A prospective single-cohort study of implant-supported full-arch metal-ceramic prosthesis with gold-platinum alloy framework for treatment edentulous mandible in elderly patients: 15-year report

Rozov R.A.

Academician I.P. Pavlov First St. Petersburg State Medical University of the Ministry of Healthcare of Russian Federation;
«City Dental Clinic No. 33»

SPIN RSCI: 1173-7870
Scopus AuthorID: 57205048723
ResearcherID: E-3677-2019
ORCID: 0000-0001-5804-9497

Trezubov V.N.

Academician I.P. Pavlov First St. Petersburg State Medical University of the Ministry of Healthcare of Russian Federation

ORCID: 0000-0003-0532-5632

Gerasimov A.B.

«City Dental Clinic No. 33»

ORCID: 0000-0002-1101-7073

Azarin G.S.

«City Dental Clinic No. 33»

ORCID: 0000-0001-9586-9494

A prospective single-cohort study of implant-supported full-arch metal-ceramic prosthesis with gold-platinum alloy framework for treatment edentulous mandible in elderly patients: 15-year report

Authors:

Rozov R.A., Trezubov V.N., Gerasimov A.B., Azarin G.S.

More about the authors

Journal: Stomatology. 2023;102(6): 22‑27

DOI: 10.17116/stomat202310206122

Downloaded: 2

Download PDF (RU)

Contact the author

Table of contents

To cite this article:

Rozov RA, Trezubov VN, Gerasimov AB, Azarin GS. A prospective single-cohort study of implant-supported full-arch metal-ceramic prosthesis with gold-platinum alloy framework for treatment edentulous mandible in elderly patients: 15-year report. Stomatology. 2023;102(6):22‑27. (In Russ.)
https://doi.org/10.17116/stomat202310206122

Close metadata

OBJECTIVE

To study the effectiveness of implant-supported full-arch metal-ceramic prosthesis with gold-platinum alloy framework in elderly patients.

MATERIALS AND METHODS

The study included patients with complete and/or partial loss of teeth and terminal dentition. In 2007—2008, 354 implants were inserted in 27 patients. The age of the patients was 61.31±5.08 years. Mombelli index criteria (mBI [modified Sulcus Bleeding Index]) were used. The plaque index was determined using a modified Löe & Silness method. The state of the peri-implant bone (ΔMBL) was determined by a series of OPG. The Geriatric Oral Health Index (GOHAI) was used to assess oral health in the elderly.

RESULTS

Metal-ceramic full-arch implant prostheses with a gold-platinum alloy framework, based on a sufficient and optimal number of implants (6—8), showed high survival rate (100%) after 15 years. Marginal bone loss (ΔMBL) after 15 years was –1.44±1.27 mm. The survival rate of implants was 99.4%. Scores on the GOHAI scale were higher in patients after orthopedic rehabilitation (from 52.7±7.1 to 54.1±8.4, p<0.001).

CONCLUSION

After 15 years, all prostheses had mechanical defects, which at the same time allowed them to be used without restrictions. Screw fixation of full-arch implant prostheses, although it was associated with mechanical complications, nevertheless made it possible to perform surgical interventions in a timely manner and stop the development of inflammatory complications. Thus, we do not see any grounds for removing metal-ceramic prostheses and replacing them with new implant prostheses even after a 15-year period of operation. At the same time, it is necessary to take into account the reduction in the possibility of individual oral hygiene in elderly patients, as well as possible restrictions on self-visiting a dentist or dental hygienist.

Keywords:

Implant prosthetics

quality of life

gerodontology

immediate loading

metal-ceramic

Authors:

Rozov R.A.

Academician I.P. Pavlov First St. Petersburg State Medical University of the Ministry of Healthcare of Russian Federation;
«City Dental Clinic No. 33»

SPIN RSCI: 1173-7870
Scopus AuthorID: 57205048723
ResearcherID: E-3677-2019
ORCID: 0000-0001-5804-9497

Trezubov V.N.

Academician I.P. Pavlov First St. Petersburg State Medical University of the Ministry of Healthcare of Russian Federation

ORCID: 0000-0003-0532-5632

Gerasimov A.B.

«City Dental Clinic No. 33»

ORCID: 0000-0002-1101-7073

Azarin G.S.

«City Dental Clinic No. 33»

ORCID: 0000-0001-9586-9494

Received:

28.02.2023

Accepted:

02.05.2023

List of references:

Rozov RA, Gusev AV, Jemdin L.M. Otdalennye rezul’taty protezirovanija protjazhennymi metallokeramicheskimi implantacionnymi konstrukcijami s karkasami, poluchennymi tehnologiej komp’juternogo frezerovanija iz kobal’to-hromovogo splava. Forum praktikujushhih stomatologov. 2013;9(93): 4-15. (in Russ.).
Delucchi F, De Giovanni E, Pesce P, Bagnasco F. Framework Materials for Full-Arch Implant-Supported Rehabilitations: A Systematic Review of Clinical Studies. Materials (Basel). 2021;14(12):3251. https://doi.org/10.3390/ma14123251
Menini M, Pesce P, Bevilacqua M, Pera F, Tealdo T. Effect of Framework in an Implant-Supported Full-Arch Fixed Prosthesis: 3D Finite Element Analysis. Int J Prosthodont. 2015;28(6):627-630. https://doi.org/doi:10.11607/ijp.4345
Maló P, de Araújo Nobre M, Borges J, Almeida R. Retrievable metal ceramic implant-supported fixed prostheses with milled titanium frameworks and all-ceramic crowns: retrospective clinical study with up to 10 years of follow-up. J Prosthodont. 2012;21(4):256-264. https://doi.org/10.1111/j.1532-849X.2011.00824.x
Tiossi R, Gomes ÉA, Faria ACL, Rodrigues RCS, Ribeiro RF. Biomechanical behavior of titanium and zirconia frameworks for implant-supported full-arch fixed dental prosthesis. Clin Implant Dent Relat Res. 2017;19(5):860-866. https://doi.org/10.1111/cid.12525
Rozov RA, Trezubov VN, Pocci A. Implantacionnoe protezirovanit protjazhennymi cel′no-dioksidcirkonievivi konstrukciaymi s cifrovim modelirovaniem okkluzionnich poverchnostei. Sechenovskii vestnik. 2018;33(3):4148. (In Russ.).
Morton D, Gallucci G, Lin WS, Lin W, Pjetursson B, Polido W, Roehling S. Group 2 ITI Consensus Report: Prosthodontics and implant dentistry. Clin Oral Implants Res. 2018;29(16):215-223. https://doi.org/10.1111/clr.13298
Laumbacher H, Strasser T, Knüttel H, Rosentritt M. Long-term clinical performance and complications of zirconia-based tooth- and implant-supported fixed prosthodontic restorations: A summary of systematic reviews. J Dent. 2021;111:103723. https://doi.org/10.1016/j.jdent.2021.103723
Rozov RA, Trezubov VN, Tkacheva ON, Kabanov MJu, Frolova EV, Arutunov SD, Gerasimov AB. A prospective single-cohort study of an immediate prefabricated three-implant-supported full-arch prosthesis for treatment edentulous mandible in elderly patients: 3-year report. Uspekhi gerontologii. 2022;35(5):755-65. (In Russ.). https://doi.org/10.34922/AE.2022.35.5.012
Rozov RA, Azarin GS, Gerasimov AB, Jemdin LM. Osobennosti implantacionnogo protezirovanija protjazhjonnymi konstrukcijami pacientov s bruksizmom. Stomatologiya. 2016;2(6):64-65. (In Russ.).
Trezubov VN, Rozov RA. Decompensated (compromised) dentition (philosophical essay). Parodontologiya. 2020;25(2):134-139. (In Russ.). https://doi.org/10.33925/1683-3759-2020-25-2-134-139
Rozov RA, Kabanov MY, Trezubov VN. Loss of masticatory apparatus integrity — disability or disablement. Uspekhi gerontologii. 2021;34(2):232-238. (In Russ.). https://doi.org/10.34922/AE.2021.34.2.007
Rozov RA, Trezubov VN, Liddelow G. Clinical and radiographic classification of implant supported prosthesis for edentulous patients. Parodontologiya. 2019;24(2):157-160. https://doi.org/10.33925/1683-3759-2019-24-2-157-160
Trezubov VN, Rozov RA, Azarin GS. Konceptual’nyj podhod k klassifikacii protjazhjonnyh implantacionnyh zameshhajushhih konstrukcij, ispol’zujushhihsja u pacientov s polnoj poterej zubov. Stomatologiya. 2017;96(1):51-55. (In Russ.).
Jemt T, Nilsson M, Olsson M, Stenport VF. Associations Between Early Implant Failure, Patient Age, and Patient Mortality: A 15-Year Follow-Up Study on 2,566 Patients Treated with Implant-Supported Prostheses in the Edentulous Jaw. Int J Prosthodont. 2017;30(2):189-197. https://doi.org/10.11607/ijp.4933
Albrektsson T, Becker W, Coli P, Jemt T, Mölne J, Sennerby L. Bone loss around oral and orthopedic implants: An immunologically based condition. Clin Implant Dent Relat Res. 2019;21(4):786-795. https://doi.org/10.1111/cid.12793
Coli P, Jemt T. On marginal bone level changes around dental implants. Clin Implant Dent Relat Res. 2021;23(2):159-169. https://doi.org/10.1111/cid.12970
Papaspyridakos P., Bordin, T.B., Kim, Y.J., El-Rafie K., Pagni S., Natto Z. Technical Complications and Prosthesis Survival Rates with Implant-Supported Fixed Complete Dental Prostheses: A Retrospective Study with 1- to 12-Year Follow-Up. J Prosthodont. 2020;29(1):3-11. https://doi.org/10.1111/jopr.13119
Tkacheva ON, Trezubov VN, Frolova EV, Veber VR, Arutjunov SD, Kabanov MJu, Rozov RA, Urakov AL, Gerasimov AB. Geriatricheskij podhod k lecheniju pacientov s patologiej zhevatel’no-rechevogo apparata. SPb.: Chelovek; 2021.

Close metadata