Framework design and pontics of fiber-reinforced composite fixed dental prostheses - An overview

Purpose: Fiber-reinforced composite (FRC) fixed dental prostheses (FDPs) have shown good performance in clinical applications due to their good mechanical properties and minimally invasive approach. However, typical failure patterns of FRC FDPs are often localized at the pontic site. That reflects the structural considerations at the framework and pontic location that need to be examined when creating these kinds of prostheses. Study selection: Peer-reviewed articles and other scientific literature were reviewed for providing up-to-date information on how pontics of FRC FDPs can be made. A thorough literature search was done using PubMed and Google Scholar. Two individuals did an assessment of the articles in order to include those related to pontics and framework design of FRC FDPs. The search terms used were "fiber-reinforced dental prosthesis" and "Pontics of fiber-reinforced dental prosthesis". Results: These findings indicate that a cross-sectional fiber design, substructure and thicker pontics made of a variety of materials might reduce failures at the pontic site. Conclusions: The thickness of pontics of FRC FDPs interrelated with the vertical positioning of the FRC framework influences the load-bearing capacities of prostheses of these kinds. The understanding of the factors involved in the fabrication of pontics of FRC FDPs may overcome the drawbacks identified in these prostheses, thus extending their longevity. (C) 2018 Japan Prosthodontic Society. Published by Elsevier Ltd. All rights reserved.