Clinical Experiences of CNC‐Milled Titanium Frameworks Supported by Implants in the Edentulous Jaw: 1‐Year Prospective Study
Identifieur interne : 009365 ( Main/Merge ); précédent : 009364; suivant : 009366Clinical Experiences of CNC‐Milled Titanium Frameworks Supported by Implants in the Edentulous Jaw: 1‐Year Prospective Study
Auteurs : Anders Örtorp [Suède] ; Torsten Jemt [Suède]Source :
- Clinical Implant Dentistry and Related Research [ 1523-0899 ] ; 2000-01.
Descripteurs français
- Wicri :
- topic : Titane.
English descriptors
- KwdEn :
- Bone quality, Bone resorption, Brinemark, Brinemark clinic, Clinical dentistry, Clinical experiences, Computer numeric, Control group, Control groups, Conventional cast frameworks, Dentistry, Edentulous, Edentulous mandible, Edentulous patients, First surgery, First year, Fracture, Framework, Gold alloy, Implant, Implant failure, Implant treatment, Insertion, Jemt, Lekholm, Lower jaws, Mandible, Marginal bone loss, Maxilla, Maxillofac, Nobel biocare, Oral maxillofac implants, Osseointegrated, Osseointegrated implants, Present study, Prosthesis, Prosthesis connection, Prosthesis insertion, Radiologic performances, Resin pattern, Resin teeth, Resin veneer fractures, Resorption, Similar pattern, Smoking habits, Test group, Titanium, Titanium framework, Titanium frameworks, Veneer, Welding joints.
- Teeft :
- Bone quality, Bone resorption, Brinemark, Brinemark clinic, Clinical dentistry, Clinical experiences, Computer numeric, Control group, Control groups, Conventional cast frameworks, Dentistry, Edentulous, Edentulous mandible, Edentulous patients, First surgery, First year, Fracture, Framework, Gold alloy, Implant, Implant failure, Implant treatment, Insertion, Jemt, Lekholm, Lower jaws, Mandible, Marginal bone loss, Maxilla, Maxillofac, Nobel biocare, Oral maxillofac implants, Osseointegrated, Osseointegrated implants, Present study, Prosthesis, Prosthesis connection, Prosthesis insertion, Radiologic performances, Resin pattern, Resin teeth, Resin veneer fractures, Resorption, Similar pattern, Smoking habits, Test group, Titanium, Titanium framework, Titanium frameworks, Veneer, Welding joints.
Abstract
Background: A new type of titanium framework has been introduced, but so far no clinical reports have been made in this treatment modality. Purpose: The aim of this study was to report the clinical performance of implant‐supported prostheses with computer numeric controlled (CNC)‐milled titanium frameworks in the edentulous jaw and to compare the results with prostheses provided with conventional cast frameworks during the first year of function. Material and Methods: A consecutive group of 65 patients with 67 prostheses were provided with CNC‐milled titanium frameworks in 23 upper and 44 lower jaws. During the same period, 61 consecutive patients were treated on a routine basis with 31 upper and 31 lower conventional gold alloy casting prostheses. Clinical and radiographic 1‐year data were collected for both the test and control groups. Results: A total of 14 of 729 inserted implants were lost during the follow‐up period (1.9%). All prostheses were functioning after 1 year except a conventional prosthesis with a cast framework, which was replaced by an implant‐supported over‐denture due to implant loss. The 1‐year cumulative survival rate (CSR) was 100% and 97.8% for CNC prostheses and implants, respectively. The corresponding CSR for the control group was 98.3% and 98.3%, respectively. Few problems were reported in both groups, and the clinical and the radiologic performances were similar for both groups. No mechanical complications except some resin veneer fractures (n = 6) were observed. The mean marginal bone loss for the test group during the first year in function was 0.4 mm (SD = 0.35) and 0.4 mm (SD = 0.33) in the upper and lower jaws, respectively. A similar pattern of bone reaction was also observed in the control group. Conclusion: CNC‐milled titanium frameworks can be used as an alternative to conventional castings in the edentulous jaw, presenting similar clinical and radiologic performances as conventional cast frameworks during the first year of function.
Url:
DOI: 10.1111/j.1708-8208.2000.tb00101.x
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ISTEX:D53E8D6F05D813EBD64D98D79F1F41CF56177C35Le document en format XML
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Bone quality</term>
<term>Bone resorption</term>
<term>Brinemark</term>
<term>Brinemark clinic</term>
<term>Clinical dentistry</term>
<term>Clinical experiences</term>
<term>Computer numeric</term>
<term>Control group</term>
<term>Control groups</term>
<term>Conventional cast frameworks</term>
<term>Dentistry</term>
<term>Edentulous</term>
<term>Edentulous mandible</term>
<term>Edentulous patients</term>
<term>First surgery</term>
<term>First year</term>
<term>Fracture</term>
<term>Framework</term>
<term>Gold alloy</term>
<term>Implant</term>
<term>Implant failure</term>
<term>Implant treatment</term>
<term>Insertion</term>
<term>Jemt</term>
<term>Lekholm</term>
<term>Lower jaws</term>
<term>Mandible</term>
<term>Marginal bone loss</term>
<term>Maxilla</term>
<term>Maxillofac</term>
<term>Nobel biocare</term>
<term>Oral maxillofac implants</term>
<term>Osseointegrated</term>
<term>Osseointegrated implants</term>
<term>Present study</term>
<term>Prosthesis</term>
<term>Prosthesis connection</term>
<term>Prosthesis insertion</term>
<term>Radiologic performances</term>
<term>Resin pattern</term>
<term>Resin teeth</term>
<term>Resin veneer fractures</term>
<term>Resorption</term>
<term>Similar pattern</term>
<term>Smoking habits</term>
<term>Test group</term>
<term>Titanium</term>
<term>Titanium framework</term>
<term>Titanium frameworks</term>
<term>Veneer</term>
<term>Welding joints</term>
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<term>Bone resorption</term>
<term>Brinemark</term>
<term>Brinemark clinic</term>
<term>Clinical dentistry</term>
<term>Clinical experiences</term>
<term>Computer numeric</term>
<term>Control group</term>
<term>Control groups</term>
<term>Conventional cast frameworks</term>
<term>Dentistry</term>
<term>Edentulous</term>
<term>Edentulous mandible</term>
<term>Edentulous patients</term>
<term>First surgery</term>
<term>First year</term>
<term>Fracture</term>
<term>Framework</term>
<term>Gold alloy</term>
<term>Implant</term>
<term>Implant failure</term>
<term>Implant treatment</term>
<term>Insertion</term>
<term>Jemt</term>
<term>Lekholm</term>
<term>Lower jaws</term>
<term>Mandible</term>
<term>Marginal bone loss</term>
<term>Maxilla</term>
<term>Maxillofac</term>
<term>Nobel biocare</term>
<term>Oral maxillofac implants</term>
<term>Osseointegrated</term>
<term>Osseointegrated implants</term>
<term>Present study</term>
<term>Prosthesis</term>
<term>Prosthesis connection</term>
<term>Prosthesis insertion</term>
<term>Radiologic performances</term>
<term>Resin pattern</term>
<term>Resin teeth</term>
<term>Resin veneer fractures</term>
<term>Resorption</term>
<term>Similar pattern</term>
<term>Smoking habits</term>
<term>Test group</term>
<term>Titanium</term>
<term>Titanium framework</term>
<term>Titanium frameworks</term>
<term>Veneer</term>
<term>Welding joints</term>
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<front><div type="abstract" xml:lang="en">Background: A new type of titanium framework has been introduced, but so far no clinical reports have been made in this treatment modality. Purpose: The aim of this study was to report the clinical performance of implant‐supported prostheses with computer numeric controlled (CNC)‐milled titanium frameworks in the edentulous jaw and to compare the results with prostheses provided with conventional cast frameworks during the first year of function. Material and Methods: A consecutive group of 65 patients with 67 prostheses were provided with CNC‐milled titanium frameworks in 23 upper and 44 lower jaws. During the same period, 61 consecutive patients were treated on a routine basis with 31 upper and 31 lower conventional gold alloy casting prostheses. Clinical and radiographic 1‐year data were collected for both the test and control groups. Results: A total of 14 of 729 inserted implants were lost during the follow‐up period (1.9%). All prostheses were functioning after 1 year except a conventional prosthesis with a cast framework, which was replaced by an implant‐supported over‐denture due to implant loss. The 1‐year cumulative survival rate (CSR) was 100% and 97.8% for CNC prostheses and implants, respectively. The corresponding CSR for the control group was 98.3% and 98.3%, respectively. Few problems were reported in both groups, and the clinical and the radiologic performances were similar for both groups. No mechanical complications except some resin veneer fractures (n = 6) were observed. The mean marginal bone loss for the test group during the first year in function was 0.4 mm (SD = 0.35) and 0.4 mm (SD = 0.33) in the upper and lower jaws, respectively. A similar pattern of bone reaction was also observed in the control group. Conclusion: CNC‐milled titanium frameworks can be used as an alternative to conventional castings in the edentulous jaw, presenting similar clinical and radiologic performances as conventional cast frameworks during the first year of function.</div>
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