Abstract | BACKGROUND: Comparative long-term knowledge of different framework materials in the partially edentulous implant patient is not available. PURPOSE: To report and compare 10-year data on free-standing implant-supported partial prostheses with laser-welded titanium (test) and conventional gold alloy (control) frameworks. MATERIALS AND METHODS: Altogether, 52 partially edentulous patients were consecutively provided with laser-welded prostheses (n = 60) in the partially edentulous lower jaw (test group). A control group of 52 randomly selected patients with gold alloy castings (n = 60) was used for comparison. Clinical and radiographic 10-year data were retrospectively collected and evaluated for both groups. RESULTS: The overall 10-year implant cumulative survival rate (CSR) was 93.0% (loaded implants, 96.4%), with a 10-year implant CSR of 91.5 and 94.7% for test and control implants, respectively (p > .05). Out of a total of 22 lost implants, 17 implants (77.3%) were shorter than 10 mm. The overall 10-year prosthesis CSR was 93.7%, with a corresponding 10-year CSR of 88.4 and 100% for test and control groups, respectively (p < .05). Average 10-year bone loss was 0.46 mm (SD 0.47) and 0.69 mm (SD 0.53) for the test and control groups (p < .001), respectively. Only 1% of the implants had >3 mm accumulated bone loss after 10 years. Altogether, 10 of the prostheses in both groups had implant component mechanical problems (8.3%). None of the frameworks or implants fractured, but more fractures of porcelain veneers were observed in the test group (p < .05). CONCLUSION: The protocol of implant treatment in the partially edentulous jaw functioned well during 10 years, although prosthodontic maintenance was required. However, laser-welded titanium frameworks presented more problems as compared with gold alloy frameworks. More loaded implants were lost (p < .05), and higher incidence of porcelain chipping was noted in the test group (p < .05). However, bone loss was on an average lower for the test group during the 10 years of follow-up (p < .001).
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Authors | Anders Ortorp, Torsten Jemt |
Journal | Clinical implant dentistry and related research
(Clin Implant Dent Relat Res)
Vol. 10
Issue 3
Pg. 128-39
(Sep 2008)
ISSN: 1708-8208 [Electronic] United States |
PMID | 18218053
(Publication Type: Comparative Study, Journal Article, Randomized Controlled Trial)
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Chemical References |
- Dental Implants
- Gold Alloys
- Titanium
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Topics |
- Adult
- Aged
- Alveolar Bone Loss
(diagnostic imaging)
- Dental Implants
- Dental Prosthesis Design
- Dental Prosthesis, Implant-Supported
- Dental Restoration Failure
- Dental Soldering
(methods)
- Dental Veneers
- Female
- Follow-Up Studies
- Gold Alloys
- Humans
- Jaw, Edentulous, Partially
(rehabilitation)
- Lasers
- Life Tables
- Male
- Mandible
- Middle Aged
- Radiography
- Retrospective Studies
- Titanium
- Welding
(methods)
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