Paulo Maló1, Miguel de Araújo Nobre2, Carlos Moura Guedes3, Ricardo Almeida3, António Silva4, Nuno Sereno5, João Legatheaux4. 1. Department of Oral Surgery, Maló Clinic, Lisbon, Portugal. 2. Research and Development Department, Maló Clinic, Lisbon, Portugal. 3. Department of Prosthodontics, Maló Clinic, Lisbon, Portugal. 4. Malo Clinic Ceramics, Lisbon, Portugal. 5. Invibio Biomaterial Solutions & JUVORA, Global Technology Center, Hillhouse International, Thornton Cleveleys, United Kingdom.
Abstract
BACKGROUND: More research is needed on the study of new materials for fixed prosthetic implant-supported rehabilitations. PURPOSE: The purpose of this study was to report the short-term outcome of full-arch implant-supported fixed hybrid polyetheretherketone (PEEK)-acrylic resin prostheses and the all-on-four concept. MATERIALS AND METHODS: This prospective cohort clinical study included 37 patients (29 women, eight men) with an average age of 60 years (range: 38-78 years) with 49 full-arch hybrid PEEK-acrylic resin prosthesis supported by implants through the all-on-four concept. Primary outcome measures were prosthetic survival. RESULTS: Two patients with two maxillary prostheses were lost to follow-up. One patient with a double full-arch rehabilitation fractured the mandibular PEEK framework, rendering a 98% prosthetic survival rate. No implants were lost. The average (SD) marginal bone remodeling after 1 year of follow-up was 0.37 mm (0.58 mm). Technical complications concerning the veneer adhesion occurred in six patients and were resolved in all patients (with exception of the patient with prosthetic failure) through the creation of mechanical retentions and changing the bonding primer. Mechanical complications occurred in three patients and five prostheses consisting in prosthetic screw loosening (n = 2 patients) and fracture of the acrylic resin teeth (the patient with a prosthetic failure). CONCLUSIONS: Within the limitations of this study, the results suggest that hybrid polymer (PEEK)-acrylic resin prostheses supported by implants for full-arch rehabilitation may represent a valid treatment option, still requiring longer-term validation.
BACKGROUND: More research is needed on the study of new materials for fixed prosthetic implant-supported rehabilitations. PURPOSE: The purpose of this study was to report the short-term outcome of full-arch implant-supported fixed hybrid polyetheretherketone (PEEK)-acrylic resin prostheses and the all-on-four concept. MATERIALS AND METHODS: This prospective cohort clinical study included 37 patients (29 women, eight men) with an average age of 60 years (range: 38-78 years) with 49 full-arch hybrid PEEK-acrylic resin prosthesis supported by implants through the all-on-four concept. Primary outcome measures were prosthetic survival. RESULTS: Two patients with two maxillary prostheses were lost to follow-up. One patient with a double full-arch rehabilitation fractured the mandibular PEEK framework, rendering a 98% prosthetic survival rate. No implants were lost. The average (SD) marginal bone remodeling after 1 year of follow-up was 0.37 mm (0.58 mm). Technical complications concerning the veneer adhesion occurred in six patients and were resolved in all patients (with exception of the patient with prosthetic failure) through the creation of mechanical retentions and changing the bonding primer. Mechanical complications occurred in three patients and five prostheses consisting in prosthetic screw loosening (n = 2 patients) and fracture of the acrylic resin teeth (the patient with a prosthetic failure). CONCLUSIONS: Within the limitations of this study, the results suggest that hybrid polymer (PEEK)-acrylic resin prostheses supported by implants for full-arch rehabilitation may represent a valid treatment option, still requiring longer-term validation.
Authors: Regina Furbino Villefort; João Paulo Mendes Tribst; Amanda Maria de Oliveira Dal Piva; Alexandre Luiz Borges; Nívia Castro Binda; Carlos Eduardo de Almeida Ferreira; Marco Antonio Bottino; Sandra Lúcia Ventorim von Zeidler Journal: PLoS One Date: 2020-10-30 Impact factor: 3.240
Authors: João Paulo Mendes Tribst; Dayana Campanelli de Morais; Jefferson David Melo de Matos; Guilherme da Rocha Scalzer Lopes; Amanda Maria de Oliveira Dal Piva; Alexandre Luiz Souto Borges; Marco Antonio Bottino; Antonio Lanzotti; Massimo Martorelli; Pietro Ausiello Journal: Dent J (Basel) Date: 2022-01-14