Purpose: This clinical study reports on the results of single molar crowns, three-unit inlay
fixed partial dentures (FPD), and complete-coverage FPDs made of the glass-fiber
composite system Targis/Vectris with an observation period up to 4.4 years. Materials and
Methods: In total, 38 restorations were inserted in 19 patients. Of these, 17 were
adhesively fixed three-unit inlay FPDs, five were conventionally cemented completecoverage
three-unit FPDs, and 16 were single molar crowns (six adhesively, ten
conventionally cemented). The mean observation period was 2.5 ± 1.0 years. Events like
fracture of the framework or veneer, loss of cementation, signs of wear, and outward
discoloration were noted and rated according to modified Ryge criteria. Results: During
the observation time, neither loss of cementation nor framework fracture were noted.
However, six facings (36%) of the inlay FPDs fractured. The number of cases with
discoloration or wear increased over time for all types of restorations. The wear culminated
in fiber exposure of two molar crowns (24 months) and one inlay FPD (54 months). One of
the five complete-coverage FPDs was replaced at the request of the patient (discoloration).
The cumulative survival rate after 36 months was estimated to be 82% for molar crowns
and 72% for inlay FPDs. Conclusion: Fiber-reinforced composite restorations need further
improvement of the veneering composites. Because of the increasing wear, discoloration,
fractures of the facings, and fiber exposure, fiber-reinforced composites should only be
used for provisional restorations. Int J Prosthodont 2003;16:239–243.