EPA Consensus Project Paper: Anterior Full or Partial Coverage Single Tooth Restorations - A Systematic Review of...

Area of Science:

• Dental Restorations
• Systematic Review
• Clinical Outcomes

Background:

• Assessing failure, survival, and complication rates of anterior single tooth restorations.
• Evaluating patient-reported outcome measures (PROMs) for full coverage (FC) and partial coverage (PC) restorations.
• Focusing on studies with a minimum 3-year observation period.

Purpose of the Study:

• To systematically review and compare the failure, survival, and complication rates of FC and PC single tooth restorations.
• To analyze patient-reported outcome measures (PROMs) associated with these restoration types.
• To determine if significant differences exist in outcomes between FC and PC restorations.

Main Methods:

• Systematic literature search of MEDLINE, EMBASE, and Cochrane Library.
• Extraction of data on survival (restoration failure), complication rates, and PROMs.
• Descriptive presentation of extracted data.

Main Results:

• 42 studies analyzed (28 FC, 12 PC, 2 mixed).
• 5-year survival rates: 96.4% for FC, 96.9% for PC.
• No significant difference in survival or technical complications; PC had fewer biological complications (p=0.01).

Conclusions:

• Both FC and PC restorations demonstrate high 5-year survival rates.
• Partial coverage restorations may be associated with fewer biological complications than full coverage restorations.
• Further research may explore long-term biological complication differences.