Journals / European Oral Research / 2010 / Cilt: 44 - Sayı: 2

PROSTHETIC COMPLICATIONS IN IMPLANT SUPPORTED FIXED PROSTHESIS: A FOUR YEA R MULTI-CENTER RETROSPECTIVE ANALYSIS

İMPLANT DESTEKLİ SABİT PROTEZLERDE PROTETİK BAŞARISIZLIKLAR: DÖRT YILLIK ÇOK MERKEZLİ RETROSPEKTİF ANALİZ

Pages
75–80
Publication Date
2011-01-01
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Care must be given to occlusal alignment of the implant supported crowns/bridges to overcome long-term complications

📌 3 Key Takeaways

🎯
Objective & Hypothesis:There have been many materials and application methods developed in order to overcome the complications related with implant supported restorations.
📊
Key Findings & Data:Long bridges and single tooth crowns were associated with porcelain fracture (p<0.01, HR: 4.46) and cement loosening (p<0.05 HR: 3.22) respectively.
💡
Conclusion & Impact:Care must be given to occlusal alignment of the implant supported crowns/bridges to overcome long-term complications
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Diş implantı · protetik komplikasyon · retrospektif analiz

Abstract

There have been many materials and application methods developed in order to overcome the complications related with implant supported restorations. Prosthetic failures still could emerge in spite of all advanced applications. One of the most common reasons of a prosthetic failure was shown to be the excessive occlusal forces. Excessive occlusal forces may cause prosthetic complications or component fractures as well as with progressive crestal bone loss. The aim of this retrospective study was to evaluate the prosthetic complications of the implant supported fixed prosthesis followed up to four years. A Cox proportional hazard regression analysis was used to evaluate possible associations. Long bridges and single tooth crowns were associated with porcelain fracture (p<0.01, HR: 4.46) and cement loosening (p<0.05 HR: 3.22) respectively. Care must be given to occlusal alignment of the implant supported crowns/bridges to overcome long-term complications

Özet

İmplant destekli protezlerle ilgili çok sayıda materyal ve uygulama yöntemi geliştirilmiş, klinik kullanıma sunulmuştur. İleri uygulamalara rağmen protetik başarısızlıklar halen ortaya çıkabilmektedir. Protetik başarısızlıkların en önemli nedenlerinden biri aşırı okluzal kuvvetlerdir. Kötü planlanmış bir okluzal kuvvet dağlımı, anormal krestal kemik kaybı ve protetik komplikasyonlara neden olabilir. Bu retrospektif çalışmanın amacı, üç farklı merkezde yapılan ve 4 yıl takibi yapılan implant destekli sabit protezlerde ortaya çıkan protetik komplikasyonların değerlendirilmesidir. Farklı kliniklerde uygulanan 204 adet implant standard bir protokolle takip edilmiştir. Risk faktörlerinin değerlendirilmesinde Cox oransal Hazard regresyon analizi kullanılmıştır. Uzun köprüler ve tek üye kuronlar sırasıyla porselen kırığı (p < 0.01, HR: 4.46) ve de-simantasyon (p < 0.05, HR: 3.22) riski göstermektedir. Uzun dönem komplikasyonların azaltılması için oklüzal temaslar dikkatle düzenlenmelidir.

🔖

Cite This Article

PİŞKİN, B., GÖKÇE, H. S., AVSEVER, H., ARISAN, V., ATAÇ, M., GÜNDÜZ, K. (2011). PROSTHETIC COMPLICATIONS IN IMPLANT SUPPORTED FIXED PROSTHESIS: A FOUR YEA R MULTI-CENTER RETROSPECTIVE ANALYSIS. European Oral Research, Cilt: 44 - Sayı: 2, 75–80. https://ajindex.com/articles/243621

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (11)

  1. Branemark PI, Hansson BO, Adell R, et al. Osseointagrated implants in the treatment of the edentulous jaw: Experience from a 10-year period. Scand J Plast Reconstr Surg Suppl, 1977; 16: 1-32.
  2. Mijiritsky E, Karas S. Removable partial denture design involving teeth and implants as an alternative to unsuccessful fixed implant therapy: A case report. Implant Dent, 2004; 13: 218-22.
  3. Fischer K, Stenberg T, Hedin M, Sennerby L. Five-year results from a randomized, controlled trial on early and delayed loading of implants supporting full-arch prosthesis in the edentulous maxilla. Clin. Oral Implants Res, 2008; 19: 433-41.
  4. Albrektsson T, Zarb GA, Worthington P, et al. The long-term efficacy of currently used dental implants: A review and proposed criteria of success. Int J Oral Maxillofac Implants, 1986; 1: 1-25.
  5. Carl E. Misch, Morton L. Perel, Hom-Lay Wang, Gilberto Sammartino, Pablo Galindo- Moreno, Paolo Trisi, Marius Steigmann, Alberto Rebaudi, Ady Palti, Michael A. Pikos, D. Schwartz-Arad, Joseph Choukroun, Jose-Luis Gutierrez-Perez, Gaetano Marenzi, Dimosthenis K. Valavanis. Implant success, survival, and failure: The International Congress of Oral Implantologists (ICOI) Pisa Consensus Conference. Implant Dent, 2008; 17: 5-15.
  6. Van Steenberghe D, Lekholm U, Bolender C, et al. Applicability of osseointegrated oral implants in the rehabilitation of partial edentulism: A prospective multicenter study on 558 fixtures. Int J Oral Maxillofac Implants, 1990; 5: 272-81.
  7. Misch CE, Suzuki JB, Misch-Dietsh FM, et al. A positive correlation between occlusal trauma and peri-implant bone loss: Literature support. Implant Dent, 2005; 14: 108-16.
  8. Santos MDB, Pfeifer AB, Silva MRP, Sendyk CL, Sendyk WR. Fracture of abutment screw supporting a cemented implan-retained prosthesis with external hexagon connection: a case report with SEM evaluation. J Appl Oral Sci, 2007; 15 (2): 148-51.
  9. Quirynen M, Naert I, van Steenberghe D. Fixture design and overload influence marginal bone loss and fixture success in the Branemark system. Clin Oral Implants Res, 1992; 3: 104-11.
  10. Vidyasagar L, Apse P. Restorative factors that affect the biomechanics of the dental implant. Stomatologija: Baltic Dental and Maxillo- facial Journal, 2003; 5 (4): 123-28.
  11. Al Jabbari YS, Fournelle R, Ziebert G, Toth J, Lacopino AM. Mechanical behavior and failure analysis of prosthetic retaining screws after long-term use in vivo. Part 4: Failure analysis of 10 fractured retaining screws retrieved from three patient