CAD/CAM implant crowns in a digital workflow: Five-year follow-up of a prospective clinical trial.
Publisher DOI
PubMed ID
30362650
Abstract
BACKGROUND
Implant restorations became the first choice for single-tooth replacement today.
PURPOSE
The prospective clinical trial aims to investigate computer-aided-design (CAD)/computer-aided-manufacturing (CAM)-processed implant crowns after 5 years of loading.
MATERIALS AND METHODS
Twenty patients were included for cement-retained crowns in posterior sites. Radiographic analysis of bone levels was performed after delivery and follow-up. The Functional Implant Prosthodontic Score (FIPS) was assessed at the final follow-up. Wilcoxon signed-rank tests were used with a level of significance set at α = 0.05.
RESULTS
One implant was lost, resulting in a success rate of 95% at 5 years. For 19 crowns, neither technical complications nor biological complications were observed. The mean marginal bone level was 0.6 ± 0.26 mm (range: 0.18-1.12) mesially, and 0.79 ± 0.36 mm (range: 0.23-1.36) distally at 5 years. During the observation period, mean radiographic bone levels increased significantly by 0.23 mm at mesial and by 0.17 mm at distal sites (P < .0001) indicating minor additional bone loss. The mean total FIPS score was 8.2 ± 1.0 (range: 7-10) with the high score of 2.0 ± 0.0 for the variable "bone."
CONCLUSIONS
CAD/CAM-processed implant crowns demonstrated promising radiographic and clinical outcomes after 5 years in function. Future large-scale trials are crucial to confirm these initial results in the field of digital implant processing.
Implant restorations became the first choice for single-tooth replacement today.
PURPOSE
The prospective clinical trial aims to investigate computer-aided-design (CAD)/computer-aided-manufacturing (CAM)-processed implant crowns after 5 years of loading.
MATERIALS AND METHODS
Twenty patients were included for cement-retained crowns in posterior sites. Radiographic analysis of bone levels was performed after delivery and follow-up. The Functional Implant Prosthodontic Score (FIPS) was assessed at the final follow-up. Wilcoxon signed-rank tests were used with a level of significance set at α = 0.05.
RESULTS
One implant was lost, resulting in a success rate of 95% at 5 years. For 19 crowns, neither technical complications nor biological complications were observed. The mean marginal bone level was 0.6 ± 0.26 mm (range: 0.18-1.12) mesially, and 0.79 ± 0.36 mm (range: 0.23-1.36) distally at 5 years. During the observation period, mean radiographic bone levels increased significantly by 0.23 mm at mesial and by 0.17 mm at distal sites (P < .0001) indicating minor additional bone loss. The mean total FIPS score was 8.2 ± 1.0 (range: 7-10) with the high score of 2.0 ± 0.0 for the variable "bone."
CONCLUSIONS
CAD/CAM-processed implant crowns demonstrated promising radiographic and clinical outcomes after 5 years in function. Future large-scale trials are crucial to confirm these initial results in the field of digital implant processing.
Date Issued
2019-02
Publication Type
Article
Subject(s)
Subjects
Functional Implant Prosthodontic Score alveolar bone loss crowns dental implants digital workflow prospective clinical trial
Language(s)
en
Journal
Clinical implant dentistry and related research
Publisher
Wiley
ISSN
1523-0899
Access(Rights)
restricted