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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
KeywordsAbutment fractures
Biological complications
Cantilevers
Caries
Complication rates
Extensions
Failures
Fixed partial dentures
Longitudinal
Loss of retention
Loss of vitality
Material fractures
Periodontitis
Success
Survival
Systematic review
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
2023 Impact Factor: 4.8
2023 SCImago Journal Rankings: 1.865
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.subjectAbutment fractures-
dc.subjectBiological complications-
dc.subjectCantilevers-
dc.subjectCaries-
dc.subjectComplication rates-
dc.subjectExtensions-
dc.subjectFailures-
dc.subjectFixed partial dentures-
dc.subjectLongitudinal-
dc.subjectLoss of retention-
dc.subjectLoss of vitality-
dc.subjectMaterial fractures-
dc.subjectPeriodontitis-
dc.subjectSuccess-
dc.subjectSurvival-
dc.subjectSystematic review-
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-
dc.identifier.issnl0905-7161-

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