Clinical evaluation of cast metal resin-bonded anterior fixed partial dentures

Eshleman, J.R.; Moon, Peter C.; Barnes, R. F.

doi:10.1016/0022-3913(84)90371-8

Cited by 31 publications

(9 citation statements)

References 8 publications

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“…There were 11 studies with less than 2 years of postplacement evaluation 73,77,78,[81][82][83]85,87,89,97,105 and a mean debonding rate of 10%. Twenty-six studies [74][75][76]79,80,86,[90][91][92][93][94]96,[98][99][100][101]108,109,[111][112][113][114][115][116]119,120 ranged in length from 2 to 5 years with a mean debonding rate of 20%. A mean debonding rate of 24% was associated with the 11 studies 84,88,95,[102][103][104]106,107,110,117,118 evaluating prostheses for periods in excess of 5 years.…”

Section: Debondingmentioning

confidence: 99%

“…This complication, the second most common, was reported in 7 studies. [79][80][81]103,105,106,108 Five of the studies 80,81,103,105,108 provided a percentage incidence, whereas 2 others 79,106 reported its occurrence but did not indicate the number of prostheses affected by this complication. The 5 studies, when combined, indicate that 62 of 343 prostheses exhibited tooth discoloration for a mean incidence of 18% and a range of 3% to 37%.…”

Section: Abutment Tooth Discolorationmentioning

confidence: 99%

“…Twenty-two studies 79,80,83,84,86,93,94,98,100,103,105,106,108,109,112,114,[116][117][118]121,122,134 reported on the occurrence of caries. The mean incidence of caries for the 22 studies was 7% (242 of 3426 prostheses affected by caries).…”

Section: Abutment Tooth Cariesmentioning

confidence: 99%

“…A finding of no caries was reported in 9 studies. 79,80,83,84,93,105,116,117,122 Six studies 86,94,98,106,121,134 reported a caries incidence of less than 2%, and 7 stud-THE JOURNAL OF PROSTHETIC DENTISTRY GOODACRE ET AL ies 100,103,108,109,112,114,118 reported an incidence greater than 2%. The incidence range was from 0.0% to 12%.…”

Section: Abutment Tooth Cariesmentioning

confidence: 99%

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Clinical complications in fixed prosthodontics

Goodacre

Bernal

Rungcharassaeng

et al. 2003

The Journal of Prosthetic Dentistry

454

301

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The purpose of this article is to identify the incidence of complications and the most common complications associated with single crowns, fixed partial dentures, all-ceramic crowns, resin-bonded prostheses, and posts and cores. A Medline and an extensive hand search were performed on English-language publications covering the last 50 years. The searches focused on publications that contained clinical data regarding success/failure/complications. Within each type of prosthesis, raw data were combined from multiple studies and mean values calculated to determine what trends were noted in the studies. The lowest incidence of clinical complications was associated with all-ceramic crowns (8%). Posts and cores (10%) and conventional single crowns (11%) had comparable clinical complications incidences. Resin-bonded prostheses (26%) and conventional fixed partial dentures (27%) were found to have comparable clinical complications incidences. The 3 most common complications encountered with all-ceramic crowns were crown fracture (7%), loss of retention (2%), and need for endodontic treatment (1%). The 3 most common complications associated with posts and cores were post loosening (5%), root fracture (3%), and caries (2%). With single crowns, the 3 most common complications were need for endodontic treatment (3%), porcelain veneer fracture (3%), and loss of retention (2%). When fixed partial denture studies were reviewed, the 3 most commonly reported complications were caries (18% of abutments), need for endodontic treatment (11% of abutments), and loss of retention (7% of prostheses). The 3 most common complications associated with resin-bonded prostheses were prosthesis debonding (21%), tooth discoloration (18%), and caries (7%). (J Prosthet Dent 2003;90:31-41.) A complication has been defined 1 as "a secondary disease or condition developing in the course of a primary disease or condition." Although complications may be an indication that clinical failure has occurred, this is not typically the case. It is also possible that complications may reflect substandard care. But once again, this is usually not true. Most of the time, complications are conditions that occur during or after appropriately performed fixed prosthodontic treatment procedures.Knowledge regarding the clinical complications that can occur in fixed prosthodontics enhances the clinician's ability to complete a thorough diagnosis, develop the most appropriate treatment plan, communicate realistic expectations to patients, and plan the time intervals needed for post-treatment care. Although a plethora of articles present clinical complications data, none provide a comprehensive comparison of the complications associated with the most commonly used restorations/ prostheses.One of the purposes of this article is to present data regarding the incidence of clinical complications associated with the following restorations/prostheses: single crowns (all-metal, metal ceramic, resin veneered metal); fixed partial dentures (all-metal, metal ceramic, resinvenee...

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Section: Debondingmentioning

confidence: 99%

Section: Abutment Tooth Discolorationmentioning

confidence: 99%

Section: Abutment Tooth Cariesmentioning

confidence: 99%

Section: Abutment Tooth Cariesmentioning

confidence: 99%

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Clinical complications in fixed prosthodontics

Goodacre

Bernal

Rungcharassaeng

et al. 2003

The Journal of Prosthetic Dentistry

454

301

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“…[31][32] The most common type of failure with resin-bonded FPDs is debonding of the cast metal framework from the luting cement; however, debonding of the luting cement from the enamel surface has also been reported. [33][34] Teeth have some degree of mobility under function, which causes repeated tensile and compressive stresses at the interface between the metal framework and the composite luting cement. Repeated stress can predispose fatigue failures of the adhesive joint.…”

mentioning

confidence: 99%

Immediate Tooth Replacement Using Fiber-reinforced Composite and Natural Tooth Pontic

Kermanshah

Motevasselian²

2010

Operative Dentistry

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This case report describes a restorative procedure for immediate tooth replacement using a natural tooth pontic and fiber-reinforced composite following extraction in an area of severe localized bone loss. SUMMARYThe loss and replacement of anterior maxillary teeth poses several challenges. In patients refusing implant surgery, when minimal tooth reduction is desired, a fiber-reinforced composite fixed-partial denture may be used as a conservative alternative to a conventional fixed-partial denture for replacement of a single missing tooth. This article describes a clinical technique and six-year follow-up. The patient presented with a missing maxillary central incisor due to localized juvenile periodontitis. The abutment teeth were clinically stable. The advantage of supragingival margins and minimal tooth structure removal made the bonded bridge with a natural tooth pontic a viable procedure for this compromised restorative situation.

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