In the past decade, follow-up studies on fiber-reinforced composite fixed partial dentures (FRC FPDs) have been described. Combining the results of these studies to draw conclusions about the effectiveness of FRC FPDs is challenging. The objective of this systematic review was to obtain survival rates of FRC FPDs and to explore the relationships between reported survival rates and risk factors. In a literature-selection procedure on the clinical performance of FRC FPDs, 15 studies, reporting on 13 sets of patients, were analyzed. The Kaplan-Meier estimate of the overall survival, based on the data from all sets of patients (n = 435) was 73.4% (69.4-77.4%) at 4.5 yr. Converted survival rates at 2 yr of follow-up showed substantial heterogeneity between studies. It was not possible to build a reliable regression model that indicated risk factors. The technical problems most commonly described were fracture of the FPD and delamination of the veneering composite.
"A recently published systematic review reported for FRC-FDPs a survival rate of 73.4% (95% CI: 69.4–77.4%) after 4.5 years . During a 5-year multicenter clinical study FRC RBFDPs exhibited a survival rate of 64% . "
[Show abstract][Hide abstract] ABSTRACT: The aim of this study was to evaluate the influence of different framework materials on biomechanical behaviour of anterior two-unit cantilever resin-bonded fixed dental prostheses (RBFDPs). A three-dimensional finite element model of a two-unit cantilever RBFDP replacing a maxillary lateral incisor was created. Five framework materials were evaluated: direct fibre-reinforced composite (FRC-Z250), indirect fibre-reinforced composite (FRC-ES), gold alloy (M), glass ceramic (GC), and zirconia (ZI). Finite element analysis was performed and stress distribution was evaluated. A similar stress pattern, with stress concentrations in the connector area, was observed in RBFDPs for all materials. Maximal principal stress showed a decreasing order: ZI > M > GC > FRC-ES > FRC-Z250. The maximum displacement of RBFDPs was higher for FRC-Z250 and FRC-ES than for M, GC, and ZI. FE analysis depicted differences in location of the maximum stress at the luting cement interface between materials. For FRC-Z250 and FRC-ES, the maximum stress was located in the upper part of the proximal area of the retainer, whereas, for M, GC, and ZI, the maximum stress was located at the cervical outline of the retainer. The present study revealed differences in biomechanical behaviour between all RBFDPs. The general observation was that a RBFDP made of FRC provided a more favourable stress distribution.
The Scientific World Journal 04/2015; 2015:864389. DOI:10.1155/2015/864389 · 1.73 Impact Factor
"Inlay retained FPDs are indicated in the presence of amalgam restoration or caries in abutment teeth adjacent to edentulous space with opposing artificial teeth  and slight drifting of abutment teeth with absence of heavy forces from opposing arch. Although these constructions were originally made of metal ceramic restorations, IFPDs are currently selected due to their various advantages when compared to full veneered PFM restorations and tooth-coloured restoration, because of an adhesive and the tissue-saving properties of these restorations. Information on the longevity of IFPDs should be considered in the selection of materials, operative techniques and patient instructions related to prognosis and long-term cost-effectiveness. "
"The resin-bonded Fixed Partial Denture (FPD) is a valid treatment option in selected cases  . Traditionally, metal alloy has been used as the material for the framework, but Fiber- Reinforced Composite (FRC) is advocated today for their favourable elastic modulus as compared to metals and because of the better adhesion of the composite luting agent to the framework  . "
[Show abstract][Hide abstract] ABSTRACT: Background:
The rehabilitation of an anterior tooth space presents a confronting situation. Several modalities are presently available to address the challenge of an immediate replacement of a missing anterior tooth. These include a removable temporary acrylic prosthesis or resin-bonded bridges. Fibre-Reinforced Composite (FRC) bridges are preferable if they are fixed and if a cost-effective tooth replacement is desired. Also, they provide an aesthetic and a conservative treatment choice as the abutment teeth require a minimal or no preparation.
This article is describing two cases with an immediate replacement of the maxillary incisor teeth by a single visit technique, with the use of FRC Resin (Ribbond) bridges and natural tooth crowns as pontics.
Results and conclusions:
The procedure was completed at the chair side, thereby avoiding the laboratory costs. A two year follow up of the cases has shown a successful outcome. Creating an adhesive FRC bridge by using a natural tooth pontic is a successful treatment option for the direct aesthetic replacement of missing anterior teeth.
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