van Heumen Céleste C M, Kreulen Cees M, Creugers Nico H J
Department of Oral Function and Prosthetic Dentistry, College of Dental Science, University Medical Centre Nijmegen, Nijmegen, The Netherlands.
Eur J Oral Sci. 2009 Feb;117(1):1-6. doi: 10.1111/j.1600-0722.2008.00595.x.
In the past decade, follow-up studies on fiber-reinforced composite fixed partial dentures (FRC FPDs) have been described. Combining the results of these studies to draw conclusions about the effectiveness of FRC FPDs is challenging. The objective of this systematic review was to obtain survival rates of FRC FPDs and to explore the relationships between reported survival rates and risk factors. In a literature-selection procedure on the clinical performance of FRC FPDs, 15 studies, reporting on 13 sets of patients, were analyzed. The Kaplan-Meier estimate of the overall survival, based on the data from all sets of patients (n = 435) was 73.4% (69.4-77.4%) at 4.5 yr. Converted survival rates at 2 yr of follow-up showed substantial heterogeneity between studies. It was not possible to build a reliable regression model that indicated risk factors. The technical problems most commonly described were fracture of the FPD and delamination of the veneering composite.
在过去十年中，已有关于纤维增强复合固定局部义齿（FRC FPDs）的随访研究报道。综合这些研究结果以得出关于FRC FPDs有效性的结论具有挑战性。本系统评价的目的是获取FRC FPDs的生存率，并探讨报告的生存率与风险因素之间的关系。在一项关于FRC FPDs临床表现的文献筛选过程中，对15项研究进行了分析，这些研究报告了13组患者的情况。基于所有患者组（n = 435）的数据，4.5年时的总体生存率的Kaplan-Meier估计值为73.4%（69.4 - 77.4%）。随访2年时的换算生存率在各研究之间显示出很大的异质性。无法建立一个表明风险因素的可靠回归模型。最常描述的技术问题是FPD的断裂和饰面复合材料的分层。
