{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T23:54:09Z","timestamp":1791590049191,"version":"4.3.4"},"reference-count":39,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2025,1,5]],"date-time":"2025-01-05T00:00:00Z","timestamp":1736035200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Clinic Periodontology"],"published-print":{"date-parts":[[2025,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Background\/Aim<\/jats:title><jats:p>Studies on large cross\u2010arch bridges in patients with severe periodontitis show that such bridges can stabilize the periodontal condition. However, it is not known if these bridges will reduce long\u2010term tooth loss and what factors are important for their long\u2010term survival. The aim of the study was to study all patients with Stages III\/IV periodontitis who received cross\u2010arch bridges for up 35\u2009years in a private practice.<\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and Methods<\/jats:title><jats:p>All patients referred for periodontal treatment from 1986 who received cross\u2010arch bridges with observation period of minimum 7\u2009years were assessed. All dropouts were accounted for.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Ninety\u2010eight patients (1.7% of the patient population) with 111 bridges were observed (57 females and 37 males). Age at bridge construction was 55.4\u2009years (SD\u2009=\u20097.1, range 39\u201379). Failure rate was 14.4% at 16.1\u2009years (SD\u2009=\u20094.0 range 10\u201322). Reasons for failure were poor oral hygiene (<jats:italic>p<\/jats:italic>\u2009=\u20090.0093) and complications such as caries, endontics, porcelain fractures and gingival retractions during maintenance therapy (<jats:italic>p<\/jats:italic>\u2009=\u20090.0059). Fewer abutment teeth were lost from the bridges than teeth from the same and opposing arches (8.8% vs. 34.4% and 25.4%) (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.0001).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Cross\u2010arch bridges constructed for patients with Stages III and IV periodontitis were successful in terms of longevity, low failure rates, tooth preservation and patient satisfaction.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jcpe.14116","type":"journal-article","created":{"date-parts":[[2025,1,6]],"date-time":"2025-01-06T04:43:03Z","timestamp":1736138583000},"page":"826-835","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["A Retrospective Study of Stabilizing Bridges in Patients With Stages <scp>III<\/scp> and <scp>IV<\/scp> Periodontitis: Up to 35\u2009Years of Clinical Audit"],"prefix":"10.1111","volume":"52","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8584-7953","authenticated-orcid":false,"given":"\u00d8ystein","family":"Fardal","sequence":"first","affiliation":[{"name":"Private Practice  Egersund Norway"},{"name":"Institute of Community Dentistry University of Oslo  Oslo Norway"},{"name":"Institute of Education for Medical and Dental Sciences University of Aberdeen  Aberdeen Scotland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jostein","family":"Grytten","sequence":"additional","affiliation":[{"name":"Institute of Community Dentistry University of Oslo  Oslo Norway"},{"name":"Division of Obstetrics and Gynaecology Akershus University Hospital  L\u00f8renskog Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,1,5]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12903\u2010023\u201003121\u20109"},{"key":"e_1_2_10_3_1","first-page":"473","article-title":"Prospective Evaluation of Implants Connected to Teeth","volume":"17","author":"Block M. 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