Retrospective evaluation of fiber-reinforced periodontal splints and resin bridges in the anterior region

Abstract

Aim: The aim of this study was to evaluate the clinical performance of fiber-reinforced periodontal splints (FRSs) and adhesive bridges (FRBs) in treating anterior single-tooth defects. Methodology: Sixty-five patients who received FRSs and FRBs from 2001 to 2012 were recalled and evaluated clinically. The FRS and FRB restorations of the patients were clinically evaluated in terms of anatomical form, marginal adaptation, marginal coloration, secondary caries, and retention, according to the modified United States Public Health Service (USPHS) criteria. The current restoration statuses of the patients from 5 to 10 years post-treatment were photographed and recorded. Patient satisfaction level was assessed using a visual analogue scale (VAS), and periodontal pocket depth was measured. Clinical followup data were obtained and analyzed with the Chi-Square test. Results: When each of the modified USPHS criteria was compared with the baseline values, statistically significant differences were observed between the groups. There were statistically significant differences when the categories were evaluated according to initial values (p0.05). While the most successful results were obtained in the FRB group, most of the restoration losses and repairs occurred in the FRS group. According to the data obtained, 38% of restorations were lost and all restorations had been intact for at least 5 years. All lost restorations were in FRS restorations. The recall rate was 49% (n=32). Twenty (62.5%) of 32 patients rated their satisfaction with the restorations as being between 90 and 100, 8 (25%) as being between 80 and 90, and 4 (12.5%) as being between 70 and 80 on the VAS scale. The pocket depths of the patients at 5- and 10-years postrestoration were 2.3–3.8 mm and 2.4–5.2 mm, respectively. Conclusion: Fiber-reinforced restorations performed due to the loss of anterior single teeth and periodontal tissue can serve patients clinically for at least 5 years. FRB and FRS restorations can be considered alternative treatments that can further delay the more expensive implant and prosthetic treatment options for years.