Fiber-reinforced composites in fixed prosthodontics—Quo vadis?

Abstract

Fiber-reinforced composite (FRC) materials were introduced to dentistry more than five decades ago and they were first indicated as a reconstruction material for fixed dental prostheses (FDP). Understanding the need for preserving dental hard tissue during the preparation of abutments became essential and progress in adhesive and FRC technology enabled the development of the concept of minimally invasive FDP’s using FRC materials that could be utilized in the lab or at chairside. Based on research and experience of 25 yeras, the following benefits of FRC fixed dental prostheses have been identified: 1. FRC materials allows for following the Dynamic Treatment Concept), 2. minimal invasiveness, 3. profitable and affordable treatment options. From the patient perspective, the most significant reasons for selecting FRC FDPs seem to be: 1. possibility of receiving the FDP in a single-visit, 2. being less expensive and painless treatment and 3. possibility of avoiding removable devices. Understanding and managing the risk factors dictate the successful use of direct or indirect FRC FDP treatment modalities. Based on the present knowledge and experience, with sufficient inter-occlusal space, correct framework design and precise application of adhesive techniques, FRC FDPs could provide definitive fixed prosthodontic solutions, with expected survival time of at least five to six years, high patient satisfaction, and postpone other invasive and costly treatments.