Computer‐assisted design/computer‐assisted manufacturing zirconia implant fixed complete prostheses: clinical results and technical complications up to 4 years of function
Identifieur interne : 000635 ( Istex/Corpus ); précédent : 000634; suivant : 000636Computer‐assisted design/computer‐assisted manufacturing zirconia implant fixed complete prostheses: clinical results and technical complications up to 4 years of function
Auteurs : Panos Papaspyridakos ; Kunal LalSource :
- Clinical Oral Implants Research [ 0905-7161 ] ; 2013-06.
English descriptors
- KwdEn :
- Clin, Clinical results, Clinical studies, Clinical trial, Columbia university college, Complete prostheses, Complication, Composite resin, Dental implants, Dental medicine, Dental prostheses, Dental units, Dentistry, Dentition, Denture, Descriptive analysis, Edentulous, Edentulous arch, Edentulous arches, Edentulous patients, Fdps, Fracture, Ifcdp, Ifcdps, Impl, Implant, Implants research, Insertion, Interim restorations, International journal, Intraorally, John wiley sons, John wiley sons papaspyridakos, Larsson, Larsson vult, Limited sample size, Mandibular, Maxilla, Maxillary, Night guard, Observation period, Occlusal, Occlusal night guard, Oral impl, Oral maxillofacial implants, Panoramic radiographs, Panos papaspyridakos, Papaspyridakos, Parafunctional, Parafunctional activity, Partial dentures, Patient satisfaction, Porcelain, Porcelain fractures, Porcelain veneer, Present study, Prosthesis, Prosthesis insertion, Prosthesis level, Prosthesis survival rate, Prosthetic, Prosthodontics, Risk factors, Sailer, Systematic review, Technical complications, Technical parameters, Veneer, Veneering, Veneering porcelain, Zirconia, Zirconia frameworks, Zirconia ifcdps, Zirconia implant, Zirconia prostheses.
- Teeft :
- Clin, Clinical results, Clinical studies, Clinical trial, Columbia university college, Complete prostheses, Complication, Composite resin, Dental implants, Dental medicine, Dental prostheses, Dental units, Dentistry, Dentition, Denture, Descriptive analysis, Edentulous, Edentulous arch, Edentulous arches, Edentulous patients, Fdps, Fracture, Ifcdp, Ifcdps, Impl, Implant, Implants research, Insertion, Interim restorations, International journal, Intraorally, John wiley sons, John wiley sons papaspyridakos, Larsson, Larsson vult, Limited sample size, Mandibular, Maxilla, Maxillary, Night guard, Observation period, Occlusal, Occlusal night guard, Oral impl, Oral maxillofacial implants, Panoramic radiographs, Panos papaspyridakos, Papaspyridakos, Parafunctional, Parafunctional activity, Partial dentures, Patient satisfaction, Porcelain, Porcelain fractures, Porcelain veneer, Present study, Prosthesis, Prosthesis insertion, Prosthesis level, Prosthesis survival rate, Prosthetic, Prosthodontics, Risk factors, Sailer, Systematic review, Technical complications, Technical parameters, Veneer, Veneering, Veneering porcelain, Zirconia, Zirconia frameworks, Zirconia ifcdps, Zirconia implant, Zirconia prostheses.
Abstract
To report the clinical results and technical complications with computer‐assisted design/computer‐assisted manufacturing (CAD/CAM) zirconia, implant fixed complete dental prostheses (IFCDPs) after 2–4 years in function.
Url:
DOI: 10.1111/j.1600-0501.2012.02447.x
Links to Exploration step
ISTEX:A6AFD2FD3B4E3C80E84B86B550141A6E834D77E8Le document en format XML
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papaspyridakos</term><term>Larsson</term><term>Larsson vult</term><term>Limited sample size</term><term>Mandibular</term><term>Maxilla</term><term>Maxillary</term><term>Night guard</term><term>Observation period</term><term>Occlusal</term><term>Occlusal night guard</term><term>Oral impl</term><term>Oral maxillofacial implants</term><term>Panoramic radiographs</term><term>Panos papaspyridakos</term><term>Papaspyridakos</term><term>Parafunctional</term><term>Parafunctional activity</term><term>Partial dentures</term><term>Patient satisfaction</term><term>Porcelain</term><term>Porcelain fractures</term><term>Porcelain veneer</term><term>Present study</term><term>Prosthesis</term><term>Prosthesis insertion</term><term>Prosthesis level</term><term>Prosthesis survival rate</term><term>Prosthetic</term><term>Prosthodontics</term><term>Risk factors</term><term>Sailer</term><term>Systematic review</term><term>Technical complications</term><term>Technical 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8493e‐mail:</json:string><json:string>E-mail: pp2229@columbia.edu</json:string></affiliations></json:item><json:item><name>Kunal Lal</name><affiliations><json:string>Division of Prosthodontics, Columbia University College of Dental Medicine, NY, New York, USA</json:string></affiliations></json:item></author><subject><json:item><lang><json:string>eng</json:string></lang><value>complete prostheses</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>computer‐assisted design/computer‐assisted manufacturing</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>dental implants</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>edentulous</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>technical complications</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>zirconia</value></json:item></subject><articleId><json:string>CLR2447</json:string></articleId><arkIstex>ark:/67375/WNG-WR0P6FVL-Z</arkIstex><language><json:string>eng</json:string></language><originalGenre><json:string>article</json:string></originalGenre><abstract>To report the clinical results and technical complications with computer‐assisted design/computer‐assisted manufacturing (CAD/CAM) zirconia, implant fixed complete dental prostheses (IFCDPs) after 2–4 years in function.</abstract><qualityIndicators><score>7.256</score><pdfWordCount>4968</pdfWordCount><pdfCharCount>34711</pdfCharCount><pdfVersion>1.3</pdfVersion><pdfPageCount>7</pdfPageCount><pdfPageSize>595.276 x 782.362 pts</pdfPageSize><refBibsNative>true</refBibsNative><abstractWordCount>24</abstractWordCount><abstractCharCount>219</abstractCharCount><keywordCount>6</keywordCount></qualityIndicators><title>Computer‐assisted 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et al. 2008</json:string><json:string>Salvi & Bragger 2009</json:string><json:string>Schmitt et al. 2009</json:string><json:string>Aboushelib et al. 2008</json:string><json:string>Guess et al. 2010</json:string><json:string>Kapos et al. 2009</json:string><json:string>Larsson et al.</json:string><json:string>Papaspyridakos & Lal 2010</json:string><json:string>Kinsel & Lin 2009</json:string><json:string>Sailer et al. 2007a,b, 2009</json:string><json:string>Edelhoff et al. 2008</json:string><json:string>Papaspyridakos et al. 2012</json:string><json:string>Sailer et al. 2009</json:string><json:string>Muller et al.</json:string><json:string>Heintze & Rousson 2010</json:string><json:string>Papaspyridakos & Lal 2008</json:string><json:string>Pjetursson et al. 2007</json:string><json:string>Hjalmarsson et al. 2011</json:string><json:string>Mertens & Steveling 2011</json:string><json:string>Nedir et al. 2006</json:string><json:string>Sailer et al. 2007b</json:string><json:string>Teigen & Jokstad 2011</json:string><json:string>Papaspyridakos et al. 2011b</json:string></ref_bibl><bibl></bibl></unitex></namedEntities><ark><json:string>ark:/67375/WNG-WR0P6FVL-Z</json:string></ark><categories><wos><json:string>1 - science</json:string><json:string>2 - engineering, biomedical</json:string><json:string>2 - dentistry, oral surgery & medicine</json:string></wos><scienceMetrix><json:string>1 - health sciences</json:string><json:string>2 - clinical medicine</json:string><json:string>3 - dentistry</json:string></scienceMetrix><scopus><json:string>1 - Health Sciences</json:string><json:string>2 - Dentistry</json:string><json:string>3 - Oral Surgery</json:string></scopus></categories><publicationDate>2013</publicationDate><copyrightDate>2013</copyrightDate><doi><json:string>10.1111/j.1600-0501.2012.02447.x</json:string></doi><id>A6AFD2FD3B4E3C80E84B86B550141A6E834D77E8</id><score>1</score><fulltext><json:item><extension>pdf</extension><original>true</original><mimetype>application/pdf</mimetype><uri>https://api.istex.fr/document/A6AFD2FD3B4E3C80E84B86B550141A6E834D77E8/fulltext/pdf</uri></json:item><json:item><extension>zip</extension><original>false</original><mimetype>application/zip</mimetype><uri>https://api.istex.fr/document/A6AFD2FD3B4E3C80E84B86B550141A6E834D77E8/fulltext/zip</uri></json:item><istex:fulltextTEI uri="https://api.istex.fr/document/A6AFD2FD3B4E3C80E84B86B550141A6E834D77E8/fulltext/tei"><teiHeader><fileDesc><titleStmt><title level="a" type="main">Computer‐assisted design/computer‐assisted manufacturing zirconia implant fixed complete prostheses: clinical results and technical complications up to 4 years 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Prosthodontics</orgName><orgName>Columbia University College of Dental Medicine</orgName><address><settlement type="city">New York</settlement><region>NY</region><country key="US">USA</country></address></affiliation><affiliation><orgName>Department of Restorative Dentistry and Biomaterials Sciences</orgName><orgName>Harvard School of Dental Medicine</orgName><address><settlement type="city">Boston</settlement><region>MA</region><country key="US">USA</country></address></affiliation><affiliation>Corresponding author: Panos Papaspyridakos, DDS, MS Division of Prosthodontics, Columbia University College of Dental Medicine 630 W 168th Str., PH 7‐E, Rm 119, New York, NY 10032, USA Tel.: 212 305 4879 Fax: 212 305 8493 e‐mail: pp2229@columbia.edu</affiliation></author><author xml:id="author-0001"><persName><forename type="first">Kunal</forename><surname>Lal</surname></persName><affiliation><orgName>Division of Prosthodontics</orgName><orgName>Columbia University College of Dental Medicine</orgName><address><settlement type="city">New York</settlement><region>NY</region><country key="US">USA</country></address></affiliation></author><idno type="istex">A6AFD2FD3B4E3C80E84B86B550141A6E834D77E8</idno><idno type="ark">ark:/67375/WNG-WR0P6FVL-Z</idno><idno type="DOI">10.1111/j.1600-0501.2012.02447.x</idno><idno type="unit">CLR2447</idno><idno type="toTypesetVersion">file:CLR.CLR2447.pdf</idno></analytic><monogr><title level="j" type="main">Clinical Oral Implants Research</title><title level="j" type="alt">CLINICAL ORAL IMPLANTS RESEARCH</title><idno type="pISSN">0905-7161</idno><idno type="eISSN">1600-0501</idno><idno type="book-DOI">10.1111/(ISSN)1600-0501</idno><idno type="book-part-DOI">10.1111/clr.2013.24.issue-6</idno><idno type="product">CLR</idno><imprint><biblScope unit="vol">24</biblScope><biblScope unit="issue">6</biblScope><biblScope unit="page" from="659">659</biblScope><biblScope unit="page" to="665">665</biblScope><biblScope 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Objective
<p>To report the clinical results and technical complications with computer‐assisted design/computer‐assisted manufacturing (<hi rend="fc">CAD</hi>/<hi rend="fc">CAM</hi>) zirconia, implant fixed complete dental prostheses (<hi rend="fc">IFCDPs</hi>) after 2–4 years in function.</p>
Materials and methods
<p>Fourteen consecutive edentulous patients (16 edentulous arches) were included in this study. Ten of the patients were women and four were men, with an average age of 58 years (range: 35–71). Ten mandibular and six maxillary arches were restored with porcelain fused to zirconia (<hi rend="fc">PFZ</hi>) <hi rend="fc">IFCDPs</hi>. Of the 16 arches, 14 received one‐piece and 2 received segmented two‐piece <hi rend="fc">IFCDPs</hi>, respectively. The mean clinical follow‐up period was 3 years (range: 2–4). At the last recall appointment, biological and technical parameters of dental implant treatment were evaluated.</p>
Results
<p>The implant and prosthesis survival rate following prosthesis insertion was 100% up to 4‐year follow‐up. The prostheses in 11 of the 16 restored arches were structurally sound, exhibited favorable soft tissue response, esthetics, and patient satisfaction. Five <hi rend="fc">IFCDPs</hi> (31.25%) in four patients exhibited porcelain veneer chipping. Chipping was minor in three prostheses (three patients) and was addressed intraorally with polishing (one prosthesis) or composite resin (two prostheses). One patient with maxillary and mandibular zirconia <hi rend="fc">IFCDP</hi> exhibited major porcelain chipping fractures which had to be repaired in the laboratory. Function, esthetics, and patient satisfaction were not affected in three of the four fracture incidents. Median crestal bone loss was 0.1 mm (0.01–0.2 mm). The presence of parafunctional activity, the <hi rend="fc">IFCDP</hi> as opposing dentition, and the absence of occlusal night guard were associated with all the incidents of ceramic chipping.</p>
Conclusion
<p><hi rend="fc">CAD</hi>/<hi rend="fc">CAM</hi> zirconia <hi rend="fc">IFCDP</hi>s are viable prosthetic treatment after 2–4 years in function, but not without complications. The porcelain chipping/fracture was the most frequent technical complication, with a 31.25% chipping rate at the prosthesis level. Despite the technical complications, increased patient satisfaction was noted.</p></abstract><textClass><keywords><term xml:id="clr2447-kwd-0001">complete prostheses</term><term xml:id="clr2447-kwd-0002">computer‐assisted design/computer‐assisted manufacturing</term><term xml:id="clr2447-kwd-0003">dental implants</term><term xml:id="clr2447-kwd-0004">edentulous</term><term xml:id="clr2447-kwd-0005">technical complications</term><term xml:id="clr2447-kwd-0006">zirconia</term></keywords><keywords rend="articleCategory"><term>Original Research</term></keywords><keywords rend="tocHeading1"><term>Original Articles</term></keywords></textClass><langUsage><language ident="en"></language></langUsage></profileDesc></teiHeader></istex:fulltextTEI><json:item><extension>txt</extension><original>false</original><mimetype>text/plain</mimetype><uri>https://api.istex.fr/document/A6AFD2FD3B4E3C80E84B86B550141A6E834D77E8/fulltext/txt</uri></json:item></fulltext><metadata><istex:metadataXml wicri:clean="Wiley, elements deleted: body"><istex:xmlDeclaration>version="1.0" encoding="UTF-8" standalone="yes"</istex:xmlDeclaration><istex:document><component type="serialArticle" version="2.0" xml:id="clr2447" xml:lang="en"><header><publicationMeta level="product"><doi origin="wiley" registered="yes">10.1111/(ISSN)1600-0501</doi><issn type="print">0905-7161</issn><issn type="electronic">1600-0501</issn><idGroup><id type="product" value="CLR"></id></idGroup><titleGroup><title sort="CLINICAL ORAL IMPLANTS RESEARCH" type="main">Clinical Oral Implants Research</title><title type="short">Clin. Oral Impl. Res.</title></titleGroup></publicationMeta><publicationMeta level="part" position="60"><doi origin="wiley">10.1111/clr.2013.24.issue-6</doi><copyright ownership="publisher">Copyright © 2013 John Wiley & Sons A/S</copyright><numberingGroup><numbering type="journalVolume" number="24">24</numbering><numbering type="journalIssue">6</numbering></numberingGroup><coverDate startDate="2013-06">June 2013</coverDate></publicationMeta><publicationMeta level="unit" position="100" status="forIssue" type="article"><doi>10.1111/j.1600-0501.2012.02447.x</doi><idGroup><id type="unit" value="CLR2447"></id></idGroup><countGroup><count number="7" type="pageTotal"></count></countGroup><titleGroup><title type="articleCategory">Original Research</title><title type="tocHeading1">Original Articles</title></titleGroup><copyright ownership="publisher">© 2012 John Wiley & Sons A/S</copyright><eventGroup><event date="2012-01-21" type="manuscriptAccepted"></event><event agent="SPS" date="2012-03-13" type="xmlCreated"></event><event agent="SPS" date="2012-03-16" type="xmlCorrected"></event><event type="publishedOnlineEarlyUnpaginated" date="2012-03-13"></event><event type="firstOnline" date="2012-03-13"></event><event type="publishedOnlineFinalForm" date="2013-04-07"></event><event type="xmlConverted" agent="Converter:WILEY_ML3G_TO_WILEY_ML3GV2 version:4.0.1" date="2014-03-12"></event><event type="xmlConverted" agent="Converter:WML3G_To_WML3G version:4.6.4 mode:FullText" date="2015-10-04"></event></eventGroup><numberingGroup><numbering type="pageFirst">659</numbering><numbering type="pageLast">665</numbering></numberingGroup><correspondenceTo><lineatedText><line><b>Corresponding author:</b></line><line><i>Panos Papaspyridakos</i>, DDS, MS</line><line>Division of Prosthodontics, Columbia University College of Dental Medicine</line><line>630 W 168th Str., PH 7‐E, Rm 119, New York, NY 10032, USA</line><line>Tel.: 212 305 4879</line><line>Fax: 212 305 8493</line><line>e‐mail: <email>pp2229@columbia.edu</email></line></lineatedText></correspondenceTo><selfCitationGroup><citation type="self" xml:id="clr2447-cit-0029">Papaspyridakos P, Lal K. CAD/CAM zirconia implant fixed complete prostheses: Clinical results and technical complications up to 4 years of function. <i>Clin. Oral Impl. Res.</i> <b>24</b>, 2013, 659–665</citation></selfCitationGroup><linkGroup><link type="toTypesetVersion" href="file:CLR.CLR2447.pdf"></link></linkGroup></publicationMeta><contentMeta><titleGroup><title type="main">Computer‐assisted design/computer‐assisted manufacturing zirconia implant fixed complete prostheses: clinical results and technical complications up to 4 years of function</title><title type="shortAuthors">Papaspyridakos & Lal</title></titleGroup><creators><creator affiliationRef="#clr2447-aff-0001 #clr2447-aff-0002" corresponding="yes" creatorRole="author" xml:id="clr2447-cr-0001"><personName><givenNames>Panos</givenNames> <familyName>Papaspyridakos</familyName></personName></creator><creator affiliationRef="#clr2447-aff-0001" creatorRole="author" xml:id="clr2447-cr-0002"><personName><givenNames>Kunal</givenNames><familyName>Lal</familyName></personName></creator></creators><affiliationGroup><affiliation countryCode="US" type="organization" xml:id="clr2447-aff-0001"><orgDiv>Division of Prosthodontics</orgDiv> <orgName>Columbia University College of Dental Medicine</orgName> <address><city>New York</city> <countryPart>NY</countryPart> <country>USA</country></address></affiliation><affiliation countryCode="US" type="organization" xml:id="clr2447-aff-0002"><orgDiv>Department of Restorative Dentistry and Biomaterials Sciences</orgDiv> <orgName>Harvard School of Dental Medicine</orgName> <address><city>Boston</city> <countryPart>MA</countryPart> <country>USA</country></address></affiliation></affiliationGroup><keywordGroup type="author"><keyword xml:id="clr2447-kwd-0001">complete prostheses</keyword><keyword xml:id="clr2447-kwd-0002">computer‐assisted design/computer‐assisted manufacturing</keyword><keyword xml:id="clr2447-kwd-0003">dental implants</keyword><keyword xml:id="clr2447-kwd-0004">edentulous</keyword><keyword xml:id="clr2447-kwd-0005">technical complications</keyword><keyword xml:id="clr2447-kwd-0006">zirconia</keyword></keywordGroup><abstractGroup><abstract type="main" xml:id="clr2447-abs-0001"><title type="main">Abstract</title><section xml:id="clr2447-sec-0001"><title type="main">Objective</title><p>To report the clinical results and technical complications with computer‐assisted design/computer‐assisted manufacturing (<fc>CAD</fc>/<fc>CAM</fc>) zirconia, implant fixed complete dental prostheses (<fc>IFCDPs</fc>) after 2–4 years in function.</p></section><section xml:id="clr2447-sec-0002"><title type="main">Materials and methods</title><p>Fourteen consecutive edentulous patients (16 edentulous arches) were included in this study. Ten of the patients were women and four were men, with an average age of 58 years (range: 35–71). Ten mandibular and six maxillary arches were restored with porcelain fused to zirconia (<fc>PFZ</fc>) <fc>IFCDPs</fc>. Of the 16 arches, 14 received one‐piece and 2 received segmented two‐piece <fc>IFCDPs</fc>, respectively. The mean clinical follow‐up period was 3 years (range: 2–4). At the last recall appointment, biological and technical parameters of dental implant treatment were evaluated.</p></section><section xml:id="clr2447-sec-0003"><title type="main">Results</title><p>The implant and prosthesis survival rate following prosthesis insertion was 100% up to 4‐year follow‐up. The prostheses in 11 of the 16 restored arches were structurally sound, exhibited favorable soft tissue response, esthetics, and patient satisfaction. Five <fc>IFCDPs</fc> (31.25%) in four patients exhibited porcelain veneer chipping. Chipping was minor in three prostheses (three patients) and was addressed intraorally with polishing (one prosthesis) or composite resin (two prostheses). One patient with maxillary and mandibular zirconia <fc>IFCDP</fc> exhibited major porcelain chipping fractures which had to be repaired in the laboratory. Function, esthetics, and patient satisfaction were not affected in three of the four fracture incidents. Median crestal bone loss was 0.1 mm (0.01–0.2 mm). The presence of parafunctional activity, the <fc>IFCDP</fc> as opposing dentition, and the absence of occlusal night guard were associated with all the incidents of ceramic chipping.</p></section><section xml:id="clr2447-sec-0004"><title type="main">Conclusion</title><p><fc>CAD</fc>/<fc>CAM</fc> zirconia <fc>IFCDP</fc>s are viable prosthetic treatment after 2–4 years in function, but not without complications. The porcelain chipping/fracture was the most frequent technical complication, with a 31.25% chipping rate at the prosthesis level. Despite the technical complications, increased patient satisfaction was noted.</p></section></abstract></abstractGroup></contentMeta></header></component></istex:document></istex:metadataXml><mods version="3.6"><titleInfo lang="en"><title>Computer‐assisted design/computer‐assisted manufacturing zirconia implant fixed complete prostheses: clinical results and technical complications up to 4 years of function</title></titleInfo><titleInfo type="alternative" contentType="CDATA" lang="en"><title>Computer‐assisted design/computer‐assisted manufacturing zirconia implant fixed complete prostheses: clinical results and technical complications up to 4 years of function</title></titleInfo><name type="personal"><namePart type="given">Panos</namePart><namePart type="family">Papaspyridakos</namePart><affiliation>Division of Prosthodontics, Columbia University College of Dental Medicine, New York, NY, USA</affiliation><affiliation>Department of Restorative Dentistry and Biomaterials Sciences, Harvard School of Dental Medicine, MA, Boston, USA</affiliation><affiliation>, DDS, MSDivision of Prosthodontics, Columbia University College of Dental Medicine630 W 168th Str., PH 7‐E, Rm 119, New York, NY 10032, USATel.: 212 305 4879Fax: 212 305 8493e‐mail:</affiliation><affiliation>E-mail: pp2229@columbia.edu</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Kunal</namePart><namePart type="family">Lal</namePart><affiliation>Division of Prosthodontics, Columbia University College of Dental Medicine, NY, New York, USA</affiliation><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre type="article" displayLabel="article" authority="ISTEX" authorityURI="https://content-type.data.istex.fr" valueURI="https://content-type.data.istex.fr/ark:/67375/XTP-6N5SZHKN-D">article</genre><originInfo><publisher>Blackwell Publishing Ltd</publisher><dateIssued encoding="w3cdtf">2013-06</dateIssued><dateCreated encoding="w3cdtf">2012-03-13</dateCreated><dateValid encoding="w3cdtf">2012-01-21</dateValid><edition>Papaspyridakos P, Lal K. CAD/CAM zirconia implant fixed complete prostheses: Clinical results and technical complications up to 4 years of function. Clin. Oral Impl. Res. 24, 2013, 659–665</edition><copyrightDate encoding="w3cdtf">2013</copyrightDate></originInfo><language><languageTerm type="code" authority="rfc3066">en</languageTerm><languageTerm type="code" authority="iso639-2b">eng</languageTerm></language><abstract>To report the clinical results and technical complications with computer‐assisted design/computer‐assisted manufacturing (CAD/CAM) zirconia, implant fixed complete dental prostheses (IFCDPs) after 2–4 years in function.</abstract><abstract>Fourteen consecutive edentulous patients (16 edentulous arches) were included in this study. Ten of the patients were women and four were men, with an average age of 58 years (range: 35–71). Ten mandibular and six maxillary arches were restored with porcelain fused to zirconia (PFZ) IFCDPs. Of the 16 arches, 14 received one‐piece and 2 received segmented two‐piece IFCDPs, respectively. The mean clinical follow‐up period was 3 years (range: 2–4). At the last recall appointment, biological and technical parameters of dental implant treatment were evaluated.</abstract><abstract>The implant and prosthesis survival rate following prosthesis insertion was 100% up to 4‐year follow‐up. The prostheses in 11 of the 16 restored arches were structurally sound, exhibited favorable soft tissue response, esthetics, and patient satisfaction. Five IFCDPs (31.25%) in four patients exhibited porcelain veneer chipping. Chipping was minor in three prostheses (three patients) and was addressed intraorally with polishing (one prosthesis) or composite resin (two prostheses). One patient with maxillary and mandibular zirconia IFCDP exhibited major porcelain chipping fractures which had to be repaired in the laboratory. Function, esthetics, and patient satisfaction were not affected in three of the four fracture incidents. Median crestal bone loss was 0.1 mm (0.01–0.2 mm). The presence of parafunctional activity, the IFCDP as opposing dentition, and the absence of occlusal night guard were associated with all the incidents of ceramic chipping.</abstract><abstract>CAD/CAM zirconia IFCDPs are viable prosthetic treatment after 2–4 years in function, but not without complications. The porcelain chipping/fracture was the most frequent technical complication, with a 31.25% chipping rate at the prosthesis level. Despite the technical complications, increased patient satisfaction was noted.</abstract><subject><genre>keywords</genre><topic>complete prostheses</topic><topic>computer‐assisted design/computer‐assisted manufacturing</topic><topic>dental implants</topic><topic>edentulous</topic><topic>technical complications</topic><topic>zirconia</topic></subject><relatedItem type="host"><titleInfo><title>Clinical Oral Implants Research</title></titleInfo><titleInfo type="abbreviated"><title>Clin. Oral Impl. 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