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

Wierichs, R J; Weilenmann, W; Jeganathan, S; Perrin, P (2022). Longevity of immediate rehabilitation with direct metal-wire reinforced composite fixed partial dentures. Dental materials, 38(10), e257-e265. Elsevier 10.1016/j.dental.2022.06.008

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OBJECTIVES

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.

METHODS

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.

RESULTS

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.

SIGNIFICANCE

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).

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > School of Dental Medicine > Department of Preventive, Restorative and Pediatric Dentistry

UniBE Contributor:

Wierichs, Richard Johannes, Perrin, Philippe

Subjects:

600 Technology > 610 Medicine & health

ISSN:

0109-5641

Publisher:

Elsevier

Language:

English

Submitter:

Pubmed Import

Date Deposited:

22 Jun 2022 14:53

Last Modified:

05 Dec 2022 16:21

Publisher DOI:

10.1016/j.dental.2022.06.008

PubMed ID:

35718596

Uncontrolled Keywords:

Clinical performance Fixed partial dentures Long-term temporary solution Longevity Metal reinforced composites Resin-bonded bridge Survival

BORIS DOI:

10.48350/170820

URI:

https://boris.unibe.ch/id/eprint/170820

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