Survival characteristics of 771 resin-retained bridges provided at a UK dental teaching hospital

King, Paul; Foster, L V; Yates, R. J.; Newcombe, Robert G.; Garrett, Matthew

doi:10.1038/sj.bdj.2015.250

Cited by 61 publications

(50 citation statements)

References 13 publications

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“…It has often been considered that they are an under-utilised restoration modality in general dental practice due to a perceived high rate of clinical failure, which may be associated with incorrect design and execution 3 . A recent prospective study of 771 adhesive bridges by King et al (2015) found that most failures of RBBs occurred within the first four years, and that very few failed thereafter, with an estimated survival rate of 80.4% at 10 years 4 . In this singlecentre study, because the point of failure was recorded as the first de-bond, the overall survival in clinical service may have been greater where bridges had been re-bonded successfully.…”

Section: How Long Can Rbbs Last?mentioning

confidence: 99%

“…In this singlecentre study, because the point of failure was recorded as the first de-bond, the overall survival in clinical service may have been greater where bridges had been re-bonded successfully. An evidence-informed summary of key papers assessing RBBs has been given in Table 1 4,5,6,7,8,9 . Careful case selection, appropriate design and attention to operative detail are key factors for the clinical longevity of RBBs and will therefore be covered in this paper.…”

Section: How Long Can Rbbs Last?mentioning

confidence: 99%

See 1 more Smart Citation

Resin-bonded bridges – the problem or the solution? part 1: assessment and design

Gulati¹,

Tabiat-Pour

Watkins

et al. 2016

Dental Update

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Resin-bonded bridges (RBBs) have an important role to play in the minimally invasive prosthodontic replacement of missing teeth. This treatment modality is perceived to have a high clinical failure rate by some practitioners, which may be associated with poorly planned and executed designs and adhesive techniques. This paper, the first part of a two-part series, discusses the important planning stages in the successful provision of RBBs, including assessment, appropriate abutment selection and design considerations. The second part of this series will focus on the clinical stages of RBB provision. Clinical relevance: This paper aims to provide the general dental practitioner with a guide to appropriate case selection and an overview of the planning stages involved for the provision of RBBs.

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Section: How Long Can Rbbs Last?mentioning

confidence: 99%

Section: How Long Can Rbbs Last?mentioning

confidence: 99%

Resin-bonded bridges – the problem or the solution? part 1: assessment and design

Gulati¹,

Tabiat-Pour

Watkins

et al. 2016

Dental Update

View full text Add to dashboard Cite

show abstract

“…Cantilever resin‐bonded bridges demonstrate better survival than fixed‐fixed resin‐bonded bridges with 5‐year survival of 86.3% and 71.9%, respectively (King et al . ). The most common mode of failure for resin‐bonded bridges is debonding (Pjetursson et al .…”

Section: Extractionmentioning

confidence: 97%

“…When the enamel of the abutment tooth has been preserved during preparation and adequate occlusal coverage has been provided, resin-bonded bridges have been shown to have a median survival of 9.8 years (Djemal et al 1999). Cantilever resin-bonded bridges demonstrate better survival than fixed-fixed resinbonded bridges with 5-year survival of 86.3% and 71.9%, respectively (King et al 2015). The most common mode of failure for resin-bonded bridges is debonding (Pjetursson et al 2007); this can usually be managed conservatively and without compromise to the abutment tooth.…”

Section: Resin-bonded Bridgesmentioning

confidence: 99%

External cervical resorption: part 2 – management

et al. 2018

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Effective management of external cervical resorption (ECR) depends on accurate assessment of the true nature and accessibility of ECR; this has been discussed in part 1 of this 2 part article. This aim of this article was firstly, to review the literature in relation to the management of ECR and secondly, based on the available evidence, describe different strategies for the management of ECR. In cases where ECR is supracrestal, superficial and with limited circumferential spread, a surgical repair without root canal treatment is the preferred approach. With more extensive ECR lesions, vital pulp therapy or root canal treatment may also be indicated. Internal repair is indicated where there is limited resorptive damage to the external aspect of the tooth and/or where an external (surgical) approach is not possible due to the inaccessible nature of subcrestal ECR. In these cases, root canal treatment will also need to be carried out. Intentional reimplantation is indicated in cases where a surgical or internal approach is not practical. An atraumatic extraction technique and short extraoral period followed by 2-week splinting are important prognostic factors. Periodic reviews may be indicated in cases where active management is not pragmatic. Finally, extraction of the affected tooth may be the only option in untreatable cases where there are aesthetic, functional and/or symptomatic issues.

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“…A recent study by King et al showed that tooth preparation was a negative predictor for success of laboratory made resin bonded bridges. 19 The restorative status of the abutment(s) will also affect prognosis. Restorations can be a negative predictor of prognosis but sometimes the cavities can be used to aid with mechanical retention.…”

Section: Prognosismentioning

confidence: 99%

Immediate natural tooth bridges

2018

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This article describes four cases in which immediate natural tooth bridges have been provided. Four different techniques are described for creating these. The four different retainer types discussed are silanated glass fibres impregnated with PMMA and bis-GMA, laboratory-made metal wings, metal mesh and meshtype titanium wire. With the support of photographs and diagrams, the techniques for each retainer type are described.The final section of this article discusses the factors that affect the prognosis of immediate natural tooth bridges. Providing information on prognosis is an important part of the consent process; this includes patient factors and clinician factors. Relevance StatementThis article details four different techniques for creating immediate natural tooth bridges. It also discusses the important factors to consider for the prognosis of immediate natural tooth bridges. ObjectivesThe reader should understand how to provide immediate natural tooth bridges as well as some of the prognostic indicators for these restorations.

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Survival characteristics of 771 resin-retained bridges provided at a UK dental teaching hospital

Cited by 61 publications

References 13 publications

Resin-bonded bridges – the problem or the solution? part 1: assessment and design

Resin-bonded bridges – the problem or the solution? part 1: assessment and design

External cervical resorption: part 2 – management

Immediate natural tooth bridges

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