Cemented and screw-retained implant-supported single-tooth restorations in the molar mandibular region: A retrospective comparison study after an observation period of 1 to 4 years
Identifieur interne : 001353 ( Main/Exploration ); précédent : 001352; suivant : 001354Cemented and screw-retained implant-supported single-tooth restorations in the molar mandibular region: A retrospective comparison study after an observation period of 1 to 4 years
Auteurs : Alberto Ferreiroa [Espagne] ; Miguel Pe Arrocha-Diago ; Guillermo Pradíes [Espagne] ; María-Fernanda Sola-Ruiz [Espagne] ; Rubén Agustín-Panadero [Espagne]Source :
- Journal of Clinical and Experimental Dentistry [ 1989-5488 ] ; 2015.
Abstract
Objectives: The aim of this study was to evaluate the survival and compare the appearance of different mechanical and biological complications, in screw-retained and cemented-retained single-tooth implant-supported restorations localized in the molar mandibular region, over a period of 1 to 4 years. Material and Methods: A retrospective study was carried out with a total of eighty implant-supported restorations, which were placed in eighty patients for prosthetic rehabilitation of a mandibular molar. Forty patients were rehabilitated with a cemented-retained restoration and the other forty with a screw-retained restoration. The presence of the following complications was recorded for both types of prostheses: Fractures of the ceramic veneering, loosening screws, mucositis and peri-implantitis. Debonding of the restoration was analyzed in the cemented-retained restoration group. The clinical survival of crowns was analyzed with a Kaplan-Meier test and the clinical complications were compared, using a Student t test and Log-rank test. Results: 27 patients registered some complication. The average rate of complications was 37,5% for cemented-retained restorations and 30% for screw-retained restorations. The complications more common in the cemented-retained restoration were the presence of mucositis (14,87%), while in the screw-retained restorations was the loosening screw (20%). Student t test and Log-Rank test found significant differences (p=0,001) between the screw loosening and presence of mucositis. Conclusions: The cemented-retained restorations seem to prevent screw loosening, but the presence of cement seem to increase the complications around the soft tissues, however in the screw-retained restorations the presence of mucositis and peri-implantitis are lower than cemented-retained restorations. The incidence of fracture of ceramic veneering was similar in both groups.
Url:
DOI: 10.4317/jced.51708
PubMed: 25810850
PubMed Central: 4368026
Affiliations:
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Cemented and screw-retained implant-supported single-tooth
restorations in the molar mandibular region: A retrospective
comparison study after an observation period of 1 to 4 years</title><author><name sortKey="Ferreiroa, Alberto" sort="Ferreiroa, Alberto" uniqKey="Ferreiroa A" first="Alberto" last="Ferreiroa">Alberto Ferreiroa</name><affiliation wicri:level="3"><nlm:aff id="A1">DDS, PhD, Associate Professor of the Department of Buccofacial Prostheses. Faculty of Odontology. Complutense University of Madrid, Madrid, Spain</nlm:aff><country xml:lang="fr">Espagne</country><wicri:regionArea>DDS, PhD, Associate Professor of the Department of Buccofacial Prostheses. Faculty of Odontology. Complutense University of Madrid, Madrid</wicri:regionArea><placeName><settlement type="city">Madrid</settlement><region nuts="2" type="region">Communauté de Madrid</region></placeName></affiliation></author><author><name sortKey="Pe Arrocha Diago, Miguel" sort="Pe Arrocha Diago, Miguel" uniqKey="Pe Arrocha Diago M" first="Miguel" last="Pe Arrocha-Diago">Miguel Pe Arrocha-Diago</name><affiliation><nlm:aff id="A2">DDS, PhD, Chairman of Oral Surgery. Director of the Master in Oral Surgery and Implantology. Valencia University Medical and Dental School. Valencia, Spain. Investigator of the IDIBELL Institute</nlm:aff><wicri:noCountry code="subfield">Spain. Investigator of the IDIBELL Institute</wicri:noCountry></affiliation></author><author><name sortKey="Pradies, Guillermo" sort="Pradies, Guillermo" uniqKey="Pradies G" first="Guillermo" last="Pradíes">Guillermo Pradíes</name><affiliation wicri:level="3"><nlm:aff id="A3">DDS, PhD, Professor and Director of the Department of Buccofacial Prostheses. Faculty of Odontology. Complutense University of Madrid, Madrid, Spain</nlm:aff><country xml:lang="fr">Espagne</country><wicri:regionArea>DDS, PhD, Professor and Director of the Department of Buccofacial Prostheses. Faculty of Odontology. Complutense University of Madrid, Madrid</wicri:regionArea><placeName><settlement type="city">Madrid</settlement><region nuts="2" type="region">Communauté de Madrid</region></placeName></affiliation></author><author><name sortKey="Sola Ruiz, Maria Fernanda" sort="Sola Ruiz, Maria Fernanda" uniqKey="Sola Ruiz M" first="María-Fernanda" last="Sola-Ruiz">María-Fernanda Sola-Ruiz</name><affiliation wicri:level="1"><nlm:aff id="A4">DDS, PhD, Adjunct Professor of the Occlusion and Prosthodontic Teaching Unit. Department of Stomatology. Valencia University Medical and Dental School. Valencia, Spain</nlm:aff><country xml:lang="fr">Espagne</country><wicri:regionArea>DDS, PhD, Adjunct Professor of the Occlusion and Prosthodontic Teaching Unit. Department of Stomatology. Valencia University Medical and Dental School. Valencia</wicri:regionArea><wicri:noRegion>Adjunct Professor of the Occlusion and Prosthodontic Teaching Unit. Department of Stomatology. Valencia University Medical and Dental School. Valencia</wicri:noRegion></affiliation></author><author><name sortKey="Agustin Panadero, Ruben" sort="Agustin Panadero, Ruben" uniqKey="Agustin Panadero R" first="Rubén" last="Agustín-Panadero">Rubén Agustín-Panadero</name><affiliation wicri:level="1"><nlm:aff id="A5">DDS, PhD, Associate Professor of the Occlusion and Prosthodontic Teaching Unit. Department of Stomatology. Valencia University Medical and Dental School. Valencia, Spain</nlm:aff><country xml:lang="fr">Espagne</country><wicri:regionArea>DDS, PhD, Associate Professor of the Occlusion and Prosthodontic Teaching Unit. Department of Stomatology. Valencia University Medical and Dental School. Valencia</wicri:regionArea><wicri:noRegion>Associate Professor of the Occlusion and Prosthodontic Teaching Unit. Department of Stomatology. Valencia University Medical and Dental School. Valencia</wicri:noRegion></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">25810850</idno><idno type="pmc">4368026</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4368026</idno><idno type="RBID">PMC:4368026</idno><idno type="doi">10.4317/jced.51708</idno><date when="2015">2015</date><idno type="wicri:Area/Pmc/Corpus">003040</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">003040</idno><idno type="wicri:Area/Pmc/Curation">003040</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">003040</idno><idno type="wicri:Area/Pmc/Checkpoint">000F67</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">000F67</idno><idno type="wicri:Area/Ncbi/Merge">005976</idno><idno type="wicri:Area/Ncbi/Curation">005976</idno><idno type="wicri:Area/Ncbi/Checkpoint">005976</idno><idno type="wicri:Area/Main/Merge">001356</idno><idno type="wicri:Area/Main/Curation">001353</idno><idno type="wicri:Area/Main/Exploration">001353</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Cemented and screw-retained implant-supported single-tooth
restorations in the molar mandibular region: A retrospective
comparison study after an observation period of 1 to 4 years</title><author><name sortKey="Ferreiroa, Alberto" sort="Ferreiroa, Alberto" uniqKey="Ferreiroa A" first="Alberto" last="Ferreiroa">Alberto Ferreiroa</name><affiliation wicri:level="3"><nlm:aff id="A1">DDS, PhD, Associate Professor of the Department of Buccofacial Prostheses. Faculty of Odontology. Complutense University of Madrid, Madrid, Spain</nlm:aff><country xml:lang="fr">Espagne</country><wicri:regionArea>DDS, PhD, Associate Professor of the Department of Buccofacial Prostheses. Faculty of Odontology. Complutense University of Madrid, Madrid</wicri:regionArea><placeName><settlement type="city">Madrid</settlement><region nuts="2" type="region">Communauté de Madrid</region></placeName></affiliation></author><author><name sortKey="Pe Arrocha Diago, Miguel" sort="Pe Arrocha Diago, Miguel" uniqKey="Pe Arrocha Diago M" first="Miguel" last="Pe Arrocha-Diago">Miguel Pe Arrocha-Diago</name><affiliation><nlm:aff id="A2">DDS, PhD, Chairman of Oral Surgery. Director of the Master in Oral Surgery and Implantology. Valencia University Medical and Dental School. Valencia, Spain. Investigator of the IDIBELL Institute</nlm:aff><wicri:noCountry code="subfield">Spain. Investigator of the IDIBELL Institute</wicri:noCountry></affiliation></author><author><name sortKey="Pradies, Guillermo" sort="Pradies, Guillermo" uniqKey="Pradies G" first="Guillermo" last="Pradíes">Guillermo Pradíes</name><affiliation wicri:level="3"><nlm:aff id="A3">DDS, PhD, Professor and Director of the Department of Buccofacial Prostheses. Faculty of Odontology. Complutense University of Madrid, Madrid, Spain</nlm:aff><country xml:lang="fr">Espagne</country><wicri:regionArea>DDS, PhD, Professor and Director of the Department of Buccofacial Prostheses. Faculty of Odontology. Complutense University of Madrid, Madrid</wicri:regionArea><placeName><settlement type="city">Madrid</settlement><region nuts="2" type="region">Communauté de Madrid</region></placeName></affiliation></author><author><name sortKey="Sola Ruiz, Maria Fernanda" sort="Sola Ruiz, Maria Fernanda" uniqKey="Sola Ruiz M" first="María-Fernanda" last="Sola-Ruiz">María-Fernanda Sola-Ruiz</name><affiliation wicri:level="1"><nlm:aff id="A4">DDS, PhD, Adjunct Professor of the Occlusion and Prosthodontic Teaching Unit. Department of Stomatology. Valencia University Medical and Dental School. Valencia, Spain</nlm:aff><country xml:lang="fr">Espagne</country><wicri:regionArea>DDS, PhD, Adjunct Professor of the Occlusion and Prosthodontic Teaching Unit. Department of Stomatology. Valencia University Medical and Dental School. Valencia</wicri:regionArea><wicri:noRegion>Adjunct Professor of the Occlusion and Prosthodontic Teaching Unit. Department of Stomatology. Valencia University Medical and Dental School. Valencia</wicri:noRegion></affiliation></author><author><name sortKey="Agustin Panadero, Ruben" sort="Agustin Panadero, Ruben" uniqKey="Agustin Panadero R" first="Rubén" last="Agustín-Panadero">Rubén Agustín-Panadero</name><affiliation wicri:level="1"><nlm:aff id="A5">DDS, PhD, Associate Professor of the Occlusion and Prosthodontic Teaching Unit. Department of Stomatology. Valencia University Medical and Dental School. Valencia, Spain</nlm:aff><country xml:lang="fr">Espagne</country><wicri:regionArea>DDS, PhD, Associate Professor of the Occlusion and Prosthodontic Teaching Unit. Department of Stomatology. Valencia University Medical and Dental School. Valencia</wicri:regionArea><wicri:noRegion>Associate Professor of the Occlusion and Prosthodontic Teaching Unit. Department of Stomatology. Valencia University Medical and Dental School. Valencia</wicri:noRegion></affiliation></author></analytic><series><title level="j">Journal of Clinical and Experimental Dentistry</title><idno type="eISSN">1989-5488</idno><imprint><date when="2015">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>Objectives: The aim of this study was to evaluate the survival and compare the appearance of different mechanical and biological complications, in screw-retained and cemented-retained single-tooth implant-supported restorations localized in the molar mandibular region, over a period of 1 to 4 years.
Material and Methods: A retrospective study was carried out with a total of eighty implant-supported restorations, which were placed in eighty patients for prosthetic rehabilitation of a mandibular molar. Forty patients were rehabilitated with a cemented-retained restoration and the other forty with a screw-retained restoration. The presence of the following complications was recorded for both types of prostheses: Fractures of the ceramic veneering, loosening screws, mucositis and peri-implantitis. Debonding of the restoration was analyzed in the cemented-retained restoration group. The clinical survival of crowns was analyzed with a Kaplan-Meier test and the clinical complications were compared, using a Student t test and Log-rank test.
Results: 27 patients registered some complication. The average rate of complications was 37,5% for cemented-retained restorations and 30% for screw-retained restorations. The complications more common in the cemented-retained restoration were the presence of mucositis (14,87%), while in the screw-retained restorations was the loosening screw (20%). Student t test and Log-Rank test found significant differences (p=0,001) between the screw loosening and presence of mucositis.
Conclusions: The cemented-retained restorations seem to prevent screw loosening, but the presence of cement seem to increase the complications around the soft tissues, however in the screw-retained restorations the presence of mucositis and peri-implantitis are lower than cemented-retained restorations. The incidence of fracture of ceramic veneering was similar in both groups.
</p><p><bold> Key words:</bold>Screw-retained restorations, cemented-retained restorations, screw loosening, peri-implant diseases and fracture ceramic veneering.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Buser, D" uniqKey="Buser D">D Buser</name></author><author><name sortKey="Mericske Stern, R" uniqKey="Mericske Stern R">R Mericske-Stern</name></author><author><name sortKey="Bernard, Jp" uniqKey="Bernard J">JP Bernard</name></author><author><name sortKey="Behneke, A" uniqKey="Behneke A">A Behneke</name></author><author><name sortKey="Behneke, N" uniqKey="Behneke N">N Behneke</name></author><author><name sortKey="Hirt, Hp" uniqKey="Hirt H">HP Hirt</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Taylor, Td" uniqKey="Taylor T">TD Taylor</name></author><author><name sortKey="Agar, Jr" uniqKey="Agar J">JR Agar</name></author><author><name sortKey="Vogiatzi, T" uniqKey="Vogiatzi T">T 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Apse</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Torrado, E" uniqKey="Torrado E">E Torrado</name></author><author><name sortKey="Ercoli, C" uniqKey="Ercoli C">C Ercoli</name></author><author><name sortKey="Al Mardini, M" uniqKey="Al Mardini M">M Al Mardini</name></author><author><name sortKey="Graser, Gn" uniqKey="Graser G">GN Graser</name></author><author><name sortKey="Tallents, Rh" uniqKey="Tallents R">RH Tallents</name></author><author><name sortKey="Cordaro, L" uniqKey="Cordaro L">L Cordaro</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Kiliaridis, S" uniqKey="Kiliaridis S">S Kiliaridis</name></author><author><name sortKey="Kjellberg, H" uniqKey="Kjellberg H">H Kjellberg</name></author><author><name sortKey="Wenneberg, B" uniqKey="Wenneberg B">B Wenneberg</name></author><author><name sortKey="Engstrom, C" uniqKey="Engstrom C">C Engström</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Espagne</li></country><region><li>Communauté de Madrid</li></region><settlement><li>Madrid</li></settlement></list><tree><noCountry><name sortKey="Pe Arrocha Diago, Miguel" sort="Pe Arrocha Diago, Miguel" uniqKey="Pe Arrocha Diago M" first="Miguel" last="Pe Arrocha-Diago">Miguel Pe Arrocha-Diago</name></noCountry><country name="Espagne"><region name="Communauté de Madrid"><name sortKey="Ferreiroa, Alberto" sort="Ferreiroa, Alberto" uniqKey="Ferreiroa A" first="Alberto" last="Ferreiroa">Alberto Ferreiroa</name></region><name sortKey="Agustin Panadero, Ruben" sort="Agustin Panadero, Ruben" uniqKey="Agustin Panadero R" first="Rubén" last="Agustín-Panadero">Rubén Agustín-Panadero</name><name sortKey="Pradies, Guillermo" sort="Pradies, Guillermo" uniqKey="Pradies G" first="Guillermo" last="Pradíes">Guillermo Pradíes</name><name sortKey="Sola Ruiz, Maria Fernanda" sort="Sola Ruiz, Maria Fernanda" uniqKey="Sola Ruiz M" first="María-Fernanda" last="Sola-Ruiz">María-Fernanda Sola-Ruiz</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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