Success, clinical performance and patient satisfaction of direct fibre-reinforced composite fixed partial dentures - a two-year clinical study

H. Malmstrom, A. Dellanzo-Savu, J. Xiao, C. Feng, A. Jabeen, Mario F Romero, J. Huang, Y. Ren, M. A. Yunker

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

Summary: To evaluate the success, clinical performance and patient satisfaction of directly placed fibre-reinforced composite (FRC) fixed partial dentures (FPDs) in 2 years. One hundred sixty-seven FRC FPDs (120 subjects) were directly fabricated to restore a single missing tooth by six Advanced Education in General Dentistry (AEGD) residents. The FRC FPDs recipients were rando-mised into two groups according to the fibre materials (pre-impregnated glass or polyethylene). Clinical performance was evaluated at baseline (2 weeks), 6, 12 and 24 months by two calibrated evaluators for prosthesis adaptation, colour match, marginal discoloration, surface roughness, caries and post-operative sensitivity using modified United State Public Health Service (USPHS) criteria. Prosthesis appearance, colour, chewing ability and overall satisfaction were evaluated by patients using a visual analogue scale (VAS). Kaplan-Meier estimation was used to estimate the prosthesis success. Ninety-four patients with 137 FRC FPDs returned (21·67% attrition rate for study subjects, 17·94% for FRC FPDs). Seventeen FRC FPDs failed, due to one-end (n = 4) or two-ends (n = 4) debonding or pontic fracture (n = 9). The cumu-lative 2-year success rate was 84·32% and survival rate was 92·7%; there were no statistically significant differences between the groups according to different missing tooth location, retention type or fibre materials (P > 0·05). Patient satisfaction regarding prosthesis appearance, col-our, chewing ability and overall satisfaction was rated high on the VAS (mean >80 mm) for all criteria at all time points. The FRC FPDs (restoring single tooth) fabricated by AEGD residents achieved acceptable success and survival rates in a 2-year follow-up.

Original languageEnglish (US)
Pages (from-to)906-913
Number of pages8
JournalJournal of Oral Rehabilitation
Volume42
Issue number12
DOIs
StatePublished - Dec 1 2015

Fingerprint

Fixed Partial Denture
Patient Satisfaction
Prostheses and Implants
Tooth
Aptitude
Mastication
Dentistry
Visual Analog Scale
Survival Rate
Color
Education
United States Public Health Service
Clinical Studies
Polyethylene
Glass

Keywords

  • Fibre-reinforced composite
  • Fixed partial dentures
  • Success rate

ASJC Scopus subject areas

  • Dentistry(all)

Cite this

Success, clinical performance and patient satisfaction of direct fibre-reinforced composite fixed partial dentures - a two-year clinical study. / Malmstrom, H.; Dellanzo-Savu, A.; Xiao, J.; Feng, C.; Jabeen, A.; Romero, Mario F; Huang, J.; Ren, Y.; Yunker, M. A.

In: Journal of Oral Rehabilitation, Vol. 42, No. 12, 01.12.2015, p. 906-913.

Research output: Contribution to journalArticle

Malmstrom, H. ; Dellanzo-Savu, A. ; Xiao, J. ; Feng, C. ; Jabeen, A. ; Romero, Mario F ; Huang, J. ; Ren, Y. ; Yunker, M. A. / Success, clinical performance and patient satisfaction of direct fibre-reinforced composite fixed partial dentures - a two-year clinical study. In: Journal of Oral Rehabilitation. 2015 ; Vol. 42, No. 12. pp. 906-913.
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AB - Summary: To evaluate the success, clinical performance and patient satisfaction of directly placed fibre-reinforced composite (FRC) fixed partial dentures (FPDs) in 2 years. One hundred sixty-seven FRC FPDs (120 subjects) were directly fabricated to restore a single missing tooth by six Advanced Education in General Dentistry (AEGD) residents. The FRC FPDs recipients were rando-mised into two groups according to the fibre materials (pre-impregnated glass or polyethylene). Clinical performance was evaluated at baseline (2 weeks), 6, 12 and 24 months by two calibrated evaluators for prosthesis adaptation, colour match, marginal discoloration, surface roughness, caries and post-operative sensitivity using modified United State Public Health Service (USPHS) criteria. Prosthesis appearance, colour, chewing ability and overall satisfaction were evaluated by patients using a visual analogue scale (VAS). Kaplan-Meier estimation was used to estimate the prosthesis success. Ninety-four patients with 137 FRC FPDs returned (21·67% attrition rate for study subjects, 17·94% for FRC FPDs). Seventeen FRC FPDs failed, due to one-end (n = 4) or two-ends (n = 4) debonding or pontic fracture (n = 9). The cumu-lative 2-year success rate was 84·32% and survival rate was 92·7%; there were no statistically significant differences between the groups according to different missing tooth location, retention type or fibre materials (P > 0·05). Patient satisfaction regarding prosthesis appearance, col-our, chewing ability and overall satisfaction was rated high on the VAS (mean >80 mm) for all criteria at all time points. The FRC FPDs (restoring single tooth) fabricated by AEGD residents achieved acceptable success and survival rates in a 2-year follow-up.

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