ejprd.org - Published by Dennis Barber Journals. Copyright ©2023 by Dennis Barber Ltd. All rights reserved.
European Journal of Prosthodontics and Restorative Dentistry Xxx xx 2023
ARTICLE IN PRESS
••••••••••••••••••••••••••••••••
EJPRD
EPA Consensus Project
Paper: Anterior Full or Partial
Coverage Single Tooth
Restorations - A Systematic
Review of Survival and
Complication Rates
ABSTRACT
Introduction: The aim of this systematic review was to assess the literature reporting
on the failure rates, survival rates and complication rates and patient reported outcome
measures (PROMs) of anterior full (FC) or partial (PC) coverage single tooth restorations
after a mean observation period of at least 3 years. Methods: Systematic search was
conducted using the electronic databases: MEDLINE, EMBASE and Cochrane library.
Data regarding survival (restoration failure) and complication rates and PROMs were
extracted and presented descriptively. Results: Altogether 42 studies were included in
the analysis (28 with FC, 12 with PC and 2 with both types of restorations). For FC restora-
tions the estimated annual failure rate was 0.72 (95%CI: 0.33–1.57), resulting in a 5-year
survival rate of 96.4% (95%CI: 92.4–98.3). For PC restorations, the estimated annual
failure rate was 0.62 (95%CI: 0.27–1.46), resulting in a 5-year survival rate of 96.9%
(95%CI: 93.0–98.7). There was no significant difference between the groups regarding
survival or technical complications, while significantly fewer biological complications
were observed with PC compared to FC restorations (test for subgroup differences,
p=0.01). Conclusions: FC and PC restorations showed high 5-year survival rates but the
teeth restored with FC restorations may be more prone to biological complications.
INTRODUCTION
The desire for esthetic appearance has been guiding the dental treat-
ments and the development of prosthetic materials over the past decades.
Harmonious smile can be achieved by re-creating the ideal tooth morphol-
ogy and soft tissue contour according to an esthetic checklist.
1
Metal-ce-
ramic restorations were introduced in 1960’s followed by reinforced glass
ceramics and polycrystalline ceramic materials several decades later.
2
Ad-
ditionally, the development of computer aided design / computer aided
manufacturing (CAD/CAM) methods has been increasing the options for
esthetic materials available and enabling the efcient workfow including
chair-side options.
3,4
Keywords
Survival
Full Crown
Veneer
Anterior
Complication Rates
Patient-Reported Outcome Measures
(PROMs)
Authors
Jenni Hjerppe *
(DDS, PhD)
Francisco Martínez Rus
‡
(DDS, PhD)
João Pitta
§
(DDS, MAS)
Stefanie von Felten ^
(PhD)
Mutlu Özcan
† Δ
(Prof. Dr. Dr. h.c., PhD)
Guillermo Pradíes
‡
(Prof, Chair, DDS, PhD)
Address for Correspondence
Francisco Martínez Rus
‡
Email: framarti@ucm.es
* Clinic of Reconstructive Dentistry, Center of
Dental Medicine, University of Zurich, Zurich,
Switzerland
‡
Department of Conservative and Prosthetic
Dentistry, Faculty of Dentistry, Complutense
University of Madrid, Madrid, Spain
§
Division of Fixed Prosthodontics and
Biomaterials, University Clinics for Dental
Medicine, University of Geneva, Geneva,
Switzerland
^ Department of Biostatistics at Institute of
Epidemiology, Biostatistics and Prevention,
University of Zürich, Switzerland
†
Division of Dental Biomaterials, Clinic of
Reconstructive Dentistry, Center of Dental
Medicine, University of Zurich, Zurich,
Switzerland
Δ
Clinic of Masticatory Disorders and Dental
Biomaterials, Center of Dental Medicine,
University of Zurich, Zurich, Switzerland
Received: 02.06.2023
Accepted: 16.08.2023
doi: 10.1922/EJPRD_2582Hjerppe25