ORAL HEALTH EVIDENCE-BASED PRACTICE PROGRAM
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Title Conventional Single Tooth Fixed Partial Dentures (FPD) vs. Resin-Retained Fixed Partial Dentures
Clinical Question For the replacement of a single missing tooth, how do cantilevered resin-bonded FPDs compare to conventional cantilevered FPDs in terms of longevity?
Clinical Bottom Line Conventional FPDs tend to have greater longevity than resin-retained FPDs, though cantilevered (single-retainer) resin-retained FPDs have greater longevity than those with two retainers, and they represent a reasonable treatment option. (See Comments on the CAT below)
Best Evidence (you may view more info by clicking on the PubMed ID link)
PubMed ID Author / Year Patient Group Study type
(level of evidence)
#1) 19215747Fugazzotto/2009Narrative Review
Key resultsA review of the current literature was performed and retrieved the five year survival rates for single-tooth replacement options as follows: three unit FPD: 94%; cantilevered FPD: 91.4%; resin bonded bridge: 87.7%.
#2) 15237872Van Dalen/2004Narrative Review
Key resultsTwo-unit cantilevered resin-bonded FPDs were found to have significantly greater longevity than two abutment resin-bonded FPDs.
#3) 16803807Botelho/2006269 prostheses placed in 214 patients Retrospective study
Key resultsIn a study recalling patients with two-unit resin-bonded FPDs after a period of at least 24 months, the survival rate was found to be 95.5%.
Evidence Search PubMed search performed with the following MESH terms: “Denture, partial, fixed,” and “Denture, partial, fixed, resin-bonded.” Limits were set initially to include only review articles and systematic reviews; limits were removed to produce more search results.
Comments on
The Evidence
Fugazzotto reviewed the current literature and two meta-analysis - one determined the 5 year survival for FPDs to be 94%, and another determined the 5 year survival for FPDs and cantilevered FPDs to be 93.8% and 91.4%, respectively.
Applicability This information applies directly to anyone seeking replacement a single missing tooth, especially those with options limited by financial considerations or those for which other options may be contraindicated.
Specialty/Discipline (General Dentistry) (Prosthodontics) (Restorative Dentistry)
Keywords Maryland Bridge; Fixed Partial Denture; Resin-Bonded Fixed Partial Denture; Resin-Bonded Bridge; Cantilevered; Single-tooth replacement
ID# 2008
Date of submission: 05/24/2011spacer
E-mail bonnerj@livemail.uthscsa.edu
Author Justin Bonner
Co-author(s)
Co-author(s) e-mail
Faculty mentor/Co-author Michael A. Mansueto, DDS
Faculty mentor/Co-author e-mail mansueto@uthscsa.edu
Basic Science Rationale
(Mechanisms that may account for and/or explain the clinical question, i.e. is the answer to the clinical question consistent with basic biological, physical and/or behavioral science principles, laws and research?)
post a rationale
None available
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Comments on the CAT
(FOR PRACTICING DENTISTS' and/or FACULTY COMMENTS ON PUBLISHED CATs)
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by John Hanlon (San Antonio, TX) on 07/13/2011
Having replicated the search of this topic, the three articles cited continue to represent the best available evidence.
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