A systematic review of the survival and complication rates of inlay-retained fixed dental prostheses

Junyu Chen; He Cai; Lai Suo; Yiyuan Xue; Jian Wang; Qianbing Wan

doi:10.1016/j.jdent.2017.02.006

A systematic review of the survival and complication rates of inlay-retained fixed dental prostheses

J Dent. 2017 Apr:59:2-10. doi: 10.1016/j.jdent.2017.02.006. Epub 2017 Feb 24.

Authors

Junyu Chen¹, He Cai¹, Lai Suo¹, Yiyuan Xue¹, Jian Wang¹, Qianbing Wan²

Affiliations

¹ State Key Laboratory of Oral Diseases, National Clinical Research Center for Oral Diseases, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China; Department of Prosthodontics, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China.
² State Key Laboratory of Oral Diseases, National Clinical Research Center for Oral Diseases, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China; Department of Prosthodontics, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China. Electronic address: champion@scu.edu.cn.

PMID: 28212978
DOI: 10.1016/j.jdent.2017.02.006

Abstract

Objectives: The aim of this systematic review was to investigate the survival and complication rates of inlay-retainer fixed dental prostheses (IRFDPs).

Data/sources: A systematic search was conducted in the PubMed, EMBASE, and Cochrane Library databases in English and time filters (articles published from 1960) were used.

Study selection: Randomized controlled trails (RCTs), controlled clinical trials (CCTs) and prospective cohort studies on IRFDPs with a mean follow-up period of at least 2 years were included. Among 501 screened articles, one RCT and ten prospective cohort studies were included in this study. Of the included studies, information on failure and complications was independently extracted by two reviewers in duplicate. The failure and complication rates of IRFDPs were pooled with a random effect model and Poisson regression was applied to further investigate the influence of framework materials. The estimated 3- and 5-year survival rates of IRFDPs were 92.6% (95% CI: 85.8-97.6%) and 87.9% (95% CI: 77.4-96.1%), respectively. Debonding, fracture, dentine hypersensitivity and secondary caries were primary complications. The estimated 5-year rates of debonding, veneer fracture and secondary caries were 5.3%, 15.2% and 2.7%, respectively. Additionally, fiber-reinforced composite IRFDPs exhibited a lower incidence of debonding and caries with a higher rate of veneer fracture compared with metal-based and all-ceramic IRFDPs (p<0.05).

Conclusions: Compared with conventional fixed dental prostheses (FDPs) and implant-supported single crowns (ISCs), IRFDPs exhibited an acceptable 3-year survival rate but higher complication rates of debonding and veneer fracture.

Clinical significance: IRFDPs can be recommended as viable short- or middle-term minimally invasive alternatives to short-span conventional FDPs and ISCs, while the clinical outcome of IRFDPs as long-term definitive restorations still calls for further research. The indications of IRFDPs should be strictly controlled and monitored.

Keywords: Complications; Fixed dental prostheses; Retainer; Survival; Systematic review.

Publication types

Review
Systematic Review

MeSH terms

Ceramics
Controlled Clinical Trials as Topic
Crowns
Databases, Factual
Dental Abutments
Dental Alloys
Dental Materials / chemistry
Dental Prosthesis Design
Dental Prosthesis Retention* / adverse effects
Dental Prosthesis, Implant-Supported
Dental Restoration Failure*
Dental Veneers
Denture, Partial, Fixed
Denture, Partial, Fixed, Resin-Bonded
Humans
Inlays* / adverse effects
Randomized Controlled Trials as Topic
Treatment Outcome

Substances

Dental Alloys
Dental Materials