Survival Analysis up to 8 Years of 304 Anatomical-Contour Implant-Supported Zirconia Crowns Fabricated with a Fully Digital Cast-Free Workflow and Directly Screwed on External Hexagonal Implant Connections Without the Interposition of a Ti-Base: A Multicentric Retrospective Study

Purpose: To evaluate the real-life clinical results of monolithic zirconia (Zr) screw-retained crowns without the interposition of a titanium base (Ti-base) on external hex implants fabricated from intraoral scans and a cast-free approach in private practice. Materials and Methods: Single external h...

Descripción completa

Detalles Bibliográficos
Publicado en:International Journal of Oral & Maxillofacial Implants Vol. 40; no. 1; pp. 21 - 27
Autores principales: Schmitz, Johannes H., Valenti, Marco, Valenti, Alessandro, Cortellini, Davide, Canale, Angelo
Formato: diagnostic images pictorial research tables/charts Journal Article
Publicado: Quintessence Publishing Company Inc. Jan/Feb2025
Acceso en línea:Ver este registro en EBSCOhost
fields @attributes:
  recordID: 1
pdfLink:
plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=182919692&site=ehost-live
header:
  @attributes:
    shortDbName: ccm
    uiTerm: 182919692
    longDbName: CINAHL Complete
    uiTag: AN
  controlInfo:
    bkinfo:
    dissinfo:
    jinfo:
      jid:
        08822786
        GR1
      jtl: International Journal of Oral & Maxillofacial Implants
      issn: 08822786
      maglogo: N
    pubinfo:
      dt: Jan/Feb2025
      vid: 40
      iid: 1
      pid: 1935
      pub: Quintessence Publishing Company Inc.
      place: Batavia, Illinois
    artinfo:
      ui:
        182919692
        182919692
        182919692
        10.11607/jomi.10898
        182919692
      ppf: 21
      ppct: 6
      formats:
      tig:
        atl: Survival Analysis up to 8 Years of 304 Anatomical-Contour Implant-Supported Zirconia Crowns Fabricated with a Fully Digital Cast-Free Workflow and Directly Screwed on External Hexagonal Implant Connections Without the Interposition of a Ti-Base: A Multicentric Retrospective Study
      aug:
        au:
          Schmitz, Johannes H.
          Valenti, Marco
          Valenti, Alessandro
          Cortellini, Davide
          Canale, Angelo
        affil: Dental technician and lab owner, Rimini, Italy
      sug:
        subj:
          Crowns
          Dental Prosthesis, Implant-Supported
          Dental Casting Technique
          Dental Materials
          Workflow
          Private Practice
          Dental Restoration, Permanent
          Titanium
          Treatment Outcomes
          Human
          Retrospective Design
          Multicenter Studies
          Survival Analysis
          Male
          Female
          Adult
          Middle Age
          Aged
          Treatment Failure
          Success
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Aged: 65+ years
          Male
          Female
      ab: Purpose: To evaluate the real-life clinical results of monolithic zirconia (Zr) screw-retained crowns without the interposition of a titanium base (Ti-base) on external hex implants fabricated from intraoral scans and a cast-free approach in private practice. Materials and Methods: Single external hex implants were restored with monolithic Zr crowns without the interposition of a Ti-base. The crowns were directly screwed on the external hex implant connections with a cast-free, fully digital workflow. Data were analyzed using descriptive statistics and the Kaplan-Meier test. Between September 2022 and March 2023, the California Dental Association's modified criteria were adopted for the present clinical evaluation after recalling all patients. Results: A total of 304 single-tooth restorations in the maxillary and mandibular posterior regions were fabricated between July 2014 and July 2022 in 252 patients (120 males and 132 females, mean age: 53.6 years; SD: 23.3). Seven crowns were excluded because of patient dropout. The most common minor technical complications were screw loosening (three crowns) and loss of the screw access hole filling (three crowns). There were four failures, including two implant failures with mobility and two fractured crowns. No screw or implant fractures were recorded. The overall cumulative survival rate was 98.6%, and the average success rate (crowns experiencing no failures or complications) was 96.0%. The mean overall survival time was 101.3 months (standard error: 0.847; 95% CI for the mean, 99.67-102.99). The overall survival probability was 87.9% up to 97 months. Conclusions: With careful case selection and a comprehensive periodontal maintenance program, single crowns that were directly screwed onto an external hex platform showed excellent survival and success rates that were comparable to available data regarding single crowns with a Ti-base prosthetic interface.
      pubtype: Academic Journal
      doctype:
        diagnostic images
        pictorial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
    refInfo:
    holdings:
      @attributes:
        islocal: N