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Short‐term complications of implant‐supported and combined tooth‐implant‐supported fixed dental prostheses

Identifieur interne : 006B97 ( Istex/Corpus ); précédent : 006B96; suivant : 006B98

Short‐term complications of implant‐supported and combined tooth‐implant‐supported fixed dental prostheses

Auteurs : Peter Rammelsberg ; Stefanie Schwarz ; Christin Schroeder ; Justo L. Bermejo ; Olaf Gabbert

Source :

RBID : ISTEX:D9AE1B998063D6898C53DCF42B9B46578CAC395F

English descriptors

Abstract

The objective of this clinical study was to evaluate survival and incidence of complications for metal‐ceramic and all‐ceramic implant‐supported fixed dental prostheses (FDPs) and tooth‐implant‐supported FDPs.

Url:
DOI: 10.1111/j.1600-0501.2012.02482.x

Links to Exploration step

ISTEX:D9AE1B998063D6898C53DCF42B9B46578CAC395F

Le document en format XML

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<p>The objective of this clinical study was to evaluate survival and incidence of complications for metal‐ceramic and all‐ceramic implant‐supported fixed dental prostheses (
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s) and tooth‐implant‐supported
<hi rend="fc">FDP</hi>
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Material and methods
<p>One‐hundred and sixty‐six
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<hi rend="fc">FDP</hi>
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<hi rend="fc">FDP</hi>
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<hi rend="fc">FDP</hi>
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<hi rend="fc">FDP</hi>
success defined as complication‐free survival and the Cox regression model was used to isolate risk factors for the most frequent complications.</p>
Results
<p>Within a median follow‐up of 1 year and 2 months, three failures were caused by a failed implant (
<hi rend="italic">n</hi>
 = 2) and by extended chipping of the veneer (
<hi rend="italic">n</hi>
 = 1). In contrast with this low incidence of failure was a high incidence of complications including chipping (
<hi rend="italic">n</hi>
 = 29), loss of retention (
<hi rend="italic">n</hi>
 = 35), and abutment fractures (
<hi rend="italic">n</hi>
 = 2). Multivariate survival analysis revealed a significantly greater incidence of chipping for males and a tendency to increased incidence of chipping for zirconia‐based
<hi rend="fc">FDP</hi>
s. The incidence of loss of retention tended to be less for tooth‐implant‐supported
<hi rend="fc">FDP</hi>
s, for which semi‐permanent cement was the only significant risk factor, with a hazard ratio of almost 5.</p>
Conclusions
<p>As chipping of the ceramic veneer was the most frequent complication leading to substantial aftercare, improvements of ceramic veneers are desirable for zirconia‐based and metal‐based
<hi rend="fc">FDP</hi>
s.</p>
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<fc>FDP</fc>
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<p>One‐hundred and sixty‐six
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s with implant support on both extremities, 27 implant‐supported cantilever
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<i>n</i>
 = 1). In contrast with this low incidence of failure was a high incidence of complications including chipping (
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