A comparison of laser-welded titanium and conventional cast frameworks supported by implants in the partially edentulous jaw: a 3-year prospective multicenter study.

Abstract

PURPOSE:

The purpose of this prospective multicenter study was to evaluate and compare the clinical performance of laser-welded titanium fixed partial implant-supported prostheses with conventional cast frameworks.

MATERIALS AND METHODS:

Forty-two partially edentulous patients were provided with Brånemark system implants and arranged into 2 groups. Group A was provided with a conventional cast framework with porcelain veneers in one side of the jaw and a laser-welded titanium framework with low-fusing porcelain on the other side. The patients in group B had an old implant prosthesis replaced by a titanium framework prosthesis. The patients were followed for 3 years after prosthesis placement. Clinical and radiographic data were collected and analyzed.

RESULTS:

Only one implant was lost, and all prostheses were still in function after 3 years. The 2 framework designs showed similar clinical performance with few clinical complications. Only one abutment screw (1%) and 9 porcelain tooth units (5%) fractured. Four prostheses experienced loose gold screws (6%). In group A, marginal bone loss was similar for both designs of prostheses, with a mean of 1.0 mm and 0.3 mm in the maxilla and mandible, respectively. No bone loss was observed on average in group B. No significant relationship (P > 0.05) was observed between marginal bone loss and placement of prosthesis margin or prosthesis design.

CONCLUSION:

The use of laser-welded titanium frameworks seems to present similar clinical performance to conventional cast frameworks in partial implant situations after 3 years.

• Authors: T Jemt, P Henry, B Lindén, I Naert, H Weber, C Bergström
• Journal: The International journal of prosthodontics (Int J Prosthodont) 2000 Jul-Aug Vol. 13 Issue 4 Pg. 282-8 ISSN: 0893-2174 [Print] United States
• PMID: 11203643 (Publication Type: Clinical Trial, Comparative Study, Journal Article, Multicenter Study, Randomized Controlled Trial)

Chemical References

• Titanium

Topics

• Adolescent
• Adult
• Aged
• Alveolar Bone Loss (diagnosis)
• Chi-Square Distribution
• Dental Casting Technique
• Dental Prosthesis, Implant-Supported
• Dental Restoration Failure
• Dental Soldering (instrumentation)
• Dental Veneers
• Denture Design
• Denture, Partial, Fixed
• Female
• Humans
• Jaw, Edentulous, Partially (rehabilitation)
• Lasers
• Life Tables
• Male
• Middle Aged
• Prospective Studies
• Statistics, Nonparametric
• Titanium
• Welding