后路单片3单元氧化锆固定义齿：一项多中心随机临床试验的一年中期结果。

IF 4.8 2区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of dentistry Pub Date : 2025-06-10 DOI:10.1016/j.jdent.2025.105900

Jenni Hjerppe , Alexis Ioannidis , Ana María Valdés , Daniel S. Thoma , Ronald E. Jung , Cristián Manuel Bravo Palma , Sven Mühlemann

{"title":"后路单片3单元氧化锆固定义齿：一项多中心随机临床试验的一年中期结果。","authors":"Jenni Hjerppe , Alexis Ioannidis , Ana María Valdés , Daniel S. Thoma , Ronald E. Jung , Cristián Manuel Bravo Palma , Sven Mühlemann","doi":"10.1016/j.jdent.2025.105900","DOIUrl":null,"url":null,"abstract":"<div><h3>Objectives</h3><div>To compare the survival rates and clinical outcomes of posterior 3-unit monolithic zirconia fixed dental prostheses (FDPs) to veneered zirconia FDPs.</div></div><div><h3>Methods</h3><div>Sixty-four patients missing single teeth in the posterior mandible or maxilla were recruited. Patients’ restorations were randomly allocated to three groups: 1) monolithic zirconia FDPs (Mono-FDP, <em>n</em> = 21); 2) partially veneered zirconia FDPs (PV-FDP, <em>n</em> = 21); 3) circumferentially veneered zirconia FDPs (V-FDP, <em>n</em> = 22). Technical complications were evaluated by modified United States Public Health Service (USPHS) criteria at one-year follow-up appointments. Radiographs, clinical parameters including probing pocket depths (PD), bleeding on probing (BOP), plaque index (PI) and patient-reported outcome measures (PROMs) of prostheses and patients were evaluated at baseline and one-year follow-up appointments. The results were evaluated descriptively.</div></div><div><h3>Results</h3><div>Sixty-two patients were available for re-examination, two patients in PV-FDP group were lost to follow-up. At one-year follow-up, no FDPs were lost. Technical complication rates, namely small fractures were 0 % in the mono-FDPs, 9.5 % (2) in PV-FDPs and 22.7 % (5) in V-FDPs. USPHS rating A for patient satisfaction (PROMs) was given to 85.7 % (18) of Mono-FDPs, 85.7 % (18) of PV-FDPs and 90.9 % (20) of V-FDPs revealing high patient satisfaction with FPDs in all the groups at one year.</div></div><div><h3>Conclusions</h3><div>According to the one-year interim results of this clinical study of the posterior tooth-supported FDPs, monolithic zirconia FDPs seem to show no technical complications whereas the veneered zirconia FDPs exhibited veneering porcelain chippings. Survival and biologic outcomes were excellent in all the study groups.</div></div><div><h3>Clinical significance</h3><div>The present one-year interim results show that veneered, partially veneered and monolithic FDPs can be used with good confidence, however, FDPs with veneering ceramic might exhibit ceramic chippings.</div></div>","PeriodicalId":15585,"journal":{"name":"Journal of dentistry","volume":"160 ","pages":"Article 105900"},"PeriodicalIF":4.8000,"publicationDate":"2025-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Posterior monolithic 3-unit zirconia fixed dental prostheses: one-year interim results of a multicenter randomized clinical trial\",\"authors\":\"Jenni Hjerppe , Alexis Ioannidis , Ana María Valdés , Daniel S. Thoma , Ronald E. Jung , Cristián Manuel Bravo Palma , Sven Mühlemann\",\"doi\":\"10.1016/j.jdent.2025.105900\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Objectives</h3><div>To compare the survival rates and clinical outcomes of posterior 3-unit monolithic zirconia fixed dental prostheses (FDPs) to veneered zirconia FDPs.</div></div><div><h3>Methods</h3><div>Sixty-four patients missing single teeth in the posterior mandible or maxilla were recruited. Patients’ restorations were randomly allocated to three groups: 1) monolithic zirconia FDPs (Mono-FDP, <em>n</em> = 21); 2) partially veneered zirconia FDPs (PV-FDP, <em>n</em> = 21); 3) circumferentially veneered zirconia FDPs (V-FDP, <em>n</em> = 22). Technical complications were evaluated by modified United States Public Health Service (USPHS) criteria at one-year follow-up appointments. Radiographs, clinical parameters including probing pocket depths (PD), bleeding on probing (BOP), plaque index (PI) and patient-reported outcome measures (PROMs) of prostheses and patients were evaluated at baseline and one-year follow-up appointments. The results were evaluated descriptively.</div></div><div><h3>Results</h3><div>Sixty-two patients were available for re-examination, two patients in PV-FDP group were lost to follow-up. At one-year follow-up, no FDPs were lost. Technical complication rates, namely small fractures were 0 % in the mono-FDPs, 9.5 % (2) in PV-FDPs and 22.7 % (5) in V-FDPs. USPHS rating A for patient satisfaction (PROMs) was given to 85.7 % (18) of Mono-FDPs, 85.7 % (18) of PV-FDPs and 90.9 % (20) of V-FDPs revealing high patient satisfaction with FPDs in all the groups at one year.</div></div><div><h3>Conclusions</h3><div>According to the one-year interim results of this clinical study of the posterior tooth-supported FDPs, monolithic zirconia FDPs seem to show no technical complications whereas the veneered zirconia FDPs exhibited veneering porcelain chippings. Survival and biologic outcomes were excellent in all the study groups.</div></div><div><h3>Clinical significance</h3><div>The present one-year interim results show that veneered, partially veneered and monolithic FDPs can be used with good confidence, however, FDPs with veneering ceramic might exhibit ceramic chippings.</div></div>\",\"PeriodicalId\":15585,\"journal\":{\"name\":\"Journal of dentistry\",\"volume\":\"160 \",\"pages\":\"Article 105900\"},\"PeriodicalIF\":4.8000,\"publicationDate\":\"2025-06-10\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of dentistry\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S0300571225003446\",\"RegionNum\":2,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"DENTISTRY, ORAL SURGERY & MEDICINE\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of dentistry","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0300571225003446","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"DENTISTRY, ORAL SURGERY & MEDICINE","Score":null,"Total":0}

引用次数: 0

摘要

目的：比较后路3单元整体氧化锆固定义齿与贴面氧化锆固定义齿的成活率和临床效果。方法：选取64例后颌单牙缺失患者。患者的修复体随机分为三组：1)整体氧化锆fdp (Mono-FDP, n=21)；2)部分贴面氧化锆fdp (PV-FDP, n=21)；3)周向贴面氧化锆fdp （V-FDP, n=22）。技术并发症在一年的随访预约中根据修改后的美国公共卫生服务（USPHS）标准进行评估。在基线和1年随访时评估假体和患者的x线片、临床参数(包括探针口袋深度（PD）、探针出血（BOP）、斑块指数（PI）和患者报告的结果测量（PROMs）。对结果进行描述性评价。结果：62例患者复查成功，PV-FDP组2例患者失访。在一年的随访中，没有fdp丢失。技术并发症发生率，即小骨折，单fdps为0%，PV-FDPs为9.5% (2)，V-FDPs为22.7%(5)。85.7%（18人）的单fdp、85.7%（18人）的pv - fdp和90.9%（20人）的v - fdp在USPHS的患者满意度（PROMs）评分为A，显示各组患者在一年内对FPDs的满意度较高。结论：根据这项后牙支持的fdp临床研究的一年中期结果，整体氧化锆fdp似乎没有出现技术并发症，而贴面氧化锆fdp则出现贴面瓷屑。所有研究组的生存和生物学结果都很好。临床意义：目前一年的中期结果显示贴面、部分贴面和整体贴面的fdp可以很好地使用，但是贴面陶瓷的fdp可能会出现陶瓷碎裂。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

查看原文本刊更多论文

Posterior monolithic 3-unit zirconia fixed dental prostheses: one-year interim results of a multicenter randomized clinical trial

Objectives

To compare the survival rates and clinical outcomes of posterior 3-unit monolithic zirconia fixed dental prostheses (FDPs) to veneered zirconia FDPs.

Methods

Sixty-four patients missing single teeth in the posterior mandible or maxilla were recruited. Patients’ restorations were randomly allocated to three groups: 1) monolithic zirconia FDPs (Mono-FDP, n = 21); 2) partially veneered zirconia FDPs (PV-FDP, n = 21); 3) circumferentially veneered zirconia FDPs (V-FDP, n = 22). Technical complications were evaluated by modified United States Public Health Service (USPHS) criteria at one-year follow-up appointments. Radiographs, clinical parameters including probing pocket depths (PD), bleeding on probing (BOP), plaque index (PI) and patient-reported outcome measures (PROMs) of prostheses and patients were evaluated at baseline and one-year follow-up appointments. The results were evaluated descriptively.

Results

Sixty-two patients were available for re-examination, two patients in PV-FDP group were lost to follow-up. At one-year follow-up, no FDPs were lost. Technical complication rates, namely small fractures were 0 % in the mono-FDPs, 9.5 % (2) in PV-FDPs and 22.7 % (5) in V-FDPs. USPHS rating A for patient satisfaction (PROMs) was given to 85.7 % (18) of Mono-FDPs, 85.7 % (18) of PV-FDPs and 90.9 % (20) of V-FDPs revealing high patient satisfaction with FPDs in all the groups at one year.

Conclusions

According to the one-year interim results of this clinical study of the posterior tooth-supported FDPs, monolithic zirconia FDPs seem to show no technical complications whereas the veneered zirconia FDPs exhibited veneering porcelain chippings. Survival and biologic outcomes were excellent in all the study groups.

Clinical significance

The present one-year interim results show that veneered, partially veneered and monolithic FDPs can be used with good confidence, however, FDPs with veneering ceramic might exhibit ceramic chippings.

求助全文

通过发布文献求助，成功后即可免费获取论文全文。去求助

来源期刊

Journal of dentistry 医学-牙科与口腔外科

CiteScore

7.30

自引率

11.40%

发文量

349

审稿时长

35 days

期刊介绍： The Journal of Dentistry has an open access mirror journal The Journal of Dentistry: X, sharing the same aims and scope, editorial team, submission system and rigorous peer review. The Journal of Dentistry is the leading international dental journal within the field of Restorative Dentistry. Placing an emphasis on publishing novel and high-quality research papers, the Journal aims to influence the practice of dentistry at clinician, research, industry and policy-maker level on an international basis. Topics covered include the management of dental disease, periodontology, endodontology, operative dentistry, fixed and removable prosthodontics, dental biomaterials science, long-term clinical trials including epidemiology and oral health, technology transfer of new scientific instrumentation or procedures, as well as clinically relevant oral biology and translational research. The Journal of Dentistry will publish original scientific research papers including short communications. It is also interested in publishing review articles and leaders in themed areas which will be linked to new scientific research. Conference proceedings are also welcome and expressions of interest should be communicated to the Editor.