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A study of 589 consecutive implants
supporting complete fixed prostheses. Part II: Prosthetic
aspects
I. Naert, D.D.S., Ph.D., M.Quirynen, D.D.S., Ph.D. Catholic
University of Leuven, Belgium (JPD; 68 : 949-56, 1992)
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In
91 consecutive edentulous patients, 103 jaws were treated
with complete fixed prostheses supported by Branemark
Implants (n= 589). As a result of fixture loss in each
of two patients (two jaws), an overdenture instead of
a fixed prosthesis was installed. For one patient (two
jaws), data were not available after abutment connection.
At the end the seventh year, the cumulative failure
rates for the remaining 99 prostheses reached 4.9% for
mandibles and 10.1% for maxillae. After loading, 12
fixtures showed signs of monintegration, but only one
patient had to revert to complete dentures. Neither
the fixtures location nor the cantilever length revealed
a significant difference in marginal bone loss around
the supporting fixtures. Patients with fixture-supported
fixed prostheses in both jaws showed significantly more
marginal bone loss than did those with only one fixed
prosthesis opposed by either natural dentition (50%)
or a complete denture (50%). Component complications
were limited to fixture fracture (3/564), abutment screw
fracture (5/564), and gold screw fracture (7/564). The
predictability of Branemark implants in the treatment
of completely edentulous jaws is confirmed.
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