Silvia Brandt1, Anna Winter2, Paul Weigl1, Jan Brandt1, Georgios Romanos3, Hans-Christoph Lauer1. 1. Department of Prosthodontics, Johann Wolfgang Goethe University, Frankfurt am Main, Germany. 2. Department of Prosthodontics, Julius Maximilian University, Würzburg, Germany. 3. Department of Periodontology, Stony Brook School of Dental Medicine, Stony Brook, New York.
Abstract
BACKGROUND: Telescopic prostheses are an evidence-based treatment modality, and conical zirconia crowns and electro-formed gold copings have been used for dentures supported by teeth and/or implants. PURPOSE: We aimed to evaluate the survival rates of zirconia-based tooth/implant restorations. MATERIALS AND METHODS: A total of 126 telescopic overdentures, all retained by conical zirconia crowns and electro-formed gold copings, were retrospectively evaluated and failures analyzed for abutment configurations. Survival rates and modifying factors were evaluated by Kaplan-Meier analysis, log-rank testing, and Cox regression analysis. RESULTS: We evaluated observation periods of up to 11.5 years (mean: 45.25 ± 25.11 months). Five-year prosthesis survival was 96.9 ± 2.2% (95% CI: 92.6-100). Six dentures had been lost, and these failures were significantly associated with specific abutment configurations. CONCLUSIONS: Within the limitations of this retrospective study, the concept of conical zirconia telescoping into electro-formed gold provides a viable alternative to other telescopic designs used for removable dental prostheses. The concept is well suited especially for tooth/implant-supported prosthetic rehabilitation.
BACKGROUND: Telescopic prostheses are an evidence-based treatment modality, and conical zirconia crowns and electro-formed gold copings have been used for dentures supported by teeth and/or implants. PURPOSE: We aimed to evaluate the survival rates of zirconia-based tooth/implant restorations. MATERIALS AND METHODS: A total of 126 telescopic overdentures, all retained by conical zirconia crowns and electro-formed gold copings, were retrospectively evaluated and failures analyzed for abutment configurations. Survival rates and modifying factors were evaluated by Kaplan-Meier analysis, log-rank testing, and Cox regression analysis. RESULTS: We evaluated observation periods of up to 11.5 years (mean: 45.25 ± 25.11 months). Five-year prosthesis survival was 96.9 ± 2.2% (95% CI: 92.6-100). Six dentures had been lost, and these failures were significantly associated with specific abutment configurations. CONCLUSIONS: Within the limitations of this retrospective study, the concept of conical zirconia telescoping into electro-formed gold provides a viable alternative to other telescopic designs used for removable dental prostheses. The concept is well suited especially for tooth/implant-supported prosthetic rehabilitation.