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Tooth-implant-supported posterior fixed dental prostheses with zirconia frameworks: 3-year clinical result.

Abstract：

OBJECTIVES:This case series compared the clinical survival of tooth-implant-supported (TI-S) and tooth-supported (T-S) three-unit fixed dental prostheses (FDPs) with zirconia frameworks and described the incidence of biological and technical complications. MATERIALS AND METHODS:Forty-four patients received 27 TI-S FDPs and 22 T-S FDPs. Twenty-seven titanium screw implants were inserted at the dislodged position of two missing posterior teeth. All implants were provided with customized zirconia abutments. Zirconia frameworks were fabricated by a CAD/CAM system and veneered in powder build-up technique. All restorations were cemented with glass ionomer. Baseline evaluation was performed 2 weeks after cementation with recall examinations performed at 6, 12, 24 and 36 months by calibrated investigators. Survival probabilities according to Kaplan-Meier were calculated. Gingival parameters and bone loss were assessed and statistically evaluated. RESULTS:The mean service time of the FDPs was 35 months (±6). Two technical complications (fracture of veneering porcelain) were observed. One biological complication was recorded. The Kaplan-Meier survival probability was 93.9 % for all types of complications and 100 % related to restorations in service. The type of abutment support (TI-S vs. T-S) had no significant influence on the survival probability (p = 0.412, log rank test). No difference of the gingival parameters was detected between implants and natural teeth. CONCLUSIONS:Tooth-implant-supported zirconia-based FDPs showed similar clinical performance compared to tooth-supported zirconia-based FDPs. CLINICAL RELEVANCE:Within the limitations of this case series, tooth-implant-supported FDPs with zirconia frameworks seem to be a reliable treatment option.

journal_name

Clin Oral Investig

journal_title

Clinical oral investigations

authors

Beuer F,Sachs C,Groesser J,Gueth JF,Stimmelmayr M

doi

10.1007/s00784-015-1594-1

subject

Has Abstract

pub_date

2016-06-01 00:00:00

pages

1079-86

issue

5

eissn

1432-6981

issn

1436-3771

pii

10.1007/s00784-015-1594-1

journal_volume

20

pub_type

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