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The Success Rate of the Adhesive Partial Fixed Prosthesis after Five Years: A Systematic Review. PROSTHESIS 2023. [DOI: 10.3390/prosthesis5010021] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 03/11/2023]
Abstract
Objective: Evaluation of the success and/or survival rates of resin-bonded fixed partial dentures (RBFPDs) reported in the scientific literature with a minimum average observation time of five years. Materials and Methods: Search conducted in Pubmed, Web of Science, and Cochrane databases in free-text format and MESH terms, until May 2021. The random-effects model was used for the estimated survival rate, percentage per year of estimated failure, and existing complications for the meta-analysis. Study heterogeneity was assessed by the inconsistency test (I2) and study quality by the Downs and Black scale. Results: Eleven articles were included, with 687 participants and 783 RBFPDs, with a mean observation time of 8.2 years, with success rates mentioned in three articles and survival rates reported in nine articles. A total of 142 failures were reported for 783 prostheses, the most frequent being debonding. The estimated failure rate was between 0.53% and 5.10% per year. The studies were of sufficient quality. In the meta-analysis, the survival rates showed a significant result (p < 0.001), with moderate heterogeneity (I2 = 58.76%). Conclusions: Within the limitations of this research, mainly related to the heterogeneity of the studies and their quality, it seems possible to conclude that RBFPDs are a viable clinical option for the rehabilitation of patients with single edentulous spaces, mainly when using a single retainer and a zirconia-ceramic prosthesis.
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Narwani S, Yadav NS, Hazari P, Saxena V, Alzahrani AH, Alamoudi A, Zidane B, Albar NHM, Robaian A, Kishnani S, Somkuwar K, Bhandi S, Srivastava KC, Shrivastava D, Patil S. Comparison of Tensile Bond Strength of Fixed-Fixed Versus Cantilever Single- and Double-Abutted Resin-Bonded Bridges Dental Prosthesis. MATERIALS (BASEL, SWITZERLAND) 2022; 15:5744. [PMID: 36013880 PMCID: PMC9416637 DOI: 10.3390/ma15165744] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 07/05/2022] [Revised: 08/12/2022] [Accepted: 08/14/2022] [Indexed: 06/15/2023]
Abstract
Resin-bonded fixed dental prostheses (RBFDP) are minimally invasive alternatives to traditional full-coverage fixed partial dentures as they rely on resin cements for retention. This study compared and evaluated the tensile bond strength of three different resin-bonded bridge designs, namely, three-unit fixed-fixed, two-unit cantilever single abutment, and three-unit cantilever double-abutted resin-bonded bridge. Furthermore, the study attempted to compare the tensile bond strengths of the Maryland and Rochette types of resin-bonded bridges. Based on the inclusion and exclusion criteria, a total of seventy-five extracted maxillary incisors were collected and later were mounted on the acrylic blocks. Three distinct resin-bonded metal frameworks were designed: three-unit fixed-fixed (n = 30), two-unit cantilever single abutment (n = 30), and a three-unit cantilever double abutment (n = 30). The main groups were further divided into two subgroups based on the retainer design such as Rochette and Maryland. The different prosthesis designs were cemented to the prepared teeth. Later, abutment preparations were made on all specimens keeping the preparation as minimally invasive and esthetic oriented. Impression of the preparations were made using polyvinyl siloxane impression material, followed by pouring cast using die stone. A U-shaped handle of 1.5 mm diameter sprue wax with a 3 mm hole in between was attached to the occlusal surface of each pattern. The wax patterns were sprued and cast in a cobalt-chromium alloy. The castings were cleaned by sandblasting, followed by finishing and polishing. Lastly, based on the study group, specimens for Rochette bridge were perforated to provide mechanical retention between resin cement and metal, whereas the remaining 15 specimens were sandblasted on the palatal side to provide mechanical retention (Maryland bridge). In order to evaluate the tensile bond strength, the specimens were subjected to tensile forces on a universal testing machine with a uniform crosshead speed. The fixed-fixed partial prosthesis proved superior to both cantilever designs, whereas the single abutment cantilever design showed the lowest tensile bond strength. Maryland bridges uniformly showed higher bond strengths across all framework designs. Within the limitations of this study, the three-unit fixed-fixed design and Maryland bridges had greater bond strengths, implying that they may demonstrate lower clinical failure than cantilever designs and Rochette bridges.
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Affiliation(s)
- Shweta Narwani
- Department of Prosthodontics and Crown & Bridge and Implantology, Peoples Dental Academy, Peoples University, Bhopal 462037, India
| | - Naveen S. Yadav
- Department of Prosthodontics and Crown & Bridge and Implantology, Peoples Dental Academy, Peoples University, Bhopal 462037, India
| | - Puja Hazari
- Department of Prosthodontics and Crown & Bridge and Implantology, Peoples Dental Academy, Peoples University, Bhopal 462037, India
| | - Vrinda Saxena
- Department of Public Health Dentistry, Government Dental College, Indore 452001, India
| | | | - Ahmed Alamoudi
- Department of Oral Biology, King Abdulaziz University, Jeddah 80200, Saudi Arabia
| | - Bassam Zidane
- Department of Restorative Dentistry, King Abdulaziz University, Jeddah 22254, Saudi Arabia
| | | | - Ali Robaian
- Department of Conservative Dental Sciences, College of Dentistry, Prince Sattam bin Abdulaziz University, Al-Kharj 16278, Saudi Arabia
| | - Sushil Kishnani
- Department of Conservative Dentistry & Endodontics, Peoples College of Dental Sciences, Peoples University, Bhopal 462037, India
| | - Kirti Somkuwar
- Department of Prosthodontics and Crown & Bridge and Implantology, Peoples Dental Academy, Peoples University, Bhopal 462037, India
| | - Shilpa Bhandi
- Department of Restorative Dentistry, Jazan University, Jazan 45142, Saudi Arabia
| | - Kumar Chandan Srivastava
- Department of Oral & Maxillofacial Surgery & Diagnostic Sciences, College of Dentistry, Jouf University, Sakaka 72388, Saudi Arabia
| | - Deepti Shrivastava
- Department of Preventive Dentistry, College of Dentistry, Jouf University, Sakaka 72388, Saudi Arabia
| | - Shankargouda Patil
- Department of Maxillofacial Surgery and Diagnostic Sciences, Division of Oral Pathology, College of Dentistry, Jazan University, Jazan 45142, Saudi Arabia
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Dunn K, Funez MAU, Pace-Balzan A. Debonding of cast metal-based cantilever and fixed-fixed resin-retained bridgework: A review of the literature. Prim Dent J 2022; 11:35-49. [PMID: 35383495 DOI: 10.1177/20501684221085835] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
AIM Cast metal-based resin-retained bridgework (RRB) offers a practical, conservative approach when restoring edentulous spaces. This review examines the debonding of cast metal-based RRB, comparing cantilever resin-retained bridgework (CRRB) and fixed-fixed resin-retained bridgework (FRRB) designs taking into context developments in RRB design, construction, and cementation over time. METHODS An electronic search was conducted through Medline and Embase with the aid of Boolean operators to combine the following key words: "adhesive bridges", "resin-bonded bridges", "resin-retained bridges", "resin-bonded fixed partial dentures", "cantilever", "debond", "fixed-fixed", "decementation", "failure", "success", "outcome", "longevity" and "survival". The search was limited to peer-reviewed articles written in English and published from 1995 through to 2019. MAIN FINDINGS Thirty-one studies were included. Five studies compared the longevity of CRRB versus FRRB, five assessed the clinical performance of CRRBs alone, and 21 studies assessed the clinical performance of FRRBs. There was great variability in study design and the reporting of clinical outcomes, and an analysis and critique of the included papers is provided. Overall, CRRB tend to debond less and hence provide longer-term and more reliable clinical service when compared to FRRB. PRINCIPAL CONCLUSIONS More high-level, long-term, prospective and clinical controlled trials are required to further analyse and evaluate the long-term outcomes of cast metal-based RRB.
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Affiliation(s)
- Katharine Dunn
- Specialty Trainee in Restorative Dentistry, Edinburgh Dental Institute, The University of Edinburgh, UK
| | | | - Adrian Pace-Balzan
- Consultant in Restorative Dentistry, Edinburgh Dental Institute, The University of Edinburgh, UK
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Resin bonded bridges in patients with hypodontia: Clinical performance over a 7 year observation period. Saudi Dent J 2020; 32:255-261. [PMID: 32647473 PMCID: PMC7336022 DOI: 10.1016/j.sdentj.2019.10.011] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/29/2019] [Revised: 10/27/2019] [Accepted: 10/29/2019] [Indexed: 11/22/2022] Open
Abstract
PURPOSE Resin bonded bridges (RBBs) are considered a conservative option in the management of hypodontia. This study targeted to analyze the survival of resin bonded bridges provided to patients with Hypodontia by staff and students at the Department of Restorative Dentistry, University Dental School and Hospital Cork, Ireland. It was also to determine the factors that may influence the survival of RBBs in patients with hypodontia. METHODS Forty patients with hypodontia who received 65 RBBs from 2001 to 2007 were identified and contacted to be recruited for this study. Of these, nine were not contactable, and five failed to attend. Accordingly, 26 patients (65%) participated in the study, with a total of 51 RBBs. RESULTS Of the 51 RBBs evaluated, 44 (86%) were still in situ and functional and 7 (14%) failed. The main reason for failure was repeated debonding. The effect of age, gender, the grade of operator and experience, bridge location, design of the bridge, span length and moisture control during cementation, could not be demonstrated. CONCLUSION The effect of age, gender, the grade of operator and experience, bridge location, design of the bridge, span length and moister control on RBB survival could not be demonstrated. Majority of patients with hypodontia showed satisfaction with resin bonded bridges. In replacing congenitally missing teeth in patients with hypodontia, resin-bonded bridges would be an acceptable treatment option.
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Türkaslan S, Mutluay MM, Vallittu PK, Arola D, Tezvergil-Mutluay A. Fatigue resistance of metal-free cantilever bridges supported by labial laminate veneers. J Mech Behav Biomed Mater 2020; 103:103596. [PMID: 32090925 DOI: 10.1016/j.jmbbm.2019.103596] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/23/2019] [Revised: 11/18/2019] [Accepted: 12/10/2019] [Indexed: 11/28/2022]
Affiliation(s)
- Süha Türkaslan
- Suleyman Demirel University, Faculty of Dentistry, Department of Prosthodontics, Isparta, Turkey
| | - Mustafa Murat Mutluay
- Adhesive Dentistry Research Group, Department of Restorative Dentistry and Cardiology, Institute of Dentistry, University of Turku, Turku, Finland; Institute of Dentistry, University of Eastern Finland, Kuopio, Finland; Kuopio University Hospital, Kuopio, Finland.
| | - Pekka K Vallittu
- Department of Biomaterials Science, Turku University, and City of Turku, Welfare Division, Turku, Finland
| | - Dwayne Arola
- Materials Science and Engineering, University of Washington, Seattle, WA, USA; Department of Restorative Dentistry and Department of Oral Health Sciences, Dental School, University of Washington Seattle, WA, USA
| | - Arzu Tezvergil-Mutluay
- Adhesive Dentistry Research Group, Department of Restorative Dentistry and Cardiology, Institute of Dentistry, University of Turku, Turku, Finland; Turku University Hospital, TYKS, Turku, Finland
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Abt E, Carr AB, Worthington HV. WITHDRAWN: Interventions for replacing missing teeth: partially absent dentition. Cochrane Database Syst Rev 2019; 7:CD003814. [PMID: 31425605 PMCID: PMC6699666 DOI: 10.1002/14651858.cd003814.pub3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
BACKGROUND Management of individuals presenting with partial loss of teeth is a common task for dentists. Outcomes important to the management of missing teeth in the partially absent dentition should be systematically summarized. This review recognizes both the challenges associated with such a summarization and the critical nature of the information for patients. OBJECTIVES To assess the effects of different prostheses for the treatment of partially absent dentition in terms of the following outcomes: long-term success, function, morbidity and patient satisfaction. SEARCH METHODS We searched the Cochrane Oral Health Group's Trials Register (to 21 March 2011), the Cochrane Central Register of Controlled Trials (CENTRAL) (The Cochrane Library 2011, Issue 1), MEDLINE via OVID (1950 to March 2011) and EMBASE via OVID (1980 to March 2011). There were no restrictions regarding language or date of publication. We contacted several authors to identify non-published trials. SELECTION CRITERIA Randomized controlled trials (RCTs) comparing different methods (including the design and materials used) of treating partial edentulism, with clinically relevant outcomes, were included in this review. Trials reporting only surrogate outcomes, such as plaque accumulation or gingival volume, were excluded from this review. DATA COLLECTION AND ANALYSIS Two review authors independently carried out the screening of eligible studies, assessment of dimensions of quality of trials, and data extraction. Results were expressed as mean differences for continuous data, risk ratios for dichotomous outcomes, and hazard ratios with 95% confidence intervals for time-to-event data. MAIN RESULTS Twenty-one trials met the inclusion criteria for this review. Twenty-four per cent of these were assessed as being at high risk of bias and the remainder were at unclear risk of bias. The clinical heterogeneity among the included studies precluded any attempt at meta-analysis. There was insufficient evidence to determine whether one type of removable dental prosthesis (RDP) was better or worse than another. With fixed dental prostheses (FDPs), there was no evidence that high gold alloys are better or worse than other alloys, nor that gold alloys or frameworks are better or worse than titanium. There is insufficient evidence to determine whether zirconia is better or worse that other FDP materials, that ceramic abutments are better or worse than titanium, or that one cement was better or worse than another in retaining FDPs. There is insufficient evidence to determine the relative effectiveness of FDPs and RDPs in patients with shortened dental arch or to determine the relative advantages of implant supported FDPs versus tooth/implant supported FDPs. AUTHORS' CONCLUSIONS Based on trials meeting the inclusion criteria for this review, there is insufficient evidence to recommend a particular method of tooth replacement for partially edentulous patients.
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Affiliation(s)
- Elliot Abt
- Illinois Masonic Medical CenterDepartment of Dentistry811 W WellingtonChicagoILUSA60657
| | - Alan B Carr
- Mayo ClinicDepartment of Dental Specialities200 First Street SWRochesterUSAMN 55905
| | - Helen V Worthington
- Division of Dentistry, School of Medical Sciences, Faculty of Biology, Medicine and Health, The University of ManchesterCochrane Oral HealthCoupland Building 3Oxford RoadManchesterUKM13 9PL
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Lam WYH, Chan RST, Li KY, Tang KT, Lui TT, Botelho MG. Ten-year clinical evaluation of posterior fixed-movable resin-bonded fixed partial dentures. J Dent 2019; 86:118-125. [PMID: 31181243 DOI: 10.1016/j.jdent.2019.06.003] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/15/2019] [Revised: 06/05/2019] [Accepted: 06/06/2019] [Indexed: 11/16/2022] Open
Abstract
OBJECTIVES Two-unit cantilevered resin-bonded fixed partial dentures (RBFPDs) offer long-term retention for anterior and premolar-sized spans. At this center, molar and longer spans have been restored with fixed-movable (FM) RBFPDs to overcome the lower retention rates of fixed-fixed RBFPDs. This retrospective study aimed to evaluate the long-term longevity and the patient-reported outcomes of posterior FM-RBFPDs. METHODS Posterior FM-RBFPDs that had been inserted at least five years were reviewed. Survival was "retention of the original prosthesis in mouth" and success was "survival of prosthesis and absence of complications requiring treatment intervention". Prosthesis location, number of units, insertion year, tooth/teeth replaced and operator experience were collected. Patients' acceptance to FM-RBFPDs were assessed using prosthesis satisfaction questionnaire and Oral Health Impact Profile (OHIP-49). Results were analyzed using log-rank and cox-regression tests at significance level α = 0.05. RESULTS One-hundred-and-one prostheses were examined. The mean observation time was 126.4 ± 32.2 months. Thirty-six (35.6%) and 63 (62.4%) FM-RBFPDs were rated as success and survival respectively. Prostheses inserted after year 2001 (n = 69) experienced 42.0% (n = 29) success and 75.4% (n = 52) survival, and its survival rate was significantly better than those inserted in or before 2001 (p = 0.01). Five- and ten-year cumulative survival probability of FM-RBFPDs inserted after year 2001 were 82.3% and 74.1% respectively. The most frequent complications were debonding among 34 (33.7%) prostheses. Patients' acceptance were high. CONCLUSIONS More recently inserted prostheses showed improved longevity and patients' acceptance to posterior FM-RBFPDs were high. CLINICAL SIGNIFICANCE Fix-Movable RBFPDs are a viable tooth replacement option in the posterior region.
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Affiliation(s)
- Walter Y H Lam
- Faculty of Dentistry, The University of Hong Kong, Hong Kong Special Administrative Region
| | - Ronald S T Chan
- Faculty of Dentistry, The University of Hong Kong, Hong Kong Special Administrative Region
| | - K Y Li
- Faculty of Dentistry, The University of Hong Kong, Hong Kong Special Administrative Region
| | - K T Tang
- Private practice, Hong Kong Special Administrative Region
| | - Tony T Lui
- Department of Health, Hong Kong Special Administrative Region
| | - Michael G Botelho
- Faculty of Dentistry, The University of Hong Kong, Hong Kong Special Administrative Region.
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Thomason JM, Moynihan PJ, Steen N, Jepson NJA. Time to Survival for the Restoration of the Shortened Lower Dental Arch. J Dent Res 2016; 86:646-50. [PMID: 17586712 DOI: 10.1177/154405910708600712] [Citation(s) in RCA: 50] [Impact Index Per Article: 6.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
Removable partial dentures may adversely affect remaining tissues and have a low prevalence of use. This randomized controlled trial was designed to compare the time to survival of cantilever resin-bonded fixed partial dentures and conventional removable partial dentures to restore shortened lower dental arches. We randomly allocated 25 male and 35 female patients (median age, 67 years) to fixed or removable partial denture groups of 30 persons, matched for age and sex. Survival of the prostheses was assessed, based on listed criteria, at each review or when problems arose. Although the removable partial denture group required rather more maintenance visits, the difference in survival rates was not statistically significant (hazard ratio = 0.59, with 95% CI 0.27, 1.29). In the absence of significant differences in five-year survival, the reported advantages of fixed partial dentures, including reduced maintenance frequency, offer positive support for the use of resin-bonded fixed partial dentures.
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Affiliation(s)
- J M Thomason
- School of Dental Sciences, University of Newcastle upon Tyne, Framlington Place, Newcastle upon Tyne, UK.
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Opdam NJM, Skupien JA, Kreulen CM, Roeters JJM, Loomans BAC, Huysmans MCDNJM. Case Report: A Predictable Technique to Establish Occlusal Contact in Extensive Direct Composite Resin Restorations: The DSO-Technique. Oper Dent 2016; 41:S96-S108. [DOI: 10.2341/13-112-t] [Citation(s) in RCA: 25] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
SUMMARY
This paper describes the application technique of direct shaping by occlusion (DSO) for large composite restorations including the entire occlusal surface. For this technique, matrix bands and wedges are inserted without interference with antagonists in the desired occlusion. The final increment of soft-composite resin is shaped by letting the patient occlude on the uncured composite. Due to the nature of the technique, special care has to be taken for moisture control and handling of contamination. The procedure, advantages, and limitations of the technique are discussed.
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Affiliation(s)
- NJM Opdam
- Niek JM Opdam, DDS, PhD, associate professor, Radboud Institute for Molecular Life Sciences, Department of Dentistry, Radboud university medical center, Nijmegen, The Netherlands
| | - JA Skupien
- Jovito A Skupien, DDS, MSc, PhD, adjunct professor, School of Dentistry, Franciscan University Center, Santa Maria, Brazil
| | - CM Kreulen
- Cees M Kreulen, DDS, PhD, associate professor, Radboud Institute for Molecular Life Sciences, Department of Dentistry, Radboud university medical center, Nijmegen, The Netherlands
| | - JJM Roeters
- Joost JM Roeters, DDS, PhD, professor, Department of Restorative Dentistry, ACTA (Academic Centre for Dentistry), Amsterdam, The Netherlands
| | - BAC Loomans
- Bas AC Loomans, DDS, PhD, assistant professor, Radboud Institute for Molecular Life Sciences, Department of Dentistry, Radboud university medical center, Nijmegen, The Netherlands
| | - MC DNJM Huysmans
- Marie-Charlotte DNJM Huysmans, DDS, PhD, professor and head, Radboud Institute for Molecular Life Sciences, Department of Dentistry, Radboud university medical center, Nijmegen, The Netherlands
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İzgi AD, Eskimez Ş, Kale E. Retrospective study on the 7.5-year survival of resin-bonded dental prostheses in single missing second premolar cases. J Indian Prosthodont Soc 2016; 16:26-9. [PMID: 27134424 PMCID: PMC4832793 DOI: 10.4103/0972-4052.167936] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
Abstract
Purpose: The purpose of this study is to report retrospectively the clinical results of cast metal slot-retained resin-bonded fixed dental prostheses (RBFDPs) used in the restoration of single missing second premolar teeth, as this kind of prostheses provides acceptable clinical outcomes in a minimally invasive and esthetic treatment for the average patient requiring cheaper and faster treatment alternative for a single missing posterior tooth. However, the data present in the literature are scarce. Materials and Methods: Clinical follow-up was reported up to 7.5 years in nine different cast metal slot-retained RBFDPs patients of both genders between 21 and 49 years of age. Routine clinical controls were performed 6 and 12 months after treatment, followed by regular intervals every year afterward. The Kaplan–Meier survival estimation method was used to determine the overall and functional survival rates and times of the RBFDPs at the end of the observation period. Results: At the end of the follow-up, all of the RBFDPs were still functional with a mean follow-up of 6.7 years. The Kaplan–Meier estimation for the overall survival was calculated as 89% for up to 7.5 years with one failure due to debonding. The functional survival rate was 100% with the lowest and highest observation periods being 5.8 and 7.5 years, respectively. Conclusions: Within the limitations of this retrospective clinical study, it seems that the design and cementation regimen used for the RBFDPs presented can guarantee clinical success in the restoration of single missing second premolar teeth.
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Affiliation(s)
- Ayça Deniz İzgi
- Department of Prosthodontics, Faculty of Dentistry, Dicle University, Diyarbakir, Hatay, Turkey
| | - Şebnem Eskimez
- Private Practice, Cevatpasa District, Velibey Street No: 16, Canakkale, Turkey
| | - Ediz Kale
- Department of Prosthodontics, Faculty of Dentistry, Mustafa Kemal University, Hatay, Turkey
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Wei YR, Wang XD, Zhang Q, Li XX, Blatz MB, Jian YT, Zhao K. Clinical performance of anterior resin-bonded fixed dental prostheses with different framework designs: A systematic review and meta-analysis. J Dent 2016; 47:1-7. [DOI: 10.1016/j.jdent.2016.02.003] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/05/2015] [Revised: 01/30/2016] [Accepted: 02/09/2016] [Indexed: 01/11/2023] Open
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Miettinen M, Millar BJ. A review of the success and failure characteristics of resin-bonded bridges. Br Dent J 2015; 215:E3. [PMID: 23887555 DOI: 10.1038/sj.bdj.2013.686] [Citation(s) in RCA: 32] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/26/2013] [Indexed: 11/09/2022]
Abstract
OBJECTIVES This literature review was designed to assess and compare the success rates and modes of failure of metal-framed, fibre-reinforced composite and all-ceramic resin-bonded bridges. MATERIALS AND METHOD A Medline search (Ovid), supplemented by hand searching, was conducted to identify prospective and retrospective cohort studies on different resin-bonded bridges within the last 16 years. A total of 49 studies met the pre-set inclusion criteria. Success rates of 25 studies on metal-framed, 17 studies on fibre-reinforced composite and 7 studies on all-ceramic resin-bonded bridges were analysed and characteristics of failures were identified. RESULTS The analysis of the studies indicated an estimation of annual failure rates per year to be 4.6% (±1.3%, 95% CI) for metal-framed, 4.1% (±2.1%, 95% CI) for fibre-reinforced and 11.7% (±1.8%, 95% CI) for all-ceramic resin-bonded bridges. The most frequent complications were: debonding for metal-framed, resin-bonded bridges (93% of all failures); delamination of the composite veneering material for the fibre-reinforced bridges (41%) and fracture of the framework for the all-ceramic bridges (57%). CONCLUSIONS All types of resin-bonded bridges provide an effective short- to medium-term option, with all-ceramic performing least well and having the least favourable mode of failure. The methods of failures were different for different bridges with metal frameworks performing the best over time.
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Affiliation(s)
- M Miettinen
- Restorative Dentistry, King's College London, Primary Care Dentistry, King's College London Dental Institute at Guy's, King's College & St. Thomas' Hospitals, Bessemer Road, London, SE5 9RW, UK
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Abstract
BACKGROUND Management of individuals presenting with partial loss of teeth is a common task for dentists. Outcomes important to the management of missing teeth in the partially absent dentition should be systematically summarized. This review recognizes both the challenges associated with such a summarization and the critical nature of the information for patients. OBJECTIVES To assess the effects of different prostheses for the treatment of partially absent dentition in terms of the following outcomes: long-term success, function, morbidity and patient satisfaction. SEARCH METHODS We searched the Cochrane Oral Health Group's Trials Register (to 21 March 2011), the Cochrane Central Register of Controlled Trials (CENTRAL) (The Cochrane Library 2011, Issue 1), MEDLINE via OVID (1950 to March 2011) and EMBASE via OVID (1980 to March 2011). There were no restrictions regarding language or date of publication. We contacted several authors to identify non-published trials. SELECTION CRITERIA Randomized controlled trials (RCTs) comparing different methods (including the design and materials used) of treating partial edentulism, with clinically relevant outcomes, were included in this review. Trials reporting only surrogate outcomes, such as plaque accumulation or gingival volume, were excluded from this review. DATA COLLECTION AND ANALYSIS Two review authors independently carried out the screening of eligible studies, assessment of dimensions of quality of trials, and data extraction. Results were expressed as mean differences for continuous data, risk ratios for dichotomous outcomes, and hazard ratios with 95% confidence intervals for time-to-event data. MAIN RESULTS Twenty-one trials met the inclusion criteria for this review. Twenty-four per cent of these were assessed as being at high risk of bias and the remainder were at unclear risk of bias. The clinical heterogeneity among the included studies precluded any attempt at meta-analysis. There was insufficient evidence to determine whether one type of removable dental prosthesis (RDP) was better or worse than another. With fixed dental prostheses (FDPs), there was no evidence that high gold alloys are better or worse than other alloys, nor that gold alloys or frameworks are better or worse than titanium. There is insufficient evidence to determine whether zirconia is better or worse that other FDP materials, that ceramic abutments are better or worse than titanium, or that one cement was better or worse than another in retaining FDPs. There is insufficient evidence to determine the relative effectiveness of FDPs and RDPs in patients with shortened dental arch or to determine the relative advantages of implant supported FDPs versus tooth/implant supported FDPs. AUTHORS' CONCLUSIONS Based on trials meeting the inclusion criteria for this review, there is insufficient evidence to recommend a particular method of tooth replacement for partially edentulous patients.
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Affiliation(s)
- Elliot Abt
- Department of Dentistry, Illinois Masonic Medical Center, Chicago, IL, USA.
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Piovesan EM, Demarco FF, Piva E. Fiber-reinforced fixed partial dentures: a preliminary retrospective clinical study. J Appl Oral Sci 2009; 14:100-4. [PMID: 19089039 PMCID: PMC4327450 DOI: 10.1590/s1678-77572006000200007] [Citation(s) in RCA: 13] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/31/2005] [Accepted: 01/19/2006] [Indexed: 11/22/2022] Open
Abstract
The aim of this study was to evaluate the clinical performance (retention rate) of fiber-reinforced composite fixed partial dentures (FPDs). Polyethylene fiber (Ribbond®) was used combined with restorative composite during FPDs fabrication. FPDs were placed in thirteen patients in a private clinic. Nineteen FPDS were evaluated. The prosthetic space was filled with only one pontic using extracted teeth (2 cases), acrylic resin teeth (11 cases), or with composite resin (6 cases), combined with Polyethylene fiber. The clinical criterion used was based on retention rate of FPDs. If FPDs were in function in the mouth at the time of examination without previous repair they were classified as Complete Survival (CS) restorations. A classification of Survival with Rebonding (SR) was assigned in the event of an adhesive failure, but after rebonding the FPD still remained under evaluation. Treatment was classified as a Failure (F) if the FPD restoration was lost. The time of evaluation was 41.15 months (±15.13). The FPDs evaluated were retained (CS=94.75%), and no failure was found except for in one situation which required rebonding (SR=5.25%). According to the survival estimation method of Kaplan-Meyer the mean survival time was 42.3 months. At the time of evaluation investigated, polyethylene-reinforced FPDs showed a favorable retention rate in preliminary data.
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Prosthodontic Rehabilitation Alternative of Patients with Cleft Lip and Palate (CLP): Two Cases Report. Int J Dent 2009; 2009:515790. [PMID: 20339573 PMCID: PMC2837310 DOI: 10.1155/2009/515790] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/06/2009] [Accepted: 11/16/2009] [Indexed: 11/18/2022] Open
Abstract
Although patients with cleft lip and palate (CLP) are not seen regularly in general dental practice, this is a frequent congenital anomaly; approximately one in every 800 live births results in a CLP. The cause of CLP is unknown, but possible causes are malnutrition and irradiation during pregnancy, psychological stress, teratogenic agents, infectious agents (viruses), and inheritance. Most clefts are likely caused by multiple genetic and nongenetic factors. Prosthetic reconstruction of the anterior maxilla is important for these patients. This paper describes the prosthetic rehabilitation of two patients with CLP, 19-year-old and 21-year-old women, both with surgically treated CLP. In both, an examination revealed a residual palatal defect of 2 x 3 mm and missing maxillary lateral incisors. The 19-year-old was treated with a fiber-reinforced composite resin-bonded fixed partial denture. The 21-year-old was treated with a removable partial denture with an extracoronal attachment system. The prosthetic rehabilitation of the two patients with CLP was evaluated clinically. In both, well-planned prosthetic, periodontal, and surgical therapy resulted in satisfactory function and esthetics, alleviating their deformities. With education and appropriate recall, the patients should be able to maintain their oral health.
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Pjetursson BE, Tan WC, Tan K, Brägger U, Zwahlen M, Lang NP. A systematic review of the survival and complication rates of resin-bonded bridges after an observation period of at least 5 years. Clin Oral Implants Res 2008; 19:131-41. [DOI: 10.1111/j.1600-0501.2007.01527.x] [Citation(s) in RCA: 138] [Impact Index Per Article: 8.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
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Anweigi LM, Ziada HM, Allen PF. The clinical performance of hybrid bridges delivered by undergraduate dental students: a retrospective study. J Oral Rehabil 2007; 34:291-6. [PMID: 17371567 DOI: 10.1111/j.1365-2842.2007.01707.x] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
The aim of this study was to retrospectively analyse the clinical performance of hybrid bridges and their effect on periodontal health. All the bridges in this study were delivered by undergraduate dental students at the University Dental School and Hospital Cork. The recall protocol took the form of a questionnaire and a full clinical examination of the abutments, retainers and contra lateral control teeth. In all, 22 patients with 25 bridges were examined. The periodontal response was generally favourable and soft tissue alteration was minimal. The outcome of the performance hybrid bridges is not encouraging, as 32% (8) of the bridges failed and 68% (17) were in service with a mean duration of clinical service of 48 months.
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Affiliation(s)
- L M Anweigi
- University Dental School and Hospital Cork, Department of Restorative Dentistry, Wilton, Cork, Ireland
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18
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Tuna SH, Pekkan G, Keyf F. A method for positioning the premaxilla during impression making for a patient with bilateral cleft lip and palate: A clinical report. J Prosthet Dent 2006; 96:233-6. [PMID: 17052466 DOI: 10.1016/j.prosdent.2006.08.013] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
Abstract
In patients with bilateral cleft lip and palate (BCLP), orthodontic and facial orthopedic treatments alone occasionally fail to resolve problems because of the absence of alveolar and palatal hard and soft tissue or contraction resulting from previous surgical repair. Prosthetic reconstruction of the anterior maxilla is important for these patients. Patients with BCLP have premaxillary displacement in up to 3 dimensions. It may be difficult to make impressions without deformation. This clinical report describes a method for positioning the mobile premaxilla during impression making for a patient with BCLP.
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Kokich VG, Kokich VO. Congenitally missing mandibular second premolars: Clinical options. Am J Orthod Dentofacial Orthop 2006; 130:437-44. [PMID: 17045142 DOI: 10.1016/j.ajodo.2006.05.025] [Citation(s) in RCA: 46] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/06/2006] [Revised: 04/20/2006] [Accepted: 05/19/2006] [Indexed: 10/24/2022]
Abstract
INTRODUCTION Congenital absence of mandibular second premolars affects many orthodontic patients. The orthodontist must make the proper decision at the appropriate time regarding management of the edentulous space. These spaces can be closed or left open. IMPLICATIONS If the space will be left open for an eventual restoration, the keys during orthodontic treatment are to create the correct amount of space and to leave the alveolar ridge in an ideal condition for a future restoration. If the space will be closed, the clinician must avoid any detrimental alterations to the occlusion and the facial profile. SIGNIFICANCE Some early decisions that the orthodontist makes for a patient whose mandibular second premolars are congenitally missing will affect his or her dental health for a lifetime. Therefore, the correct decision must be made at the appropriate time. PURPOSE In this article, we present and discuss various treatment alternatives for managing orthodontic patients with at least 1 congenitally missing mandibular second premolar.
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Affiliation(s)
- Vincent G Kokich
- Department of Orthodontics, School of Dentistry, University of Washington, Seattle, Wash, USA.
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20
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Vallittu PK. Survival rates of resin-bonded, glass fiber–reinforced composite fixed partial dentures with a mean follow-up of 42 months: A pilot study. J Prosthet Dent 2004; 91:241-6. [PMID: 15060493 DOI: 10.1016/j.prosdent.2004.01.002] [Citation(s) in RCA: 61] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
Abstract
STATEMENT OF PROBLEM Although short-term clinical data exist for resin-bonded, glass fiber-reinforced composite fixed partial dentures (FPDs), long-term data are needed. PURPOSE The survival rates of 29 resin-bonded, glass fiber-reinforced composite fixed partial dentures were evaluated in this clinical study for periods of up to 42 months. MATERIAL AND METHODS FPDs were fabricated to replace 1 to 3 missing maxillary or mandibular teeth of 29 patients not able to be treated with conventional FPDs. Originally, there were 37 patients (the drop-out rate was 22%). The FPDs were retained with wings, inlays, complete coverage crowns, or combinations of these that were bonded to tooth structure. The FPD frameworks were made of continuous unidirectional E-glass fibers with a multiphase polymer matrix and light-polymerized particulate composite veneer. The patients were recalled for examinations, where a general dental examination was performed, 1 to 3 times per year for up to 63 months (minimum 24 months, mean 42 months). Partial or complete total debonding of the FPD or the framework fracture was considered a treatment failure. The data were analyzed with the Kaplan-Meier survival test (alpha=.05). RESULTS Two resin frameworks fractured, and 3 frameworks were debonded. Kaplan-Meier survival probability at 63 months was 75%. Three of the failed FPDs were rebonded or repaired in situ, producing a functional survival rate of 93% after rebonding or repairing (mean survival time was 55 months). CONCLUSION The results of this clinical study of 29 prostheses suggest that glass fiber-reinforced FPDs may be a possible alternative to cast metal resin-bonded FPDs. These restorations were successfully used as multiple-unit prostheses that employed a variety of abutment tooth preparation designs.
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Affiliation(s)
- Pekka K Vallittu
- Department of Prosthetic Dentistry and Biomaterials Research, Institute of Dentistry, University of Turku, Finland.
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Walker MP, Spencer P, David Eick J. Mechanical property characterization of resin cement after aqueous aging with and without cyclic loading. Dent Mater 2003; 19:645-52. [PMID: 12901990 DOI: 10.1016/s0109-5641(03)00008-3] [Citation(s) in RCA: 22] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
Abstract
OBJECTIVE The purpose of this study was to determine changes in flexural properties of resin cement under cyclic loading and aqueous aging. METHODS Panavia F flexural modulus and strength were measured by static loading to failure after 48-h, 31-d, and 60-d aqueous aging at 37 degrees C with and without cyclic loading at clinical stress levels. Six specimens were used for each experimental condition. Scanning electron microscopy (SEM) was also used to characterize the morphology of the fractured surfaces to potentially identify resin cement components particularly susceptible to degradation under simulated clinical function. RESULTS A two-factor ANOVA (p< or =0.05) and Least Significant Difference post hoc test indicated that cyclic loading produced a significant increase in the flexural modulus with no significant effect on the flexural strength. In contrast, aqueous aging time produced a significant decrease in flexural strength with no effect on the flexural modulus. The SEM fracture analysis indicated that resin matrix fracture occurred in static-aqueous specimens; while in the aqueous-cycled specimens, resin matrix fracture occurred in addition to an increasing proportion of filler/resin interface fracture as a result of both increased aqueous aging and increased flexural cycles. SIGNIFICANCE Evidence suggests that after aqueous aging with cyclic loading to simulate resin cement clinical function, initial degradation may be related to breakdown of the filler/resin interface bond. Such breakdown is potentially reflective of slow crack propagation that may contribute to in vivo resin cement cohesive failure.
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Affiliation(s)
- Mary P Walker
- Department of Restorative Dentistry (Prosthodontics and Biomaterials), University of Missouri-Kansas City School of Dentistry, 650 East 25th Street, Kansas City, MO 64108-5419, USA.
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Walker MP, Spencer P, Eick JD. Effect of simulated resin-bonded fixed partial denture clinical conditions on resin cement mechanical properties. J Oral Rehabil 2003; 30:837-46. [PMID: 12880409 DOI: 10.1046/j.1365-2842.2003.01148.x] [Citation(s) in RCA: 17] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
The purpose of this study was to determine changes in flexural properties of resin cement under simulated resin-bonded fixed partial denture (RBFPD) clinical conditions using aqueous ageing and cyclic loading. Panavia F flexural modulus and strength were measured by static loading to failure after 48-h and 60-day aqueous ageing at 37 degrees C with and without simulated cyclic occlusal loading. Panavia F sorption and solubility were also measured. Scanning electron microscopy (SEM) was used to characterize the morphology of the fractured surfaces. A two-factor anova (P </= 0.05) indicated that cyclic loading produced a significant increase in the flexural modulus with no significant effect on the flexural strength. Conversely, aqueous ageing time produced a significant decrease in flexural strength with no effect on the flexural modulus. The SEM fracture analysis indicated that resin matrix fracture occurred in static-aqueous specimens; while in the aqueous-cycled specimens, resin matrix fracture occurred in addition to an increasing proportion of filler/resin interface fracture. Collectively, these outcomes suggest that initial degradation under simulated resin cement clinical function may be related to breakdown of the filler/resin interface bond, which could contribute to in vivo RBFPD resin cement cohesive failure.
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Affiliation(s)
- M P Walker
- Department of Restorative Dentistry (Prosthodontics & Biomaterials), University of Missouri-Kansas City, School of Dentistry, Kansas City, MO 64108, USA.
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Jepson NJ, Moynihan PJ, Kelly PJ, Watson GW, Thomason JM. Caries incidence following restoration of shortened lower dental arches in a randomized controlled trial. Br Dent J 2001; 191:140-4. [PMID: 11523885 DOI: 10.1038/sj.bdj.4801122] [Citation(s) in RCA: 67] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
CONTEXT Removable partial dentures used to restore the shortened lower dental arch may adversely affect the remaining natural teeth and are associated with a low prevalence of use. OBJECTIVE To report the findings for caries incidence 2 years after restoration of lower shortened arches with bilateral cantilever resin-bonded bridges (RBBs) and conventional partial dentures (RPDs). DESIGN Randomised controlled trial. SETTING Secondary care PATIENTS 25 male and 35 female subjects of median age 67 years. were randomly allocated to 'bridge' and 'denture' treatment groups of 30 patients each matched for age and sex. Caries incidence was recorded during dental examinations 3 months, 1 and 2 years after insertion of new lower prostheses. INTERVENTIONS Cantilever RBBs and conventional RPDs with cast metal frameworks. RESULTS There was a highly significant difference in the frequency of new caries lesions, 11 and 51 in the bridge and denture groups respectively (P < 0.01). 20 out of 27 bridge patients and 9 of 23 denture patients had no caries experience. Multivariate modeling identified treatment group as the only significant predictor of caries occurrence. CONCLUSIONS Two years after restoration of lower shortened arches for an elderly sample of patients, there was a significantly greater incidence of new and recurrent caries lesions in subjects restored with RPDs compared with cantilever RBBs.
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Affiliation(s)
- N J Jepson
- Department of Restorative Dentistry, The Dental School, University of Newcastle upon Tyne.
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Vallittu PK, Sevelius C. Resin-bonded, glass fiber-reinforced composite fixed partial dentures: a clinical study. J Prosthet Dent 2000; 84:413-8. [PMID: 11044848 DOI: 10.1067/mpr.2000.109782] [Citation(s) in RCA: 163] [Impact Index Per Article: 6.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
STATEMENT OF PROBLEM Resin-bonded, glass fiber-reinforced composite fixed partial dentures (FPDs) have been under development for some time. There is a lack of data regarding the clinical usefulness of such prostheses. PURPOSE The clinical performance of 31 resin-bonded, glass fiber-reinforced composite fixed partial dentures was evaluated in a preliminary study. MATERIAL AND METHODS The prostheses were made to replace 1 to 3 missing maxillary or mandibular teeth in each of 31 patients. The prostheses had a framework made of continuous unidirectional E-glass fibers with multiphase polymer matrix and light-polymerized particulate composite resin veneering. The prostheses were examined after 6-month periods for up to 24 months (mean follow-up time was 14 months). Partial or total debonding of the prostheses or the framework fracture was considered a treatment failure. RESULTS Two prostheses debonded during the follow-up period; 1 debonding was related to improper occlusal adjustment and the other to unknown reasons. Kaplan-Meier survival probability at 24 months was 93%. No framework fractures were observed. CONCLUSION The results of this preliminary study suggest that the resin-bonded, glass fiber-reinforced FPDs may be an alternative for resin-bonded FPDs with a cast metal framework.
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Affiliation(s)
- P K Vallittu
- Institute of Dentistry, University of Turku, Turku, Finland.
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Seong WJ, Korioth TW, Hodges JS. Experimentally induced abutment strains in three types of single-molar implant restorations. J Prosthet Dent 2000; 84:318-26. [PMID: 11005905 DOI: 10.1067/mpr.2000.109124] [Citation(s) in RCA: 13] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
STATEMENT OF PROBLEM The choice of single-molar implant design is difficult because of a lack of controlled, quantitative biomechanical analyses. PURPOSE This study determined the effect of 3 single-molar implant designs on implant strains under a variety of homologous loading conditions. MATERIAL AND METHODS On each implant abutment, 4 strain gauges were placed axially at 90 degrees to each other on the buccal, lingual, mesial, and distal surfaces. Effects of implant design, load location, direction, and magnitude were tested on axial and bending (buccolingual and mesiodistal) strains of 3 single-molar implant designs: (1) single, 3.75-mm (regular) diameter implant, (2) single, 5-mm (wide) diameter implant, and (3) two 3.75-mm diameter (double) implants connected through a single-molar crown. Results were analyzed with ANOVA. RESULTS Variations in loading conditions induced 3-dimensionally complex abutment strains on the tested implant designs. Peak absolute strains in mesiodistal direction were 6493 microepsilon for design 1 and 3958 microepsilon on design 2, and 3160 microepsilon in buccolingual direction on design 3. For all loading conditions, the single 3.75-mm diameter implant consistently experienced the largest strains compared with wide-diameter and double implant designs. Changes in centric contact location affected implant abutment strains differently among the 3 designs. Angulated force direction resulted in larger bending strains. CONCLUSION For single-molar implant designs, an increase in implant number and diameter may effectively reduce experimental implant abutment strains.
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Affiliation(s)
- W J Seong
- School of Dentistry, University of Minnesota, Minneapolis 55455, USA.
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