Prosthetic complications with monolithic or micro-veneered implant-supported zirconia single-unit, multiple-unit, and complete-arch prostheses on titanium base abutments: a single center retrospective study with mean follow-up period of 72.35 months
dc.authorid | Mustafa Borga Dönmez / 0000-0002-3094-7487 | en_US |
dc.authorscopusid | Mustafa Borga Dönmez / 57202022054 | |
dc.authorwosid | Mustafa Borga Dönmez / AGY-6155-2022 | en_US |
dc.contributor.author | Saponaro, Paola C. | |
dc.contributor.author | Karasan, Duygu | |
dc.contributor.author | Dönmez, Mustafa Borga | |
dc.contributor.author | Johnston, William Michael | |
dc.contributor.author | Yılmaz, Burak | |
dc.date.accessioned | 2022-11-14T11:42:36Z | |
dc.date.available | 2022-11-14T11:42:36Z | |
dc.date.issued | 2022 | en_US |
dc.department | İstinye Üniversitesi, Diş Hekimliği Fakültesi, Klinik Bilimler Bölümü | en_US |
dc.description.abstract | Background The influence of prosthetic design on prosthetic complications when monolithic or micro-veneered zirconia prostheses are supported with titanium base (ti-base) abutments is not well-known. Purpose The purpose of this single center, retrospective study was to assess the prevalence of prosthetic complications with monolithic or micro-veneered single-unit, multi-unit, and complete-arch zirconia prostheses supported with ti-base abutments (implant level or multi-unit abutment level). Material and Methods This study retrospectively evaluated the electronic health record (EHR) of participants who received either monolithic or micro-veneered implant-supported single-unit, multi-unit, and/or complete-arch prostheses supported by ti-base or zirconia-ti-base hybrid abutments delivered between the years 2010 and 2021. Data were analyzed by using logistic regression and Exact Mantel-Haenszel chi-square test (alpha = 0.05) to assess the clinical performance of prostheses and complications including crown decementation, feldspathic porcelain chipping, prosthesis fracture, zirconia-ti-base hybrid abutment decementation, abutment screw loosening, screw fracture, abutment fracture, implant loss, and prosthesis remake. Results The study included 94 participants (50 female, 44 male) with a mean age of 59.5 years (range: 24-101 years of age). The retrospective EHR evaluation yielded 82 single-unit, 51 multi-unit, and 20 complete-arch prostheses on 325 implants. Among 153 prostheses delivered, 108 were micro-veneered (47 single-unit, 41 multi-unit, and 20 complete-arch prostheses) and 45 were monolithic. The average duration was 72.35 months (6.02 years) with a follow-up period of 5-132 months. From the time of insertion to the time of EHR review, of 153 prostheses, 78.43% did not exhibit any prosthetic complication. However, 33 prostheses (21.57%) from 29 participants (30.85%) had at least one prosthetic complication. Only four patients (4.25%) experienced two or more prosthetic complications. Prosthetic design affected the probability of having a complication (p = 0.005); complete-arch prostheses had higher probability (p <= 0.028). Single-unit prostheses had lower probability of complication than multi-unit prostheses (p = 0.005). The most commonly observed complication was fracture of veneering material (5.88%) followed by prosthetic screw loosening (4.57%) and decementation between the zirconia and the ti-base abutment (2.61%). Micro-veneered complete-arch prostheses had higher probability of having chipping than that of not having (p < 0.001), and other micro-veneered prosthetic designs had similar probability of chipping with that of complete-arch prostheses (p >= 0.082). Frequency of chipping was affected by veneering (p < 0.001). Monolithic prostheses had lower probability of chipping than micro-veneered prostheses, regardless of the prosthetic design (p < 0.001). Conclusions The frequency of prosthetic complications varied depending on prosthetic design. Complete-arch prostheses had the highest probability of complications while the single-unit prostheses had the lowest. Micro-veneered prostheses had higher probability for chipping than monolithic prostheses. Probability of chipping was similar for micro-veneered single-unit, multi-unit, and complete-arch zirconia prostheses. | en_US |
dc.identifier.citation | Saponaro, P. C., Karasan, D., Donmez, M. B., Johnston, W. M., & Yilmaz, B. (2022). Prosthetic complications with monolithic or micro‐veneered implant‐supported zirconia single‐unit, multiple‐unit, and complete‐arch prostheses on titanium base abutments: A single center retrospective study with mean follow‐up period of 72.35 months. Clinical implant dentistry and related research. | en_US |
dc.identifier.doi | 10.1111/cid.13149 | en_US |
dc.identifier.issn | 1523-0899 | en_US |
dc.identifier.issn | 1708-8208 | en_US |
dc.identifier.scopus | 2-s2.0-85141426698 | en_US |
dc.identifier.scopusquality | Q1 | en_US |
dc.identifier.uri | http://dx.doi.org/10.1111/cid.13149 | |
dc.identifier.uri | https://hdl.handle.net/20.500.12713/3388 | |
dc.identifier.wos | WOS:000877764700001 | en_US |
dc.identifier.wosquality | Q1 | en_US |
dc.indekslendigikaynak | Web of Science | en_US |
dc.indekslendigikaynak | Scopus | en_US |
dc.indekslendigikaynak | PubMed | en_US |
dc.institutionauthor | Dönmez, Mustafa Borga | |
dc.language.iso | en | en_US |
dc.publisher | WILEY | en_US |
dc.relation.ispartof | CLINICAL IMPLANT DENTISTRY AND RELATED RESEARCH | en_US |
dc.relation.publicationcategory | Makale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı | en_US |
dc.rights | info:eu-repo/semantics/closedAccess | en_US |
dc.subject | Chipping | en_US |
dc.subject | Implant-Supported | en_US |
dc.subject | Monolithic Zirconia | en_US |
dc.subject | Prosthetic Design | en_US |
dc.subject | Zirconia-Ti-Base Hybrid Abutment | en_US |
dc.title | Prosthetic complications with monolithic or micro-veneered implant-supported zirconia single-unit, multiple-unit, and complete-arch prostheses on titanium base abutments: a single center retrospective study with mean follow-up period of 72.35 months | en_US |
dc.type | Article | en_US |
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