Single implant-supported two-unit cantilever fixed partial dentures in the posterior region: a retrospective case series with a mean follow-up of 6.5 years

Abstract Background The aim of this retrospective study was to evaluate the implant survival, clinical and radiographic outcomes, and patient satisfaction of single implant-supported two-unit cantilever fixed partial dentures in the posterior region. Methods Patients who received a single implant-su...

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Main Authors: Charlotte Jensen-Louwerse, Harjan Sikma, Marco S. Cune, Felix L. Guljé, Henny J. A. Meijer
Format: Article
Language:English
Published: SpringerOpen 2021-08-01
Series:International Journal of Implant Dentistry
Subjects:
Online Access:https://doi.org/10.1186/s40729-021-00361-8
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author Charlotte Jensen-Louwerse
Harjan Sikma
Marco S. Cune
Felix L. Guljé
Henny J. A. Meijer
author_facet Charlotte Jensen-Louwerse
Harjan Sikma
Marco S. Cune
Felix L. Guljé
Henny J. A. Meijer
author_sort Charlotte Jensen-Louwerse
collection DOAJ
description Abstract Background The aim of this retrospective study was to evaluate the implant survival, clinical and radiographic outcomes, and patient satisfaction of single implant-supported two-unit cantilever fixed partial dentures in the posterior region. Methods Patients who received a single implant-supported fixed partial denture with a cantilever in the posterior region between January 2004 and February 2018 were included. Survival rate of the implants and the fixed partial dentures and data regarding the marginal bone level, presence of plaque, calculus, bleeding on probing, mucosa health, pocket probing depth, and patient satisfaction were collected during an evaluation visit. Complications were recorded from the medical records. Results Twenty-three patients (mean age 64 ± 13 years) with 28 implants could be included in the study. The mean follow-up period was 6.5 ± 4.8 years at the time of data collection. The survival rate of the implants and fixed partial dentures was 100%. Mean marginal bone loss for the mesial and distal side of the implants was 0.41 mm (SD 1.18 mm) and 0.63 mm (SD 0.98 mm) respectively. A high prevalence of peri-implant-mucositis (89.3%) and peri-implantitis (17.9%) was observed as well as a limited number of technical complications. Patients were quite satisfied, as reflected by a mean VAS score of 94.0 ± 7.2 points (range 0–100) and a OHIP-NL49 score of 10.8 (range 0–196). Conclusions Single implant-supported fixed partial dentures with a mesial or distal cantilever can be a predictable treatment option in the posterior region, with stable peri-implant bone levels, minor technical complications, and very content patients. However, the prevalence of peri-implant mucositis and peri-implantitis was high. Trial registration ISRCTN, ISRCTN79055740 , Registered on March 14, 2021 – —Retrospectively registered.
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spelling doaj.art-9f9614291b42490eae1081453c3706ae2022-12-21T23:28:42ZengSpringerOpenInternational Journal of Implant Dentistry2198-40342021-08-01711710.1186/s40729-021-00361-8Single implant-supported two-unit cantilever fixed partial dentures in the posterior region: a retrospective case series with a mean follow-up of 6.5 yearsCharlotte Jensen-Louwerse0Harjan Sikma1Marco S. Cune2Felix L. Guljé3Henny J. A. Meijer4Center for Dentistry and Oral Hygiene, Dental School, University Medical Center Groningen, University of GroningenCenter for Dentistry and Oral Hygiene, Dental School, University Medical Center Groningen, University of GroningenCenter for Dentistry and Oral Hygiene, Dental School, University Medical Center Groningen, University of GroningenDepartment of Oral and Maxillofacial Surgery, University Medical Center Groningen, University of GroningenCenter for Dentistry and Oral Hygiene, Dental School, University Medical Center Groningen, University of GroningenAbstract Background The aim of this retrospective study was to evaluate the implant survival, clinical and radiographic outcomes, and patient satisfaction of single implant-supported two-unit cantilever fixed partial dentures in the posterior region. Methods Patients who received a single implant-supported fixed partial denture with a cantilever in the posterior region between January 2004 and February 2018 were included. Survival rate of the implants and the fixed partial dentures and data regarding the marginal bone level, presence of plaque, calculus, bleeding on probing, mucosa health, pocket probing depth, and patient satisfaction were collected during an evaluation visit. Complications were recorded from the medical records. Results Twenty-three patients (mean age 64 ± 13 years) with 28 implants could be included in the study. The mean follow-up period was 6.5 ± 4.8 years at the time of data collection. The survival rate of the implants and fixed partial dentures was 100%. Mean marginal bone loss for the mesial and distal side of the implants was 0.41 mm (SD 1.18 mm) and 0.63 mm (SD 0.98 mm) respectively. A high prevalence of peri-implant-mucositis (89.3%) and peri-implantitis (17.9%) was observed as well as a limited number of technical complications. Patients were quite satisfied, as reflected by a mean VAS score of 94.0 ± 7.2 points (range 0–100) and a OHIP-NL49 score of 10.8 (range 0–196). Conclusions Single implant-supported fixed partial dentures with a mesial or distal cantilever can be a predictable treatment option in the posterior region, with stable peri-implant bone levels, minor technical complications, and very content patients. However, the prevalence of peri-implant mucositis and peri-implantitis was high. Trial registration ISRCTN, ISRCTN79055740 , Registered on March 14, 2021 – —Retrospectively registered.https://doi.org/10.1186/s40729-021-00361-8Implant-supported fixed partial dentureCantileverDental implantsPosterior region
spellingShingle Charlotte Jensen-Louwerse
Harjan Sikma
Marco S. Cune
Felix L. Guljé
Henny J. A. Meijer
Single implant-supported two-unit cantilever fixed partial dentures in the posterior region: a retrospective case series with a mean follow-up of 6.5 years
International Journal of Implant Dentistry
Implant-supported fixed partial denture
Cantilever
Dental implants
Posterior region
title Single implant-supported two-unit cantilever fixed partial dentures in the posterior region: a retrospective case series with a mean follow-up of 6.5 years
title_full Single implant-supported two-unit cantilever fixed partial dentures in the posterior region: a retrospective case series with a mean follow-up of 6.5 years
title_fullStr Single implant-supported two-unit cantilever fixed partial dentures in the posterior region: a retrospective case series with a mean follow-up of 6.5 years
title_full_unstemmed Single implant-supported two-unit cantilever fixed partial dentures in the posterior region: a retrospective case series with a mean follow-up of 6.5 years
title_short Single implant-supported two-unit cantilever fixed partial dentures in the posterior region: a retrospective case series with a mean follow-up of 6.5 years
title_sort single implant supported two unit cantilever fixed partial dentures in the posterior region a retrospective case series with a mean follow up of 6 5 years
topic Implant-supported fixed partial denture
Cantilever
Dental implants
Posterior region
url https://doi.org/10.1186/s40729-021-00361-8
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