We are using cookies to implement functions like login, shopping cart or language selection for this website. Furthermore we use Google Analytics to create anonymized statistical reports of the usage which creates Cookies too. You will find more information in our privacy policy.
OK, I agree I do not want Google Analytics-Cookies
The International Journal of Oral & Maxillofacial Implants
Login:
username:

password:

Plattform:

Forgotten password?

Registration

Int J Oral Maxillofac Implants 34 (2019), No. 5     29. Oct. 2019
Int J Oral Maxillofac Implants 34 (2019), No. 5  (29.10.2019)

Page 1161-1168, doi:10.11607/jomi.7365, PubMed:30892291


Retrospective and Clinical Evaluation of Aftermarket CAD/CAM Titanium Abutments Supporting Posterior Splinted Prostheses and Single Crowns
Hsu, Kuang-Wei / Wei, Pein-Chi / Chen, Yu-Ling / Liou, Eric J. W.
Purpose: To evaluate the clinical outcomes of aftermarket computer-aided design/computer-assisted manufacturing (CAD/CAM) titanium abutments supporting splinted prostheses and single crowns in the posterior region.
Materials and Methods: This study retrospectively evaluated the records of patients who received posterior implant-supported splinted restorations and single crowns supported by aftermarket CAD/CAM titanium abutments. Recall and clinical examination of the patients were performed between January 2017 and February 2018. A logistic regression was conducted to evaluate the influence of variables on the occurrence of complications and success rates. Correlations between the bone-level change and variables were calculated using the Spearman correlation.
Results: One hundred thirty-five patients with 287 implants (86 crowns and 97 splinted prostheses) were recalled and examined clinically and radiographically after a mean observation period of 6.3 ± 1.2 years (range 4.1 to 9 years). Failure of three implants led to a survival rate of 99.0%. Complications included 18 (9.8%) ceramic chippings, 15 (8.2%) screw loosenings, 8 (4.4%) decementations, 52 (38.5%) patients with peri-implant mucositis, and 9 (6.7%) patients with peri-implantitis. A significantly higher incidence of ceramic chipping occurred with bruxers (odds ratio [OR] = 3.939, 95% confidence interval [CI] = 1.28 to 12.09, P < .05). All screw loosenings occurred in single crowns. All decementations were observed in restorations cemented with temporary cement. Marginal bone loss around implants was significantly correlated with smoking (r = -0.155, P < .05). Hypertension was significantly associated with peri-implant mucositis (OR = 4.7, 95% CI = 1.65 to 13.39, P < .05). The technical success rate was 80.1%. The biologic success rate was 57%. There was no association between the restoration type and the success rates of the restorations.
Conclusion: Using aftermarket CAD/CAM titanium abutments to support posterior restorations yielded comparable survival and success rates after a mean observation period of 6 years. However, in light of the relatively high incidence of screw loosenings, especially in patients receiving single-implant crowns, informing patients of the additional chairside aftercare with this type of treatment option is recommended.

Keywords: aftermarket CAD/CAM titanium abutment, biologic complications, dental implant, posterior fixed prostheses, radiographic measurement, technical complications