Longevity of immediate rehabilitation with direct metal-wire reinforced composite fixed partial dentures. 2022

R J Wierichs, and W Weilenmann, and S Jeganathan, and P Perrin
Department of Restorative, Preventive and Pediatric Dentistry, University of Bern, Bern, Switzerland. Electronic address: richard.wierichs@unibe.ch.

This study aimed to analyze the longevity of direct metal-wire reinforced composite fixed partial dentures (MRC-FPD) and factors influencing their survival and success. Within one private practice 513 MRC-FPD were directly applied. The preparation of a proximal cavity in abutment teeth was not limited. MRC-FPD were reinforced by one to three metal-wires. At the last follow-up MRC-FPD were considered successful, if they were still in function without any need of therapy. MRC-FPD were considered as survived, if they were repaired or replaced. Multi-level Cox proportional hazard models were used to evaluate the association between clinical factors and time. Mean follow-up period (range) was 59(2-249) months. Seventy-three bridges did not survive (cumulative survival rate(CSR):86%) and further 129 bridges had received a restorative follow-up treatment (CSR:61%). AFR was 2.2% for survival and 8.6% for success. In multivariate analysis MRC-FPD with> 1 wire showed a up to 2.3x higher failure rate than MRC-FPD with one wire(p ≤ 0.023). Dentist's experience in designing MRC-FDP (p ≤ 0.017), patient's caries risk (p ≤ 0.040) and bruxism (p = 0.033) significantly influenced the failure rate: the more experience, the lower caries risk and bruxism, the lower the failure rate. For directly prepared metal-wire reinforced composite bridges high survival and moderate success rates were observed. MRC-FPD might, thus, be an immediate, short- and medium-term solution for replacing missing teeth. However, several factors on the levels of practice (dentist's experience in designing MRC-FDP), patient (bruxism, caries risk) and restoration (number of wires) were identified as significant predictors for the failure rate. The study was registered in the German Clinical Trials Register (DRKS-ID: DRKS00021576).

UI MeSH Term Description Entries
D002012 Bruxism A disorder characterized by grinding and clenching of the teeth. Bruxomania,Teeth Grinding Disorder,Disorder, Teeth Grinding,Grinding Disorder, Teeth,Teeth Grinding Disorders
D003188 Composite Resins Synthetic resins, containing an inert filler, that are widely used in dentistry. Composite Resin,Resin, Composite,Resins, Composite
D003779 Denture Design The plan, delineation, and location of actual structural elements of dentures. The design can relate to retainers, stress-breakers, occlusal rests, flanges, framework, lingual or palatal bars, reciprocal arms, etc. Denture Designs,Design, Denture,Designs, Denture
D003830 Denture, Partial, Fixed A partial denture attached to prepared natural teeth, roots, or implants by cementation. Fixed Bridge,Fixed Partial Denture,Pontic,Bridge, Fixed,Bridges, Fixed,Denture, Fixed Partial,Dentures, Fixed Partial,Fixed Bridges,Fixed Partial Dentures,Partial Denture, Fixed,Partial Dentures, Fixed,Pontics
D005898 Glass Hard, amorphous, brittle, inorganic, usually transparent, polymerous silicate of basic oxides, usually potassium or sodium. It is used in the form of hard sheets, vessels, tubing, fibers, ceramics, beads, etc.
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D016379 Denture, Partial, Fixed, Resin-Bonded A commonly used prosthesis that results in a strong, permanent restoration. It consists of an electrolytically etched cast-metal retainer that is cemented (bonded), using resins, to adjacent teeth whose enamel was previously acid-treated (acid-etched). This type of bridgework is sometimes referred to as a Maryland bridge. Maryland Bridge,Resin-Bonded Acid-Etched Fixed Partial Denture,Resin-Bonded Bridge,Resin-Bonded Fixed Partial Denture,Bridge, Maryland,Bridge, Resin-Bonded,Bridges, Resin-Bonded,Resin Bonded Acid Etched Fixed Partial Denture,Resin Bonded Bridge,Resin Bonded Fixed Partial Denture,Resin-Bonded Bridges
D019232 Dental Restoration Failure Inability or inadequacy of a dental restoration or prosthesis to perform as expected. Dental Prosthesis Failure,Dental Prosthesis Failures,Dental Restoration Failures,Failure, Dental Prosthesis,Failure, Dental Restoration,Failures, Dental Prosthesis,Failures, Dental Restoration,Prosthesis Failure, Dental,Prosthesis Failures, Dental,Restoration Failure, Dental,Restoration Failures, Dental

Related Publications

R J Wierichs, and W Weilenmann, and S Jeganathan, and P Perrin
September 2020, Journal of dentistry,
R J Wierichs, and W Weilenmann, and S Jeganathan, and P Perrin
June 2017, Journal of dentistry,
R J Wierichs, and W Weilenmann, and S Jeganathan, and P Perrin
April 1998, The Journal of prosthetic dentistry,
R J Wierichs, and W Weilenmann, and S Jeganathan, and P Perrin
March 2006, Dental materials journal,
R J Wierichs, and W Weilenmann, and S Jeganathan, and P Perrin
February 2001, Quintessence international (Berlin, Germany : 1985),
R J Wierichs, and W Weilenmann, and S Jeganathan, and P Perrin
May 2005, Journal of oral rehabilitation,
R J Wierichs, and W Weilenmann, and S Jeganathan, and P Perrin
August 2005, Journal of oral rehabilitation,
R J Wierichs, and W Weilenmann, and S Jeganathan, and P Perrin
June 1984, The Compendium of continuing education in dentistry,
R J Wierichs, and W Weilenmann, and S Jeganathan, and P Perrin
August 1997, The Journal of prosthetic dentistry,
R J Wierichs, and W Weilenmann, and S Jeganathan, and P Perrin
May 2005, The Journal of prosthetic dentistry,
Copied contents to your clipboard!