Considerations for Conservative, All-Ceramic Prosthodontic Single-Tooth Replacements in the Anterior Region: A Systematic Review.

IF 2.5 Q2 DENTISTRY, ORAL SURGERY & MEDICINE
Dubravka Knezović Zlatarić, Mirko Soldo
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引用次数: 0

Abstract

Background/Objectives: Conservative options for single-tooth replacements in the anterior region include all-ceramic one-retainer resin-bonded fixed dental prostheses (RBFDPs) and three-unit fixed partial dentures (FPDs). Methods: This systematic review assessed their clinical outcomes. Following the PRISMA 2020 guidelines, an electronic search of MEDLINE/PubMed was conducted from November 1991 to March 2025 for randomized clinical trials (RCTs), prospective cohort studies (PCSs), and retrospective cohort studies (RCSs). Keywords included dental prosthesis, fixed prosthesis, resin-bonded prosthesis, single-tooth replacement, anterior teeth, all-ceramic, lithium disilicate, monolithic, zirconia, survival rate, and success rate. Failures and complications were analyzed to determine long-term outcomes. Results: The search identified 990 articles, and the full-text review of 54 articles was performed, resulting in 23 studies meeting the inclusion criteria. This review revealed that one-retainer RBFDPs and three-unit FPDs in the anterior region demonstrated high survival and success rates. However, debonding was a common complication in RBFDPs, while framework design issues were noted in FPDs. Conclusions: These outcomes highlight the reliability of both approaches as conservative, all-ceramic, prosthodontic interventions for anterior single-tooth replacements. The consideration of one-retainer RBFDPs and three-unit FPDs is advisable due to their favorable clinical performance and minimal invasiveness.

前牙区保守、全陶瓷单牙修复置换的考虑:一项系统综述。
背景/目的:前牙区单牙替代的保守选择包括全陶瓷单固位树脂粘接固定义齿(rbfdp)和三单元固定局部义齿(FPDs)。方法:本系统综述评估了他们的临床结果。按照PRISMA 2020指南,从1991年11月到2025年3月,对MEDLINE/PubMed进行了随机临床试验(rct)、前瞻性队列研究(PCSs)和回顾性队列研究(rcs)的电子检索。关键词:义齿,固定义齿,树脂粘接义齿,单牙置换,前牙,全陶瓷,二硅酸锂,整体,氧化锆,存活率,成功率。分析失败和并发症以确定长期预后。结果:检索到990篇文章,对54篇文章进行了全文综述,有23篇研究符合纳入标准。本综述显示,在前区使用单固位rbfdp和三单位fpd具有较高的存活率和成功率。然而,脱粘是rbfdp的常见并发症,而FPDs则注意到框架设计问题。结论:这些结果强调了两种入路作为保守的、全陶瓷的、用于前牙单牙置换术的修复干预措施的可靠性。考虑单固位rbfdp和三单元fpd是可取的,因为它们具有良好的临床性能和最小的侵入性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Dentistry Journal
Dentistry Journal Dentistry-Dentistry (all)
CiteScore
3.70
自引率
7.70%
发文量
213
审稿时长
11 weeks
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