This study deals with a three-point flexure test for the metal-ceramic bond involving geometrically simple specimens (alloy strips partly coated with ceramic) that can be fabricated with reasonable expenditure and sufficient reproducibility. The calculation of the stress distribution in such specimens with the aid of the finite-element method (FEM) is presented. The aim of this numerical analysis is: to investigate the stress distribution in a ceramometallic specimen with dimensions that, in a large number of experiments, have proven to lead to debonding at one end of the ceramic veneer instead of a crack in the middle of the veneer; and to assign a bond strength to the measured critical bending force that takes into account the influence of the Young's modulus of the alloy as well as a possible deviation of the thickness of the metal substrate from the standard value. Bond strength values of a variety of metal-ceramic combinations are demonstrated. These experimental results demonstrate the reproducibility of the test method as well as its sensitivity to diverse parameters. The presented method is proposed as an alternative to another flexure bond test nominated for international standard. In this test ceramometallic strips are bent over a rod to a 90 degrees angle of the specimen ends, subsequently flattened, and the fracture surface visually inspected for adherence of the ceramic to the alloy substrate along the predominant part of the middle third of the specimen. It is clear that such a test can at most deliver qualitative results.

In a joint evaluation of 496 resin-bonded bridges and splints anchored by various retention principles and composites, the initial experiences of seventeen clinicians were compiled. The main indications for treatment were congenital anodontia and loss of teeth due to caries and trauma. After 3 months, 95% of the bridges were still in place without need of reattachment procedure. After 6 months the figure was 91%, after 1 year 81.5% and after 1 1/2 years 73%. Seventy-five per cent of the loosened bridges were attached successfully a second time. The success rate for splints was significantly lower.

This second report establishes that the success of treatment with resin-bonded bridges was dependent upon many factors. Factors controlled by the clinician, such as case selection and treatment planning greatly influence the clinical success. It was possible to show that framework preparation and the amount of available enamel were significant factors, whereas isolation technique, type of retention mechanism and type of adhesive used were of less importance. Longitudinal studies are needed to confirm these observations. Seventeen clinicians placed 496 resin-bonded bridges and splints with different retention mechanisms and bonding agents. These reconstructions were examined in regard to the failure rate and in regard to reattachment problems. Ninety-seven per cent of the bridges and 90% of the splints were still in place after 1 year. For bridges and splints a 90% success rate was ascertained after 2 years.