A Long‐Term Evaluation of Composite‐Bonded Natural/Resin Teeth as Replacement of Lower Incisors With Terminal Periodontitis

Abstract

Background: In patients with svere peridontitis, lower incisors are prone to terminal reakdown. This study assessed the longevity of composite‐bonded resin/natural teeth (reinforced only with a stainless steel mesh) as replacements for periodontally lost lower incisors. Methods: Besides the longevity of the restoration, the periodontal condition of the abutment teeth, and the general satisfaction of the patient were evaluated retrospectively via a phone interview, in combination with an analysis of the patient's clinical dental file. Results: The cumulative proportion of survival rate of these composite restorations was 80% after 5 years of function. No statistically significant difference was found between the survival distribution of one‐ and two‐pontic bridges (P = 0.66). The abutment teeth demonstrated stable probing depths and a negligible loss in attachment (0.1 mm/year). The satisfaction ratings were also favorable. Conclusions: The data seem to suggest that composite bonding of 1 or 2 teeth can be considered a semi‐permanent rehabilitation for the replacement of 1 or 2 periodontally lost lower incisors. J Periodontol 1999; 70: 205‐212.