File Download
 
Links for fulltext
(May Require Subscription)
 
Supplementary

Article: Complication and failure rates of fixed dental prostheses in patients treated for periodontal disease
  • Basic View
  • Metadata View
  • XML View
TitleComplication and failure rates of fixed dental prostheses in patients treated for periodontal disease
 
AuthorsBrägger, U4
HirtSteiner, S4
Schnell, N4
Schmidlin, K1
Salvi, GE4
Pjetursson, B3
Matuliene, G4
Zwahlen, M1
Lang, NP2
 
Issue Date2011
 
PublisherWiley-Blackwell Publishing, Inc.. The Journal's web site is located at http://www.blackwellpublishing.com/journals/CLR
 
CitationClinical Oral Implants Research, 2011, v. 22 n. 1, p. 70-77 [How to Cite?]
DOI: http://dx.doi.org/10.1111/j.1600-0501.2010.02095.x
 
AbstractObjectives: To evaluate the biological and technical complication rates of fixed dental prostheses (FDP) with end abutments or cantilever extensions on teeth (FDP-tt/cFDP-tt) on implants (FDP-ii/cFDP-ii) and tooth-implant-supported (FDP-ti/cFDP-ti) in patients treated for chronic periodontitis. Material and methods: From a cohort of 392 patients treated between 1978 and 2002 by graduate students, 199 were re-examined in 2005. Of these, 84 patients had received ceramo-metal FDPs (six groups). Results: At the re-evaluation, the mean age of the patients was 62 years (36.2-83.4). One hundred and seventy-five FDPs were seated (82 FDP-tt, 9 FDP-ii, 20 FDP-ti, 39 cFDP-tt, 15 cFDP-ii, 10 cFDP-ti). The mean observation time was 11.3 years; 21 FDPs were lost, and 46 technical and 50 biological complications occurred. Chances for the survival of the three groups of FDPs with end abutments were very high (risk for failure 2.8%, 0%, 5.6%). The probability to remain without complications and/or failure was 70.3%, 88.9% and 74.7% in FDPs with end abutments, but 49.8-25% only in FDPs with extensions at 10 years. Conclusions: In patients treated for chronic periodontitis and provided with ceramo-metal FDPs, high survival rates, especially for FDPs with end abutments, can be expected. The incidence rates of any negative events were increased drastically in the three groups with extension cFDPs (tt, ii, ti). Strategic decisions in the choice of a particular FDP design and the choice of teeth/implants as abutments appear to influence the risks for complications to be expected with fixed reconstruction. If possible, extensions on tooth abutments should be avoided or used only after a cautious clinical evaluation of all options. © 2010 John Wiley & Sons A/S.
 
ISSN0905-7161
2013 Impact Factor: 3.123
 
DOIhttp://dx.doi.org/10.1111/j.1600-0501.2010.02095.x
 
ISI Accession Number IDWOS:000285390700010
Funding AgencyGrant Number
Clinical Research Foundation (CRF) for the Promotion of Oral Health, Brienz, Switzerland
Funding Information:

This study has been supported in part by the Clinical Research Foundation (CRF) for the Promotion of Oral Health, Brienz, Switzerland. The competent clinical performance of the Dental Assistants of the Clinic for Periodontology and Fixed Prosthodontics, University of Berne is gratefully acknowledged. Moreover, the competent and reliable service provided by the Dental Hygienists of the Clinic during long years of patient maintenance is highly recognized.

 
ReferencesReferences in Scopus
 
DC FieldValue
dc.contributor.authorBrägger, U
 
dc.contributor.authorHirtSteiner, S
 
dc.contributor.authorSchnell, N
 
dc.contributor.authorSchmidlin, K
 
dc.contributor.authorSalvi, GE
 
dc.contributor.authorPjetursson, B
 
dc.contributor.authorMatuliene, G
 
dc.contributor.authorZwahlen, M
 
dc.contributor.authorLang, NP
 
dc.date.accessioned2012-08-08T08:26:42Z
 
dc.date.available2012-08-08T08:26:42Z
 
dc.date.issued2011
 
dc.description.abstractObjectives: To evaluate the biological and technical complication rates of fixed dental prostheses (FDP) with end abutments or cantilever extensions on teeth (FDP-tt/cFDP-tt) on implants (FDP-ii/cFDP-ii) and tooth-implant-supported (FDP-ti/cFDP-ti) in patients treated for chronic periodontitis. Material and methods: From a cohort of 392 patients treated between 1978 and 2002 by graduate students, 199 were re-examined in 2005. Of these, 84 patients had received ceramo-metal FDPs (six groups). Results: At the re-evaluation, the mean age of the patients was 62 years (36.2-83.4). One hundred and seventy-five FDPs were seated (82 FDP-tt, 9 FDP-ii, 20 FDP-ti, 39 cFDP-tt, 15 cFDP-ii, 10 cFDP-ti). The mean observation time was 11.3 years; 21 FDPs were lost, and 46 technical and 50 biological complications occurred. Chances for the survival of the three groups of FDPs with end abutments were very high (risk for failure 2.8%, 0%, 5.6%). The probability to remain without complications and/or failure was 70.3%, 88.9% and 74.7% in FDPs with end abutments, but 49.8-25% only in FDPs with extensions at 10 years. Conclusions: In patients treated for chronic periodontitis and provided with ceramo-metal FDPs, high survival rates, especially for FDPs with end abutments, can be expected. The incidence rates of any negative events were increased drastically in the three groups with extension cFDPs (tt, ii, ti). Strategic decisions in the choice of a particular FDP design and the choice of teeth/implants as abutments appear to influence the risks for complications to be expected with fixed reconstruction. If possible, extensions on tooth abutments should be avoided or used only after a cautious clinical evaluation of all options. © 2010 John Wiley & Sons A/S.
 
dc.description.natureLink_to_subscribed_fulltext
 
dc.identifier.citationClinical Oral Implants Research, 2011, v. 22 n. 1, p. 70-77 [How to Cite?]
DOI: http://dx.doi.org/10.1111/j.1600-0501.2010.02095.x
 
dc.identifier.doihttp://dx.doi.org/10.1111/j.1600-0501.2010.02095.x
 
dc.identifier.epage77
 
dc.identifier.isiWOS:000285390700010
Funding AgencyGrant Number
Clinical Research Foundation (CRF) for the Promotion of Oral Health, Brienz, Switzerland
Funding Information:

This study has been supported in part by the Clinical Research Foundation (CRF) for the Promotion of Oral Health, Brienz, Switzerland. The competent clinical performance of the Dental Assistants of the Clinic for Periodontology and Fixed Prosthodontics, University of Berne is gratefully acknowledged. Moreover, the competent and reliable service provided by the Dental Hygienists of the Clinic during long years of patient maintenance is highly recognized.

 
dc.identifier.issn0905-7161
2013 Impact Factor: 3.123
 
dc.identifier.issue1
 
dc.identifier.pmid21158932
 
dc.identifier.scopuseid_2-s2.0-78650216882
 
dc.identifier.spage70
 
dc.identifier.urihttp://hdl.handle.net/10722/154649
 
dc.identifier.volume22
 
dc.languageeng
 
dc.publisherWiley-Blackwell Publishing, Inc.. The Journal's web site is located at http://www.blackwellpublishing.com/journals/CLR
 
dc.publisher.placeUnited States
 
dc.relation.ispartofClinical Oral Implants Research
 
dc.relation.referencesReferences in Scopus
 
dc.subject.meshAdult
 
dc.subject.meshAged
 
dc.subject.meshAged, 80 And Over
 
dc.subject.meshChronic Periodontitis - Complications - Therapy
 
dc.subject.meshCrowns
 
dc.subject.meshDental Abutments
 
dc.subject.meshDental Caries - Etiology
 
dc.subject.meshDental Prosthesis Design - Adverse Effects
 
dc.subject.meshDental Prosthesis, Implant-Supported - Adverse Effects
 
dc.subject.meshDental Restoration Failure
 
dc.subject.meshDenture, Partial, Fixed - Adverse Effects
 
dc.subject.meshHumans
 
dc.subject.meshKaplan-Meier Estimate
 
dc.subject.meshMetal Ceramic Alloys
 
dc.subject.meshMiddle Aged
 
dc.subject.meshPeri-Implantitis - Etiology
 
dc.subject.meshPeriapical Periodontitis - Etiology
 
dc.subject.meshRegression Analysis
 
dc.subject.meshRetrospective Studies
 
dc.subject.meshRisk Factors
 
dc.subject.meshStatistics, Nonparametric
 
dc.titleComplication and failure rates of fixed dental prostheses in patients treated for periodontal disease
 
dc.typeArticle
 
<?xml encoding="utf-8" version="1.0"?>
<item><contributor.author>Br&#228;gger, U</contributor.author>
<contributor.author>HirtSteiner, S</contributor.author>
<contributor.author>Schnell, N</contributor.author>
<contributor.author>Schmidlin, K</contributor.author>
<contributor.author>Salvi, GE</contributor.author>
<contributor.author>Pjetursson, B</contributor.author>
<contributor.author>Matuliene, G</contributor.author>
<contributor.author>Zwahlen, M</contributor.author>
<contributor.author>Lang, NP</contributor.author>
<date.accessioned>2012-08-08T08:26:42Z</date.accessioned>
<date.available>2012-08-08T08:26:42Z</date.available>
<date.issued>2011</date.issued>
<identifier.citation>Clinical Oral Implants Research, 2011, v. 22 n. 1, p. 70-77</identifier.citation>
<identifier.issn>0905-7161</identifier.issn>
<identifier.uri>http://hdl.handle.net/10722/154649</identifier.uri>
<description.abstract>Objectives: To evaluate the biological and technical complication rates of fixed dental prostheses (FDP) with end abutments or cantilever extensions on teeth (FDP-tt/cFDP-tt) on implants (FDP-ii/cFDP-ii) and tooth-implant-supported (FDP-ti/cFDP-ti) in patients treated for chronic periodontitis. Material and methods: From a cohort of 392 patients treated between 1978 and 2002 by graduate students, 199 were re-examined in 2005. Of these, 84 patients had received ceramo-metal FDPs (six groups). Results: At the re-evaluation, the mean age of the patients was 62 years (36.2-83.4). One hundred and seventy-five FDPs were seated (82 FDP-tt, 9 FDP-ii, 20 FDP-ti, 39 cFDP-tt, 15 cFDP-ii, 10 cFDP-ti). The mean observation time was 11.3 years; 21 FDPs were lost, and 46 technical and 50 biological complications occurred. Chances for the survival of the three groups of FDPs with end abutments were very high (risk for failure 2.8%, 0%, 5.6%). The probability to remain without complications and/or failure was 70.3%, 88.9% and 74.7% in FDPs with end abutments, but 49.8-25% only in FDPs with extensions at 10 years. Conclusions: In patients treated for chronic periodontitis and provided with ceramo-metal FDPs, high survival rates, especially for FDPs with end abutments, can be expected. The incidence rates of any negative events were increased drastically in the three groups with extension cFDPs (tt, ii, ti). Strategic decisions in the choice of a particular FDP design and the choice of teeth/implants as abutments appear to influence the risks for complications to be expected with fixed reconstruction. If possible, extensions on tooth abutments should be avoided or used only after a cautious clinical evaluation of all options. &#169; 2010 John Wiley &amp; Sons A/S.</description.abstract>
<language>eng</language>
<publisher>Wiley-Blackwell Publishing, Inc.. The Journal&apos;s web site is located at http://www.blackwellpublishing.com/journals/CLR</publisher>
<relation.ispartof>Clinical Oral Implants Research</relation.ispartof>
<subject.mesh>Adult</subject.mesh>
<subject.mesh>Aged</subject.mesh>
<subject.mesh>Aged, 80 And Over</subject.mesh>
<subject.mesh>Chronic Periodontitis - Complications - Therapy</subject.mesh>
<subject.mesh>Crowns</subject.mesh>
<subject.mesh>Dental Abutments</subject.mesh>
<subject.mesh>Dental Caries - Etiology</subject.mesh>
<subject.mesh>Dental Prosthesis Design - Adverse Effects</subject.mesh>
<subject.mesh>Dental Prosthesis, Implant-Supported - Adverse Effects</subject.mesh>
<subject.mesh>Dental Restoration Failure</subject.mesh>
<subject.mesh>Denture, Partial, Fixed - Adverse Effects</subject.mesh>
<subject.mesh>Humans</subject.mesh>
<subject.mesh>Kaplan-Meier Estimate</subject.mesh>
<subject.mesh>Metal Ceramic Alloys</subject.mesh>
<subject.mesh>Middle Aged</subject.mesh>
<subject.mesh>Peri-Implantitis - Etiology</subject.mesh>
<subject.mesh>Periapical Periodontitis - Etiology</subject.mesh>
<subject.mesh>Regression Analysis</subject.mesh>
<subject.mesh>Retrospective Studies</subject.mesh>
<subject.mesh>Risk Factors</subject.mesh>
<subject.mesh>Statistics, Nonparametric</subject.mesh>
<title>Complication and failure rates of fixed dental prostheses in patients treated for periodontal disease</title>
<type>Article</type>
<description.nature>Link_to_subscribed_fulltext</description.nature>
<identifier.doi>10.1111/j.1600-0501.2010.02095.x</identifier.doi>
<identifier.pmid>21158932</identifier.pmid>
<identifier.scopus>eid_2-s2.0-78650216882</identifier.scopus>
<relation.references>http://www.scopus.com/mlt/select.url?eid=2-s2.0-78650216882&amp;selection=ref&amp;src=s&amp;origin=recordpage</relation.references>
<identifier.volume>22</identifier.volume>
<identifier.issue>1</identifier.issue>
<identifier.spage>70</identifier.spage>
<identifier.epage>77</identifier.epage>
<identifier.isi>WOS:000285390700010</identifier.isi>
<publisher.place>United States</publisher.place>
</item>
Author Affiliations
  1. Institute of Social and Preventive Medicine
  2. The University of Hong Kong
  3. University of Iceland
  4. Universität Bern