CNC‐Milled Titanium Frameworks Supported by Implants in the Edentulous Jaw: A 10‐Year Comparative Clinical Study
Identifieur interne : 003521 ( Istex/Corpus ); précédent : 003520; suivant : 003522CNC‐Milled Titanium Frameworks Supported by Implants in the Edentulous Jaw: A 10‐Year Comparative Clinical Study
Auteurs : Anders Örtorp ; Torsten JemtSource :
- Clinical Implant Dentistry and Related Research [ 1523-0899 ] ; 2012-03.
English descriptors
- KwdEn :
- Bone level, Bone levels, Bone loss, Cast frameworks, Clin, Clin implant dent relat, Clinical experiences, Clinical implant dentistry, Computer numeric, Control group, Control groups, Conventional impressions, Dent, Dentistry, Department prosthetic materials science, Edentulous, Edentulous mandible, Edentulous patients, Fracture, Framework, Implant, Implant treatment, Implants prosth, Jemt, Mandible, Marginal bone levels, Marginal bone loss, Maxilla, Maxillofac, Mechanical problems, Numeric, Oral maxillofac implants, Patient level, Prospective study, Prostheses implants, Prosthesis, Prosthesis placement, Prosthodont, Radiographic, Relat, Resin teeth, Rtorp, Screw site, Smoking habits, Test group, Titanium, Titanium frameworks, Veneer.
- Teeft :
- Bone level, Bone levels, Bone loss, Cast frameworks, Clin, Clin implant dent relat, Clinical experiences, Clinical implant dentistry, Computer numeric, Control group, Control groups, Conventional impressions, Dent, Dentistry, Department prosthetic materials science, Edentulous, Edentulous mandible, Edentulous patients, Fracture, Framework, Implant, Implant treatment, Implants prosth, Jemt, Mandible, Marginal bone levels, Marginal bone loss, Maxilla, Maxillofac, Mechanical problems, Numeric, Oral maxillofac implants, Patient level, Prospective study, Prostheses implants, Prosthesis, Prosthesis placement, Prosthodont, Radiographic, Relat, Resin teeth, Rtorp, Screw site, Smoking habits, Test group, Titanium, Titanium frameworks, Veneer.
Abstract
Background: No long‐term clinical studies covering more than 5 years are available on Computer Numeric Controlled (CNC) milled titanium frameworks.
Url:
DOI: 10.1111/j.1708-8208.2009.00232.x
Links to Exploration step
ISTEX:6BA263D1F072724302E8EFA6240AE24801C7754ELe document en format XML
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loss</term><term>Maxilla</term><term>Maxillofac</term><term>Mechanical problems</term><term>Numeric</term><term>Oral maxillofac implants</term><term>Patient level</term><term>Prospective study</term><term>Prostheses implants</term><term>Prosthesis</term><term>Prosthesis placement</term><term>Prosthodont</term><term>Radiographic</term><term>Relat</term><term>Resin teeth</term><term>Rtorp</term><term>Screw site</term><term>Smoking habits</term><term>Test group</term><term>Titanium</term><term>Titanium frameworks</term><term>Veneer</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract">Background: No long‐term clinical studies covering more than 5 years are available on Computer Numeric Controlled (CNC) milled titanium frameworks.</div></front></TEI><istex><corpusName>wiley</corpusName><keywords><teeft><json:string>prosthesis</json:string><json:string>implant</json:string><json:string>maxilla</json:string><json:string>mandible</json:string><json:string>titanium 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Jaw: A 10‐Year Comparative Clinical Study</title><title level="a" type="short">CNC‐Milled Titanium Frameworks Supported by Implants</title><author xml:id="author-0000" role="corresp"><persName><forename type="first">Anders</forename><surname>Örtorp</surname><roleName type="degree">DDS, PhD</roleName></persName><affiliation>Associate professor, Odont.Dr, Prosthodontist, Department Prosthetic Dentistry/Dental Materials Science, Institute of Odontology, The Sahlgrenska Academy, University of Gothenburg, Sweden;<address><country key="SE"></country></address></affiliation><affiliation>Dr. Anders Örtorp, Department Prosthetic Dentistry/Dental Materials Science, Institute of Odontology, Box 450, S – 405 30 Göteborg, Sweden; e‐mail: anders.ortorp@vgregion.se</affiliation></author><author xml:id="author-0001"><persName><forename type="first">Torsten</forename><surname>Jemt</surname><roleName type="degree">DDS, PhD</roleName></persName><affiliation>Chairman, Prosthodontist, The Brånemark Clinic, Public Dental Health Service, Göteborg, Västra Götaland Region, Sweden;<address><country key="SE"></country></address></affiliation><affiliation>professor, Odont.Dr, Department Prosthetic Dentistry/Dental Materials Science, Institute of Odontology, The Sahlgrenska Academy, University of Gothenburg, Sweden<address><country key="SE"></country></address></affiliation></author><idno type="istex">6BA263D1F072724302E8EFA6240AE24801C7754E</idno><idno type="ark">ark:/67375/WNG-7NLGK3Z3-C</idno><idno type="DOI">10.1111/j.1708-8208.2009.00232.x</idno><idno type="unit">CID232</idno><idno type="toTypesetVersion">file:CID.CID232.pdf</idno></analytic><monogr><title level="j" type="main">Clinical Implant Dentistry and Related Research</title><title level="j" type="alt">CLINICAL IMPLANT DENTISTRY RELATED RESEARCH</title><idno type="pISSN">1523-0899</idno><idno type="eISSN">1708-8208</idno><idno type="book-DOI">10.1111/(ISSN)1708-8208</idno><idno type="book-part-DOI">10.1111/cid.2012.14.issue-1</idno><idno type="product">CID</idno><idno type="publisherDivision">ST</idno><imprint><biblScope unit="vol">14</biblScope><biblScope unit="issue">1</biblScope><biblScope unit="page" from="88">88</biblScope><biblScope unit="page" to="99">99</biblScope><biblScope unit="page-count">12</biblScope><publisher>Blackwell Publishing Ltd</publisher><pubPlace>Oxford, UK</pubPlace><date type="published" when="2012-03"></date></imprint></monogr></biblStruct></sourceDesc></fileDesc><profileDesc><abstract xml:lang="en" style="main"><head>ABSTRACT</head><p><hi rend="bold">Background:</hi> No long‐term clinical studies covering more than 5 years are available on Computer Numeric Controlled (CNC) milled titanium frameworks.</p><p><hi rend="bold">Aim:</hi> To evaluate and compare the clinical and radiographic performance of implant‐supported prostheses provided with CNC titanium frameworks in the edentulous jaw with prostheses with cast gold‐alloy frameworks during the first 10 years of function.</p><p><hi rend="bold">Material and Methods:</hi> Altogether, 126 edentulous patients were by random provided with 67 prostheses with titanium frameworks (test) in 23 maxillas and 44 mandibles, and with 62 prostheses with gold‐alloy castings (control) in 31 maxillas and 31 mandibles. Clinical and radiographic 10‐year data were collected for the groups and statistically compared on patient level.</p><p><hi rend="bold">Results:</hi> The 10‐year prosthesis and implant cumulative survival rate was 95.6% compared with 98.3%, and 95.0% compared with 97.9% for test and control groups, respectively (<hi rend="italic">p</hi> > .05). No implants were lost after 5 years of follow‐up. Smokers lost more implants than nonsmokers after 5 years of follow‐up (<hi rend="italic">p</hi> < .01). Mean marginal bone loss in the test group was 0.7 mm (SD 0.61) and 0.7 mm (SD 0.85) in the maxilla and mandible, with similar pattern in the control group (<hi rend="italic">p</hi> > .05), respectively. One prosthesis was lost in each group due to loss of implants, and one prosthesis failed due to framework fracture in the test group. Two metal fractures were registered in each group. More appointments of maintenance were needed for the prostheses in the maxilla compared with those in the mandible (<hi rend="italic">p</hi> < .001).</p><p><hi rend="bold">Conclusion:</hi> The frequency of complications was low with similar clinical and radiological performance for both groups during 10 years. CNC‐milled titanium frameworks are a viable alternative to gold‐alloy castings for restoring patients with implant‐supported prostheses in the edentulous jaw.</p></abstract><textClass><keywords xml:lang="en"><term xml:id="k1">bone loss</term><term xml:id="k2">complications</term><term xml:id="k3">framework design</term><term xml:id="k4">implant‐supported</term><term xml:id="k5">long‐term follow‐up</term><term xml:id="k6">mandible</term><term xml:id="k7">maxilla</term><term xml:id="k8">prostheses</term></keywords><keywords rend="tocHeading1"><term>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/6BA263D1F072724302E8EFA6240AE24801C7754E/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 version="2.0" type="serialArticle" xml:lang="en"><header><publicationMeta level="product"><publisherInfo><publisherName>Blackwell Publishing Ltd</publisherName><publisherLoc>Oxford, UK</publisherLoc></publisherInfo><doi origin="wiley" registered="yes">10.1111/(ISSN)1708-8208</doi><issn type="print">1523-0899</issn><issn type="electronic">1708-8208</issn><idGroup><id type="product" value="CID"></id><id type="publisherDivision" value="ST"></id></idGroup><titleGroup><title type="main" sort="CLINICAL IMPLANT DENTISTRY RELATED RESEARCH">Clinical Implant Dentistry and Related Research</title></titleGroup></publicationMeta><publicationMeta level="part" position="03101"><doi origin="wiley">10.1111/cid.2012.14.issue-1</doi><numberingGroup><numbering type="journalVolume" number="14">14</numbering><numbering type="journalIssue" number="1">1</numbering></numberingGroup><coverDate startDate="2012-03">March 2012</coverDate></publicationMeta><publicationMeta level="unit" type="article" position="9" status="forIssue"><doi origin="wiley">10.1111/j.1708-8208.2009.00232.x</doi><idGroup><id type="unit" value="CID232"></id></idGroup><countGroup><count type="pageTotal" number="12"></count></countGroup><titleGroup><title type="tocHeading1">ARTICLES</title></titleGroup><copyright>© 2009 Wiley Periodicals, Inc.</copyright><eventGroup><event type="firstOnline" date="2009-08-17"></event><event type="publishedOnlineAcceptedOrEarlyUnpaginated" date="2009-08-17"></event><event type="xmlConverted" agent="Converter:BPG_TO_WML3G version:3.0.1 mode:FullText" date="2012-01-24"></event><event type="publishedOnlineFinalForm" date="2012-01-24"></event><event type="xmlConverted" agent="Converter:WILEY_ML3G_TO_WILEY_ML3GV2 version:3.8.8" date="2014-01-15"></event><event type="xmlConverted" agent="Converter:WML3G_To_WML3G version:4.3.4 mode:FullText" date="2015-02-25"></event></eventGroup><numberingGroup><numbering type="pageFirst" number="88">88</numbering><numbering type="pageLast" number="99">99</numbering></numberingGroup><correspondenceTo>Dr. Anders Örtorp, Department Prosthetic Dentistry/Dental Materials Science, Institute of Odontology, Box 450, S – 405 30 Göteborg, Sweden; e‐mail: <email>anders.ortorp@vgregion.se</email></correspondenceTo><linkGroup><link type="toTypesetVersion" href="file:CID.CID232.pdf"></link></linkGroup></publicationMeta><contentMeta><countGroup><count type="figureTotal" number="2"></count><count type="tableTotal" number="10"></count><count type="formulaTotal" number="0"></count><count type="referenceTotal" number="42"></count><count type="wordTotal" number="6622"></count><count type="linksPubMed" number="0"></count><count type="linksCrossRef" number="0"></count></countGroup><titleGroup><title type="main">CNC‐Milled Titanium Frameworks Supported by Implants in the Edentulous Jaw: A 10‐Year Comparative Clinical Study</title><title type="shortAuthors">Clinical Implant Dentistry and Related Research, Volume *, Number *, 2009</title><title type="short">CNC‐Milled Titanium Frameworks Supported by Implants</title></titleGroup><creators><creator creatorRole="author" xml:id="cr1" affiliationRef="#a1" corresponding="yes"><personName><givenNames>Anders</givenNames><familyName>Örtorp</familyName><degrees>DDS, PhD</degrees></personName></creator><creator creatorRole="author" xml:id="cr2" affiliationRef="#a2 #a3"><personName><givenNames>Torsten</givenNames><familyName>Jemt</familyName><degrees>DDS, PhD</degrees></personName></creator></creators><affiliationGroup><affiliation xml:id="a1" countryCode="SE"><unparsedAffiliation>Associate professor, Odont.Dr, Prosthodontist, Department Prosthetic Dentistry/Dental Materials Science, Institute of Odontology, The Sahlgrenska Academy, University of Gothenburg, Sweden;</unparsedAffiliation></affiliation><affiliation xml:id="a2" countryCode="SE"><unparsedAffiliation>Chairman, Prosthodontist, The Brånemark Clinic, Public Dental Health Service, Göteborg, Västra Götaland Region, Sweden;</unparsedAffiliation></affiliation><affiliation xml:id="a3" countryCode="SE"><unparsedAffiliation>professor, Odont.Dr, Department Prosthetic Dentistry/Dental Materials Science, Institute of Odontology, The Sahlgrenska Academy, University of Gothenburg, Sweden</unparsedAffiliation></affiliation></affiliationGroup><keywordGroup xml:lang="en"><keyword xml:id="k1">bone loss</keyword><keyword xml:id="k2">complications</keyword><keyword xml:id="k3">framework design</keyword><keyword xml:id="k4">implant‐supported</keyword><keyword xml:id="k5">long‐term follow‐up</keyword><keyword xml:id="k6">mandible</keyword><keyword xml:id="k7">maxilla</keyword><keyword xml:id="k8">prostheses</keyword></keywordGroup><abstractGroup><abstract type="main" xml:lang="en"><title type="main">ABSTRACT</title><p><b>Background:</b> No long‐term clinical studies covering more than 5 years are available on Computer Numeric Controlled (CNC) milled titanium frameworks.</p><p><b>Aim:</b> To evaluate and compare the clinical and radiographic performance of implant‐supported prostheses provided with CNC titanium frameworks in the edentulous jaw with prostheses with cast gold‐alloy frameworks during the first 10 years of function.</p><p><b>Material and Methods:</b> Altogether, 126 edentulous patients were by random provided with 67 prostheses with titanium frameworks (test) in 23 maxillas and 44 mandibles, and with 62 prostheses with gold‐alloy castings (control) in 31 maxillas and 31 mandibles. Clinical and radiographic 10‐year data were collected for the groups and statistically compared on patient level.</p><p><b>Results:</b> The 10‐year prosthesis and implant cumulative survival rate was 95.6% compared with 98.3%, and 95.0% compared with 97.9% for test and control groups, respectively (<i>p</i> > .05). No implants were lost after 5 years of follow‐up. Smokers lost more implants than nonsmokers after 5 years of follow‐up (<i>p</i> < .01). Mean marginal bone loss in the test group was 0.7 mm (SD 0.61) and 0.7 mm (SD 0.85) in the maxilla and mandible, with similar pattern in the control group (<i>p</i> > .05), respectively. One prosthesis was lost in each group due to loss of implants, and one prosthesis failed due to framework fracture in the test group. Two metal fractures were registered in each group. More appointments of maintenance were needed for the prostheses in the maxilla compared with those in the mandible (<i>p</i> < .001).</p><p><b>Conclusion:</b> The frequency of complications was low with similar clinical and radiological performance for both groups during 10 years. CNC‐milled titanium frameworks are a viable alternative to gold‐alloy castings for restoring patients with implant‐supported prostheses in the edentulous jaw.</p></abstract></abstractGroup></contentMeta></header></component></istex:document></istex:metadataXml><mods version="3.6"><titleInfo lang="en"><title>CNC‐Milled Titanium Frameworks Supported by Implants in the Edentulous Jaw: A 10‐Year Comparative Clinical Study</title></titleInfo><titleInfo type="abbreviated" lang="en"><title>CNC‐Milled Titanium Frameworks Supported by Implants</title></titleInfo><titleInfo type="alternative" contentType="CDATA" lang="en"><title>CNC‐Milled Titanium Frameworks Supported by Implants in the Edentulous Jaw: A 10‐Year Comparative Clinical Study</title></titleInfo><name type="personal"><namePart type="given">Anders</namePart><namePart type="family">Örtorp</namePart><namePart type="termsOfAddress">DDS, PhD</namePart><affiliation>Associate professor, Odont.Dr, Prosthodontist, Department Prosthetic Dentistry/Dental Materials Science, Institute of Odontology, The Sahlgrenska Academy, University of Gothenburg, Sweden;</affiliation><affiliation>E-mail: anders.ortorp@vgregion.se</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Torsten</namePart><namePart type="family">Jemt</namePart><namePart type="termsOfAddress">DDS, PhD</namePart><affiliation>Chairman, Prosthodontist, The Brånemark Clinic, Public Dental Health Service, Göteborg, Västra Götaland Region, Sweden;</affiliation><affiliation>professor, Odont.Dr, Department Prosthetic Dentistry/Dental Materials Science, Institute of Odontology, The Sahlgrenska Academy, University of Gothenburg, Sweden</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><place><placeTerm type="text">Oxford, UK</placeTerm></place><dateIssued encoding="w3cdtf">2012-03</dateIssued><copyrightDate encoding="w3cdtf">2012</copyrightDate></originInfo><language><languageTerm type="code" authority="rfc3066">en</languageTerm><languageTerm type="code" authority="iso639-2b">eng</languageTerm></language><physicalDescription><extent unit="figures">2</extent><extent unit="tables">10</extent><extent unit="formulas">0</extent><extent unit="references">42</extent><extent unit="linksCrossRef">0</extent><extent unit="words">6622</extent></physicalDescription><abstract>Background: No long‐term clinical studies covering more than 5 years are available on Computer Numeric Controlled (CNC) milled titanium frameworks.</abstract><abstract>Aim: To evaluate and compare the clinical and radiographic performance of implant‐supported prostheses provided with CNC titanium frameworks in the edentulous jaw with prostheses with cast gold‐alloy frameworks during the first 10 years of function.</abstract><abstract>Material and Methods: Altogether, 126 edentulous patients were by random provided with 67 prostheses with titanium frameworks (test) in 23 maxillas and 44 mandibles, and with 62 prostheses with gold‐alloy castings (control) in 31 maxillas and 31 mandibles. Clinical and radiographic 10‐year data were collected for the groups and statistically compared on patient level.</abstract><abstract>Results: The 10‐year prosthesis and implant cumulative survival rate was 95.6% compared with 98.3%, and 95.0% compared with 97.9% for test and control groups, respectively (p > .05). No implants were lost after 5 years of follow‐up. Smokers lost more implants than nonsmokers after 5 years of follow‐up (p < .01). Mean marginal bone loss in the test group was 0.7 mm (SD 0.61) and 0.7 mm (SD 0.85) in the maxilla and mandible, with similar pattern in the control group (p > .05), respectively. One prosthesis was lost in each group due to loss of implants, and one prosthesis failed due to framework fracture in the test group. Two metal fractures were registered in each group. More appointments of maintenance were needed for the prostheses in the maxilla compared with those in the mandible (p < .001).</abstract><abstract>Conclusion: The frequency of complications was low with similar clinical and radiological performance for both groups during 10 years. CNC‐milled titanium frameworks are a viable alternative to gold‐alloy castings for restoring patients with implant‐supported prostheses in the edentulous jaw.</abstract><subject lang="en"><genre>keywords</genre><topic>bone loss</topic><topic>complications</topic><topic>framework design</topic><topic>implant‐supported</topic><topic>long‐term follow‐up</topic><topic>mandible</topic><topic>maxilla</topic><topic>prostheses</topic></subject><relatedItem type="host"><titleInfo><title>Clinical Implant Dentistry and Related Research</title></titleInfo><genre type="journal" authority="ISTEX" authorityURI="https://publication-type.data.istex.fr" valueURI="https://publication-type.data.istex.fr/ark:/67375/JMC-0GLKJH51-B">journal</genre><identifier type="ISSN">1523-0899</identifier><identifier type="eISSN">1708-8208</identifier><identifier type="DOI">10.1111/(ISSN)1708-8208</identifier><identifier type="PublisherID">CID</identifier><part><date>2012</date><detail type="volume"><caption>vol.</caption><number>14</number></detail><detail type="issue"><caption>no.</caption><number>1</number></detail><extent unit="pages"><start>88</start><end>99</end><total>12</total></extent></part></relatedItem><identifier type="istex">6BA263D1F072724302E8EFA6240AE24801C7754E</identifier><identifier type="ark">ark:/67375/WNG-7NLGK3Z3-C</identifier><identifier type="DOI">10.1111/j.1708-8208.2009.00232.x</identifier><identifier type="ArticleID">CID232</identifier><accessCondition type="use and reproduction" contentType="copyright">© 2009 Wiley Periodicals, Inc.</accessCondition><recordInfo><recordContentSource authority="ISTEX" authorityURI="https://loaded-corpus.data.istex.fr" valueURI="https://loaded-corpus.data.istex.fr/ark:/67375/XBH-L0C46X92-X">wiley</recordContentSource><recordOrigin>Blackwell Publishing Ltd</recordOrigin></recordInfo></mods><json:item><extension>json</extension><original>false</original><mimetype>application/json</mimetype><uri>https://api.istex.fr/document/6BA263D1F072724302E8EFA6240AE24801C7754E/metadata/json</uri></json:item></metadata><serie></serie></istex></record>Pour manipuler ce document sous Unix (Dilib)
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