Retrospective, cross-sectional study on immediately loaded implant-supported mandibular fixed complete-arch prostheses fabricated with the passive fit cementation technique
Autor: | Ivete Aparecida de Mattias Sartori, Ana Cláudia Moreira Melo, Geninho Thomé, Francine Baldin Able |
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Rok vydání: | 2016 |
Předmět: |
Adult
Male Immediate Dental Implant Loading medicine.medical_treatment Tooth Fracture Dentistry Prosthesis 03 medical and health sciences Young Adult 0302 clinical medicine medicine Humans Survival rate Cementation Aged Retrospective Studies Aged 80 and over Dental Implants Edentulism business.industry Dental prosthesis Retrospective cohort study 030206 dentistry Middle Aged medicine.disease Cross-Sectional Studies Dental Prosthesis Design 030220 oncology & carcinogenesis Female Implant Dental Prosthesis Implant-Supported Oral Surgery business Complication |
Zdroj: | The Journal of prosthetic dentistry. 119(1) |
ISSN: | 1097-6841 |
Popis: | Statement of problem Mandibular fixed complete-arch dental prostheses on dental implants have been benefiting patients for a long time, but problems with passive fitting between the metallic framework of the prostheses and the implants might influence its long-term success. Purpose The purpose of this cross-sectional study of immediately loaded mandibular fixed complete-arch dental prostheses was to evaluate the survival and success rates of prostheses, the survival rates of dental implants, the occurrence of complications in the prostheses and implants, participant satisfaction, and the association between cantilever length and prosthesis complications. Material and methods Data were collected from the participants' records. The exposure variables were participant related (sex and age) and treatment related (number of implants and length of cantilever). The outcome variables were the survival and success of the prostheses and implants, complications, and participant satisfaction. The Fisher or chi-square tests was used for the association between 2 qualitative variables (α=.05). Results Two hundred ninety consecutive participants (1429 implants) with a mean follow-up time of 4.4 years were included. The survival rate for the prostheses was 98.6 and the success rate was 96.6%. The implant survival rate was 99.6%. Sixty-seven participants experienced a prosthetic complication, the most common being tooth fracture. Only 2.45% (n=35) of the implants were associated with screw loosening. Of the total number of participants, 86.9% were completely satisfied with their treatment. The length of the cantilever (up to 25 mm) was not associated with complications ( P >.05). Conclusions Implant-supported mandibular fixed complete-arch dental prostheses fabricated with a passive fit technique provide successful treatment for patients with edentulism. The success and survival rates of implants and prostheses were high. Only straightforward complications were observed. Cantilever length was not associated with complications. |
Databáze: | OpenAIRE |
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