First experiences with resin‐bonded bridges and splints—a cross‐sectional retrospective study, part II

Abstract

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.

The Link Between Orthodontics and Prosthetics

“…The results of this study corroborate with those of the few existing studies on periodontal response to resin-bonded splints and fixed partial denture splints (Marinello et al 1988;Freilich et al 1990;Marinello and Scharer 1990;Quirynen et al 1999), showing an overall favorable result. They also confirm the findings of Wood et al (1996), who concluded that caries were not associated with resin-bonded fixed partial dentures.…”

“…14.19). With most of the initial problems now resolved (Marinello et al 1987(Marinello et al , 1988Romberg et al 1995;Samama 1995;Wood et al 1996), adhesive prostheses may be considered as true alternatives to conventional prosthodontic treatment in periodontal patients. The development of fiber-reinforced composite technology over the past decade has also opened up avenues in the field of rapid, esthetic and non-invasive direct tooth replacements and splints using this type of material (Meiers et al 1998;Meiers and Freilich 1999;Rada Fig.…”

Survival of resin-bonded bridgework provided for post-orthodontic hypodontia patients with missing maxillary lateral incisors

“…[24][25][26][27][28]41 It has been reported that bridges provided for younger patients may be subject to higher debond rates, due to shorter clinical crowns with reduced area for bonding, higher incidence of trauma and possibly a higher content of fluoride content in the enamel. 24,42 This may partially explain the reduced five-year survival in this study when compared to general survival data of RBBs provided for adult patients with no mention of having had orthodontic treatment, typically 75% for anterior RBBs at 7.5 years. 25 The management of a hypodontia patient involves a team approach, and the full integration of the specialties at an early stage is necessary to allow for a treatment plan to be successfully carried out.…”

Clinical complications in fixed prosthodontics

“…The length of the studies ranged from 1 month to 15 years, with an average study length of about 4 years. In addition to the 48 patient groups, there were 5 studies [129][130][131][132][133] that only evaluated the effect of resin bonded prostheses on the periodontium, 1 that assessed marginal fit, 134 a literature review 135 comparing the failure rates of resin-bonded prostheses with conventional fixed partial dentures and implant prostheses, and several articles [136][137][138][139][140][141] that assessed the survival of resinbonded prostheses. In 1991, a meta-analysis 142 was performed on available clinical studies.…”