1. Outcomes of resin-bonded attachments for removable dental prostheses.
- Author
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Garling, Anne, Krumme, Anna, and Kern, Matthias
- Subjects
DENTURES ,OVERLAY dentures ,INCISORS ,DENTAL abutments ,MINIMALLY invasive dentistry ,PROSTHODONTICS - Abstract
Purpose: This clinical study aimed to evaluate the outcomes of resin-bonded attachments (RBAs) for precision-retained removable dental prostheses (RDPs) after at least two years of clinical maintenance. Methods: Since December 1998, 205 RBAs (44 bonded to posterior teeth, 161 to anterior teeth) have been inserted in 123 patients (62 females and 61 males; mean age, 63.6 ± 9.6 years) who were recalled annually. The abutment teeth underwent a minimally invasive preparation limited to the enamel. RBAs were cast in a cobalt-chromium alloy with a minimum thickness of 0.5 mm and adhesively luted with a luting composite resin (Panavia 21 Ex or Panavia V5, Kuraray, Japan). We evaluated caries activity, plaque index, periodontal condition, and tooth vitality. The Kaplan-Meier survival curves were used to account for the reasons for failure. Results: The mean observation time of RBAs until the last recall visit was 84.5 ± 51.3 months (range, 3.6-270.6). During the observation period, 33 RBAs debonded in 27 patients (16.1%). The 10-year success rate according to the Kaplan-Meier analysis was 58.4%, which dropped to 46.2% after 15 years of observation if debonding was considered a failure. If rebonded RBAs were regarded as surviving, the 10- and 15-year survival rates would be 68.3% and 61%, respectively. Conclusions: The use of RBAs for precision-retained RDPs appears to be a promising alternative to conventionally retained RDPs. As reported in the literature, the survival rate and frequency of complications were comparable with those of conventional crown-retained attachments for RDPs. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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