Success rate of all-ceramic FPDs depending on the time of restoration between 2011 and 2023
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Purpose. Studies about success of FPDs (fixed partial dentures) mostly include restorations built by different clinicians. This results in limited comparability of the data. The aim of this study was to evaluate complications of all-ceramic FPDs built by 1 dentist between 2011 to 2023. Materials and methods. 342 all-ceramic FPDs were observed during follow-up care. 48 patients received 262 single crowns, 59 bridges and 21 veneers. Because of the different lengths of the bridges, units were defined as restored or replaced tooth. 465 units performed by the same dentist from Nov 2011 to Nov 2022 were included. Influencing factors “restoration”, “construction”, “abutment”, “localization”, “vitality” and “application period” were evaluated using Kaplan-Meier Analysis and Log-Rank Tests. Results. 406 units (87.3 %) showed no complication. 7 correctable chippings (1.5 %) and 10 recementable decementations (2.1 %) occurred. Six decemented units got lost (1.3 %). 21 units failed due to fatal fracture (4.5 %). Crown margin complications, such as secondary caries, occurred in 15 units (3.2 %). Comparing the influencing factors resulted in higher complication rates of veneers (P < .001), of monolithic ceramics (P ≤ .050) and of molar-restorations (P = .047). The application period had no influence on the success and survival rate. Conclusion. Overall, all-ceramic FPDs showed good clinical results. Although less complications were observed with modern restorations, these more often led to complete failure. To generate evidence-based recommendations, further studies are needed to evaluate the mid- and short-term success and survival of current all-ceramic restorations.
Abstract
Purpose. Studies about success of FPDs (fixed partial dentures) mostly include restorations built by different clinicians. This results in limited comparability of the data. The aim of this study was to evaluate complications of all-ceramic FPDs built by 1 dentist between 2011 to 2023. Materials and methods. 342 all-ceramic FPDs were observed during follow-up care. 48 patients received 262 single crowns, 59 bridges and 21 veneers. Because of the different lengths of the bridges, units were defined as restored or replaced tooth. 465 units performed by the same dentist from Nov 2011 to Nov 2022 were included. Influencing factors “restoration”, “construction”, “abutment”, “localization”, “vitality” and “application period” were evaluated using Kaplan-Meier Analysis and Log-Rank Tests. Results. 406 units (87.3 %) showed no complication. 7 correctable chippings (1.5 %) and 10 recementable decementations (2.1 %) occurred. Six decemented units got lost (1.3 %). 21 units failed due to fatal fracture (4.5 %). Crown margin complications, such as secondary caries, occurred in 15 units (3.2 %). Comparing the influencing factors resulted in higher complication rates of veneers (P < .001), of monolithic ceramics (P ≤ .050) and of molar-restorations (P = .047). The application period had no influence on the success and survival rate. Conclusion. Overall, all-ceramic FPDs showed good clinical results. Although less complications were observed with modern restorations, these more often led to complete failure. To generate evidence-based recommendations, further studies are needed to evaluate the mid- and short-term success and survival of current all-ceramic restorations.
참고문헌 (25)
- Gracis S, "A new classification system for all-ceramic and ceramic-like restorative materials", Int J Prosthodont, 28, pp.227~235 (2015)
- Alkharrat AR, "Fracture behavior of all-ceramic, implant-supported, and tooth-implant-supported fixed dental prostheses", Clin Oral Investig, 22, pp.1663~1673 (2018)
- Bankoğlu Güngör M, "Fracture resistance of CAD-CAM monolithic ceramic and veneered zirconia molar crowns after aging in a mastication simulator", J Prosthet Dent, 119, pp.473~480 (2018)
- Güngör MB, "Fracture resistance of monolithic and veneered all-ceramic four-unit posterior fixed dental prostheses after artificial aging", J Oral Sci, 61, pp.246~254 (2019)
- Pjetursson BE, "A systematic review and meta-analysis evaluating the survival, the failure, and the complication rates of veneered and monolithic all-ceramic implant-supported single crowns", Clin Oral Implants Res, 32(Suppl 21), pp.254~288 (2021)
- Donmez MB, "Congruence between the meshes of a combined healing abutment-scan body system acquired with four different intraoral scanners and the corresponding library file : an in vitro analysis", J Dent, 118, pp.103938~ (2022)
- Doukantzi M, "Comparison of the accuracy of optical impression systems in three different clinical situations", Int J Prosthodont, 34, pp.511~517 (2021)
- Gintaute A, "Precision of maxillo-mandibular registration with intraoral scanners in vitro", J Prosthodont Res, 64, pp.114~119 (2020)
- Kihara H, "Accuracy and practicality of intraoral scanner in dentistry : a literature review", J Prosthodont Res, 64, pp.109~113 (2020)
- Schimmel M, "Accuracy of intraoral scanning in completely and partially edentulous maxillary and mandibular jaws : an in vitro analysis", Clin Oral Investig, 25, pp.1839~1847 (2021)
- Pott PC, "Survival rate of modern all-ceramic FPDs during an observation period from 2011 to 2016", J Adv Prosthodont, 10, pp.18~24 (2018)
- Beet R, "Canal preparation with NiTi files in relation to the experience of the practitioner", ZWR, 113, pp.561~568 (2004)
- Bömicke W, "Initial damage and failure load of zirconia-ceramic and metal-ceramic posterior cantilever fixed partial dentures", Clin Oral Investig, 28, pp.94~ (2024)
- Sailer I, "All-ceramic or metal-ceramic tooth-supported fixed dental prostheses (FDPs)? A systematic review of the survival and complication rates. Part I: Single crowns (SCs)", Dent Mater, 31, pp.603~623 (2015)
- Mazzetti T, "10-year practice-based evaluation of ceramic and direct composite veneers", Dent Mater, 38, pp.898~906 (2022)
- Håff A, "A retrospective evaluation of zirconia-fixed partial dentures in general practices : an up to 13-year study", Dent Mater, 31, pp.162~170 (2015)
- Abou-Ayash S, "Impact of prosthetic material on mid-and long-term outcome of dental implants supporting single crowns and fixed partial dentures : a systematic review and meta-analysis", Eur J Oral Implantol, 10(Suppl 1), pp.47~65 (2017)
- Rosentritt M, "Experimental design of FPD made of all-ceramics and fibre-reinforced composite", Dent Mater, 16, pp.159~165 (2000)
- Oh W, "Influence of connector design on fracture probability of ceramic fixed-partial dentures", J Dent Res, 81, pp.623~627 (2002)
- Dittmer MP, "Influence of the supporting structure on stress distribution in all-ceramic FPDs", Int J Prosthodont, 23, pp.63~68 (2010)
- Hawthan M, "Survival of fixed prosthetic restorations on vital and nonvital teeth : a systematic review", J Prosthodont, 33, pp.110~122 (2024)
- Eisenburger M, "Clinical-technical comparison of the long-term success of clasp-retained dentures and telescopic prostheses", Deutsche Zahnärztliche Zeitschrift, 53, pp.257~259 (1998)
- Behr M, "Risk of chipping or facings failure of metal ceramic fixed partial prostheses-a retrospective data record analysis", Clin Oral Investig, 16, pp.401~405 (2012)
- Schmid A, "Finite element analysis of occlusal interferences in dental prosthetics caused by occlusal adjustment", Int J Prosthodont, 36, pp.436~442 (2023)
- Walton TR, "An up to 15-year longitudinal study of 515metal-ceramic FPDs : part 2. Modes of failure and influence of various clinical characteristics", Int J Prosthodont, 16, pp.177~182 (2003)