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Published in: Clinical Oral Investigations 4/2012

01-08-2012 | Original Article

Clinical success of implant-supported and tooth–implant-supported double crown-retained dentures

Authors: Gunda Bernhart, Andreas Koob, Marc Schmitter, Olaf Gabbert, Thomas Stober, Peter Rammelsberg

Published in: Clinical Oral Investigations | Issue 4/2012

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Abstract

The objective of this retrospective study was to compare biological and technical complications of implant-supported and tooth–implant-supported double crown-retained dentures (DCRDs) with those of tooth-supported DCRDs. Sixty-three DCRDs were monitored. One study group included 16 prostheses with a combination of implants and natural teeth as double crowns (ti group), whereas in the second study group, 19 dentures were retained exclusively on implants (ii group); a third study group with 28 exclusively tooth-supported dentures served as controls (tt group). Tooth loss, implant failure, and technical complications (loss of retention of primary crown, abutment screw loosening, loss of facing, fracture of resin denture teeth and fracture of saddle resin) were analysed. During the observation period of 24 months, no implants or teeth were lost in the ti group and three technical complications were recorded. In the ii group, two implants were lost, two cases of peri-implantitis occurred and four technical complications were observed. In the tt group, two cases of tooth loss and seven technical complications were observed. At the time of the last examination, all prostheses of the ti group and the ii group were functional. Patients of these two study groups reported high satisfaction with both function and aesthetics with no significant difference between the two groups. Treatment with DCRDs showed comparable results in the three study groups. The 2-year results indicate that double crowns can be recommended for implant and combined tooth–implant-retained dentures.
Literature
1.
go back to reference Lindh T (2008) Should we extract teeth to avoid tooth–implant combinations? J Oral Rehabil 35(Suppl 1):44–54PubMedCrossRef Lindh T (2008) Should we extract teeth to avoid tooth–implant combinations? J Oral Rehabil 35(Suppl 1):44–54PubMedCrossRef
2.
go back to reference Lang NP, Pjetursson BE, Tan K, Bragger U, Egger M, Zwahlen M (2004) A systematic review of the survival and complication rates of fixed partial dentures (FPDs) after an observation period of at least 5 years. II. Combined tooth–implant-supported FPDs. Clin Oral Implants Res 15:643–653PubMedCrossRef Lang NP, Pjetursson BE, Tan K, Bragger U, Egger M, Zwahlen M (2004) A systematic review of the survival and complication rates of fixed partial dentures (FPDs) after an observation period of at least 5 years. II. Combined tooth–implant-supported FPDs. Clin Oral Implants Res 15:643–653PubMedCrossRef
3.
go back to reference Pjetursson BE, Lang NP (2008) Prosthetic treatment planning on the basis of scientific evidence. J Oral Rehabil 35(Suppl 1):72–79PubMedCrossRef Pjetursson BE, Lang NP (2008) Prosthetic treatment planning on the basis of scientific evidence. J Oral Rehabil 35(Suppl 1):72–79PubMedCrossRef
4.
go back to reference Nickenig HJ, Schafer C, Spiekermann H (2006) Survival and complication rates of combined tooth–implant-supported fixed partial dentures. Clin Oral Implants Res 17:506–511PubMedCrossRef Nickenig HJ, Schafer C, Spiekermann H (2006) Survival and complication rates of combined tooth–implant-supported fixed partial dentures. Clin Oral Implants Res 17:506–511PubMedCrossRef
5.
go back to reference Mitrani R, Brudvik JS, Phillips KM (2003) Posterior implants for distal extension removable prostheses: a retrospective study. Int J Periodontics Restorative Dent 23:353–359PubMed Mitrani R, Brudvik JS, Phillips KM (2003) Posterior implants for distal extension removable prostheses: a retrospective study. Int J Periodontics Restorative Dent 23:353–359PubMed
6.
go back to reference Hug S, Mantokoudis D, Mericske-Stern R (2006) Clinical evaluation of 3 overdenture concepts with tooth roots and implants: 2-year results. Int J Prosthodont 19:236–243PubMed Hug S, Mantokoudis D, Mericske-Stern R (2006) Clinical evaluation of 3 overdenture concepts with tooth roots and implants: 2-year results. Int J Prosthodont 19:236–243PubMed
7.
go back to reference Krennmair G, Krainhofner M, Waldenberger O, Piehslinger E (2007) Dental implants as strategic supplementary abutments for implant–tooth-supported telescopic crown-retained maxillary dentures: a retrospective follow-up study for up to 9 years. Int J Prosthodont 20:617–622PubMed Krennmair G, Krainhofner M, Waldenberger O, Piehslinger E (2007) Dental implants as strategic supplementary abutments for implant–tooth-supported telescopic crown-retained maxillary dentures: a retrospective follow-up study for up to 9 years. Int J Prosthodont 20:617–622PubMed
8.
go back to reference Nickenig HJ, Spiekermann H, Wichmann M, Andreas SK, Eitner S (2008) Survival and complication rates of combined tooth–implant-supported fixed and removable partial dentures. Int J Prosthodont 21:131–137PubMed Nickenig HJ, Spiekermann H, Wichmann M, Andreas SK, Eitner S (2008) Survival and complication rates of combined tooth–implant-supported fixed and removable partial dentures. Int J Prosthodont 21:131–137PubMed
9.
go back to reference Kaufmann R, Friedli M, Hug S, Mericske-Stern R (2009) Removable dentures with implant support in strategic positions followed for up to 8 years. Int J Prosthodont 22:233–241, discussion 242PubMed Kaufmann R, Friedli M, Hug S, Mericske-Stern R (2009) Removable dentures with implant support in strategic positions followed for up to 8 years. Int J Prosthodont 22:233–241, discussion 242PubMed
10.
go back to reference Thomason JM, Feine J, Exley C, Moynihan P, Muller F, Naert I, Ellis JS, Barclay C, Butterworth C, Scott B, Lynch C, Stewardson D, Smith P, Welfare R, Hyde P, McAndrew R, Fenlon M, Barclay S, Barker D (2009) Mandibular two implant-supported overdentures as the first choice standard of care for edentulous patients—the york consensus statement. Br Dent J 207:185–186PubMedCrossRef Thomason JM, Feine J, Exley C, Moynihan P, Muller F, Naert I, Ellis JS, Barclay C, Butterworth C, Scott B, Lynch C, Stewardson D, Smith P, Welfare R, Hyde P, McAndrew R, Fenlon M, Barclay S, Barker D (2009) Mandibular two implant-supported overdentures as the first choice standard of care for edentulous patients—the york consensus statement. Br Dent J 207:185–186PubMedCrossRef
11.
go back to reference Eitner S, Schlegel A, Emeka N, Holst S, Will J, Hamel J (2008) Comparing bar and double-crown attachments in implant-retained prosthetic reconstruction: a follow-up investigation. Clin Oral Implants Res 19:530–537PubMedCrossRef Eitner S, Schlegel A, Emeka N, Holst S, Will J, Hamel J (2008) Comparing bar and double-crown attachments in implant-retained prosthetic reconstruction: a follow-up investigation. Clin Oral Implants Res 19:530–537PubMedCrossRef
12.
go back to reference Krennmair G, Weinlander M, Krainhofner M, Piehslinger E (2006) Implant-supported mandibular overdentures retained with ball or telescopic crown attachments: a 3-year prospective study. Int J Prosthodont 19:164–170PubMed Krennmair G, Weinlander M, Krainhofner M, Piehslinger E (2006) Implant-supported mandibular overdentures retained with ball or telescopic crown attachments: a 3-year prospective study. Int J Prosthodont 19:164–170PubMed
13.
go back to reference Heckmann SM, Schrott A, Graef F, Wichmann MG, Weber HP (2004) Mandibular two-implant telescopic overdentures. Clin Oral Implants Res 15:560–569PubMedCrossRef Heckmann SM, Schrott A, Graef F, Wichmann MG, Weber HP (2004) Mandibular two-implant telescopic overdentures. Clin Oral Implants Res 15:560–569PubMedCrossRef
14.
go back to reference Naert I, Gizani S, Vuylsteke M, van Steenberghe D (1998) A 5-year randomized clinical trial on the influence of splinted and unsplinted oral implants in the mandibular overdenture therapy. Part I: peri-implant outcome. Clin Oral Implants Res 9:170–177PubMedCrossRef Naert I, Gizani S, Vuylsteke M, van Steenberghe D (1998) A 5-year randomized clinical trial on the influence of splinted and unsplinted oral implants in the mandibular overdenture therapy. Part I: peri-implant outcome. Clin Oral Implants Res 9:170–177PubMedCrossRef
15.
go back to reference Naert I, Gizani S, Vuylsteke M, Van Steenberghe D (1999) A 5-year prospective randomized clinical trial on the influence of splinted and unsplinted oral implants retaining a mandibular overdenture: prosthetic aspects and patient satisfaction. J Oral Rehabil 26:195–202PubMedCrossRef Naert I, Gizani S, Vuylsteke M, Van Steenberghe D (1999) A 5-year prospective randomized clinical trial on the influence of splinted and unsplinted oral implants retaining a mandibular overdenture: prosthetic aspects and patient satisfaction. J Oral Rehabil 26:195–202PubMedCrossRef
16.
go back to reference Weigl P, Hahn L, Lauer C (2000) Advanced biomaterials used for a new telescopic retainer for removable dentures: ceramic vs. electroplated gold copings: part 2. Clinical effects. J Biomed Mater Res 53:320–336PubMedCrossRef Weigl P, Hahn L, Lauer C (2000) Advanced biomaterials used for a new telescopic retainer for removable dentures: ceramic vs. electroplated gold copings: part 2. Clinical effects. J Biomed Mater Res 53:320–336PubMedCrossRef
17.
go back to reference Jager KJ, van Dijk PC, Zoccali C, Dekker FW (2008) The analysis of survival data: the Kaplan–Meier method. Kidney Int 74:560–565PubMedCrossRef Jager KJ, van Dijk PC, Zoccali C, Dekker FW (2008) The analysis of survival data: the Kaplan–Meier method. Kidney Int 74:560–565PubMedCrossRef
18.
go back to reference Ziegler A, Lange S, Bender R (2002) Überlebenszeitanalyse: Eigenschaften und Kaplan–Meier methode. Dtsch Med Wochenschr 127:T14–T16CrossRef Ziegler A, Lange S, Bender R (2002) Überlebenszeitanalyse: Eigenschaften und Kaplan–Meier methode. Dtsch Med Wochenschr 127:T14–T16CrossRef
19.
go back to reference Ziegler A, Lange S, Bender R (2007) Überlebenszeitanalyse: Der log-rang-test. Dtsch Med Wochenschr 132:e39–e41PubMedCrossRef Ziegler A, Lange S, Bender R (2007) Überlebenszeitanalyse: Der log-rang-test. Dtsch Med Wochenschr 132:e39–e41PubMedCrossRef
20.
go back to reference Heckmann SM, Winter W, Meyer M, Weber HP, Wichmann MG (2001) Overdenture attachment selection and the loading of implant and denture-bearing area. Part 2: a methodical study using five types of attachment. Clin Oral Implants Res 12:640–647PubMedCrossRef Heckmann SM, Winter W, Meyer M, Weber HP, Wichmann MG (2001) Overdenture attachment selection and the loading of implant and denture-bearing area. Part 2: a methodical study using five types of attachment. Clin Oral Implants Res 12:640–647PubMedCrossRef
21.
go back to reference Wismeijer D, van Waas MA, Mulder J, Vermeeren JI, Kalk W (1999) Clinical and radiological results of patients treated with three treatment modalities for overdentures on implants of the iti dental implant system. A randomized controlled clinical trial. Clin Oral Implants Res 10:297–306PubMedCrossRef Wismeijer D, van Waas MA, Mulder J, Vermeeren JI, Kalk W (1999) Clinical and radiological results of patients treated with three treatment modalities for overdentures on implants of the iti dental implant system. A randomized controlled clinical trial. Clin Oral Implants Res 10:297–306PubMedCrossRef
22.
go back to reference Wostmann B, Balkenhol M, Weber A, Ferger P, Rehmann P (2007) Long-term analysis of telescopic crown retained removable partial dentures: survival and need for maintenance. J Dent 35:939–945PubMedCrossRef Wostmann B, Balkenhol M, Weber A, Ferger P, Rehmann P (2007) Long-term analysis of telescopic crown retained removable partial dentures: survival and need for maintenance. J Dent 35:939–945PubMedCrossRef
23.
go back to reference Molin M, Bergman B, Ericson A (1993) A clinical evaluation of conical crown retained dentures. J Prosthet Dent 70:251–256PubMedCrossRef Molin M, Bergman B, Ericson A (1993) A clinical evaluation of conical crown retained dentures. J Prosthet Dent 70:251–256PubMedCrossRef
24.
go back to reference Eisenburger M, Gray G, Tschernitschek H (2000) Long-term results of telescopic crown retained dentures—a retrospective study. Eur J Prosthodont Restor Dent 8:87–91PubMed Eisenburger M, Gray G, Tschernitschek H (2000) Long-term results of telescopic crown retained dentures—a retrospective study. Eur J Prosthodont Restor Dent 8:87–91PubMed
25.
go back to reference Widbom T, Lofquist L, Widbom C, Soderfeldt B, Kronstrom M (2004) Tooth-supported telescopic crown-retained dentures: an up to 9-year retrospective clinical follow-up study. Int J Prosthodont 17:29–34PubMed Widbom T, Lofquist L, Widbom C, Soderfeldt B, Kronstrom M (2004) Tooth-supported telescopic crown-retained dentures: an up to 9-year retrospective clinical follow-up study. Int J Prosthodont 17:29–34PubMed
26.
go back to reference Behr M, Hofmann E, Rosentritt M, Lang R, Handel G (2000) Technical failure rates of double crown-retained removable partial dentures. Clin Oral Investig 4:87–90PubMedCrossRef Behr M, Hofmann E, Rosentritt M, Lang R, Handel G (2000) Technical failure rates of double crown-retained removable partial dentures. Clin Oral Investig 4:87–90PubMedCrossRef
Metadata
Title
Clinical success of implant-supported and tooth–implant-supported double crown-retained dentures
Authors
Gunda Bernhart
Andreas Koob
Marc Schmitter
Olaf Gabbert
Thomas Stober
Peter Rammelsberg
Publication date
01-08-2012
Publisher
Springer-Verlag
Published in
Clinical Oral Investigations / Issue 4/2012
Print ISSN: 1432-6981
Electronic ISSN: 1436-3771
DOI
https://doi.org/10.1007/s00784-011-0592-1

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