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Complications of Fixed Full-Arch Implant-Supported Metal-Ceramic Prostheses

Author

Listed:
  • Ignacio Gonzalez-Gonzalez

    (Department of Prosthodontics and Occlusion, School of Dentistry, University of Oviedo, C/. Catedratico Serrano s/n., 33006 Oviedo, Spain)

  • Hector deLlanos-Lanchares

    (Department of Prosthodontics and Occlusion, School of Dentistry, University of Oviedo, C/. Catedratico Serrano s/n., 33006 Oviedo, Spain)

  • Aritza Brizuela-Velasco

    (Department of Prosthodontics and Occlusion, School of Dentistry, University of Oviedo, C/. Catedratico Serrano s/n., 33006 Oviedo, Spain)

  • Jose-Antonio Alvarez-Riesgo

    (Department of Prosthodontics and Occlusion, School of Dentistry, University of Oviedo, C/. Catedratico Serrano s/n., 33006 Oviedo, Spain)

  • Santiago Llorente-Pendas

    (Private Practice, 33004 Oviedo, Spain)

  • Mariano Herrero-Climent

    (Private Practice, 4150-518 Porto, Portugal)

  • Angel Alvarez-Arenal

    (Department of Prosthodontics and Occlusion, School of Dentistry, University of Oviedo, C/. Catedratico Serrano s/n., 33006 Oviedo, Spain)

Abstract

We aimed to assess the biological and mechanical-technical complications and survival rate of implants of full-arch metal-ceramic prostheses, during five years of follow-up. 558 implants (of three different brands) retaining 80 full-arch metal-ceramic prostheses were placed in 65 patients, all of whom were examined annually for biological and mechanical-technical complications during the five years of follow-up. Descriptive statistics and univariate logistic regression were calculated. The cumulative survival rate of the implants was 99.8%, and 98.8% prosthesis-based. Mucositis was the most frequent of the biological complications and peri-implantitis was recorded as 13.8% at restoration-level, 16.9% at patient level and 2.0% at implant level. An implant length greater than 10 mm was shown to be a protective factor against biological complications. The mechanical-technical complications were associated with implant diameter, abutment/implant connection and retention system. Loss of screw access filling was the most frequent prosthetic complication, followed by the fracture of the porcelain. Full-arch metal-ceramic prostheses show a high prevalence of implant and prosthesis survival, with few biological and mechanical-technical complications.

Suggested Citation

  • Ignacio Gonzalez-Gonzalez & Hector deLlanos-Lanchares & Aritza Brizuela-Velasco & Jose-Antonio Alvarez-Riesgo & Santiago Llorente-Pendas & Mariano Herrero-Climent & Angel Alvarez-Arenal, 2020. "Complications of Fixed Full-Arch Implant-Supported Metal-Ceramic Prostheses," IJERPH, MDPI, vol. 17(12), pages 1-23, June.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:12:p:4250-:d:371340
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    Citations

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    Cited by:

    1. Eugenio Velasco-Ortega & Joao Luis Cracel-Lopes & Nuno Matos-Garrido & Alvaro Jiménez-Guerra & Ivan Ortiz-Garcia & Jesús Moreno-Muñoz & Enrique Núñez-Márquez & José Luis Rondón-Romero & José López-Lóp, 2022. "Immediate Functional Loading with Full-Arch Fixed Implant-Retained Rehabilitation in Periodontal Patients: Clinical Study," IJERPH, MDPI, vol. 19(20), pages 1-13, October.

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