The resin-bonded fixed dental prosthesis (RBFDP) was first introduced in the 1970s by Dr. Matthias Kern. It offered an exceptionally functional and esthetic fixed solution for replacing anterior teeth. Nowadays, when dental implants are not feasible due to anatomical, physiological or pathological contraindications, as well as patients’ age and economic factors, RBFDPs are an excellent alternative.
One of the key advantages of the RBFDP is its bonding mechanism, which allows for various retention designs. These designs can include one wing (cantilever), two wings or even no wings, with minimal or no tooth preparation required. This versatility provides dental professionals with options that can be tailored to each patient’s specific needs, contributing to the effectiveness and adaptability of the RBFDP as a treatment choice.
Clinical studies have shown promising results for RBFDPs. A systematic review by Pjertesson in 2007 reported an impressive acceptance rate by patients of 87.7% in medium-term observations. Additionally, a separate 10-year clinical study demonstrated a remarkable 94.4% survival rate for RBFDPs, highlighting their durability and long-term viability as a dental solution.
The continuous evolution of bonding techniques and ceramics, along with the integration of advanced technologies like computer-aided design and computer-aided manufacturing, is revolutionizing the field of dental prosthetics. These advancements are not only enhancing the versatility of RBFDPs and crowns but also streamlining the treatment process, making it more efficient and accessible.
Learning Objectives:
Indicate a permanent/long-term alternative treatment solution to dental implants.
Understand the different types of frameworks and designs of RBFDPs.
Choose the best materials to be used for creation and cementation of RBFDPs.