6-mm-long implants loaded with fiber-reinforced composite resin-bonded fixed prostheses (FRCRBFDPs). A 5-year prospective study

Clin Oral Implants Res. 2017 Dec;28(12):1478-1483. doi: 10.1111/clr.13015. Epub 2017 Mar 28.

Abstract

Aim: To evaluate the clinical and radiographic outcomes and the survival rates of fiber-reinforced composite resin-bonded fixed prostheses (FRCRBFDPs) placed in the posterior area supported by two short (6 mm) implants.

Materials and methods: Twenty consecutive patients received 40 SLActive 6-mm-long implants with a diameter of 4.1 mm (n = 29) or 4.8 mm (n = 11). Insertion torques and RFA (Resonance Frequency Analysis) were measured at implant installation. The prosthetic rehabilitation was performed after 8 weeks from insertion with a screw-retained two- or three-unit fixed dental prosthesis fabricated of FRCRBFDPs. Implant survival rates and marginal bone levels were evaluated at various time intervals until 5 years after loading.

Results: Two of 20 patients lost four implants supporting two FRCRBFDPs between the second and the third year of follow-up (cumulative survival rate: 90% after 5 years). Four patients suffered a fracture of the prosthetic reconstruction, and the success rate of the rehabilitation was 70% after 5 years. A mean marginal bone loss of 0.30 ± 0.34 mm was found after 5 years of function at the remaining implants.

Conclusion: The survival of short implants was 90% owing to two bridges losses in the maxilla. However, the success rate of FRCRBFDPs over 5 years was only at 70%.

Keywords: dental implants; early loading; fiber-reinforced resin-bonded; fixed partial dentures; implant length; prospective study; short implants.

MeSH terms

  • Composite Resins*
  • Dental Bonding
  • Dental Implants
  • Dental Prosthesis Design
  • Dental Prosthesis, Implant-Supported*
  • Denture, Partial, Fixed*
  • Female
  • Follow-Up Studies
  • Glass*
  • Humans
  • Immediate Dental Implant Loading
  • Male
  • Middle Aged
  • Prospective Studies

Substances

  • Composite Resins
  • Dental Implants