PMID- 24393461
OWN - NLM
STAT- MEDLINE
DCOM- 20160816
LR  - 20220310
IS  - 1532-849X (Electronic)
IS  - 1059-941X (Linking)
VI  - 23
IP  - 4
DP  - 2014 Jun
TI  - Complications and patient-centered outcomes with an implant-supported monolithic 
      zirconia fixed dental prosthesis: 1 year results.
PG  - 267-75
LID - 10.1111/jopr.12110 [doi]
AB  - PURPOSE: To characterize the number and type of complications that occur with a 
      monolithic zirconia fixed dental prosthesis (MZ-FDP) supported by four endosseous 
      implants in the edentulous mandible over time and to quantify the impact of 
      treatment on oral health quality of life (OHQoL). METHODS: Seventeen edentulous 
      participants were enrolled. New conventional dentures were fabricated for each 
      participant. Four Astra Tech Osseospeed TX implants (Dentsply) were then placed 
      in the parasymphyseal mandible, and after a period of healing, a full-arch 
      monolithic zirconia prosthesis (Zirkonzahn) was inserted. Complication data were 
      recorded and OHQoL was evaluated using the Oral Health Impact Profile (OHIP-49), 
      administered on four occasions: enrollment; implant surgery; and 6- and 12-month 
      recalls. RESULTS: Sixty-eight implants were placed in 17 edentulous individuals 
      aged 30 to 78 (mean 57.9 years). Implant survival was 94% from the subject 
      perspective and 99% from the implant perspective. Prosthesis survival was 88%. 
      Twelve complications occurred in ten participants, whereas seven participants 
      remained complication free. Both OHIP-49 severity and extent scores decreased 
      significantly between enrollment and 12-month recall (p < 0.001). The mean 
      OHIP-49 severity score at baseline was 94.8 (95% confidence interval [CI]: 73.9, 
      115.8) and declined an average of 76.8 (95% CI: -91.3, -62.3) units per 
      participant. The mean OHIP-49 extent score at baseline was 17.2 (95% CI: 10.8, 
      23.6) and declined 16.3 (95% CI: -20.2, -12.4) units per participant on average. 
      CONCLUSIONS: Implant survival was high, and few complications related to the 
      MZ-FDP were observed. The most common prosthetic complication was tooth chipping 
      in the opposing maxillary denture, which accounted for 50% of all complication 
      events. Substantial and clinically important improvements in OHQoL were achieved 
      with both conventional dentures and the implant-supported MZ-FDP. The data of 
      this short-term study indicate that the implant-supported MZ-FDP is a therapeutic 
      option with particular advantages in the edentulous mandible that warrants 
      further long-term study.
CI  - (c) 2014 by the American College of Prosthodontists.
FAU - Limmer, Bryan
AU  - Limmer B
AD  - Department of Prosthodontics, University of North Carolina School of Dentistry, 
      Chapel Hill, NC.
FAU - Sanders, Anne E
AU  - Sanders AE
FAU - Reside, Glenn
AU  - Reside G
FAU - Cooper, Lyndon F
AU  - Cooper LF
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20140106
PL  - United States
TA  - J Prosthodont
JT  - Journal of prosthodontics : official journal of the American College of 
      Prosthodontists
JID - 9301275
RN  - 0 (Dental Implants)
RN  - 0 (Dental Materials)
RN  - C6V6S92N3C (Zirconium)
RN  - S38N85C5G0 (zirconium oxide)
MH  - Adult
MH  - Aged
MH  - Dental Implants/adverse effects/psychology
MH  - Dental Materials/*chemistry
MH  - Dental Prosthesis, Implant-Supported/*adverse effects/psychology
MH  - Dental Restoration Failure
MH  - Denture Design
MH  - Denture Retention
MH  - Denture, Complete/*adverse effects/psychology
MH  - Female
MH  - Follow-Up Studies
MH  - Humans
MH  - Jaw, Edentulous/rehabilitation
MH  - Male
MH  - Mandible/surgery
MH  - Middle Aged
MH  - Patient Care Planning
MH  - Patient-Centered Care
MH  - Prospective Studies
MH  - *Quality of Life
MH  - Survival Analysis
MH  - Treatment Outcome
MH  - Zirconium/*chemistry
OTO - NOTNLM
OT  - Dental implant
OT  - OHIP-49
OT  - dental prosthesis
OT  - edentulism
OT  - mandible
OT  - zirconia
EDAT- 2014/01/08 06:00
MHDA- 2016/08/17 06:00
CRDT- 2014/01/08 06:00
PHST- 2013/07/10 00:00 [accepted]
PHST- 2014/01/08 06:00 [entrez]
PHST- 2014/01/08 06:00 [pubmed]
PHST- 2016/08/17 06:00 [medline]
AID - 10.1111/jopr.12110 [doi]
PST - ppublish
SO  - J Prosthodont. 2014 Jun;23(4):267-75. doi: 10.1111/jopr.12110. Epub 2014 Jan 6.