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Clinical Oral Investigations

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01-11-2018 | Original Article

Ten-year survival and chipping rates and clinical quality grading of zirconia-based fixed dental prostheses

Authors: Maren Teichmann, Anna Lena Wienert, Marcia Rückbeil, Volker Weber, Stefan Wolfart, Daniel Edelhoff

Published in: Clinical Oral Investigations | Issue 8/2018

Abstract

Objectives

To prospectively evaluate the clinical long-term outcome of 3- to 6-unit fixed dental prostheses (FDPs) made of hot isostatic pressed (HIP) zirconia frameworks, veneered with a synthetic sintering glass-ceramic.

Materials and methods

A total of 27 different restorations were cemented in 21 patients. FDPs were examined with regard to biological and technical complications/failures. Additionally, clinical quality was assessed based on (i) the California Dental Association (CDA) criteria, (ii) the patient’s viewpoint according to Hickel, and (iii) periodontal parameters. Descriptive statistics were computed. The Kaplan-Meier estimator was used for the survival and chipping-free rates. Wilcoxon signed ranks test (ordinal/continuous data) or the McNemar test (binary data) was used to describe the periodontal outcome of abutment teeth versus that of the respective control teeth.

Results

After a mean observation period of 10.0 ± 2.1 years, the dataset comprised 15 patients with 20 (mainly posterior) FDPs. The 10-year survival rate and 10-year chipping-free rate were 95.0% (CI 86.0–100%) and 78.8% (CI 62.2–99.7%), respectively. Evaluation based on the CDA criteria yielded satisfactory (excellent or acceptable) results for all categories. This was also confirmed by the high level of patient satisfaction. The periodontal health of tissues adjacent to the study teeth was clinically acceptable, but inferior to the ones of control teeth.

Conclusions

FDPs made from CAD/CAM-fabricated HIP zirconia ceramic frameworks have a favorable survival rate. However, because damage to the surface texture showed a disproportionate increase after long-term usage, additional long-term studies are required.

Clinical relevance

The outstanding mechanical properties of zirconia-based systems have contributed to the belief that all-ceramics are a reliable material for prosthetic restorations. However, only long-term reports (such as this one) provide more detailed information on actual clinical efficacy.

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Title: Ten-year survival and chipping rates and clinical quality grading of zirconia-based fixed dental prostheses
Authors: Maren Teichmann
Anna Lena Wienert
Marcia Rückbeil
Volker Weber
Stefan Wolfart
Daniel Edelhoff
Publication date: 01-11-2018
Publisher: Springer Berlin Heidelberg
Published in: Clinical Oral Investigations / Issue 8/2018
Print ISSN: 1432-6981
Electronic ISSN: 1436-3771
DOI: https://doi.org/10.1007/s00784-018-2378-1

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Ten-year survival and chipping rates and clinical quality grading of zirconia-based fixed dental prostheses

Abstract

Objectives

Materials and methods

Results

Conclusions

Clinical relevance

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Abstract

Objectives

Materials and methods

Results

Conclusions

Clinical relevance

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