Home Subscription Services
 
   

 
International Journal of Computerized
JCD Home Page
About the Editor
Editorial Board
Author Guidelines
Submission Form
Reprints / Articles
Permissions
Advertising
MEDLINE Search
Official Site
 
 
 
 
 
FacebookTwitterYouTube
Quintessence Publishing: Journals: JCD

 

International Journal of Computerized Dentistry

Edited by B. Reiss, K. Wiedhahn, and O. Schenk

Official publication of the International Society of Computerized Dentistry

ISSN 1463-4201

Publication:

Fall 2011
Volume 14 , Issue 3

Back
Share Abstract:

10-year Clinical Outcomes of Fixed Dental Prostheses with Zirconia Frameworks

Sax, Caroline / Hämmerle, Christoph Hans Franz / Sailer, Irena

Pages: 183 - 202

Objectives: The aim of this prospective clinical study was to assess the long-term clinical survival rate and the technical and biological complication rates of zirconia-based posterior FDPs. Materials and Methods: Forty-five patients in need of one or more posterior FDPs received 57 three- to fiveunit zirconia-based FDPs. The frameworks were fabricated by means of a prototype computer-aided manufacturing (CAM) system (direct ceramic machining, DCM), first processing zirconia in the white stage. The frameworks were veneered with a prototype veneering ceramic. The FDPs were adhesively placed. At baseline, 6 months, and 1, 2, 3, 5, 8 and 10 years of function, the FDPs were examined for technical and/or biological complications. Furthermore, the periodontal health of the abutment teeth (test) and untreated control teeth was analyzed. Statistical analysis was performed applying descriptive statistics, Kaplan-Meier survival and multiple mixed effects regression tests. Results: Twenty-one patients with 26 FDPs were examined at a mean observation time of 10.7 ± 1.3 years. A total of 16 FDPs were lost to follow-up. Fifteen FDPs had to be replaced due to technical/biological complications; hence, the 10-year survival rate of the FDPs was 67%. Three framework fractures occurred, resulting in a 10-year survival rate for the zirconia frameworks of 91.5%. Chipping/fracture of the veneering ceramic was detected in 16 FDPs over 10 years (complication rate 32%). A significant correlation of the span of the FDPs and the incidence of chipping was observed: 4- and 5-unit FDPs had a 4.9 times higher probability for chipping than 3-unit FDPs. Marginal discrepancy/degradation was found in 90.7% of the FDPs over 10 years. At 11 of the FDPs (complication rate 27%), secondary caries occurred. No difference of the periodontal health was found around test and control teeth. Conclusion: The zirconia frameworks exhibited very good long-term stability. However, the zirconia-based FDPs frequently exhibited problems such as marginal deficiency or chipping of the veneering ceramic. Both problems may be associated with the prototype status of the system.

Full Text PDF File | Order Article

 

 
  © 2014 Quintessence Publishing Co Inc
 

Home | Subscription Services | Books | Journals | Multimedia | Events | Blog
Terms of Use | Privacy Policy | About Us | Contact Us | Advertising | Help | Sitemap | Catalog