Clinical Experience of CNC‐Milled Titanium Frameworks Supported by Implants in the Edentulous Jaw: A 3‐Year Interim Report
Identifieur interne : 008547 ( Main/Exploration ); précédent : 008546; suivant : 008548Clinical Experience of CNC‐Milled Titanium Frameworks Supported by Implants in the Edentulous Jaw: A 3‐Year Interim Report
Auteurs : Anders Örtorp [Suède] ; Torsten Jemt [Suède]Source :
- Clinical Implant Dentistry and Related Research [ 1523-0899 ] ; 2002-07.
Descripteurs français
- KwdFr :
- Alliages d'or, Analyse de survie, Conception assistée par ordinateur, Conception d'appareil de prothèse dentaire, Dent artificielle, Humains, Implants dentaires, Mandibule (), Mandibule (imagerie diagnostique), Maxillaire (), Maxillaire (imagerie diagnostique), Mâchoire édentée (), Mâchoire édentée (imagerie diagnostique), Mâchoire édentée (rééducation et réadaptation), Piliers dentaires, Prothèse dentaire implanto-portée, Radiographie, Résines synthétiques, Résultat thérapeutique, Statistique non paramétrique, Tabagisme, Tables de survie, Technique de coulée dentaire, Titane, Échec de restauration dentaire, Études de suivi.
- MESH :
- imagerie diagnostique : Mandibule, Maxillaire, Mâchoire édentée.
- rééducation et réadaptation : Mâchoire édentée.
- Wicri :
- topic : Alliages d'or, Analyse de survie, Conception assistée par ordinateur, Conception d'appareil de prothèse dentaire, Dent artificielle, Humains, Implants dentaires, Mandibule, Maxillaire, Mâchoire édentée, Piliers dentaires, Prothèse dentaire implanto-portée, Radiographie, Résines synthétiques, Résultat thérapeutique, Statistique non paramétrique, Tabagisme, Tables de survie, Technique de coulée dentaire, Titane, Échec de restauration dentaire, Études de suivi.
English descriptors
- KwdEn :
- Brinemark, Clinical performance, Computer numeric, Computer-Aided Design, Control group, Conventional cast frameworks, Dental Abutments, Dental Casting Technique, Dental Implants, Dental Prosthesis, Implant-Supported, Dental Restoration Failure, Denture Design, Edentulous, First year, Follow-Up Studies, Fracture, Framework, Gold Alloys, Humans, Implant, Implant treatment, Jaw, Edentulous (diagnostic imaging), Jaw, Edentulous (rehabilitation), Jaw, Edentulous (surgery), Jemt, Life Tables, Lower jaws, Mandible, Mandible (diagnostic imaging), Mandible (surgery), Maxilla, Maxilla (diagnostic imaging), Maxilla (surgery), Oral maxillofac implants, Original prostheses, Original prosthesis, Osseointegrated implants, Prosthesis, Radiography, Resin veneer fractures, Resins, Synthetic, Smoking, Statistics, Nonparametric, Survival Analysis, Test group, Third year, Titanium, Titanium framework, Titanium frameworks, Tooth, Artificial, Treatment Outcome, Veneer, Year maxilla mandible.
- MESH :
- chemical : Dental Implants, Gold Alloys, Resins, Synthetic, Titanium.
- diagnostic imaging : Jaw, Edentulous, Mandible, Maxilla.
- rehabilitation : Jaw, Edentulous.
- surgery : Jaw, Edentulous, Mandible, Maxilla.
- Teeft :
- Brinemark, Clinical performance, Computer numeric, Computer-Aided Design, Control group, Conventional cast frameworks, Dental Abutments, Dental Casting Technique, Dental Prosthesis, Implant-Supported, Dental Restoration Failure, Denture Design, Edentulous, First year, Follow-Up Studies, Fracture, Framework, Humans, Implant, Implant treatment, Jemt, Life Tables, Lower jaws, Mandible, Maxilla, Oral maxillofac implants, Original prostheses, Original prosthesis, Osseointegrated implants, Prosthesis, Radiography, Resin veneer fractures, Smoking, Statistics, Nonparametric, Survival Analysis, Test group, Third year, Titanium, Titanium framework, Titanium frameworks, Tooth, Artificial, Treatment Outcome, Veneer, Year maxilla mandible.
Abstract
Background: The use of computer numeric controlled (CNC)‐milled titanium frameworks is a new technique for framework fabrication, and few clinical reports have been made on this treatment modality. Purpose: The goal of this study was to report the clinical performance of implant‐supported prostheses with CNC‐milled titanium frameworks in the edentulous jaw and to compare the results with prostheses provided with conventional cast frameworks during the first 3 years of function. Materials and Methods: A consecutive group of 126 edentulous patients were provided by random distribution with 67 prostheses with CNC‐milled titanium frameworks in 23 upper and 44 lower jaws and 62 conventional prostheses with gold‐alloy castings in 31 upper and 31 lower jaws. Radiographic 1‐year data and clinical 3‐year data were collected for both the titanium and control group. Results: One prosthesis was lost in each group owing to loss of implants, and the overall 3‐year prosthesis cumulative survival rate was 98.2% for both groups. Patients with smoking habits experienced significantly more implant failures than nonsmokers (p =.006). Few problems were observed. No metal fractures were seen in the test group, whereas two frameworks and one abutment screw fractured in the control group. Resin veneer fractures were the most common complication, with a slightly higher incidence observed in the control group. Conclusions: Computer numeric controlled‐milled titanium frameworks can be used as an alternative to conventional castings in the edentulous jaw, presenting clinical performance similar to that of conventional cast frameworks during the first 3 years of function.
Url:
DOI: 10.1111/j.1708-8208.2002.tb00159.x
Affiliations:
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Le document en format XML
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<term>Clinical performance</term>
<term>Computer numeric</term>
<term>Computer-Aided Design</term>
<term>Control group</term>
<term>Conventional cast frameworks</term>
<term>Dental Abutments</term>
<term>Dental Casting Technique</term>
<term>Dental Implants</term>
<term>Dental Prosthesis, Implant-Supported</term>
<term>Dental Restoration Failure</term>
<term>Denture Design</term>
<term>Edentulous</term>
<term>First year</term>
<term>Follow-Up Studies</term>
<term>Fracture</term>
<term>Framework</term>
<term>Gold Alloys</term>
<term>Humans</term>
<term>Implant</term>
<term>Implant treatment</term>
<term>Jaw, Edentulous (diagnostic imaging)</term>
<term>Jaw, Edentulous (rehabilitation)</term>
<term>Jaw, Edentulous (surgery)</term>
<term>Jemt</term>
<term>Life Tables</term>
<term>Lower jaws</term>
<term>Mandible</term>
<term>Mandible (diagnostic imaging)</term>
<term>Mandible (surgery)</term>
<term>Maxilla</term>
<term>Maxilla (diagnostic imaging)</term>
<term>Maxilla (surgery)</term>
<term>Oral maxillofac implants</term>
<term>Original prostheses</term>
<term>Original prosthesis</term>
<term>Osseointegrated implants</term>
<term>Prosthesis</term>
<term>Radiography</term>
<term>Resin veneer fractures</term>
<term>Resins, Synthetic</term>
<term>Smoking</term>
<term>Statistics, Nonparametric</term>
<term>Survival Analysis</term>
<term>Test group</term>
<term>Third year</term>
<term>Titanium</term>
<term>Titanium framework</term>
<term>Titanium frameworks</term>
<term>Tooth, Artificial</term>
<term>Treatment Outcome</term>
<term>Veneer</term>
<term>Year maxilla mandible</term>
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<term>Analyse de survie</term>
<term>Conception assistée par ordinateur</term>
<term>Conception d'appareil de prothèse dentaire</term>
<term>Dent artificielle</term>
<term>Humains</term>
<term>Implants dentaires</term>
<term>Mandibule ()</term>
<term>Mandibule (imagerie diagnostique)</term>
<term>Maxillaire ()</term>
<term>Maxillaire (imagerie diagnostique)</term>
<term>Mâchoire édentée ()</term>
<term>Mâchoire édentée (imagerie diagnostique)</term>
<term>Mâchoire édentée (rééducation et réadaptation)</term>
<term>Piliers dentaires</term>
<term>Prothèse dentaire implanto-portée</term>
<term>Radiographie</term>
<term>Résines synthétiques</term>
<term>Résultat thérapeutique</term>
<term>Statistique non paramétrique</term>
<term>Tabagisme</term>
<term>Tables de survie</term>
<term>Technique de coulée dentaire</term>
<term>Titane</term>
<term>Échec de restauration dentaire</term>
<term>Études de suivi</term>
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<keywords scheme="MESH" type="chemical" xml:lang="en"><term>Dental Implants</term>
<term>Gold Alloys</term>
<term>Resins, Synthetic</term>
<term>Titanium</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnostic imaging" xml:lang="en"><term>Jaw, Edentulous</term>
<term>Mandible</term>
<term>Maxilla</term>
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<keywords scheme="MESH" qualifier="imagerie diagnostique" xml:lang="fr"><term>Mandibule</term>
<term>Maxillaire</term>
<term>Mâchoire édentée</term>
</keywords>
<keywords scheme="MESH" qualifier="rehabilitation" xml:lang="en"><term>Jaw, Edentulous</term>
</keywords>
<keywords scheme="MESH" qualifier="rééducation et réadaptation" xml:lang="fr"><term>Mâchoire édentée</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Jaw, Edentulous</term>
<term>Mandible</term>
<term>Maxilla</term>
</keywords>
<keywords scheme="Teeft" xml:lang="en"><term>Brinemark</term>
<term>Clinical performance</term>
<term>Computer numeric</term>
<term>Computer-Aided Design</term>
<term>Control group</term>
<term>Conventional cast frameworks</term>
<term>Dental Abutments</term>
<term>Dental Casting Technique</term>
<term>Dental Prosthesis, Implant-Supported</term>
<term>Dental Restoration Failure</term>
<term>Denture Design</term>
<term>Edentulous</term>
<term>First year</term>
<term>Follow-Up Studies</term>
<term>Fracture</term>
<term>Framework</term>
<term>Humans</term>
<term>Implant</term>
<term>Implant treatment</term>
<term>Jemt</term>
<term>Life Tables</term>
<term>Lower jaws</term>
<term>Mandible</term>
<term>Maxilla</term>
<term>Oral maxillofac implants</term>
<term>Original prostheses</term>
<term>Original prosthesis</term>
<term>Osseointegrated implants</term>
<term>Prosthesis</term>
<term>Radiography</term>
<term>Resin veneer fractures</term>
<term>Smoking</term>
<term>Statistics, Nonparametric</term>
<term>Survival Analysis</term>
<term>Test group</term>
<term>Third year</term>
<term>Titanium</term>
<term>Titanium framework</term>
<term>Titanium frameworks</term>
<term>Tooth, Artificial</term>
<term>Treatment Outcome</term>
<term>Veneer</term>
<term>Year maxilla mandible</term>
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<keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Alliages d'or</term>
<term>Analyse de survie</term>
<term>Conception assistée par ordinateur</term>
<term>Conception d'appareil de prothèse dentaire</term>
<term>Dent artificielle</term>
<term>Humains</term>
<term>Implants dentaires</term>
<term>Mandibule</term>
<term>Maxillaire</term>
<term>Mâchoire édentée</term>
<term>Piliers dentaires</term>
<term>Prothèse dentaire implanto-portée</term>
<term>Radiographie</term>
<term>Résines synthétiques</term>
<term>Résultat thérapeutique</term>
<term>Statistique non paramétrique</term>
<term>Tabagisme</term>
<term>Tables de survie</term>
<term>Technique de coulée dentaire</term>
<term>Titane</term>
<term>Échec de restauration dentaire</term>
<term>Études de suivi</term>
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<front><div type="abstract" xml:lang="en">Background: The use of computer numeric controlled (CNC)‐milled titanium frameworks is a new technique for framework fabrication, and few clinical reports have been made on this treatment modality. Purpose: The goal of this study was to report the clinical performance of implant‐supported prostheses with CNC‐milled titanium frameworks in the edentulous jaw and to compare the results with prostheses provided with conventional cast frameworks during the first 3 years of function. Materials and Methods: A consecutive group of 126 edentulous patients were provided by random distribution with 67 prostheses with CNC‐milled titanium frameworks in 23 upper and 44 lower jaws and 62 conventional prostheses with gold‐alloy castings in 31 upper and 31 lower jaws. Radiographic 1‐year data and clinical 3‐year data were collected for both the titanium and control group. Results: One prosthesis was lost in each group owing to loss of implants, and the overall 3‐year prosthesis cumulative survival rate was 98.2% for both groups. Patients with smoking habits experienced significantly more implant failures than nonsmokers (p =.006). Few problems were observed. No metal fractures were seen in the test group, whereas two frameworks and one abutment screw fractured in the control group. Resin veneer fractures were the most common complication, with a slightly higher incidence observed in the control group. Conclusions: Computer numeric controlled‐milled titanium frameworks can be used as an alternative to conventional castings in the edentulous jaw, presenting clinical performance similar to that of conventional cast frameworks during the first 3 years of function.</div>
</front>
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