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Article: A systematic review of the survival and complication rates of fixed partial dentures (FPDs) after an observation period of at least 5 years IV. Cantilever or extension FPDs

TitleA systematic review of the survival and complication rates of fixed partial dentures (FPDs) after an observation period of at least 5 years IV. Cantilever or extension FPDs
Authors
Issue Date2004
PublisherWiley-Blackwell Publishing, Inc.. The Journal's web site is located at http://www.blackwellpublishing.com/journals/CLR
Citation
Clinical Oral Implants Research, 2004, v. 15 n. 6, p. 667-676 How to Cite?
AbstractObjectives: The objective of this systematic review was to assess the survival of cantilever fixed partial dentures (FPDs) and the incidence of biological and technical complications. Methods: An electronic MEDLINE search supplemented by manual searching was conducted to identify prospective and retrospective cohort studies on FPDs 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 abstraction was performed independently by two reviewers. Failure and complication rates were analyzed using random-effects Poisson regression to obtain summary estimates of 10-year survival proportions. Results: From a yield of 3658 titles and 211 abstracts, 81 articles were selected for full-text analysis, finally resulting in 13 studies that met the inclusion criteria. Meta-analysis of these studies resulted in an estimated survival rate of cantilever FPDs of 81.8% (95 percent confidence interval (95% CI): 78.2-84.9%) and success rate (free of all complications) of 63% (95% CI: 54.7-70.2%) after 10 years. The most common biological complication was loss of pulp vitality (32.6%) followed by caries at abutment teeth (9.1%). After a 10-year observation period 2.6% of the FPDs were lost as a result of dental caries and 1% due to recurrent periodontitis. The most frequent technical complication was loss of retention (16.1%) followed by material fractures (5.9%). The cumulative incidence of fractures of abutment teeth was 2.9% and 2.4% of the FPDs were lost as a result of abutment tooth fracture after an observation period of 10 years. Conclusion: This systematic review on cantilever fixed partial dentures indicated that survival and success rates of cantilever fixed partial dentures were lower than those of conventional end-abutment supported FPDs described in a review by Tan et al. (2004) and biological and technical complications were frequent.
Persistent Identifierhttp://hdl.handle.net/10722/154289
ISSN
2015 Impact Factor: 3.464
2015 SCImago Journal Rankings: 1.427
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorPjetursson, BEen_US
dc.contributor.authorTan, Ken_US
dc.contributor.authorLang, NPen_US
dc.contributor.authorBrägger, Uen_US
dc.contributor.authorEgger, Men_US
dc.contributor.authorZwahlen, Men_US
dc.date.accessioned2012-08-08T08:24:25Z-
dc.date.available2012-08-08T08:24:25Z-
dc.date.issued2004en_US
dc.identifier.citationClinical Oral Implants Research, 2004, v. 15 n. 6, p. 667-676en_US
dc.identifier.issn0905-7161en_US
dc.identifier.urihttp://hdl.handle.net/10722/154289-
dc.description.abstractObjectives: The objective of this systematic review was to assess the survival of cantilever fixed partial dentures (FPDs) and the incidence of biological and technical complications. Methods: An electronic MEDLINE search supplemented by manual searching was conducted to identify prospective and retrospective cohort studies on FPDs 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 abstraction was performed independently by two reviewers. Failure and complication rates were analyzed using random-effects Poisson regression to obtain summary estimates of 10-year survival proportions. Results: From a yield of 3658 titles and 211 abstracts, 81 articles were selected for full-text analysis, finally resulting in 13 studies that met the inclusion criteria. Meta-analysis of these studies resulted in an estimated survival rate of cantilever FPDs of 81.8% (95 percent confidence interval (95% CI): 78.2-84.9%) and success rate (free of all complications) of 63% (95% CI: 54.7-70.2%) after 10 years. The most common biological complication was loss of pulp vitality (32.6%) followed by caries at abutment teeth (9.1%). After a 10-year observation period 2.6% of the FPDs were lost as a result of dental caries and 1% due to recurrent periodontitis. The most frequent technical complication was loss of retention (16.1%) followed by material fractures (5.9%). The cumulative incidence of fractures of abutment teeth was 2.9% and 2.4% of the FPDs were lost as a result of abutment tooth fracture after an observation period of 10 years. Conclusion: This systematic review on cantilever fixed partial dentures indicated that survival and success rates of cantilever fixed partial dentures were lower than those of conventional end-abutment supported FPDs described in a review by Tan et al. (2004) and biological and technical complications were frequent.en_US
dc.languageengen_US
dc.publisherWiley-Blackwell Publishing, Inc.. The Journal's web site is located at http://www.blackwellpublishing.com/journals/CLRen_US
dc.relation.ispartofClinical Oral Implants Researchen_US
dc.subject.meshAlgorithmsen_US
dc.subject.meshDental Prosthesis Design - Adverse Effectsen_US
dc.subject.meshDental Restoration Failureen_US
dc.subject.meshDenture, Partial, Fixed - Adverse Effects - Statistics & Numerical Dataen_US
dc.subject.meshHumansen_US
dc.subject.meshPoisson Distributionen_US
dc.subject.meshTime Factorsen_US
dc.titleA systematic review of the survival and complication rates of fixed partial dentures (FPDs) after an observation period of at least 5 years IV. Cantilever or extension FPDsen_US
dc.typeArticleen_US
dc.identifier.emailLang, NP:nplang@hkucc.hku.hken_US
dc.identifier.authorityLang, NP=rp00031en_US
dc.description.naturelink_to_subscribed_fulltexten_US
dc.identifier.doi10.1111/j.1600-0501.2004.01120.xen_US
dc.identifier.pmid15533127-
dc.identifier.scopuseid_2-s2.0-12244302244en_US
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-12244302244&selection=ref&src=s&origin=recordpageen_US
dc.identifier.volume15en_US
dc.identifier.issue6en_US
dc.identifier.spage667en_US
dc.identifier.epage676en_US
dc.identifier.isiWOS:000225012400004-
dc.publisher.placeUnited Statesen_US
dc.identifier.scopusauthoridPjetursson, BE=6506841442en_US
dc.identifier.scopusauthoridTan, K=14006742200en_US
dc.identifier.scopusauthoridLang, NP=7201577367en_US
dc.identifier.scopusauthoridBrägger, U=7005538598en_US
dc.identifier.scopusauthoridEgger, M=34768019000en_US
dc.identifier.scopusauthoridZwahlen, M=7004748418en_US
dc.identifier.citeulike58195-

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