Evidence map›Paper›PMID 25016139›Full record

Trial reportJournal of dentistry2014

Fracture analysis of randomized implant-supported fixed dental prostheses.

Josephine F Esquivel-Upshaw, Alex Mehler, Arthur E Clark, Dan Neal, Kenneth J Anusavice

Registry-linked trialAbstract readComparative StudyRandomized Controlled Trial
In one paragraph

Trial report in Journal of dentistry, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01729858 (Factors Influencing the Survival of Implant-Supported All-Ceramic Prostheses), which is not on this map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT01729858 active not recruitingnot on this map

Factors Influencing the Survival of Implant-Supported All-Ceramic Prostheses

TypeobservationalSponsorUniversity of FloridaRan2008 to 2028Enrolled106ConditionsPartial Edentulism, Disorder of Prostheses and Implants, Dental Prosthesis FailureArmsCeramic-Ceramic, Metal-Ceramic
3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Metal-free materials for fixed prosthodontic restorations.The Cochrane database of systematic reviews · 2017
    Pooled it
  2. Trial
  3. Article
  4. Article
  5. Review
  6. Proof testing to improve the reliability and lifetime of ceramic dental prostheses.Dental materials : official publication of the Academy of Dental Materials · 2023
    Article
  7. Article
  8. Article
  9. Article
  10. Forensic and reliability analyses of fixed dental prostheses.Journal of biomedical materials research. Part B, Applied biomaterials · 2021
    Article
  11. Effects of two grading techniques of zirconia material on the fatigue limit of full-contour 3-unit fixed dental prostheses.Dental materials : official publication of the Academy of Dental Materials · 2017
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Josephine F Esquivel-UpshawDepartment of Restorative Dental Sciences, University of Florida, Gainesville, FL, United States. Electronic address: jesquivel@dental.ufl.edu.
Alex MehlerDepartment of Restorative Dental Sciences, University of Florida, Gainesville, FL, United States.
Arthur E ClarkDepartment of Restorative Dental Sciences, University of Florida, Gainesville, FL, United States.
Dan NealDepartment of Neurosurgery, University of Florida, Gainesville, FL, United States.
Kenneth J AnusaviceDepartment of Restorative Dental Sciences, University of Florida, Gainesville, FL, United States.

Funding

Translational Basic-Clinical Analysis of Implant-Borne Ceramic Bridge SurvivalR01DE006672 · NIDCR · UNIVERSITY OF FLORIDA · PI ANUSAVICE, KENNETH JOHN · 1985 to 2014
$3.3M
OPTIMIZED STRESS STATES IN CERAMIC-BASED RESTORATIONSR37DE006672 · NIDCR · UNIVERSITY OF FLORIDA · PI ANUSAVICE, KENNETH JOHN · 1994 to 2003
$1.3M
Factors Influencing the Survival of Implant-Supported All-Ceramic ProsthesesK23DE018414 · NIDCR · UNIVERSITY OF FLORIDA · PI ESQUIVEL-UPSHAW, JOSEPHINE F. · 2008 to 2012
$659k
NIDCR NIH HHS DE06672NIDCR NIH HHS K23 DE018414NIDCR NIH HHS K23DE18414NIDCR NIH HHS R01 DE006672NIDCR NIH HHS R37 DE006672
6 · The paper itself

Abstract

objectiveFractures of posterior fixed dental all-ceramic prostheses can be caused by one or more factors including prosthesis design, flaw distribution, direction and magnitude of occlusal loading, nature of supporting infrastructure (tooth root/implant), and presence of adjacent teeth. This clinical study of implant-supported, all-ceramic fixed dental prostheses, determined the effects of (1) presence of a tooth distal to the most distal retainer; (2) prosthesis loading either along the non-load bearing or load bearing areas; (3) presence of excursive contacts or maximum intercuspation contacts in the prosthesis; and (4) magnitude of bite force on the occurrence of veneer ceramic fracture.

methods89 implant-supported FDPs were randomized as either a three-unit posterior metal-ceramic (Au-Pd-Ag alloy and InLine POM, Ivoclar, Vivadent) FDP or a ceramic-ceramic (ZirCAD and ZirPress, Ivoclar, Vivadent) FDP. Two implants (Osseospeed, Dentsply) and custom abutments (Atlantis, Dentsply) supported these FDPs, which were cemented with resin cement (RelyX Universal Cement). Baseline photographs were made with markings of teeth from maximum intercuspation (MI) and excursive function. Patients were recalled at 6 months and 1-3 years. Fractures were observed, their locations recorded, and images compared with baseline photographs of occlusal contacts.

conclusionNo significant relationship existed between the occurrence of fracture and: (1) the magnitude of bite force; (2) a tooth distal to the most distal retainer; and (3) contacts in load-bearing or non-load-bearing areas. However, there was a significantly higher likelihood of fracture in areas with MI contacts only. CLINICAL SIGNIFICANCE: Because of the absence of a periodontal ligament, this clinical study demonstrates that there is a need to evaluate occlusion differently with implant-supported prostheses than with natural tooth supported prostheses. Implant supported prostheses should have minimal occlusion and lighter contacts than those supported by natural dentition. CLINICAL TRIALSGOV NO: K23 D2007-46.

Indexed as

Dental Prosthesis, Implant-SupportedDental Restoration FailureDenture DesignDenture, Partial, FixedAdultAgedAluminum SilicatesBite ForceCementationCeramicsDental Implant-Abutment DesignDental ImplantsDental PorcelainDental VeneersFemaleFollow-Up StudiesAluminum SilicatesDental ImplantsDental PorcelainGlass ceramicsGold AlloysleuciteMetal Ceramic AlloysRely X UnicemResin Cementsyttria stabilized tetragonal zirconiaYttriumZirconiumCeramic–ceramic FDPFailure analysisFractographyMetal–ceramic FDPOcclusal contactOcclusion

Identifiers

PMID25016139
PMCPMC4169735

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.