Survival Rates of Anterior-Region Resin-Bonded Fixed Dental Prostheses: An Integrative Review

Abstract

This study aimed to review clinical publications involving anterior-region resin-bonded fixed partial dentures to evaluate their survival rates vis-à-vis their materials and design. An electronic search was conducted using PubMed/MEDLINE to identify articles that reported on the longevity of anterior resin-bonded fixed dental prostheses published between 2000 and 2020. Only primary clinical studies that involved a follow-up after at least 3 years were included in this review. A statistical analysis was performed to evaluate resin-bonded fixed dental prostheses’ survival rates in relation to their materials and design. This review ultimately included 23 clinical publications, comprising prospective studies, retrospective studies, and randomized controlled trials. Its statistical analysis estimated the studied prostheses’ 5-year survival rate at 86.2% for metal-framed prostheses, 87.9% for zirconia prostheses, 93.3% for alumina prostheses, 100% for glass or ceramic prostheses, and 81.7% for fiber-reinforced composite restorations. Failure rates did not significantly differ between the different material groups or between the single- and double-retainer groups. Resin-bonded fixed dental prostheses present excellent 5-year clinical longevity in the anterior sector and a favorable benefit/risk/cost ratio. Currently, no consensus has been established on an ideal material for these restorations. Cantilever design tends to limit constraints on the prostheses’ retainers and, thus, increases their survival time. All-ceramic cantilever fixed partial dentures can be considered as a definitive therapy, given their high success and survival rates. They are an optimal solution for adolescents or young adults facing potentially continuous growth.

Electrolytic Cleaning and Regenerative Therapy of Peri-implantitis in the Esthetic Area: A Case Report

“…Failing in classifying the possible surgical or prosthetic triggering factors may lead to a failure in the treatment outcomes. 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 …”

Research progress on effect of different materials on the retention rate of Resin-Bonded Bridges

“…Generally, the methods used include electrolytic etching method, alumina sandblasting method, silicon film method, chemical etching method and tin plating method. However, the economy of pretreatment methods is relatively poor, coupled with poor metal aesthetics, more and more clinicians and patients currently prefer to use all-ceramic material resin-bonded bridges, and with the development of all-ceramic materials, more and more studies [20] have shown that the retention rate of all-ceramic material resin-bonded bridges is even higher than that of metal material resin-bonded bridges.…”

“…After 4.8 years of follow-up, the survival rate of fiber-reinforced composite resin bonded bridges was 97.7%. In a review, Mendes et al [20] concluded that the retention rate of fiber-reinforced composite resin bonded bridges within 5 years was 81.7%. Several studies by Van Heumen et al [33][34][35] showed that the retention rate of dimensional reinforced composite resin bonded bridges was 60% -80% within 5 years.…”

Cantilever resin-bonded fixed dental prosthesis to substitute a single premolar: Impact of retainer design and ceramic material after dynamic loading

“…Compared to traditional FDP, the main advantage of using RBFDP is the preservation of dental hard tissues, following the concept of minimally invasive dentistry [7,8], and it is considered a viable alternative to conventional FDPs [9]. However, bite forces challenge the stiffness of the retainer and adhesive interface between the restoration and dental tissues, leading to failure and clinical debonding [10,11].…”