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. 2013

Irena Sailer, and Tom Bonani, and Urs Brodbeck, and Christoph Hans Franz Hämmerle

OBJECTIVE To retrospectively evaluate the 6-year survival rates and technical/ biologic complication rates of single-retainer glass-ceramic resin-bonded fixed dental prostheses (RBFDPs). METHODS Forty patients with 49 anterior/posterior glass-ceramic RBFDPs were included. The RBFDPs replaced 11 maxillary/mandibular central incisors, 18 lateral incisors, 18 premolars, and 2 molars. Patients willing to participate were clinically and radiologically examined. The technical outcome was assessed with modified United States Public Health Service criteria. Fracture and/or chipping of the restoration, occlusal wear, marginal adaptation, marginal discoloration, shape, surface texture, and esthetic integration were recorded. Tooth vitality and postoperative sensitivity were tested. The following biologic parameters were assessed at test and control teeth: probing pocket depth, gingival recession, attachment loss, bleeding on probing, furcation involvement, and periodontal mobility. Statistical analysis was performed with exact 95% confidence intervals to relative frequencies and the paired t test. RESULTS Twenty-eight patients with 35 RBFDPs participated. The mean follow-up of the RBFDPs was 6 years. Twelve patients with 14 RBFDPs were not willing to participate or not available. No catastrophic failures occurred. The 6-year survival rate of the examined RBFDPs was 100%. No debonding was recorded. Chipping of the ceramic was found in 5.7% of the RBFDPs. Biologic outcomes were similar at test and control teeth. CONCLUSIONS Glass-ceramic RBFDPs exhibited promising clinical outcomes in both anterior and posterior regions.

UI MeSH Term Description Entries
D008297 Male Males
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D001840 Dental Bonding An adhesion procedure for orthodontic attachments, such as plastic DENTAL CROWNS. This process usually includes the application of an adhesive material (DENTAL CEMENTS) and letting it harden in-place by light or chemical curing. Bonding, Dental,Cure of Orthodontic Adhesives,Curing, Dental Cement,Dental Cement Curing,Orthodontic Adhesives Cure
D002516 Ceramics Products made by baking or firing nonmetallic minerals (clay and similar materials). In making dental restorations or parts of restorations the material is fused porcelain. (From McGraw-Hill Dictionary of Scientific and Technical Terms, 4th ed & Boucher's Clinical Dental Terminology, 4th ed) Ceramic
D002648 Child A person 6 to 12 years of age. An individual 2 to 5 years old is CHILD, PRESCHOOL. Children
D003776 Dental Porcelain A type of porcelain used in dental restorations, either jacket crowns or inlays, artificial teeth, or metal-ceramic crowns. It is essentially a mixture of particles of feldspar and quartz, the feldspar melting first and providing a glass matrix for the quartz. Dental porcelain is produced by mixing ceramic powder (a mixture of quartz, kaolin, pigments, opacifiers, a suitable flux, and other substances) with distilled water. (From Jablonski's Dictionary of Dentistry, 1992) Porcelain,Porcelain, Dental,Dental Porcelains,Porcelains,Porcelains, Dental
D004955 Esthetics, Dental Skills, techniques, standards, and principles used to improve the art and symmetry of the teeth and face to improve the appearance as well as the function of the teeth, mouth, and face. (From Boucher's Clinical Dental Terminology, 4th ed, p108) Cosmetic Dentistry,Aesthetics, Dental,Dental Esthetic,Dental Esthetics,Esthetic, Dental,Cosmetic Dentistries,Dentistries, Cosmetic,Dentistry, Cosmetic
D005260 Female Females
D005500 Follow-Up Studies Studies in which individuals or populations are followed to assess the outcome of exposures, procedures, or effects of a characteristic, e.g., occurrence of disease. Followup Studies,Follow Up Studies,Follow-Up Study,Followup Study,Studies, Follow-Up,Studies, Followup,Study, Follow-Up,Study, Followup
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man

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