Mine Atsushi, Fujisawa Masanori, Miura Shoko, Yumitate Masahiro, Ban Shintaro, Yamanaka Azusa, Ishida Masaya, Takebe Jun, Yatani Hirofumi
Department of Fixed Prosthodontics, Osaka University Graduate School of Dentistry, 1-8 Yamadaoka, Suita, Osaka 565-0871, Japan.
Division of Fixed Prosthodontics, Department of Restorative & Biomaterials Sciences, Meikai University School of Dentistry, Saitama 350-0283, Japan.
Jpn Dent Sci Rev. 2021 Nov;57:33-38. doi: 10.1016/j.jdsr.2020.12.002. Epub 2021 Feb 28.
The purpose of this review was to assess the literature regarding four types of fixed dental prostheses (FDPs)/resin-bonded FDPs (RBFDPs) to provide clinicians with a comparative overview of two myths: "RBFDPs are easy to debond in patients' mouths" and "cantilever RBFDPs still have some clinical problems, especially in terms of overloading the abutment teeth and being easy to debond". A total of 782 papers were identified, 753 of which were judged unsuitable and thus excluded, leaving a total of 29 articles for inclusion in this review. The results indicated that 1) Two-retainer RBFDPs achieve clinical results comparable to full-coverage three-unit FDPs; 2) Cantilever RBFDPs show excellent long-term clinical outcomes (especially in incisor teeth) compared with other FDPs; 3) RBFDPs typically show less catastrophic failure than conventional FDPs, rebonding should be considered when debonding occurs; and 4) Cantilever RBFDPs can be recommended as defect replacement prostheses for maxillary lateral incisors and mandibular incisor teeth. Scientific field: Prosthodontics, Adhesive dentistry, Esthetic dentistry.
本综述的目的是评估关于四种固定义齿(FDP)/树脂粘结固定义齿(RBFDP)的文献,为临床医生提供两种错误观念的比较概述:“RBFDP在患者口腔中易于脱粘”以及“悬臂式RBFDP仍存在一些临床问题,特别是在基牙过载和易于脱粘方面”。共识别出782篇论文,其中753篇被判定不适合因而被排除,最终共有29篇文章纳入本综述。结果表明:1)双固位体RBFDP的临床效果与全冠修复的三单位FDP相当;2)与其他FDP相比,悬臂式RBFDP显示出优异的长期临床效果(尤其是在前牙);3)RBFDP通常比传统FDP表现出更少的灾难性失败,脱粘发生时应考虑重新粘结;4)悬臂式RBFDP可被推荐作为上颌侧切牙和下颌切牙缺损修复的假体。科学领域:口腔修复学、粘结牙科、美容牙科。