Computer‐assisted design/computer‐assisted manufacturing zirconia implant fixed complete prostheses: clinical results and technical complications up to 4 years of function

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Publicado en:Clinical Oral Implants Research vol. 24, no. 6 (Jun 2013), p. 659
Autor principal: Papaspyridakos, Panos
Otros Autores: Lal, Kunal
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Wiley Subscription Services, Inc.
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Acceso en línea:Citation/Abstract
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022 |a 0905-7161 
022 |a 1600-0501 
024 7 |a 10.1111/j.1600-0501.2012.02447.x  |2 doi 
035 |a 3073141508 
045 2 |b d20130601  |b d20130630 
100 1 |a Papaspyridakos, Panos  |u Division of Prosthodontics, Columbia University College of Dental Medicine, New York, NY, USA; Department of Restorative Dentistry and Biomaterials Sciences, Harvard School of Dental Medicine, Boston, MA, USA 
245 1 |a Computer‐assisted design/computer‐assisted manufacturing zirconia implant fixed complete prostheses: clinical results and technical complications up to 4 years of function 
260 |b Wiley Subscription Services, Inc.  |c Jun 2013 
513 |a Journal Article 
520 3 |a ObjectiveTo report the clinical results and technical complications with computer‐assisted design/computer‐assisted manufacturing (CAD/CAM) zirconia, implant fixed complete dental prostheses (IFCDPs) after 2–4 years in function.Materials and methodsFourteen consecutive edentulous patients (16 edentulous arches) were included in this study. Ten of the patients were women and four were men, with an average age of 58 years (range: 35–71). Ten mandibular and six maxillary arches were restored with porcelain fused to zirconia (PFZ) IFCDPs. Of the 16 arches, 14 received one‐piece and 2 received segmented two‐piece IFCDPs, respectively. The mean clinical follow‐up period was 3 years (range: 2–4). At the last recall appointment, biological and technical parameters of dental implant treatment were evaluated.ResultsThe implant and prosthesis survival rate following prosthesis insertion was 100% up to 4‐year follow‐up. The prostheses in 11 of the 16 restored arches were structurally sound, exhibited favorable soft tissue response, esthetics, and patient satisfaction. Five IFCDPs (31.25%) in four patients exhibited porcelain veneer chipping. Chipping was minor in three prostheses (three patients) and was addressed intraorally with polishing (one prosthesis) or composite resin (two prostheses). One patient with maxillary and mandibular zirconia IFCDP exhibited major porcelain chipping fractures which had to be repaired in the laboratory. Function, esthetics, and patient satisfaction were not affected in three of the four fracture incidents. Median crestal bone loss was 0.1 mm (0.01–0.2 mm). The presence of parafunctional activity, the IFCDP as opposing dentition, and the absence of occlusal night guard were associated with all the incidents of ceramic chipping.ConclusionCAD/CAM zirconia IFCDPs are viable prosthetic treatment after 2–4 years in function, but not without complications. The porcelain chipping/fracture was the most frequent technical complication, with a 31.25% chipping rate at the prosthesis level. Despite the technical complications, increased patient satisfaction was noted. 
653 |a Prostheses 
653 |a Prosthetics 
653 |a Aesthetics 
653 |a Chipping 
653 |a Bone loss 
653 |a Edentulous 
653 |a Maxilla 
653 |a Dentition 
653 |a Mandible 
653 |a Composite materials 
653 |a Patient satisfaction 
653 |a Dental implants 
653 |a Fractures 
653 |a Porcelain 
653 |a Arches 
653 |a Zirconium dioxide 
653 |a CAD/CAM 
653 |a Teeth 
653 |a Soft tissues 
653 |a Dental restorative materials 
653 |a Zirconia 
653 |a Computer aided design--CAD 
653 |a Patients 
700 1 |a Lal, Kunal  |u Division of Prosthodontics, Columbia University College of Dental Medicine, New York, NY, USA 
773 0 |t Clinical Oral Implants Research  |g vol. 24, no. 6 (Jun 2013), p. 659 
786 0 |d ProQuest  |t Health & Medical Collection 
856 4 1 |3 Citation/Abstract  |u https://www.proquest.com/docview/3073141508/abstract/embedded/7BTGNMKEMPT1V9Z2?source=fedsrch