Considerations for Conservative, All-Ceramic Prosthodontic Single-Tooth Replacements in the Anterior Region: A Systematic Review

• Published in: Dentistry journal Vol. 13; no. 5; p. 219
• Main Authors: Knezović Zlatarić, Dubravka, Soldo, Mirko
• Format: Journal Article
• Language: English
• Published: Switzerland MDPI AG 19.05.2025; MDPI
• Subjects: Analysis; anterior teeth; Bias; Ceramics; Clinical trials; Database searching; Dental materials; Dentures; Flat panel displays; Implants, Artificial; Internet/Web search services; Invasiveness; Lithium; Medical Subject Headings-MeSH; Online searching; Prostheses; Prosthesis; Prosthetics; resin-bonded fixed dental prosthesis; Resins; Success; success rate; Survival; survival rate; Systematic Review; Teeth; three-unit fixed partial denture; Transplants & implants; Zirconia; Zirconium dioxide; Germany; resin-bonded fixed dental prosthesis; survival rate; anterior teeth; success rate; three-unit fixed partial denture
• ISSN: 2304-6767; 2304-6767
• DOI: 10.3390/dj13050219

Background/Objectives: Conservative options for single-tooth replacements in the anterior region include all-ceramic one-retainer resin-bonded fixed dental prostheses (RBFDPs) and three-unit fixed partial dentures (FPDs). Methods: This systematic review assessed their clinical outcomes. Following the PRISMA 2020 guidelines, an electronic search of MEDLINE/PubMed was conducted from November 1991 to March 2025 for randomized clinical trials (RCTs), prospective cohort studies (PCSs), and retrospective cohort studies (RCSs). Keywords included dental prosthesis, fixed prosthesis, resin-bonded prosthesis, single-tooth replacement, anterior teeth, all-ceramic, lithium disilicate, monolithic, zirconia, survival rate, and success rate. Failures and complications were analyzed to determine long-term outcomes. Results: The search identified 990 articles, and the full-text review of 54 articles was performed, resulting in 23 studies meeting the inclusion criteria. This review revealed that one-retainer RBFDPs and three-unit FPDs in the anterior region demonstrated high survival and success rates. However, debonding was a common complication in RBFDPs, while framework design issues were noted in FPDs. Conclusions: These outcomes highlight the reliability of both approaches as conservative, all-ceramic, prosthodontic interventions for anterior single-tooth replacements. The consideration of one-retainer RBFDPs and three-unit FPDs is advisable due to their favorable clinical performance and minimal invasiveness.