Randomized clinical trial on single retainer all-ceramic resin-bonded fixed partial dentures: Influence of the bonding system after up to 55 months

Objectives: This study evaluated the clinical outcome of all-ceramic resin-bonded fixed partial dentures (RBFPDs) with a cantilevered single-retainer design. Methods: Thirty anterior zirconia ceramic RBFPDs were inserted using either a phosphate monomer containing resin (Panavia 21 TC; N = 16) or an adhesive bonding system with a phosphoric acid acrylate primer (Multilink-Automix with Metal/Zirconia primer; N = 14). Results: During a mean observation time of 41.7 months one debonding occurred in each group. Both RBFPDs could be rebonded successfully resulting in a three-year survival rate of 100%. Conclusion: Independent of the bonding system cantilevered zirconia ceramic RBFPDs showed promising results during the first three years. Clinical significance: Single-retainer zirconia ceramic RBFPD present an alternative treatment option offering good aesthetics, a minimal invasive preparation, a high biocompatibility and can even be used to treat juvenile patients who do not yet come into consideration for implant placement. No significant influence of the bonding system used was detected so far. (C) 2012 Elsevier Ltd. All rights reserved.