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Success, clinical performance and patient satisfaction of direct fibre‐reinforced composite fixed partial dentures – a two‐year clinical study
Author(s) -
Malmstrom H.,
DellanzoSavu A.,
Xiao J.,
Feng C.,
Jabeen A.,
Romero M.,
Huang J.,
Ren Y.,
Yunker M. A.
Publication year - 2015
Publication title -
journal of oral rehabilitation
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.991
H-Index - 93
eISSN - 1365-2842
pISSN - 0305-182X
DOI - 10.1111/joor.12327
Subject(s) - composite number , patient satisfaction , dentistry , dentures , medicine , orthodontics , composite material , materials science , nursing
Summary To evaluate the success, clinical performance and patient satisfaction of directly placed fibre‐reinforced composite ( FRC ) fixed partial dentures ( FPD s) in 2 years. One hundred sixty‐seven FRC FPD s (120 subjects) were directly fabricated to restore a single missing tooth by six Advanced Education in General Dentistry ( AEGD ) residents. The FRC FPD s 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 FPD s returned (21·67% attrition rate for study subjects, 17·94% for FRC FPD s). Seventeen FRC FPD s 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 FPD s (restoring single tooth) fabricated by AEGD residents achieved acceptable success and survival rates in a 2‐year follow‐up.