Fixed partial dentures in an up to 8-year follow-up

ABSTRACT

Information on the longevity of fiber-reinforced composite fixed partial dentures (inlay FPDs) should be considered in the selection of materials, operative techniques and patient instructions related to prognosis and long-term cost-effectiveness. OBJECTIVE: This study evaluated the long-term survival of fiber-reinforced, adhesively-bonded composite prostheses placed in posterior teeth. Materials and Methods: Twenty-one patients that received adhesively bonded polyethylene inlay FPDs in posterior teeth were selected from a private practice dental office and invited to evaluation. Of the eligible 21 patients, 13 (mean age 50.3 ± 11.5 years) agreed to be enrolled as participants, providing 22 restorations, as several subjects presented more than one inlay FPD. One dentist placed all inlay FPDs using Ribbond as reinforcement and Tetric Ceram/Durafil or Charisma/Renamel composite combinations, according to manufacturer's instructions. Two independent calibrated operators performed the evaluation, using modified USPHS criteria. Survival functions of restorations were analyzed with Kaplan-Meier and Log Rank test (α = 0.05). RESULTS: The majority of restorations received A or B scores. Four (18.2 percent) inlay FPDs fractured among the 22 evaluated. The mean estimate survival rate was 7 years (95 percent CI 5.9 to 8.1), and the overall percentage of survival was 81.8 percent. There were no significant differences (p>0.05) between composite combinations or tooth location considering all clinical aspects evaluated and survival functions. CONCLUSION: Posterior fiber-reinforced fixed partial dentures exhibited acceptable clinical performance after a period up to 8 years.