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

File Download Links for fulltext
(May Require Subscription)
Supplementary

  • Basic View
  • Metadata View
  • XML View
TitleA systematic review of the survival and complication rates of resin-bonded bridges after an observation period of at least 5 years
AuthorsPjetursson, BE1 2
Tan, WC3
Tan, K3
Brägger, U2
Zwahlen, M2
Lang, NP2
Issue Date2008
PublisherWiley-Blackwell Publishing, Inc.. The Journal's web site is located at http://www.blackwellpublishing.com/journals/CLR
CitationClinical Oral Implants Research, 2008, v. 19 n. 2, p. 131-141 [How to Cite?]
DOI: http://dx.doi.org/10.1111/j.1600-0501.2007.01527.x
AbstractThe 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. 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. 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. 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. © 2007 Blackwell Munksgaard.
ISSN0905-7161
2011 Impact Factor: 2.514
2011 SCImago Journal Rankings: 0.117
DOIhttp://dx.doi.org/10.1111/j.1600-0501.2007.01527.x
ReferencesReferences in Scopus
DC Field
Value
dc.contributor.authorPjetursson, BE
dc.contributor.authorTan, WC
dc.contributor.authorTan, K
dc.contributor.authorBrägger, U
dc.contributor.authorZwahlen, M
dc.contributor.authorLang, NP
dc.date.accessioned2012-08-08T08:25:42Z
dc.date.available2012-08-08T08:25:42Z
dc.date.issued2008
dc.description.abstractThe 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. 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. 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. 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. © 2007 Blackwell Munksgaard.
dc.description.natureLink_to_subscribed_fulltext
dc.identifier.citationClinical Oral Implants Research, 2008, v. 19 n. 2, p. 131-141 [How to Cite?]
DOI: http://dx.doi.org/10.1111/j.1600-0501.2007.01527.x
dc.identifier.citeulike2202804
dc.identifier.doihttp://dx.doi.org/10.1111/j.1600-0501.2007.01527.x
dc.identifier.epage141
dc.identifier.isiWOS:000252120000002
dc.identifier.issn0905-7161
2011 Impact Factor: 2.514
2011 SCImago Journal Rankings: 0.117
dc.identifier.issue2
dc.identifier.pmid18070120
dc.identifier.scopuseid_2-s2.0-37848999076
dc.identifier.spage131
dc.identifier.urihttp://hdl.handle.net/10722/154500
dc.identifier.volume19
dc.languageeng
dc.publisherWiley-Blackwell Publishing, Inc.. The Journal's web site is located at http://www.blackwellpublishing.com/journals/CLR
dc.publisher.placeUnited States
dc.relation.ispartofClinical Oral Implants Research
dc.relation.referencesReferences in Scopus
dc.subject.meshDental Bonding - Methods
dc.subject.meshDental Caries - Etiology
dc.subject.meshDental Restoration Failure
dc.subject.meshDenture, Partial - Adverse Effects - Statistics & Numerical Data
dc.subject.meshEquipment Failure Analysis
dc.subject.meshHumans
dc.subject.meshPeriodontal Diseases - Etiology
dc.subject.meshPoisson Distribution
dc.subject.meshSurvival Analysis
dc.titleA systematic review of the survival and complication rates of resin-bonded bridges after an observation period of at least 5 years
dc.typeArticle
Author Affiliations
  1. University of Iceland
  2. Universität Bern
  3. National Dental Centre of Singapore