Shanghai Journal of Stomatology ›› 2015, Vol. 24 ›› Issue (6): 702-707.

• Clinical Study • Previous Articles     Next Articles

Application of one-piece implant-supported detachable telescope retained fixed bridge in edentulous cases

WANG Qiao-na, LI Ming, QIU Jing, ZHANG Xiao-zhen, WU Zi-qiang, CHEN Dong-lei, XU Jing-ming, TANG Chun-bo   

  1. Jiangsu Key Laboratory of Oral Diseases, Nanjing Medical University; Department of Implantology, Affiliated Hospital of Stomatology, Nanjing Medical University. Nanjing 210029, Jiangsu Province, China
  • Received:2015-04-03 Online:2015-12-25 Published:2016-01-04
  • Contact: 国家自然科学基金(81470778,81472928);江苏省自然科学基金(BK20130898);江苏高校优势学科建设工程资助项目(2014-37);

Abstract: PURPOSE To evaluate the clinical effectiveness of one-piece implant-supported detachable telescopic fixed bridge in edentulous patients. METHODS Seventeen patients were treated with one-piece implant-supported detachable telescopic fixed bridge. A total of 18 prostheses were fabricated with 8 in the upper jaws and 10 in the lower jaws.Fixed bridges retained by telescopic crowns were used as final prostheses, with milling titanium or all-ceramic abutments as primary crowns, gold-electroforming crowns as secondary crowns. Surveys about clinical and radiographic examination, satisfaction and prosthetic complications were conducted after 3 months,1 year, 2 years, 3 years after final rehabilitation. Data analysis was performed using SPSS 17.0 software package.RESULTS Radiography showed stable bone levels for all implants except 2 implants, which were observed slight marginal bone resorption. The results of one-way ANOVA showed that no significant difference in modified plaque index or modified sulcus blooding index was found during the follow-up period (P>0.05). The probing attachment level deteriorated by 1.5 mm during the first 3 years (P<0.05). Eighteen restoration provided sufficient fixation and stability. Two porcelain fractures occured but had no influence on restoration. The patients were highly satisfied with the outcomes. The frequency of prosthetic maintenance per patient per year was 0.11.CONCLUSIONS One-piece implant-supported detachable telescopic fixed bridge is an effective method with satisfactory long-term aesthetic and stable outcomes in edentulous patients.

Key words: Dental implant, Telescope, Fixed bridge, Edentulous jaw

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