A retrospective clinical study of fixed tooth- and implant-supported prostheses in titanium and cobalt-chromium-ceramic: 5-9-year follow-up

Clin Oral Investig. 2022 Oct;26(10):6097-6103. doi: 10.1007/s00784-022-04559-x. Epub 2022 Jun 29.

Abstract

Objectives: The aim of this retrospective study was to evaluate the clinical outcome of fixed tooth- and implant-supported protheses manufactured in porcelain veneered cobalt-chromium (CoCr) or titanium with a follow-up period of 5-9 years.

Materials and methods: This study included 63 patients with a total of 86 fixed dental protheses (FDPs) (53 implant-supported and 33 tooth-supported). In total, 67 were short-span FDPs (3-5 units) and 19 were long-span FDPs (6-12 units). The FDPs were evaluated using a modified version of the California Dental Association (CDA).

Results: The binary regression analysis indicated that neither CoCr nor titanium had a statistically significant effect on the odds of success or survival of either tooth- or implant-supported FDPs. However, the success of FDPs was negatively affected by greater FDP length and general tooth wear. The survival of FDPs was negatively affected by increased FDP longevity.

Conclusions: This study found no statistically significant effect on the odds of success and survival outcomes for any combination of tooth-supported, implant-supported, porcelain-veneered CoCr, or porcelain-veneered titanium FDPs. As the number of FDPs was limited, the results should be interpreted with caution.

Clinical relevance: This study shows that the choice between CoCr porcelain and titanium porcelain in fixed protheses did not have a statistically significant effect on the outcome.

Keywords: Cobalt-chromium; Dental materials; Fixed implant–supported protheses; Fixed prosthodontics; Fixed tooth–supported protheses; Titanium.

MeSH terms

  • Ceramics
  • Chromium
  • Cobalt
  • Dental Implants*
  • Dental Porcelain*
  • Dental Prosthesis, Implant-Supported
  • Dental Restoration Failure
  • Dental Veneers
  • Denture, Partial, Fixed
  • Follow-Up Studies
  • Humans
  • Retrospective Studies
  • Titanium

Substances

  • Dental Implants
  • Chromium
  • Dental Porcelain
  • Cobalt
  • Titanium