A systematic review of the survival and complication rates of resin-bonded bridges after an observation period of at least 5 years

Pjetursson, Bjarni E; Tan, Wah Ching; Tan, Ken; Brägger, Urs; Zwahlen, Marcel; Lang, Niklaus P (2008). A systematic review of the survival and complication rates of resin-bonded bridges after an observation period of at least 5 years. Clinical oral implants research, 19(2), pp. 131-41. Oxford: Wiley-Blackwell 10.1111/j.1600-0501.2007.01527.x

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OBJECTIVES: The objectives of this systematic review were to assess the 5-year survival of resin-bonded bridges (RBBs) and to describe the incidence of technical and biological complications. METHODS: An electronic Medline search complemented by manual searching was conducted to identify prospective and retrospective cohort studies on RBBs with a mean follow-up time of at least 5 years. Patients had to have been examined clinically at the follow-up visit. Assessment of the identified studies and data extraction were performed independently by two reviewers. Failure and complication rates were analyzed using random-effects Poissons regression models to obtain summary estimates of 5-year proportions. RESULTS: The search provided 6110 titles and 214 abstracts. Full-text analysis was performed for 93 articles, resulting in 17 studies that met the inclusion criteria. Meta-analysis of these studies indicated an estimated survival of RBBs of 87.7% (95% confidence interval (CI): 81.6-91.9%) after 5 years. The most frequent complication was debonding (loss of retention), which occurred in 19.2% (95% CI: 13.8-26.3%) of RBBs over an observation period of 5 years. The annual debonding rate for RBBs placed on posterior teeth (5.03%) tended to be higher than that for anterior-placed RBBs (3.05%). This difference, however, did not reach statistical significance (P=0.157). Biological complications, like caries on abutments and RBBs lost due to periodontitis, occurred in 1.5% of abutments and 2.1% of RBBs, respectively. CONCLUSION: Despite the high survival rate of RBBs, technical complications like debonding are frequent. This in turn means that a substantial amount of extra chair time may be needed following the incorporation of RBBs. There is thus an urgent need for studies with a follow-up time of 10 years or more, to evaluate the long-term outcomes.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > School of Dental Medicine
04 Faculty of Medicine > School of Dental Medicine > Department of Periodontology
04 Faculty of Medicine > School of Dental Medicine > Division of Fixed Prosthodontics (discontinued)
04 Faculty of Medicine > Pre-clinic Human Medicine > Institute of Social and Preventive Medicine

UniBE Contributor:

Pjetursson, Bjarni E.; Tan, Wah Ching; Brägger, Urs; Zwahlen, Marcel and Lang, Niklaus Peter

Subjects:

600 Technology > 610 Medicine & health

ISSN:

0905-7161

Publisher:

Wiley-Blackwell

Language:

English

Submitter:

Eveline Carmen Schuler

Date Deposited:

04 Oct 2013 14:54

Last Modified:

25 Jan 2017 12:17

Publisher DOI:

10.1111/j.1600-0501.2007.01527.x

PubMed ID:

18070120

Web of Science ID:

000252120000002

BORIS DOI:

10.7892/boris.22790

URI:

https://boris.unibe.ch/id/eprint/22790 (FactScience: 36603)

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