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Article: Complication and failure rates of fixed dental prostheses in patients treated for periodontal disease

TitleComplication and failure rates of fixed dental prostheses in patients treated for periodontal disease
Authors
KeywordsCantilever extensions
Complications
Dental implants
Failures
FDP
Fixed dental prostheses
Periodontitis
Supportive periodontal therapy
Issue Date2011
PublisherWiley-Blackwell Publishing, Inc.. The Journal's web site is located at http://www.blackwellpublishing.com/journals/CLR
Citation
Clinical Oral Implants Research, 2011, v. 22 n. 1, p. 70-77 How to Cite?
AbstractObjectives: To evaluate the biological and technical complication rates of fixed dental prostheses (FDP) with end abutments or cantilever extensions on teeth (FDP-tt/cFDP-tt) on implants (FDP-ii/cFDP-ii) and tooth-implant-supported (FDP-ti/cFDP-ti) in patients treated for chronic periodontitis. Material and methods: From a cohort of 392 patients treated between 1978 and 2002 by graduate students, 199 were re-examined in 2005. Of these, 84 patients had received ceramo-metal FDPs (six groups). Results: At the re-evaluation, the mean age of the patients was 62 years (36.2-83.4). One hundred and seventy-five FDPs were seated (82 FDP-tt, 9 FDP-ii, 20 FDP-ti, 39 cFDP-tt, 15 cFDP-ii, 10 cFDP-ti). The mean observation time was 11.3 years; 21 FDPs were lost, and 46 technical and 50 biological complications occurred. Chances for the survival of the three groups of FDPs with end abutments were very high (risk for failure 2.8%, 0%, 5.6%). The probability to remain without complications and/or failure was 70.3%, 88.9% and 74.7% in FDPs with end abutments, but 49.8-25% only in FDPs with extensions at 10 years. Conclusions: In patients treated for chronic periodontitis and provided with ceramo-metal FDPs, high survival rates, especially for FDPs with end abutments, can be expected. The incidence rates of any negative events were increased drastically in the three groups with extension cFDPs (tt, ii, ti). Strategic decisions in the choice of a particular FDP design and the choice of teeth/implants as abutments appear to influence the risks for complications to be expected with fixed reconstruction. If possible, extensions on tooth abutments should be avoided or used only after a cautious clinical evaluation of all options. © 2010 John Wiley & Sons A/S.
Persistent Identifierhttp://hdl.handle.net/10722/154649
ISSN
2023 Impact Factor: 4.8
2023 SCImago Journal Rankings: 1.865
ISI Accession Number ID
Funding AgencyGrant Number
Clinical Research Foundation (CRF) for the Promotion of Oral Health, Brienz, Switzerland
Funding Information:

This study has been supported in part by the Clinical Research Foundation (CRF) for the Promotion of Oral Health, Brienz, Switzerland. The competent clinical performance of the Dental Assistants of the Clinic for Periodontology and Fixed Prosthodontics, University of Berne is gratefully acknowledged. Moreover, the competent and reliable service provided by the Dental Hygienists of the Clinic during long years of patient maintenance is highly recognized.

References

 

DC FieldValueLanguage
dc.contributor.authorBrägger, Uen_US
dc.contributor.authorHirtSteiner, Sen_US
dc.contributor.authorSchnell, Nen_US
dc.contributor.authorSchmidlin, Ken_US
dc.contributor.authorSalvi, GEen_US
dc.contributor.authorPjetursson, Ben_US
dc.contributor.authorMatuliene, Gen_US
dc.contributor.authorZwahlen, Men_US
dc.contributor.authorLang, NPen_US
dc.date.accessioned2012-08-08T08:26:42Z-
dc.date.available2012-08-08T08:26:42Z-
dc.date.issued2011en_US
dc.identifier.citationClinical Oral Implants Research, 2011, v. 22 n. 1, p. 70-77en_US
dc.identifier.issn0905-7161en_US
dc.identifier.urihttp://hdl.handle.net/10722/154649-
dc.description.abstractObjectives: To evaluate the biological and technical complication rates of fixed dental prostheses (FDP) with end abutments or cantilever extensions on teeth (FDP-tt/cFDP-tt) on implants (FDP-ii/cFDP-ii) and tooth-implant-supported (FDP-ti/cFDP-ti) in patients treated for chronic periodontitis. Material and methods: From a cohort of 392 patients treated between 1978 and 2002 by graduate students, 199 were re-examined in 2005. Of these, 84 patients had received ceramo-metal FDPs (six groups). Results: At the re-evaluation, the mean age of the patients was 62 years (36.2-83.4). One hundred and seventy-five FDPs were seated (82 FDP-tt, 9 FDP-ii, 20 FDP-ti, 39 cFDP-tt, 15 cFDP-ii, 10 cFDP-ti). The mean observation time was 11.3 years; 21 FDPs were lost, and 46 technical and 50 biological complications occurred. Chances for the survival of the three groups of FDPs with end abutments were very high (risk for failure 2.8%, 0%, 5.6%). The probability to remain without complications and/or failure was 70.3%, 88.9% and 74.7% in FDPs with end abutments, but 49.8-25% only in FDPs with extensions at 10 years. Conclusions: In patients treated for chronic periodontitis and provided with ceramo-metal FDPs, high survival rates, especially for FDPs with end abutments, can be expected. The incidence rates of any negative events were increased drastically in the three groups with extension cFDPs (tt, ii, ti). Strategic decisions in the choice of a particular FDP design and the choice of teeth/implants as abutments appear to influence the risks for complications to be expected with fixed reconstruction. If possible, extensions on tooth abutments should be avoided or used only after a cautious clinical evaluation of all options. © 2010 John Wiley & Sons A/S.en_US
dc.languageengen_US
dc.publisherWiley-Blackwell Publishing, Inc.. The Journal's web site is located at http://www.blackwellpublishing.com/journals/CLRen_US
dc.relation.ispartofClinical Oral Implants Researchen_US
dc.subjectCantilever extensions-
dc.subjectComplications-
dc.subjectDental implants-
dc.subjectFailures-
dc.subjectFDP-
dc.subjectFixed dental prostheses-
dc.subjectPeriodontitis-
dc.subjectSupportive periodontal therapy-
dc.subject.meshAdulten_US
dc.subject.meshAgeden_US
dc.subject.meshAged, 80 And Overen_US
dc.subject.meshChronic Periodontitis - Complications - Therapyen_US
dc.subject.meshCrownsen_US
dc.subject.meshDental Abutmentsen_US
dc.subject.meshDental Caries - Etiologyen_US
dc.subject.meshDental Prosthesis Design - Adverse Effectsen_US
dc.subject.meshDental Prosthesis, Implant-Supported - Adverse Effectsen_US
dc.subject.meshDental Restoration Failureen_US
dc.subject.meshDenture, Partial, Fixed - Adverse Effectsen_US
dc.subject.meshHumansen_US
dc.subject.meshKaplan-Meier Estimateen_US
dc.subject.meshMetal Ceramic Alloysen_US
dc.subject.meshMiddle Ageden_US
dc.subject.meshPeri-Implantitis - Etiologyen_US
dc.subject.meshPeriapical Periodontitis - Etiologyen_US
dc.subject.meshRegression Analysisen_US
dc.subject.meshRetrospective Studiesen_US
dc.subject.meshRisk Factorsen_US
dc.subject.meshStatistics, Nonparametricen_US
dc.titleComplication and failure rates of fixed dental prostheses in patients treated for periodontal diseaseen_US
dc.typeArticleen_US
dc.identifier.emailLang, NP:nplang@hkucc.hku.hken_US
dc.identifier.authorityLang, NP=rp00031en_US
dc.description.naturelink_to_subscribed_fulltexten_US
dc.identifier.doi10.1111/j.1600-0501.2010.02095.xen_US
dc.identifier.pmid21158932-
dc.identifier.scopuseid_2-s2.0-78650216882en_US
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-78650216882&selection=ref&src=s&origin=recordpageen_US
dc.identifier.volume22en_US
dc.identifier.issue1en_US
dc.identifier.spage70en_US
dc.identifier.epage77en_US
dc.identifier.isiWOS:000285390700010-
dc.publisher.placeUnited Statesen_US
dc.identifier.scopusauthoridBrägger, U=7005538598en_US
dc.identifier.scopusauthoridHirtSteiner, S=36677471100en_US
dc.identifier.scopusauthoridSchnell, N=36448602800en_US
dc.identifier.scopusauthoridSchmidlin, K=24476651100en_US
dc.identifier.scopusauthoridSalvi, GE=35600695300en_US
dc.identifier.scopusauthoridPjetursson, B=6506841442en_US
dc.identifier.scopusauthoridMatuliene, G=7801433083en_US
dc.identifier.scopusauthoridZwahlen, M=7004748418en_US
dc.identifier.scopusauthoridLang, NP=7201577367en_US
dc.identifier.issnl0905-7161-

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