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Adhesive bridges are becoming popular in patients with congenitally missing teeth and these are type of bridges that can be done with only minimal or with no preparation to replace the missing tooth/teeth. The best clinical gain is the minimal tooth preparation or no need for the removal of tooth substance. Treatment for this type of bridges does not usually require anaesthesia. In addition, adhesive bridges can provide reasonable aesthetical outcome with minimal cost and reduced chair time.
The biggest issue is that high failure rate in the long term, and gray colour shining through the metal wing cemented onto the abutment tooth. This can compromise the aesthetical outcome. The aesthetical problem can be solved by the use of zirconia all ceramic material to construct the bridge.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Zirconia-based adhesive bridges | Experimental | Patients in this group will be treated with the employment of zirconia-based adhesive bridges to replace the missing tooth/teeth. |
|
| Metal-based adhesive bridges | Experimental | Patients in this group will be treated with the employment of metal-based adhesive bridges. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Zirconia-based adhesive bridge | Procedure | Zirconia-based adhesive bridge will be used to replace the missing tooth/teeth. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Clinical survival of adhesive bridges | Evaluation of clinical survival: participants will be evaluated according to the modified USPHS criteria. The evaluation criteria will include: retention, framework fracture, veneering fracture, marginal adaptation, recurrent caries and colour match. The examination will be after one to two weeks, after 3, 6, 9, 12 and 18 months, 2, 3, 4 and 5 years. The evaluation will also include the biological complication. Plaque, gingival index, periodontal probing depth and gingival recession will be evaluated around the abutments and compared to a control tooth | 5 Years |
| Measure | Description | Time Frame |
|---|---|---|
| Quality of life, aesthetic outcome. | The patients will be requested to fill the OHIP-14 and the VAS questionnaires after one week to two weeks, after 3, 6, 9, 12 and 18 months in order to assess the quality of their lives and their aesthetic outcome after having the bridge. | 18 months |
| Marginal discrepancy evaluation. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Aylin Baysan, BDS, MSc, PhD | Queen Mary University of London | Principal Investigator |
| Amani Agha, BDS,MSc | Queen Mary University of London | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Barts and The London, School of Medicine and Dentistry | London | E1 2AD | United Kingdom |
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| ID | Term |
|---|---|
| D000848 | Anodontia |
| ID | Term |
|---|---|
| D014071 | Tooth Abnormalities |
| D018640 | Stomatognathic System Abnormalities |
| D009057 | Stomatognathic Diseases |
| D014076 | Tooth Diseases |
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| Metal-based adhesive bridge | Procedure | The metal-based adhesive bridge will be used to replace the missing tooth/teeth. |
|
Marginal discrepancy will be evaluated by means of Scannining Electron Microscope (SEM) after cementation. |
| After cementation |
| Economic evaluation | Economic evaluation will be run in parallel to the study and will include the overall cost of the two treatments. | 5 years |
| D000013 | Congenital Abnormalities |
| D009358 | Congenital, Hereditary, and Neonatal Diseases and Abnormalities |