Missing Maxillary Laterals - A Conservative Alternative That Really Works!
You will receive 1 credit(s) of continuing education credit upon successful completion of this course. The purchase price of this course is $49.00


This course describes in detail the procedure and materials for an Encore bridge prosthetic for missing maxillary lateral teeth.


Learning Objectives:

Upon completion of this course, participants should be able to do the following:

  1.  Recognize all the treatment options available for a patient who is missing a maxillary lateral.
  2. Understand the functional and esthetic problems inherent in the Maryland bridge.
  3. Understand the benefits of the use of fiber reinforcement to improve composite strength.
  4. Understand how the physical properties of composites enhanced through laboratory processing.
  5. Comprehend the proper preparation technique for an Encore® bridge.
  6. Comprehend the proper delivery technique for an Encore® bridge.
  7. Understand the clinical applications for the Encore® bridge.


The most common congenitally missing tooth in the human dentition is the maxillary lateral incisor. Numerous prosthetic options are available. For many years, the Maryland bridge was one of the most popular prosthetic choices. However, the Maryland bridge has clinical shortcomings. Recently, with the development of fiber-reinforced composites, the Encore® bridge was created. The Encore® bridge now gives dentists and their patients a conservative option which has excellent esthetics. This course covers the theory, materials and techniques needed to add this beautiful and conservative prosthetic option to a dental practice.



  1. Introduction

  2. Technological Update: A Conservative Alternative

  3. Clinical Case

    1. Preparation

    2. Impressions

    3. Temporization

    4. Lab fabrication

    5. Delivery

  4. Summary


  1. Radz G. Beyond the Maryland Bridge, AACDJ. Spring 1996; 18-22.
  2. Mito RS, Caputo AA, James DF. Load transfer to abutment by two non-metal adhesive bridges. PP&A. 1991; 3(7) 31-35.
  3. Hornbrook DS. Anterior tooth replacement using a two-component resin-bonded bridge. Comp Cont Ed Dent. 1993; 14(1):52-61.
  4. Nixon RL. The advent of metal-free dentistry: A versatile new fiber and polymer
    glass system. PP&A., 1997; 9(8):1-7.
  5. Karmaker AC, DiBenedetto AT, Goldberg AJ. Continuous fiber reinforced composite materials as alternatives for metal alloys used for dental appliances. J Biomater Appl. 1997; 11(3):318-328.
  6. Freilich MA, Karmaker AC, Burstone CJ, Goldberg AJ. Flexure strength of fiber-reinforced composites designed for prosthodontic application. J Dent Res. 1997; 76(Special Issue):138.
  7. Freilich MA, Karmaker SC, Burstone CJ, Goldberg AJ. Flexure strength and handling characteristics of fiber-reinforced composites used in prosthodontics. J Dent Res, 1997; 76(special issue):184.
  8. Suzuki S. Comparative Wear Study of Sculpture and Artglass. Special Research Report. Wallingford, CT: Jeneric/Pentron; 1996:1-10.
  9. Jia W, Yan Z, Prasad A. Polymer-based Conquest Sculpture crown and bridge composite material properties according to ISO and ADA standards/specifications. Special Research Report. Wallingford, CT: Jeneric/Pentron; 1996:1-10.
  10. Li Y. Effect of Conquest Sculpture Composite Resin on oral mucous membranes of Golden Syrian hamsters. Special Research Report. Wallingford, CT: Jeneric/Pentron; 1996: 1-14.
  11. Li Y. Evaluation of Cytotoxicity of Extracts of FiberKor using the agar diffusion method. Special Research Report. Wallingford, CT: Jeneric/Pentron; 1997: 1-6.

American Dental Association is an ADA CERP Recognized Provider.

ADA CERP is a service of the American Dental Association to assist dental professionals in identifying quality providers of continuing dental education. ADA CERP does not approve or endorse individual courses or instructors, nor does it imply acceptance of credit hours by boards of dentistry.