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Prosthetic rehabilitation interventions in adolescents with fixed bridges: a 5-year observational study.
[oligodontia]
The
aim
of
this
work
is
to
verify
the
rate
of
success
and
failure
causes
of
32
FRC-FPD
(
Fiber
Reinforced
Composite
Fixed
Partial
Dentures
)
placed
on
30
adolescents
with
dental
agenesis
,
over
a
follow-up
period
of
5
years
.
Our
study
sample
involved
30
subjects
(
10
males
and
20
females
)
aged
between
13
and
17
years
who
have
been
rehabilitated
with
FRC
Maryland
bridges
to
treat
agenesis
of
maxillary
incisors
(
for
a
total
of
32
FRC-FPD
)
.
The
observational
study
spans
5
years
following
the
general
rules
coded
by
the
modified
United
States
Public
Health
Service
(
USPHS
)
system
.
After
5
years
of
follow-up
of
a
sample
of
32
FRC-FPD
bridges
,
30
were
still
in
effective
use
(
so
2
were
excluded
)
.
All
the
bridges
were
FRC
,
replacing
a
missing
lateral
incisor
,
and
had
a
double
wing
retention
.
All
requirements
of
stability
,
peripheral
seal
and
morphology
preservation
were
well
satisfied
.
The
two
failed
bridges
had
a
structural
failure
after
about
two
years
from
placement
.
In
adolescents
our
orientation
about
the
edentulous
rehabilitation
is
towards
solutions
that
,
when
possible
,
provide
an
acceptable
aesthetic
and
functional
restoration
with
fixed
partial
dentures
,
or
removable
dentures
in
cases
of
severe
oligodontia
.
Obviously
,
techniques
involving
the
placement
of
dental
implants
before
the
end
of
skeletal
growth
were
never
adopted
.
In
our
study
FRC
bridges
showed
a
great
functional
performance
and
good
compliance
from
young
patients
.
Considering
the
positive
cost-benefit
ratio
and
the
reversibility
of
the
treatment
in
case
of
failure
,
such
interventions
can
be
considered
a
highly
reliable
early
rehabilitation
.
Further
studies
are
necessary
to
verify
the
maintenance
requirements
tested
for
longer
periods
.
Diseases
Validation
Diseases presenting
"great functional performance"
symptom
oligodontia
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