References

Howe DF, Denehy GE Anterior fixed partial dentures utilizing the acid-etch technique and a cast metal framework. J Prosthet Dent. 1977; 37:28-31
Pjetursson BE, Tan WC, Tan K, Braägger U, Zwahlen M, Lang NP A systematic review of the survival and complication rates of resin-bonded bridges after an observation period of at least 5 years. Clin Oral Implants Res. 2008; 19:131-141
Patsiatzi E, Grey NJ An investigation of aspects of design of resin-bonded bridges in general dental practice and hospital services. Prim Dent Care. 2004; 11:87-89
King PA, Foster LV, Yates RJ, Newcombe RG, Garrett MJ Survival characteristics of 771 resin-retained bridges provided at a UK dental teaching hospital. Br Dent J. 2015; 218:423-428
Botelho MG, Ma X, Cheung GJ, Law RK, Tai MT, Lam WY Long-term clinical evaluation of 211 two-unit cantilevered resin-bonded fixed partial dentures. J Dent. 2014; 42:778-784
Djemal S, Setchell D, King P, Wickens J Long-term survival characteristics of 832 resin-retained bridges and splints provided in a post-graduate teaching hospital between 1978 and 1993. J Oral Rehabil. 1999; 26:302-320
Pröbster B, Henrich GM 11-year follow-up study of resin-bonded fixed partial dentures. Int J Prosthodont. 1997; 10:259-268
Hussey DL, Linden GJ The clinical performance of cantilevered resin-bonded bridgework. J Dent. 1996; 24:251-256
Berekally TL, Smales RJ A retrospective clinical evaluation of resin-bonded bridges inserted at the Adelaide Dental Hospital. Aus Dent J. 1993; 38:85-96
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Craddock HL, Youngson CC A study of the incidence of overeruption and occlusal interferences in unopposed posterior teeth. Br Dent J. 2004; 196:341-348
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St George G, Hemmings K, Patel K Resin-retained bridges re-visited. Part 1. Prim Dent Care. 2002; 9:87-91
Aboush YE, Jenkins CB The bonding of an adhesive resin cement to single and combined adherends encountered in resin-bonded bridge work: an in vitro study. Br Dent J. 1991; 171:166-169
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Resin-bonded bridges – the problem or the solution? part 1: assessment and design

From Volume 43, Issue 6, July 2016 | Pages 506-521

Authors

Jasneet Singh Gulati

BDS, PgCert(DentEd), MFDS RCPS(Glas)

Dental Core Trainee 1 (gulatij@gmail.com)

Articles by Jasneet Singh Gulati

Sara Tabiat-Pour

BDS, MSc, MFDS RCS(Eng), FDS(Rest Dent) RCS

Senior House Officer in Restorative Dentistry, Birmingham Dental Hospital, UK

Articles by Sara Tabiat-Pour

Sophie Watkins

BDS, MSc, FDS(Rest Dent), RCPS FDS RCS(Eng)

Consultant in Restorative Dentistry, Guy's and St Thomas' NHS Foundation Trust, King's Health Partners

Articles by Sophie Watkins

Avijit Banerjee

BDS, MSc, PhD (Lond), LDS, FDS (Rest Dent), FDSRCS (Eng), FCGDent, FHEA, FICD

Professor of Cariology & Operative Dentistry, Hon Consultant in Restorative Dentistry, King's College London Dental Institute at Guy's Hospital, KCL, King's Health Partners, London, UK

Articles by Avijit Banerjee

Abstract

Resin-bonded bridges (RBBs) have an important role to play in the minimally invasive prosthodontic replacement of missing teeth. This treatment modality is perceived to have a high clinical failure rate by some practitioners, which may be associated with poorly planned and executed designs and adhesive techniques. This paper, the first part of a two-part series, discusses the important planning stages in the successful provision of RBBs, including assessment, appropriate abutment selection and design considerations. The second part of this series will focus on the clinical stages of RBB provision.

CPD/Clinical Relevance: This paper aims to provide the general dental practitioner with a guide to appropriate case selection and an overview of the planning stages involved for the provision of RBBs.

Article

Resin-bonded bridges (RBBs) have been used to replace teeth in short edentulous spans with increasing success since the 1970s.1 A systematic review by Pjetursson et al reported a survival rate of 87.7% at 5 years,2 deeming them an acceptable and minimally invasive (MI) method of restoring modest-sized spaces in the dental arch. It has often been considered that they are an under-utilized restoration modality in general dental practice due to a perceived high rate of clinical failure, which may be associated with incorrect design and execution.3

A recent prospective study of 771 adhesive bridges by King et al found that most failures of RBBs occurred within the first four years, and that very few failed thereafter, with an estimated survival rate of 80.4% at 10 years.4 In this single-centre study, because the point of failure was recorded as the first de-bond, the overall survival in clinical service may have been greater where bridges had been re-bonded successfully. An evidence-informed summary of key papers assessing RBBs has been given in Table 1.4,5,6,7,8,9

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