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.authoridMustafa Borga Dönmez / 0000-0002-3094-7487en_US
dc.authorscopusidMustafa Borga Dönmez / 57202022054
dc.authorwosidMustafa Borga Dönmez / AGY-6155-2022en_US
dc.contributor.authorSaponaro, Paola C.
dc.contributor.authorKarasan, Duygu
dc.contributor.authorDönmez, Mustafa Borga
dc.contributor.authorJohnston, William Michael
dc.contributor.authorYılmaz, Burak
dc.date.accessioned2022-11-14T11:42:36Z
dc.date.available2022-11-14T11:42:36Z
dc.date.issued2022en_US
dc.departmentİstinye Üniversitesi, Diş Hekimliği Fakültesi, Klinik Bilimler Bölümüen_US
dc.description.abstractBackground 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.citationSaponaro, 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.doi10.1111/cid.13149en_US
dc.identifier.issn1523-0899en_US
dc.identifier.issn1708-8208en_US
dc.identifier.scopus2-s2.0-85141426698en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.urihttp://dx.doi.org/10.1111/cid.13149
dc.identifier.urihttps://hdl.handle.net/20.500.12713/3388
dc.identifier.wosWOS:000877764700001en_US
dc.identifier.wosqualityQ1en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.institutionauthorDönmez, Mustafa Borga
dc.language.isoenen_US
dc.publisherWILEYen_US
dc.relation.ispartofCLINICAL IMPLANT DENTISTRY AND RELATED RESEARCHen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectChippingen_US
dc.subjectImplant-Supporteden_US
dc.subjectMonolithic Zirconiaen_US
dc.subjectProsthetic Designen_US
dc.subjectZirconia-Ti-Base Hybrid Abutmenten_US
dc.titleProsthetic 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 monthsen_US
dc.typeArticleen_US

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