoral. Resin template method as a preparation guide was useful to avoid excessive tooth removal. RBFPD design was marked by using pencil on the diagnostic cast. The cast was surveyed to get the preparation designed and prepared by using milling device surveyor and burs. The template was made on the cast. Separator was applied and resin template was built along the margin until the occlusal line angle. The abutment teeth were etched and bonded. Bonding procedure was done on template. The template was placed on the teeth and polimerized. Abutment teeth preparation were done according to the cast with the bur contact simultaneously with the template’s margin and finishing line. Resin template has better accuration and adaptation, easier made and efficient, also prevent excessive tooth removal and control the preparation, mechanical retention can be achieved for RBFPD restoration longevity. Resin template is useful because preparation can be transfered from diagnostic cast to intraoral accurately.

Application of single-retainer all-ceramic resin-bonded fixed partial denture in the maintenance of missing incisor gap after orthodontic treatment in adolescents: a case report / 华西口腔医学杂志

This article reports a case of an orthodontic adolescent patient without a right inferior incisor. The right lower canine was used as the abutment. The single-retainer all-ceramic resin-bonded fixed partial denture was used to restore the complete dentition. Thus, the missing space was filled, and the function and aesthetics were restored.

Progress in restorative treatments of primary incisor defects / 口腔疾病防治

@#Dental caries and trauma are the most common oral diseases in children, which could result in defects of the teeth or detention. Maintenance of the primary dentition in a nonpathologic condition is important for oral health, craniofacial development, and the overall well-being of the children. In contemporary dentistry, primary anterior teeth defects are mainly treated with drugs, restorative treatments, or both. Restorative treatment is the most preferred method and includes direct restoration, full coronal restoration, post-and-core crowns, etc. This article reviews the available information regarding a variety of restorative treatments for primary incisor defects, including their backgrounds, clinical indications, clinical pathways, and related studies. The literature review shows that intraconal direct restoration is widely used on single surfaces. There are many kinds of full coronal restorations, and each has its own advantages. Pediatric resin-bonded strip crowns and zirconia crowns are the most popular and have excellent aesthetics. The use of post-and-core crowns for primary incisors is controversial. The absorbable post may be the next research hotspot. Therefore, treatment of severely destroyed primary incisors poses a challenge for pediatric dentists, as three important considerations must be kept in mind: children′s behavioral management, preservation of the tooth structure and parental satisfaction.

All-ceramic premolar guiding plate retains resin-bonded fixed partial dentures / 华西口腔医学杂志

OBJECTIVE@#This study aims to investigate the fracture resistance and short-term restorative effects of resin-bonded fixed partial dentures (RBFPDs) made from heat-pressed lithium-disilicate-based glass-ceramic (IPS e.max press) and zirconia ceramic (WIELAND) and retained by all-ceramic guiding plates when used to restore missing mandibular second premolars.@*METHODS@#A total of 64 human mandibular first premolars and first molars were prepared as abutments, then were randomly divided into 4 groups (n=8): E0, heat-pressed ceramic RBFPDs, no cyclic loading; E1, heat-pressed ceramic RBFPDs exposed to 300 000 cycles of dynamic loading; W0, zirconia ceramic RBFPDs, no cyclic loading; and W1, zirconia ceramic RBFPDs exposed to 300 000 cycles of dynamic loading. Fracture strength was tested in a universal testing machine.@*RESULTS@#The medians of fracture strength were 1 242.85 N±260.11 N (E0), 1 650.85 N±206.77 N (W0), 1 062.60 N±179.98 N (E1), and 1 167.61 N±265.50 N (W1). Statistical analysis showed that all the groups exhibited significantly higher fracture strength compared with the maximum bite force in the premolar region (360 N; P0.05). Significant statistical differences were found between the zirconia ceramic groups (W0 and W1, P0.05) after dynamic loading.@*CONCLUSIONS@#The RBFPDs retained by all-ceramic guiding plates exhibited promising fracture properties and optimal short-term restorative effects when used to restore missing mandibular second premolars.

Puente adhesivo temporal como solución estética en paciente con fisura de labio y paladar / Temporary adhesive bridge as aesthetic solution in patient with cleft lip palate

RESUMEN: Las dificultades por ausencia de una pieza dentaria anterior en un paciente con fisura de labio y paladar operado y en período de crecimiento requieren una solución estética inmediata posterior al retiro de aparatología fija de ortodoncia y en espera de una solución definitiva, sin embargo, ante escenarios como éste son útiles materiales de restauración que cumplan con indicaciones como rapidez en el trabajo, de tipo adhesivos reforzados con fibras de polietileno, altamente estéticos, manipulables y útiles en moldeabilidad. Se presenta un caso donde se utilizó resina compuesta, una cinta reforzada de fibra de polietileno, para la realización de un puente de reposición temporal de dos piezas dentarias anteriores en un paciente con diagnóstico de fisura de labio y paladar unilateral como una solución muy estética, no invasiva, provisional en espera del término del crecimiento para una rehabilitación definitiva.

ABSTRACT: There are several therapeutic alternatives for the rehabilitation of absent permanent teeth, but these alternatives are limited when the piece has an im-portant aesthetic component and must be performed in developing patients. Such is the case of patients with cleft palate, in which it is essential to use a highly es-thetic material and to rehabilitate edentulous spaces, usually an incisor, once the orthodontic treatment is completed and as a temporary solution in waiting of a de-finitive rehabilitation in these situations, restorative materials reinforced with poly-ethylene fibers are useful. In this case, a reinforced tape of polyethylene fiber was used as a temporary replacement bridge of two anterior teeth in a patient with a diagnosis of cleft lip and unilateral palate as an esthetic, non-invasive and temporary solution until his grow for a definitive rehabilitation.

Influence of the amount of tooth surface preparation on the shear bond strength of zirconia cantilever single-retainer resin-bonded fixed partial denture

PURPOSE: Conventional resin-bonded fixed partial dentures (RBFPDs) are usually made with a two-retainer design. Unlike conventional RBFPDs, cantilever resin-bonded fixed partial dentures (Cantilever RBFPDs) are, for their part, made with a single-retainer design. The aim of this study was to compare the effect of tooth surface preparation on the bond strength of zirconia cantilever single-retainer RBFPDs. The objective is to evaluate the shear bond strength of these single-retainer RBFPDs bonded on 3 different amount of tooth surface preparation. MATERIALS AND METHODS: Thirty extracted bovine incisors were categorized to 3 groups (n=10), with different amounts of tooth surface preparations. Teeth were restored with single-retainer RBFPDs with different retainer surfaces: large retainer of 32 mm²; medium retainer of 22 mm²; no retainer and only a proximal connecting box of 12 mm². All RBFPDs were made of zirconia and were bonded using an adhesive system without adhesive capacity. Shear forces were applied to these restorations until debonding. RESULTS: Mean shear bond strength values for the groups I, II, and II were 2.39±0.53 MPa, 3.13±0.69 MPa, and 5.40±0.96 MPa, respectively. Statistical analyses were performed using a one-way ANOVA test with Bonferroni post-hoc test, at a significance level of 0.001. Failure modes were observed and showed a 100% adhesive fracture. CONCLUSION: It can be concluded that the preparation of large tooth surface preparation might be irrelevant. For zirconia single-retainer RBFPD, only the preparation of a proximal connecting box seems to be a reliable and minimally invasive approach. The differences are statistically significant.

The effect of resin cement type and cleaning method on the shear bond strength of resin cements for recementing restorations

PURPOSE: This laboratory study assessed the effect of different dentin cleaning procedures on shear bond strength of resin cements for recementing prosthesis. MATERIALS AND METHODS: 4 × 4 flat surface was prepared on the labial surface of 52 maxillary central incisors. Metal frames (4 × 4 × 1.5 mm) were cast with nickel-chromium alloy. All specimens were randomly divided into 2 groups to be cemented with either Panavia F2.0 (P) or RelyX Ultimate (U) cement. The initial shear bond strength was recorded by Universal Testing Machine at a crosshead speed of 0.5 mm/min. Debonded specimens were randomly allocated into 2 subgroups (n = 13) according to the dentin cleaning procedures for recementation. The residual cement on bonded dentin surfaces was eliminated with either pumice slurry (p) or tungsten carbide bur (c). The restorations were rebonded with the same cement and were subjected to shear test. Data failed the normality test (P < .05), thus were analyzed with Mann Whitney U-test, Wilcoxon signed rank test, and two-way ANOVA after logarithmic transformation (α = .05). RESULTS: The initial shear bond strength of group P was significantly higher than group U (P = .001). Pc and Uc groups presented higher bond strength after recementation compared to the initial bond strength. However, it was significant only in Pc group (P = .034). CONCLUSION: The specimens recemented with Panavia F2.0 provided higher bond strength than RelyX Ultimate cement. Moreover, a tungsten carbide bur was a more efficient method in removing the residual resin cement and increased the bond strength of Panavia F2.0 cement after recementation.

Resin bonded fixed prosthesis for single tooth restoration: A case report / 대한치과보철학회지

In the case of single tooth replacement, a fixed prosthesis or a dental implant is the treatment option commonly selected as first choice. However, any amount of sound tooth structure should be removed to prepare the abutment teeth for full coverage retainer. The adjacent tooth damage can be avoided placing a dental implant. However, depending on the patient's oral condition and any other circumstances, it may be impossible or delayed. In this case resin bonded fixed partial denture was selected as an alternative that can restore single tooth loss without much tooth structure removal to the young patients and the patients with gingival recession. We report these patients were satisfied with esthetic and function.

Evaluation of Marginal and Internal Integrity of Modified Resin-Bonded Fixed Partial Dentures: An In Vitro Study

PURPOSE: The purpose of this study was to evaluate the microleakage of various types of resin-bonded fixed partial dentures (RBFPDs) after artificial aging. MATERIALS AND METHODS: Forty models with missing first molar were fabricated using artificial resin teeth and were divided into four groups: Group A, conventional RBFPDs design; Group B, modified RBFPDs design; Group C, assembled 3-piece RBFPDs design; and Group D, assembled 3-piece RBFPDs with different occlusal rest positions. Half of the specimens underwent chewing simulation process (240,000 cycles, 50 N load, 1.7 Hz) and thermocycling (temperatures 5℃~55℃, dwelling time 30 seconds) and the remaining 20 specimens didn't receive any treatment. All the specimens were immersed in 2% methylene blue solution for 24 hours to evaluate microleakage, and were sectioned at the middle part of abutment teeth. To evaluate the microleaskage, a dye penetration was calculated. RESULT: With artificial aging, cyclic loading and thermocycling, a 3-piece RBPFD and a 2-piece RBPFD using original tooth undercuts have significantly lower microleakge (P<0.05) compared to the conventional design of RBPFD and modified RBPFD. CONCLUSION: Within the limit of this experiment, the assembled RBFPDs exhibited a smaller microleakage than the conventional RBFPDs, implying that the assembled RBFPDs can be more effective for reducing the dislodgement of the RBFPDs.

Application of single-retainer all-ceramic resin-bonded fixed partial denture in replacing single anterior tooth / 华西口腔医学杂志

Objective In this study, we aimed to evaluate the clinical effect of single-retainer all-ceramic resin-bonded fixed partial denture (RBFPD) on the single anterior tooth loss patients. Methods A total of 20 single-retainer all-ceramic RBFPD
were fabricated and evaluated in a two-year follow-up observation. The restorations were examined on the basis of the American Public Health Association (APHA) criteria. Results A total of 20 single-retainer all-ceramic RBFPD achieved class A evaluation after a six-month follow-up observation. One single-retainer all-ceramic RBFPD was classified as class B for secondary caries after a one-year follow-up observation. After a two-year follow-up observation, one single-retainer all-ceramic RBFPD was classified as class B because of secondary caries, and one single-retainer all-ceramic RBFPD was classified as class B because of fracture. Conclusion Single-retainer all-ceramic RBFPD is a promising and optional method in replacing single anterior tooth.

Effect of dentin surface roughness on the shear bond strength of resin bonded restorations

PURPOSE: This study aimed to investigate whether dentin surface preparation with diamond rotary instruments of different grit sizes affects the shear bond strength of resin-bonded restorations. MATERIALS AND METHODS: The buccal enamel of 60 maxillary central incisors was removed with a low speed diamond saw and wet ground with silicon carbide papers. The polished surfaces of the teeth were prepared with four groups of rotary diamond burs with super-coarse (SC), coarse (C), medium (M), and fine (F) grit sizes. Following surface preparation, 60 restorations were casted with nickel-chromium alloy and bonded with Panavia cement. To assess the shear bond strength, the samples were mounted on a universal testing machine and an axial load was applied along the cement-restoration interface at the crosshead speed of 0.5 mm/min. The acquired data was analyzed with one way ANOVA and Tukey post hoc test (α=.05). RESULTS: The mean ± SD shear bond strengths (in MPa) of the study groups were 17.75 ± 1.41 for SC, 13.82 ± 1.13 for C, 10.40 ± 1.45 for M, and 7.13 ± 1.18 for F. Statistical analysis revealed the significant difference among the study groups such that the value for group SC was significantly higher than that for group F (P<.001). CONCLUSION: Dentin surface roughness created by diamond burs of different grit sizes considerably influences the shear bond strength of resin bonded restorations.

Minimum intervention dentistry with indirect fibrereinforced composite bridge: a case report

Resin-bonded fibre-reinforced composite bridges provide many advantages over the conventional bridges or implant treatment in the management of a traumatically or congenitally missing anterior tooth. Furthermore, there is an increasing demand towards providing a metal free resin-bonded bridges over the alloybased restorations in order to meet the aesthetic needs especially in the anterior region. Advances in the adhesive technology and tooth colored materials offer improved bonding system and better aesthetic outcome. Nevertheless, careful selection of cases to receive this type of approach is also one of the key factor to ensure the clinical survival of fibre-reinforced composite bridges. This report aims to present the use of fibre-reinforced composite to construct indirect cantilever fibre-reinforced composite bridges as part of minimum intervention dentistry.

Construction of three-dimensional finite element models of cantilever resin-bonded bridg with three differ-ent retainer designs / 实用口腔医学杂志

Objective:To construct three-dimensional(3D)finite element models with 3 different retainer designs.Methods:The intact maxillary first premolar was scanned using Micro-CT.CT images were reconstructed through Mimics 10.0 software and the prima-ry 3D models were gained after improvement in the Geomagic 7.0 software,The abutments and prosthesis of cantilever resin-bonded bridg that could be identified by the FEA software were accomplished.Results:The 3D models of cantilever resin-bonded bridg with 3 different retainer designs were constructed successfully using the maxillary first premolar as the abutment.The mesh number were 553 959,468 134,516 748,respectively.Conclusion:Using Micro-CT and finite element analysis the 3D reconstruction of the cantile-ver resin-bonded bridges may be more accurate for biomechanical analysis.

Modified resin-bonded fixed partial dentures utilizing tooth undercuts: a clinical case study / 대한치과보철학회지

PURPOSE: The object of this clinical study was to evaluate the short-term outcome of modified resin-bonded fixed partial dentures which utilizes the original tooth undercuts and different path of insertion of components. MATERIALS AND METHODS: 71 units of modified RBFPDs that were used in 21 patients at the Department of Prosthodontics, College of Dentistry, Yonsei University were evaluated. The follow-up period was up to 25 months, the mean being 7 months. Survival rate, mobility, percussion, probing depth, bleeding on probing, plaque index was recorded and radiographs were taken to monitor alveolar bone loss. RESULTS & CONCLUSION: Within the limits of this short term retrospective study, it was concluded that: 1. No mechanical failure such as debonding or fracture of the framework was found during the follow-up period. 2. The periodontal apparatus was stable and no clinical change was observed after prosthetic treatment. 3. No significant marginal bone loss was found in the radiographic evaluation.

Um novo sistema de prótese parcial adesiva / A new system of adhesive fixed partial denture

A substituição de dentes ausentes pode ser alcançada de várias formas, tais como prótese parciais fixas convencionais cerâmicas ou metalocerâmicas, próteses sobre implantes ou prótese parciais fixas adesivas. Uma vez que as soluções existentes nem sempre são eficazes, descrevemos uma nova abordagem que assegura retenção adequada e estética satisfatória em um caso de prótese fixa adesiva de três elementos. Os autores apresentam um caso clínico realizado na Faculdade de Medicina Dentária do Porto - Portugal, que demonstra a reabilitação de um segundo pré-molar esquerdo com um novo sistema de prótese parcial fixa adesiva baseado na utilização de dois componentes protéticos segmentados entre si. A substituição de um dente posterior com este tipo de prótese parcial fixa adesiva possibilitou a restauração do dente perdido com preparos menos invasivos, restabelecendo a função e a estética ao paciente.

The replacement of missing teeth can be accomplished in different ways such as ceramic or metal-ceramic fixed partial dentures, dental implants or resin-bonded fixed partial dentures. Since the existing solutions are not always effective, a new approach is described to ensure adequate retention and satisfactory aesthetics for resin-bonded fixed partial denture with only one element. The authors present a clinical case of the Faculty of Dentistry of Porto - Portugal, showing the rehabilitation of a missing left second premolar with a new two-component system of resin-bonded fixed partial denture, which is bonded to the adjacent teeth. The replacement of one posterior tooth with this two component resin-bonded fixed partial denture may be more efficient and retentive than the classic ones.

Reabilitação conservadora com prótese adesiva reforçada por fibra de vidro: princípios, técnicas e resultados / Conservative oral rehabilitation with glass fiber reinforced composite fixed partial dentures: principles, technique and results

O objetivo deste trabalho é apresentar os princípios, técnicas (laboratorial e clinica) e resultados da reabilitação por prótese adesiva em resina composta reforçada com fibra de vidro. Paciente do gênero feminino, 23 anos, com ausência do 36, 35 íntegro e 37 com restauração em amálgama classe I, compareceu à universidade para tratamento. Preparos expulsivos OD e MO foram executados nos dentes 35 e 37, respectivamente,sendo que no 37 aproveitou-se a cavidade deixada após remoção do amálgama. A moldagem final, em passo único, foi realizada e o provisório confeccionado com resina acrílica. Na fase laboratorial, utilizou-se o sistema de fibra de vidro Fibrex-Lab (Angelus) e a resina microhíbrida Natural Look (DFL), nas cores A3 e A2, de esmalte e dentina. A prótese foi jateada internamente com óxido de alumínio, silanizada e após acabamento e polimento, foi cimentada adesivamente com Single Bond 2 e Rely-X (3M-ESPE). Após, foi feito ajuste oclusal e repolimento com pastas diamantadas. O caso resultou em uma solução conservadora, pois houve economia de desgaste no dente 35, que era hígido, e do 37 que aproveitou o preparo prévio da restauração existente. Os materiais empregados possibilitaram a recuperação da função mastigatória e estética, e o ajuste da oclusão garantiu conforto e possibilidade de maior longevidade ao tratamento. A obediência aos princípios de preparo, concepção e critério para inclusão de fibras, planejamento protético, princípios adesivos e correta seleção dos materiais garantiram excelente resultado estético e funcional.

This case report presents the principles, techniques (laboratory and clinical) and the results of an oral rehabilitation with a glass berreinforced composite fxed partial denture (GFCPD). A 23-year-old female patient with absence of tooth 36, intact 35 and 37 with class I amalgam restoration came to dental school. Expulsive OD and MO conservative cavity preparations were executed on teeth 35 and 37, respectively. Defnitive impressions were taken with a condensation silicone and provisional restorations made with acrylic resin. The glass-fiber system plus the microhybrid composite resin, in colors A3 e A2 (enamel and dentin), were employed. After finishing and polishing the prosthesis, intaglio surfaces were aluminum oxide sandblasted, silanized and adhesively fxed with Adper Single Bond 2 and Rely-X ARC. Then, a rigorous occlusal adjustment and new polishment were performed with diamond pastes. This conservative treatment option enabled tooth 35 to receive minor cavity preparations and also tooth 37, which had already been prepared in the past to receive an amalgam restoration. The employed materials restored occlusal function and esthetical appearance, and occlusal adjustment rises the chances for greater longevity. The knowledgement about GFCPD cavity preparation principles, fibers issues, prosthodontics planning and adhesive principles are the principal reason for successful treatments.