A systematic review of the survival and complication rates of fixed partial dentures (FPDs) after an observation period of at least 5 years

Abstract

The present study was done to determine the long-term success and survival of fixed partial dentures (FPDs) and to evaluate the risks for failures due to specific biological and technical complications. A MEDLINE search (PubMed) from 1966 up to March 2004 was conducted, as well as hand searching of bibliographies from relevant articles. Nineteen studies from an initial yield of 3658 titles were finally selected and data were extracted independently by three reviewers. Prospective and retrospective cohort studies with a mean follow-up time of at least 5 years in which patients had been examined clinically at the follow-up visits were included in the meta-analysis. Publications only based on patients records, questionnaires or interviews were excluded. Survival of the FPDs was analyzed according to in situ and intact failure risks. Specific biological and technical complications such as caries, loss of vitality and periodontal disease recurrence as well as loss of retention, loss of vitality, tooth and material fractures were also analyzed. The 10-year probability of survival for fixed partial dentures was 89.1% (95% confidence interval (CI): 81-93.8%) while the probability of success was 71.1% (95% CI: 47.7-85.2%). The 10-year risk for caries and periodontitis leading to FPD loss was 2.6% and 0.7%, respectively. The 10-year risk for loss of retention was 6.4%, for abutment fracture 2.1% and for material fractures 3.2%.

All-ceramic or metal-ceramic tooth-supported fixed dental prostheses (FDPs)? A systematic review of the survival and complication rates. Part II: Multiple-unit FDPs

“…Whereas for implant-supported reconstructions, systematic reviews provide very recent evidence comparing metal-and allceramic reconstructions [3,4], a systematic pooling of newer clinical data on tooth-supported reconstructions is limited to all-ceramic reconstructions [5]. Traditionally, metal-based reconstructions for fixed dental prostheses (FDPs) were considered as the gold standard [6]. Alloys, mainly gold-based, were fully or partially veneered with feldspathic ceramics.…”

The teaching of implant dentistry in undergraduate dental schools in the United Kingdom and Ireland

“…1 The use of dental implants avoids the biological complications of, for example, preparing adjacent teeth as bridge abutments. 2,3 Some studies have demonstrated that the occurrence of pulpal necrosis following preparation of abutment teeth for fi xed bridgework can be as high as 30% at ten years. 3 As a result implantology is seen as an increasingly contemporary, integral and important component of the practice of dentistry within the UK.…”

Ten-year survival rate for cantilevered fixed partial dentures

“…This systematic review is the final one following three other reviews [1][2][3] by the same group looking at the survival and complication rates of different designs of FPD. The title of the series is slightly misleading in suggesting that the data reflect a minimum of 5 years of observation, whereas the inclusion criteria for study selection in fact required a mean follow-up time of 5 years or more.…”