对二硅酸锂悬臂树脂粘结固定义齿进行为期 32 个月的评估，以替代一颗缺失的上颌门牙。

IF 4.3 2区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of Prosthetic Dentistry Pub Date : 2024-11-01 DOI:10.1016/j.prosdent.2023.07.040

Joyce A. Jonker BSc , Gil Tirlet DDS, PhD , Alex Dagba DDS , Solène Marniquet DDS , Marinus Ouwerkerk MSc , Marco S. Cune DDS, PhD , Marco M.M. Gresnigt DMD, PhD

{"title":"对二硅酸锂悬臂树脂粘结固定义齿进行为期 32 个月的评估，以替代一颗缺失的上颌门牙。","authors":"Joyce A. Jonker BSc , Gil Tirlet DDS, PhD , Alex Dagba DDS , Solène Marniquet DDS , Marinus Ouwerkerk MSc , Marco S. Cune DDS, PhD , Marco M.M. Gresnigt DMD, PhD","doi":"10.1016/j.prosdent.2023.07.040","DOIUrl":null,"url":null,"abstract":"<div><h3>Statement of problem</h3><div>The absence of a tooth in the esthetic zone can cause emotional and social distress. The use of minimally invasive and visually pleasing lithium disilicate resin-bonded fixed dental prostheses (RBFDPs) may be a suitable option for replacing a missing maxillary incisor. However, the available literature on lithium disilicate cantilever RBFDPs is limited.</div></div><div><h3>Purpose</h3><div>This retrospective multicenter study assessed the survival and success rates of lithium disilicate anterior cantilever RBFDPs with an average follow-up period of 3 years up to 9 years.</div></div><div><h3>Material and methods</h3><div>RBFDPs delivered by 3 operators were clinically assessed for survival using a modified United States Public Health Service criteria list. The incidence density was determined for each criterion and operator. The standard error and 95% confidence interval were calculated for each incidence density difference (α=.05 for all analyses).</div></div><div><h3>Results</h3><div>A total of 108 RBFDPs were evaluated after a mean period of 32.45 months, ranging from 14 days to 111 months. None of the restorations exhibited failure, carious lesions, or fractures during the follow-up period. The primary reasons for reduced success rates were inflammation of the surrounding soft tissues and discoloration, with incidence densities of 0.074 and 0.057 per year, respectively. Significant differences were observed among RBFDPs from different operators for criteria that included adaptation, color match, marginal adaptation, polishability, surface staining, gingival health, and antagonist wear.</div></div><div><h3>Conclusions</h3><div>Cantilever lithium disilicate RBFDPs appear to be suitable for short-term restoration. RBFDPs exhibited visible changes after short-term follow-up. However, these changes did not result in failure.</div></div>","PeriodicalId":16866,"journal":{"name":"Journal of Prosthetic Dentistry","volume":"132 5","pages":"Pages 956-963"},"PeriodicalIF":4.3000,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"A 32-month evaluation of lithium disilicate cantilever resin-bonded fixed dental prostheses to replace a missing maxillary incisor\",\"authors\":\"Joyce A. Jonker BSc , Gil Tirlet DDS, PhD , Alex Dagba DDS , Solène Marniquet DDS , Marinus Ouwerkerk MSc , Marco S. Cune DDS, PhD , Marco M.M. Gresnigt DMD, PhD\",\"doi\":\"10.1016/j.prosdent.2023.07.040\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Statement of problem</h3><div>The absence of a tooth in the esthetic zone can cause emotional and social distress. The use of minimally invasive and visually pleasing lithium disilicate resin-bonded fixed dental prostheses (RBFDPs) may be a suitable option for replacing a missing maxillary incisor. However, the available literature on lithium disilicate cantilever RBFDPs is limited.</div></div><div><h3>Purpose</h3><div>This retrospective multicenter study assessed the survival and success rates of lithium disilicate anterior cantilever RBFDPs with an average follow-up period of 3 years up to 9 years.</div></div><div><h3>Material and methods</h3><div>RBFDPs delivered by 3 operators were clinically assessed for survival using a modified United States Public Health Service criteria list. The incidence density was determined for each criterion and operator. The standard error and 95% confidence interval were calculated for each incidence density difference (α=.05 for all analyses).</div></div><div><h3>Results</h3><div>A total of 108 RBFDPs were evaluated after a mean period of 32.45 months, ranging from 14 days to 111 months. None of the restorations exhibited failure, carious lesions, or fractures during the follow-up period. The primary reasons for reduced success rates were inflammation of the surrounding soft tissues and discoloration, with incidence densities of 0.074 and 0.057 per year, respectively. Significant differences were observed among RBFDPs from different operators for criteria that included adaptation, color match, marginal adaptation, polishability, surface staining, gingival health, and antagonist wear.</div></div><div><h3>Conclusions</h3><div>Cantilever lithium disilicate RBFDPs appear to be suitable for short-term restoration. RBFDPs exhibited visible changes after short-term follow-up. However, these changes did not result in failure.</div></div>\",\"PeriodicalId\":16866,\"journal\":{\"name\":\"Journal of Prosthetic Dentistry\",\"volume\":\"132 5\",\"pages\":\"Pages 956-963\"},\"PeriodicalIF\":4.3000,\"publicationDate\":\"2024-11-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Prosthetic Dentistry\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S0022391323005450\",\"RegionNum\":2,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"DENTISTRY, ORAL SURGERY & MEDICINE\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Prosthetic Dentistry","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0022391323005450","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"DENTISTRY, ORAL SURGERY & MEDICINE","Score":null,"Total":0}

引用次数: 0

摘要

问题陈述：在美学区域缺失一颗牙齿会造成情绪和社交方面的困扰。使用微创且美观的二硅酸锂树脂粘结固定义齿（RBFDP）可能是替代上颌切牙缺失的合适选择。目的：这项回顾性多中心研究评估了二硅酸锂前悬臂RBFDP的存活率和成功率，平均随访时间为3年至9年：采用修改后的美国公共卫生局标准清单，对由 3 名操作者实施的 RBFDP 的存活率进行临床评估。确定了每种标准和操作者的发病密度。计算了每个发病密度差异的标准误差和 95% 置信区间（所有分析中 α=.05 ）：共对 108 个 RBFDP 进行了评估，平均时间为 32.45 个月，从 14 天到 111 个月不等。在随访期间，没有一个修复体出现失败、龋坏或骨折。成功率降低的主要原因是周围软组织发炎和变色，其发生密度分别为每年 0.074 次和 0.057 次。在适应性、颜色匹配、边缘适应性、抛光性、表面染色、牙龈健康和拮抗剂磨损等标准方面，不同操作者的 RBFDP 之间存在显著差异：悬臂二硅酸锂 RBFDP 似乎适合短期修复。RBFDP在短期随访后表现出明显的变化。但是，这些变化并没有导致修复失败。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

查看原文本刊更多论文

A 32-month evaluation of lithium disilicate cantilever resin-bonded fixed dental prostheses to replace a missing maxillary incisor

Statement of problem

The absence of a tooth in the esthetic zone can cause emotional and social distress. The use of minimally invasive and visually pleasing lithium disilicate resin-bonded fixed dental prostheses (RBFDPs) may be a suitable option for replacing a missing maxillary incisor. However, the available literature on lithium disilicate cantilever RBFDPs is limited.

Purpose

This retrospective multicenter study assessed the survival and success rates of lithium disilicate anterior cantilever RBFDPs with an average follow-up period of 3 years up to 9 years.

Material and methods

RBFDPs delivered by 3 operators were clinically assessed for survival using a modified United States Public Health Service criteria list. The incidence density was determined for each criterion and operator. The standard error and 95% confidence interval were calculated for each incidence density difference (α=.05 for all analyses).

Results

A total of 108 RBFDPs were evaluated after a mean period of 32.45 months, ranging from 14 days to 111 months. None of the restorations exhibited failure, carious lesions, or fractures during the follow-up period. The primary reasons for reduced success rates were inflammation of the surrounding soft tissues and discoloration, with incidence densities of 0.074 and 0.057 per year, respectively. Significant differences were observed among RBFDPs from different operators for criteria that included adaptation, color match, marginal adaptation, polishability, surface staining, gingival health, and antagonist wear.

Conclusions

Cantilever lithium disilicate RBFDPs appear to be suitable for short-term restoration. RBFDPs exhibited visible changes after short-term follow-up. However, these changes did not result in failure.

求助全文

通过发布文献求助，成功后即可免费获取论文全文。去求助

来源期刊

Journal of Prosthetic Dentistry 医学-牙科与口腔外科

CiteScore

7.00

自引率

13.00%

发文量

599

审稿时长

69 days

期刊介绍： The Journal of Prosthetic Dentistry is the leading professional journal devoted exclusively to prosthetic and restorative dentistry. The Journal is the official publication for 24 leading U.S. international prosthodontic organizations. The monthly publication features timely, original peer-reviewed articles on the newest techniques, dental materials, and research findings. The Journal serves prosthodontists and dentists in advanced practice, and features color photos that illustrate many step-by-step procedures. The Journal of Prosthetic Dentistry is included in Index Medicus and CINAHL.