Abstract
Statement of problem. Few estimates of the probability of various outcomes associated with replacement
of missing teeth with fixed partial dentures have been reported. Existing longitudinal
studies have reported widely disparate results for the survival of fixed partial dentures,
but these studies have used different definitions of failure and varying periods of
follow-up.
Purpose. This study used meta-analysis to formulate annual probability estimates for three
categories of fixed partial denture or abutment survival.
Methods. A systematic review of the English language literature since 1960 identified eight
studies that met the preset inclusion criteria. Estimated annual survival proportions
were back-calculated based on the Kaplan-Meier model and these proportions were combined
through a fixed effects model meta-analysis. The probabilities and corresponding 95%
confidence intervals at 5, 10, and 15 years for the three categories of survival are
reported.
Results. For the aggregate population represented by the limited longitudinal studies available,
this meta-analysis indicated that less than 15% of fixed partial dentures were removed
or in need of replacement at 10 years; whereas, nearly one third were removed or in
need of replacement at 15 years. Less than 5% of abutments were removed at 10 years.
(J Prosthet Dent 1998;79:459-64.)
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Article info
Footnotes
☆a Assistant Professor, Department of Prosthodontics.
☆☆b Research Professor, Department of Operative Dentistry and Sheps Center for Health Services Research.
★c Professor, Department of Operative Dentistry.
★★Supported by National Institute of Dental Research grant RO1DE11878.
♢Reprint requests to: Dr. Mark S. Scurria Department of Prosthodontics UNC School of Dentistry CB 7450, Brauer Hall Chapel Hill, NC 27599-7450
♢♢0022-3913/98/$5.00 + 0 10/1/88908
Identification
Copyright
© 1998 Editorial Council of The Journal of Prosthetic Dentistry. Published by Elsevier Inc. All rights reserved.
