A Systematic Review on the Success and Debonding Rates of Conventional and Cantilevered Resin Bonded Fixed Dental Prostheses
Systematic Review
DOI:
https://doi.org/10.56501/intjesthresdent.2022.736Keywords:
Bondable restoration, Fixed dental prosthesis, Fixed prosthesis, Resin bonded prosthesisAbstract
Introduction: Resin bonded fixed dental prostheses (RBFDPs) have been available in dentistry for nearly 40 years since its introduction in the 1970s and is an accepted alternative for the replacement for a single missing tooth. Functional longevity, however, has always remained an issue with these types of restorations demonstrating frequent incidences of debonding leading to complete failure of the intended therapy. There have been clinical studies which demonstrate that a cantilevered design (Cantilevered Resin bonded fixed dental prostheses CL-RBFDPs) in such restorations exhibit lesser chances of failure of restorations.The objective of this review was to evaluate the Success rates and Debonding rates of conventional and cantilevered resin bonded fixed dental prostheses.
Materials and Method: Search strategy-A literature search was conducted using a combination of electronic search engines such as PUBMED (U.S. National Library of Medicine, Bethesda, MD, USA), referencing relevant titles and citations and manual searching of journals for identifying studies which evaluated conventional RBFDPs and cantilevered RBFDPs and reported on the success rates and debonding rates of these two types of restorations. The electronic search was conducted without any date restrictions. Selection of Studies - Eligibility criteria included human studies and excluded any reviews, case reports and in vitro trials. The publications’ intervention had to have been both conventional and cantilevered RBFDPs for replacement of missing teeth. Data extraction- Data were extracted from the final studies according to a customised data collection form. The outcome measures success rates and debonding rates of the restorations.
Results: The search strategy yielded a total of 30 articles. Abstract analysis performed for these articles augmented with hand searching of journals resulted in 6 studies which met the inclusion criteria formulated for this review. The prospective and retrospective studies obtained were analysed and the most common complication for these types of prostheses were found to be debonding irrespective of design, choice of material or luting system, or preparation design followed by a fracture of retainers. Survival rates were also provided in a few of these studies. The cantilevered RBFDPs appear to demonstrate a lower incidence of debonding, and fractures compared to conventional RBFDP
Conclusion: Further well designed randomised controlled trials with long term follow up are required to provide higher levels of evidence for this treatment modality. However, based on all the studies currently available the overall incidences of debonding appear to be lesser when cantilevered RBFDPs were provided. Hence, we are able to conclude that Cantilevered RBFDPs are an acceptable alternative to conventional RBFDPs with lower incidences of complications resulting in improved clinical performance.
References
Pjetursson BE, Lang NP. Prosthetic treatment planning on the basis of scientific evidence. J Oral Rehabili. 2008 Jan;35 Suppl 1:72-9.
Jackson CR, Skidmore AE, Rice RT. Pulpal evaluation of teeth restored with fixed prostheses. J Prosthet Dent. 1992 Mar;67(3):323-5.
Rochette AL. Attachment of a splint to enamel of lower anterior teeth. J Prosthet Dent. 1973 Oct;30(4 Pt 1):418-23.
Cortellini P, Stalpers G, Mollo A, Tonetti MS. Periodontal regeneration versus extraction and prosthetic replacement of teeth severely compromised by attachment loss to the apex: 5-year results of an ongoing randomized clinical trial. J Clin Periodontol. 2011 Oct;38(10):915-24.
Howe DF, Denehy GE. Anterior fixed partial dentures utilizing the acid-etch technique and a cast metal framework. J Prosthet Dent. 1977 Jan;37(1):28-31.
Livaditis GJ. Etched metal resin-bonded restorations: principles in retainer design. Int J Periodontics Restorative Dent. 1983;3(4):34-47.
Livaditis GJ, Thompson VP. Etched castings: an improved retentive mechanism for resin-bonded retainers. J Prosthet Dent. 1982 Jan;47(1):52-8.
Durey KA, Nixon PJ, Robinson S, Chan MF. Resin bonded bridges: techniques for success. Br Dent J. 2011 Aug;211(3):113-8.
Abt E. Survival rates for resin bonded bridges. Evid Based Dent. 2008;9(1):20-1.
Creugers NH, Van 't Hof MA. An analysis of clinical studies on resin-bonded bridges. J Dent Res. 1991 Feb;70(2):146-9.
Gratton DR, Boksman L, Jordan RE. The resin bonded cast metal bridge: a review. Restor Dent. 1985 Jan;1(3):68-9, 71-2, 4-6.
Howard-Bowles E, McKenna G, Allen F. An evidence based approach for the provision of resin-bonded bridgework. Eur J Prosthodont Restor Dent. 2011 Sep;19(3):99-104.
Saunders WP. Resin bonded bridgework: a review. J Dent. 1989 Dec;17(6):255-65.
Chan AW, Barnes IE. A prospective study of cantilever resin-bonded bridges: an initial report. Aust Dent J. 2000 Mar;45(1):31-6.
Creugers NH, de Kanter RJ, Verzijden CW, van 't Hof MA. Five year survival of posterior adhesive bridges. Influence of bonding systems and tooth preparation. Ned Tijdschr Tandheelkd. 1999 Jul;106(7):250-3.
Van Dalen A, Feilzer AJ. Cantilever resin-bonded bridges with one adhesive surface. A review of the literature. Ned Tijdschr Tandheelkd. 2003 Apr;110(4):143-8.
Behr M, Hindelang U, Rosentritt M, Lang R, Handel G. Comparison of failure rates of adhesive-fixed partial dentures for in vivo and in vitro studies. Clin Oral Investig. 2000 Mar;4(1):25-30.
Boyer DB, Williams VD, Thayer KE, Denehy GE, Diaz-Arnold AM. Analysis of debond rates of resin-bonded prostheses. J Dent Res. 1993 Aug;72(8):1244-8.
Creugers NH, Kayser AF. An analysis of multiple failures of resin-bonded bridges. J Dent. 1992 Dec;20(6):348-51.
Kerschbaum T, Haastert B, Marinello CP. Risk of debonding in three-unit resin-bonded fixed partial dentures. J Prosthet Dent. 1996 Mar;75(3):248-53.
Kern M. Clinical long-term survival of two-retainer and single-retainer all-ceramic resin-bonded fixed partial dentures. Quintessence Int. 2005 Feb;36(2):141-7.
Kern M, Glaser R. Cantilevered all-ceramic, resin-bonded fixed partial dentures: a new treatment modality. J Esthet Dent. 1997;9(5):255-64.
Botelho MG, Ma X, Cheung GJ, Law RK, Tai MT, Lam WY. Long-term clinical evaluation of 211 two-unit cantilevered resin-bonded fixed partial dentures. J Dent. 2014 Jul;42(7):778-84.
Chai J, Chu FC, Newsome PR, Chow TW. Retrospective survival analysis of 3-unit fixed-fixed and 2-unit cantilevered fixed partial dentures. J Oral Rehabil. 2005 Oct;32(10):759-65.
Kern M, Sasse M. Ten-year survival of anterior all-ceramic resin-bonded fixed dental prostheses. J Adhes Dent. 2011 Oct;13(5):407-10.
Sasse M, Kern M. CAD/CAM single retainer zirconia-ceramic resin-bonded fixed dental prostheses: clinical outcome after 5 years. Int J Comput Dent. 2013;16(2):109-18.
Dunne SM, Millar BJ. A longitudinal study of the clinical performance of resin bonded bridges and splints. Br Dent J. 1993 Jun 5;174(11):405-11.
Creugers NH. Repair and revision 5. Failures and repair of resin-bonded bridges. Ned Tijdschr Tandheelkd. 2001 Jul;108(7):254-9.
Simon JF, Gartrell RG, Grogono A. Improved retention of acid-etched fixed partial dentures: a longitudinal study. J Prosthet Dent. 1992 Oct;68(4):611-5.
Pjetursson BE, Tan WC, Tan K, Bragger U, Zwahlen M, Lang NP. A systematic review of the survival and complication rates of resin-bonded bridges after an observation period of at least 5 years. Clin Oral Implants Res. 2008 Feb;19(2):131-41.
Verzijden CW, Creugers NH, Van't Hof MA. A meta-analysis of two different trials on posterior resin-bonded bridges. J Dent. 1994 Feb;22(1):29-32.
Briggs P, Dunne S, Bishop K. The single unit, single retainer, cantilever resin-bonded bridge. Br Dent J 1996 Nov 23;181(10):373-9.
Hussey DL, Linden GJ. The clinical performance of cantilevered resin-bonded bridgework. J Dent. 1996 Jul;24(4):251-6.
Van Dalen A, Feilzer AJ, Kleverlaan CJ. A literature review of two-unit cantilevered FPDs. Int J Prosthodont. 2004 May-Jun;17(3):281-4.
Sailer I, Bonani T, Brodbeck U, Hammerle CH. Retrospective clinical study of single-retainer cantilever anterior and posterior glass-ceramic resin-bonded fixed dental prostheses at a mean follow-up of 6 years. Int J Prosthodont. 2013 Sep-Oct;26(5):443-50.
Sasse M, Eschbach S, Kern M. Randomized clinical trial on single retainer all-ceramic resin-bonded fixed partial dentures: Influence of the bonding system after up to 55 months. J Dent. 2012 Sep;40(9):783-6.
Hussey DL, Pagni C, Linden GJ. Performance of 400 adhesive bridges fitted in a restorative dentistry department. J Dent. 1991 Aug;19(4):221-5.
Gilmour AS, Ali A. Clinical performance of resin-retained fixed partial dentures bonded with a chemically active luting cement. J Prosthet Dent 1995 Jun;73(6):569-73.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2022 Vinay Sivaswamy, Rathna Subhashini
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
