Citation Information :
Alaa S, Loubna EF, Sara M, Amal EY. The Success Rate of Resin-bonded Fixed Partial Dentures Replacing Maxillary Central Incisor: A Systematic Review. Int J Prosthodont Restor Dent 2025; 15 (1):51-59.
Purpose: The purpose of this systematic review was to evaluate the success rate of resin-bonded fixed dental prostheses (RBFDPs) replacing the maxillary central incisor (MCI).
Materials and methods: A systematic and manual search was performed in the PubMed, Scopus, and Cochrane Central Register of Controlled Trials (CENTRAL) databases. The prospective (PCS) and retrospective (RCS) cohort studies, as well as randomized controlled trials (RCTs) with an observation time of at least 2.5 years and providing quantitative clinical results on RBFDPs replacing MCI, were included. The focused question was, “Can absence of the maxillary central incisor be effectively treated by RBFDPs?” The Newcastle-Ottawa scale was used to assess the quality of the included cohort studies. However, the quality of the RCTs was assessed with version 2 of the Cochrane risk-of-bias tool (RoB 2).
Results: Among 1,037 screened articles, four PCS and a single RCT were included in this review. All the RBFDPs replacing MCI evaluated in our studies were made of metal-ceramic material. The annual success rate of RBFDPs replacing MCI, calculated for each study, ranged from 88.3 to 97.3%. Of the 90 RBFDPs replacing MCI reported in the included studies, debonding was the most common complication of these restorations, with a relatively high rate (88%). The biological complications reported in this review were caries and periodontal pockets, with percentages of 8 and 4%, respectively. No meta-analysis was performed given the limited overall sample.
Conclusion: Based on this study, the literature did not provide strong evidence to support or reject the reliability of RBFDPs for MCI replacement. Most of the included studies were PCS, and all included studies were judged to be of low quality with a high risk of bias. No study has evaluated all-ceramic RBFDPs, which currently represent the evolution in the setting of minimally invasive restorations. Additional and more in-depth investigations through well-designed RCTs are necessary to obtain more reliable and solid results.
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