A systematic review of the survival and complication rates of fixed partial dentures (FPDs) after an observation period of at least 5 years
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- 12 October 2004
- journal article
- research article
- Published by Wiley in Clinical Oral Implants Research
- Vol. 15 (6), 654-666
- https://doi.org/10.1111/j.1600-0501.2004.01119.x
Abstract
The present study was done to determine the long‐term success and survival of fixed partial dentures (FPDs) and to evaluate the risks for failures due to specific biological and technical complications. A MEDLINE search (PubMed) from 1966 up to March 2004 was conducted, as well as hand searching of bibliographies from relevant articles. Nineteen studies from an initial yield of 3658 titles were finally selected and data were extracted independently by three reviewers. Prospective and retrospective cohort studies with a mean follow‐up time of at least 5 years in which patients had been examined clinically at the follow‐up visits were included in the meta‐analysis. Publications only based on patients records, questionnaires or interviews were excluded. Survival of the FPDs was analyzed according to in situ and intact failure risks. Specific biological and technical complications such as caries, loss of vitality and periodontal disease recurrence as well as loss of retention, loss of vitality, tooth and material fractures were also analyzed. The 10‐year probability of survival for fixed partial dentures was 89.1% (95% confidence interval (CI): 81–93.8%) while the probability of success was 71.1% (95% CI: 47.7–85.2%). The 10‐year risk for caries and periodontitis leading to FPD loss was 2.6% and 0.7%, respectively. The 10‐year risk for loss of retention was 6.4%, for abutment fracture 2.1% and for material fractures 3.2%.Keywords
This publication has 40 references indexed in Scilit:
- Assessment of the periapical and clinical status of crowned teeth over 25 yearsJournal of Dentistry, 1997
- Ten years' clinical evaluation of three luting cementsJournal of Dentistry, 1996
- Failure of dental bridges. II. Prevalence of failure and its relation to place of constructionJournal of Oral Rehabilitation, 1996
- Long‐term follow‐up of cross‐arch fixed partial dentures in patients with advanced periodontal destruction: evaluation of occlusion and subjective functionJournal of Oral Rehabilitation, 1996
- Long‐term changes in marginal and periapical periodontal conditions in patients with fixed prostheses: a radiographic studyJournal of Oral Rehabilitation, 1996
- Prosthodontic claims in the Swedish Patient Insurance SchemeActa Odontologica Scandinavica, 1992
- A clinical evaluation of conventional bridgeworkJournal of Oral Rehabilitation, 1990
- Follow‐up study of patients with bridge constructions performed by private dental surgeons and at a university clinic, 8 years following insertion*Journal of Oral Rehabilitation, 1988
- Clinical and radiographic observations after 6 years on bridge abutment teeth carrying pinledge retainersJournal of Oral Rehabilitation, 1986
- Frequency and location of artificial crowns and fixed partial dentures constructed at a dental schoolJournal of Oral Rehabilitation, 1976