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Objectives
To assess and compare the 5‐year success rate of resin‐bonded fixed partial dentures (RBFPDs) fabricated from different materials.
Methods
An electronic search on 3 databases from January 1965 to March of 2017 was done for human randomized clinical trials (RCTs), and prospective and retrospective cohort studies. The key words used in th...
Contexts in source publication
Context 1
... independent reviewers used the Covidence web site to screen the articles. The search strategy and the PICOT tool can be seen in Table 1. PRISMA guidelines were applied whenever possible. ...Similar publications
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 b...
Citations
... The clinical performance of all-ceramic Y-TZP RBFDPs used to replace maxillary and mandibular teeth in both anterior and posterior regions demonstrated an 82.7 % survival rate over three years [14] and a 70 % clinical retention rate after 10 years [15]. Additionally, the clinical performance of all-ceramic cantilever RBFDPs was found to be superior to that of fixed-fixed RBFDPs after five years [16]. ...
... According to the literature [5,6,16], the most common failure in RBFPDs is debonding. In a systematic review of all ceramics RBFPDs [5], despite the high survival rate of zirconia RBFPDs, the debonding rates of zirconia RBFPDs are higher than those of glass ceramic materials. ...
Objectives: This clinical study evaluated the survival rate of different designs of single-retainer inlay-retained fixed dental prostheses (IR-FDPs) made from monolithic zirconia (Z) and fiber-reinforced composite (FRC). Methods: A total of 40 IR-FDPs (n = 40) were placed for 32 female patients who presented with missing mandibular second premolar teeth. In the current study, the mandibular first molar was selected as a retainer for the cantilever IR-FDPs. The participants were randomly divided into two groups (n = 20) according to the design: lingual coverage (LC) and occlusal coverage (OC). Each group was then divided according to the material used (n = 10 Z and n = 10 FRC). All restorations were bonded with adhesive resin cement and evaluated clinically and radiographically for 36 months following modified FDI (World Dental Federation) criteria. Statistical analysis was conducted using Monte Carlo and the Student (Cochran Q) tests. Results: All restorations showed non-significant differences (P > 0.05) regarding the clinical behavior with satisfactory final aesthetic, functional, and biological results based on the criteria of modified FDI scores. Over a 36-month observation period, one restoration that belonged to group OC-Z fractured at the connector after 30 months and was replaced. Only one restoration in group LC-Z was debonded after 10 months and re-bonded, and one abutment in group LC-FRC was endodontically treated after 12 months. Conclusions: Zirconia and FRC cantilever IR-FDPs demonstrated high survival (97.5 %) and success (96.6 %) rates over 36 months, offering a minimally invasive solution for posterior tooth replacement with improved aesthetics and function. Clinical significance: Lingual and occlusal coverage designs significantly enhance the strength and longevity of cantilever IR-FDPs while offering a reliable, minimally invasive solution with function, durability, and aesthetics. These designs effectively withstand occlusal forces when the cantilever pontic has a contact point
... Light cure (Woodpecker) was done for 3 seconds (tac cure), bridges (RBB) are mainly due to insufficient tensile bond strength and compressive strength to withstand fractures. [9][10][11][12][13] Overlays are categorized as onlays in which all the cusps are included (total cuspal coverage) and used as an indirect adhesive bonded restoration. In a study conducted by Morimoto et al., the survival rates of inlays, onlays, and overlays were 95% and 91% in 5-and 10-year follow-ups, respectively. ...
... However, to improve its adhesive qualities, it needs surface treatments like sandblasting and primer application, which can make bonding more difficult. 2,5 Ceramics made of lithium disilicate glass are frequently utilised in anterior restorations and are renowned for their exceptional aesthetic features. Its reduced flexural strength, however, renders it less appropriate for the RBFPD minimum connector thickness. ...
... Caries, the need for endodontic therapy, and retention loss are all prevalent concerns associated with FDPs that might have an impact on the restoration's longevity and success [8][9][10] . As a result, clinicians must have a full grasp of potential problems because it aids in diagnosis, therapy planning, and post-treatment care [11][12][13] . ...
Objectives: To assess the prevalence of issues among patients who visit Bacha Khan College of Dentistry in Mardan after receiving fi xed partial dentures.Materials and Methods: The study comprised 157 participants with fixed partial dentures of both sexes. After three months, all patients were evaluated, and problems such as cavities, the need for endodontic therapy, and retention loss were identified. The statistical analysis employed the Shapiro-Wilk test for normality. Results: The study included participants aged 18 to 50, with an average age of 44.337±4.14 years and a procedure time of 38.484±6.88 minutes. 51.6% of the patients were women, while 48.4% were men. 44.6% of patients had cavities, 21% required endodontic treatment, and 34.4% had lost their retainer.Conclusion: This study demonstrates how biological issues often occur with permanent partial dentures, particularly in abutment teeth. It highlights the signifi cance of timely post-treatment intervention and continuous observation. The highlighted concerns can be reduced, and patient outcomes can be improved by implementing enhanced follow-up procedures and patient education on oral hygiene and fixed partial denture care.
... Adeziv köprü protezlerinde kullanılan altyapı materyaline bağlı sağ kalım ve başarı oranlarının karşılaştırıldığı pek çok çalışma bulunmaktadır. [22][23][24][25][26][27][28][29][30][31] Thoma ve ark. 22 farklı materyallerden üretilmiş adeziv köprü protezlerinin orta ve uzun vadeli sağ kalım oranlarını değerlendirdiği çalışmada, zirkonya altyapılı adeziv köprü protezlerinin sağ kalım oranlarının; metal altyapılı, cam seramik ve kompozit materyalinden üretilmiş adeziv köprüler ile karşılaştırıldığında anlamlı derecede yüksek olduğu bildirilmiştir. ...
... Tüm adeziv köprü protezleri için en sık rastlanılan komplikasyon bir önceki çalışma ile benzer olarak desimantasyon olmuştur. 23 Desimantasyon sonrası mine yüzeyinde kalan artık simanın bağlantıyı zayıflattığı bildirilmiştir. Artık simanın mine yüzeyinden uzaklaştırılmasında kullanılan en yaygın temizleme yöntemleri döner sistemler ile kullanılan pomza ve karbid frezlerdir. ...
... 40 Adeziv köprü protezlerinin klinik performansının sabit bölümlü ve implant destekli protezler ile benzer olduğu ifade edilmiştir. 23,40 Adeziv simantasyonda mikromekanik ve kimyasal bağlantının sağlanabilmesi için restorasyon yüzeyinde çeşitli yüzey işlemleri uygulanmaktadır. Fiberle güçlendirilmiş kompozitlerin adeziv simantasyonunda yüzeyin Al 2 O 3 partikülleri ile kumlanarak veya lazer ile pürüzlendirilmesi, tribokimyasal silika kaplama ve silan uygulaması sonrası yüksek bağlantı değeri elde edilmektedir. ...
... Following the manufacturers' instructions and properly selecting a biocompatible material are crucial considerations in achieving an uneventful bonding. 66 Sailer et al. 33 assessed six different types of cement, namely Tetric Flow (Ivoclar Vivadent), Tetric Ceram (Ivoclar Vivadent), RelyX (3M ESPE), Panavia F (Kuraray), HFO (Optident), and Variolink (Ivoclar Vivadent) for anterior and posterior restorations; they did not observe any case of debonding. 33 In their study, Klink and Huttig 46 used Variolink and Multilink cements; they reported a 100% survival rate. ...
Despite the development of implant-supported prostheses, there are still patients for whom conservative treatments such as resin-bonded fixed dental prostheses (RBFDPs) are more appropriate. This study’s objective was to analyze the available research on full-ceramic RBFDPs. In this study, Web of Science, MEDLINE/PubMed, Scopus, Embase, Cochrane Library, and Google Scholar databases were searched for articles published in English between 2010 and 2020. A total of 14 studies were reviewed based on the eligibility criteria. The results showed that using a cantilever design with one abutment had an advantage over two abutments. Additionally, it was proposed that preparations designed with retentive aids, such as a proximal box, groove, and pinhole, could improve RBFDP survival rates. IPS e.max ZirCAD, In-Ceram alumina, and zirconia CAD/CAM were the most commonly used framework materials. Most studies used air abrasion, salinization, or hydrofluoric acid for surface treatment. Adhesive resin cements were the most frequently used type of cement. The survival rate of In-Ceram ceramics (85.3%–94.8%) was lower than that of In-Ceram zirconia and IPS e.max ZirCAD. Debonding, followed by framework fracture, was the leading cause of failure. Following 3–10 years follow-up, the survival percentage of all-ceramic RBFDPs ranged from 76% to 100%. Although RBFDPs have demonstrated satisfactory success as a conservative treatment, long-term follow-ups and higher sample sizes in clinical research are required to gain more reliable outcomes on the clinical success rate of various RBFDP designs.
... advantages that include enhanced esthetics, 4 improved preservation of healthy tooth structure, 5 and minimal risk of pulpal complications. 6 However, a significant concern with these restorations is loss of retention, 7 leading to a success rate over 6 years of only 42.3%. The survival rate of interim resin-bonded prostheses over the same period is 26.9% with single re-bonding and 23.1% with multiple re-bonding. ...
... Resin-bonded prostheses have an overall failure rate of 7.6%. 7,8 Successful bonding of interim resin-bonded prostheses relies on the establishment of durable and reliable interfaces between the tooth structure and the restoration. 9 This bonding process involves multiple steps, encompassing 2 crucial interfaces: the tooth structure interface, which involves the enamel and dentin, and the indirect restoration interface. ...
... Screw-retained or cement-retained restorations are the most commonly used implant-supported prostheses retention. The benefits and drawbacks of both some clinical situations advocate for one method of retention over the other, which have been identified by numerous authors over the years, as well as following the development of technologies that have made them more and more suitable [4][5][6] . Fixed prosthodontics' marginal accuracy is heavily researched because it determines clinical success [7,8] . ...
Objectives: This in vitro study aimed to compare the adhesion strength of the adhesives of four modified cement-retained methods (MCRMs) that affect the retention of two types of materials (Zirconia and hybrid ceramic/VITA Enamic). Methods: In this in-vitro study, four cement-retained methods were used: the first is an occlusal hole with a diameter (1 mm) with lateral hole with a diameter (1 mm) (OLH), the second is an occlusal hole with a diameter (2 mm) for screw access (OH), the third is a lingual hole for releasing the excess adhesive (1 mm) (LH), and the last one is a control group (no holes). Twenty-eight crowns (n=7) were fabricated for test with CAD-CAM system. The retention strength was examined by mechanical tensile experiments (MTE) in vitro using a universal testing machine, pull-off test. Results: A statistically significant difference is seen in each material's retention strength (zirconia and hybrid ceramic). The OLH group in zirconia (257.4286 N), and in ceramic (213.5714 N). Had the highest values among the other groups, subsequently, the LH groups had slight differences from the other OH and control groups. (P=0.05). Conclusions: The use of modified cement methods had a remarkable effect on retention. In this study, the use of occlusal-lateral with (1 mm) hole (OLH) modification is more retentive than the other groups.
... 40 One well-controlled RCT, 38 some clinical studies, 8,52,53 and some systematic reviews 54,55 found in the literature revealed high survival rates and good clinical performance for the single-retainer zirconia RBBs from 18 months up to 15 years, with reported clinical results comparable or even better than those of the conventional fixed prosthesis and implant-supported crowns. 8,37,41,53 Still, patients with MLIA situations are frequently adolescents with ongoing maxillofacial growth, 2 and despite there is no sufficient evidence to either indicate or contradict the usage of dental implants in this age group, 7 its implantation requires positional modifications to attend periodontal and aesthetic factors, and they should be considered only under particular circumstances. 6,7 If infraocclusion of the replaced tooth occurs over time, new prosthetic restoration, new orthodontic treatment, or distraction osteogenesis may be necessary, 7 along with carefully planned rehabilitation treatment that should contemplate interim rehabilitation. ...
Objectives Maxillary lateral incisor agenesis (MLIA), treated orthodontically by space opening, requires complimentary aesthetic rehabilitation. Resin-bonded bridges (RBBs) can be equated as interim rehabilitation until skeletal maturity is achieved to place an implant-supported crown or as definitive rehabilitation in case of financial restrictions or implant contraindications. Scientific evidence of the best material must be confirmed in specific clinical situations. Computer-aided design and computer-aided manufacturing (CAD/CAM) materials are promising versatile restorative options. This study aimed to identify a straightforward material to deliver interim or definitive RBBs for nonprepared tooth replacement in MLIA.
Materials and Methods Single-retainer RBB made from CAD/CAM ceramic blocks (Vita Enamic [ENA], Suprinity [SUP], and zirconia [Y-ZPT]) and a three-dimensional (3D) printed material (acrylonitrile butadiene styrene [ABS]) were evaluated by shear bond strength (SBS) and mode of failure, after adherence to an artificial tooth with RelyX Ultimate used in a three-step adhesive strategy.
Statistical Analysis The load to fracture (N) was recorded, and the mean shear stress (MPa) was calculated with standard deviations (SD) for each group and compared between materials using boxplot graphics. One-way analysis of variance (ANOVA) followed by the Tukey–Kramer post hoc test was used to compare the differences ( α = 0.05). A meta-analysis focusing on CAD/CAM materials evaluated the magnitude of the difference between groups based on differences in means and effect sizes ( α = 0.05; 95% confidence interval [CI]; Z -value = 1.96). Failure mode was determined by microscopic observation and correlated with the maximum load to fracture of the specimen.
Results The mean ± SD SBS values were ENA (24.24 ± 9.05 MPa) < ABS (24.01 ± 1.94 MPa) < SUP (29.17 ± 4.78 MPa) < Y-ZPT (37.43 ± 12.20 MPa). The failure modes were mainly adhesive for Y-ZPT, cohesive for SUP and ENA, and cohesive with plastic deformation for ABS.
Conclusion Vita Enamic, Suprinity, Y-ZPT zirconia, and 3D-printed ABS RBBs are optional materials for rehabilitating MLIA. The option for each material is conditioned to estimate the time of use and necessity of removal for orthodontic or surgical techniques.
... Additionally, RBFDPs are functionally superior because it is possible to maintain the cusps, which maintains the occlusal state [6,7]. ...
Background/purpose
Retainer debonding of resin-bonded fixed dental prostheses (RBFDPs) is one of the major reasons for their lower survival rates than fixed dental prostheses (FDPs) with full-coverage crowns. Recent advances in milling technology have enabled the fabrication of RBFDPs with complex retainers (D-shaped designs). This study aimed to assess the marginal fit and retention force of zirconia RBFDPs with inlay-, L-, and D-shaped designs to clarify their clinical applications.
Materials and methods
Three abutment teeth models without maxillary second premolars were created using inlay-, L-, and D-shaped retainer designs. The zirconia RBFDPs were designed and fabricated according to the manufacturer’s instructions (n = 10). The marginal gap was measured using the silicone replica technique. Zirconia frameworks were bonded to the abutment teeth using resin cement. Tensile test was conducted after thermal cycling and dynamic loading tests. The loads during debonding or fracture were recorded. The failure pattern was analyzed by observing the fracture surface using a scanning electron microscope.
Results
D-shaped RBFDPs showed a significantly larger marginal gap than inlay- and L-shaped RBFDPs (P < 0.05). However, the mean marginal values were clinically acceptable (<120 μm). The D-shaped model exhibited the highest tensile strength in the tensile tests. The inlay-shaped and most of the D-shaped RBFDPs experienced debonding with cohesive failure, whereas the L-shaped RBFDPs showed fractures near the connector.
Conclusion
The D-shaped retainer design was superior to the inlay- and L-shaped designs with respect to the inhibition of retainer debonding. However, the marginal fitness needs to be improved.
