Complication and failure rates in patients treated for chronic periodontitis and restored with single crowns on teeth and/or implants
Objectives: To assess the biological and technical complication rates of single crowns on vital teeth (SC‐V), endodontically treated teeth without post and core (SC‐E), with a cast post and core (SC‐PC) and on implants (SC‐I). Material and methods: From 392 patients with chronic periodontitis treate...
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| Veröffentlicht in: | Clinical oral implants research 2010-05, Vol.21 (5), p.550-557 |
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| creator | Schmidlin, Kurt Schnell, Natascha Steiner, Stefanie Salvi, Giovanni E. Pjetursson, Bjarni Matuliene, Giedre Zwahlen, Marcel Brägger, Urs Lang, Niklaus P. |
| description | Objectives: To assess the biological and technical complication rates of single crowns on vital teeth (SC‐V), endodontically treated teeth without post and core (SC‐E), with a cast post and core (SC‐PC) and on implants (SC‐I).
Material and methods: From 392 patients with chronic periodontitis treated and documented by graduate students during the period from 1978 to 2002, 199 were reexamined during 2005 for this retrospective cohort study, and 64 of these patients were treated with SCs. Statistical analysis included Kaplan–Meier survival functions and event rates per 100 years of object‐time. Poisson regression was used to compare the four groups of crowns with respect to the incidence rate ratio of failures, and failures and complications combined over 10 years and the entire observation period.
Results: Forty‐one (64%) female and 23 (36%) male patients participated in the reexamination. At the time of seating the crowns, the mean patient age was 46.8 (range 24–66.3) years. One hundred and sixty‐eight single unit crowns were incorporated. Their mean follow‐up time was 11.8 (range 0.8–26.4) years. During the time of observation, 22 biological and 11 technical complications occurred; 19 SC were lost. The chance for SC‐V (56) to remain free of any failure or complication was 89.3% (95% confidence interval [CI] 76.1–95.4) after 10 years, 85.8% (95% CI 66–94.5) for SC‐E (34), 75.9% for SC‐PC (39), (95% CI 58.8–86.7) and 66.2% (95% CI 45.1–80.7) for SC‐I (39). Over 10 years, 95% of SC‐I remained free of failure and demonstrated a cumulative incidence of failure or complication of 34%. Compared with SC‐E, SC‐I were 3.5 times more likely to yield failures or complications and SC‐PC failed 1.7 times more frequently than did SC‐E. SC‐V had the lowest rate of failures or complications over the 10 years.
Conclusions: While SCs on vital teeth have the best prognosis, those on endodontically treated teeth have a slightly poorer prognosis over 10 years. Crowns on teeth with post and cores and implant‐supported SCs displayed the highest incidence of failures and complications.
To cite this article:
Schmidlin K, Schnell N, Steiner S, Salvi GE, Pjetursson B, Matuliene G, Zwahlen M, Brägger U, Lang NP. Complication and failure rates in patients treated for chronic periodontitis and restored with single crowns on teeth and/or implants
Clin. Oral Impl. Res. 21, 2010; 550–557.
doi: 10.1111/j.1600‐0501.2009.01907.x |
| doi_str_mv | 10.1111/j.1600-0501.2009.01907.x |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_746274590</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>733951930</sourcerecordid><originalsourceid>FETCH-LOGICAL-c4387-418aabf4c5b695c96875cb57a1f24980ca7e76466f9bbe62971d07da39ffdd443</originalsourceid><addsrcrecordid>eNqNkc9u1DAQxi0EokvhFZBvnJKO88eODxxgBS3VCkQBVeJiOY5DvWTj1PZqtw_Ae3fSLXsFX2yNf983M_oIoQxyhudsnTMOkEENLC8AZA5Mgsj3T8ji-PGULEBCnQnG2Ql5EeMaALhs5HNyUkBVlQ3wBfmz9JtpcEYn50eqx4722g3bYGnQyUbqRjrhnx1TpClYrCHhAzU3wY_O0MkG5zs_JpdcfNAHG5MPiO1cuqHRjb8GS03wuzFSbJGsxTKCZ-jisLdG65fkWa-HaF893qfkx8cP35cX2erL-aflu1VmcFyRVazRuu0rU7dc1kbyRtSmrYVmfVHJBowWVvCK8162reWFFKwD0elS9n3X4cqn5M3Bdwr-douDqo2Lxg44hPXbqETFC1HVEv5NlqWsmSxnsjmQuGOMwfZqCm6jw51ioOa01FrNoag5FDWnpR7SUnuUvn5ssm03tjsK_8aDwNsDsHODvftvY7VcXc0v1GcHvYvJ7o96HX4rLkpRq-vP5-rr5cXP4vrqm3pf3gNaKLTu</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>733951930</pqid></control><display><type>article</type><title>Complication and failure rates in patients treated for chronic periodontitis and restored with single crowns on teeth and/or implants</title><source>Wiley Online Library - AutoHoldings Journals</source><source>MEDLINE</source><creator>Schmidlin, Kurt ; Schnell, Natascha ; Steiner, Stefanie ; Salvi, Giovanni E. ; Pjetursson, Bjarni ; Matuliene, Giedre ; Zwahlen, Marcel ; Brägger, Urs ; Lang, Niklaus P.</creator><creatorcontrib>Schmidlin, Kurt ; Schnell, Natascha ; Steiner, Stefanie ; Salvi, Giovanni E. ; Pjetursson, Bjarni ; Matuliene, Giedre ; Zwahlen, Marcel ; Brägger, Urs ; Lang, Niklaus P.</creatorcontrib><description>Objectives: To assess the biological and technical complication rates of single crowns on vital teeth (SC‐V), endodontically treated teeth without post and core (SC‐E), with a cast post and core (SC‐PC) and on implants (SC‐I).
Material and methods: From 392 patients with chronic periodontitis treated and documented by graduate students during the period from 1978 to 2002, 199 were reexamined during 2005 for this retrospective cohort study, and 64 of these patients were treated with SCs. Statistical analysis included Kaplan–Meier survival functions and event rates per 100 years of object‐time. Poisson regression was used to compare the four groups of crowns with respect to the incidence rate ratio of failures, and failures and complications combined over 10 years and the entire observation period.
Results: Forty‐one (64%) female and 23 (36%) male patients participated in the reexamination. At the time of seating the crowns, the mean patient age was 46.8 (range 24–66.3) years. One hundred and sixty‐eight single unit crowns were incorporated. Their mean follow‐up time was 11.8 (range 0.8–26.4) years. During the time of observation, 22 biological and 11 technical complications occurred; 19 SC were lost. The chance for SC‐V (56) to remain free of any failure or complication was 89.3% (95% confidence interval [CI] 76.1–95.4) after 10 years, 85.8% (95% CI 66–94.5) for SC‐E (34), 75.9% for SC‐PC (39), (95% CI 58.8–86.7) and 66.2% (95% CI 45.1–80.7) for SC‐I (39). Over 10 years, 95% of SC‐I remained free of failure and demonstrated a cumulative incidence of failure or complication of 34%. Compared with SC‐E, SC‐I were 3.5 times more likely to yield failures or complications and SC‐PC failed 1.7 times more frequently than did SC‐E. SC‐V had the lowest rate of failures or complications over the 10 years.
Conclusions: While SCs on vital teeth have the best prognosis, those on endodontically treated teeth have a slightly poorer prognosis over 10 years. Crowns on teeth with post and cores and implant‐supported SCs displayed the highest incidence of failures and complications.
To cite this article:
Schmidlin K, Schnell N, Steiner S, Salvi GE, Pjetursson B, Matuliene G, Zwahlen M, Brägger U, Lang NP. Complication and failure rates in patients treated for chronic periodontitis and restored with single crowns on teeth and/or implants
Clin. Oral Impl. Res. 21, 2010; 550–557.
doi: 10.1111/j.1600‐0501.2009.01907.x</description><identifier>ISSN: 0905-7161</identifier><identifier>EISSN: 1600-0501</identifier><identifier>DOI: 10.1111/j.1600-0501.2009.01907.x</identifier><identifier>PMID: 20443806</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Publishing Ltd</publisher><subject>Adult ; Aged ; Chronic Disease ; complications ; comprehensive care ; Crowns - adverse effects ; dental implants ; Dental Implants - adverse effects ; Dental Restoration Failure ; Dentistry ; endodontics ; failure ; Female ; Humans ; incidence rate ; Male ; Middle Aged ; periodontitis ; Periodontitis - diagnostic imaging ; Periodontitis - therapy ; Poisson Distribution ; porcelain fused to metal crowns ; post and core ; Post and Core Technique - adverse effects ; Radiography ; Retrospective Studies ; risk ; Risk Factors ; success ; supportive periodontal therapy ; Surveys and Questionnaires ; Treatment Outcome</subject><ispartof>Clinical oral implants research, 2010-05, Vol.21 (5), p.550-557</ispartof><rights>2010 John Wiley & Sons A/S</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4387-418aabf4c5b695c96875cb57a1f24980ca7e76466f9bbe62971d07da39ffdd443</citedby><cites>FETCH-LOGICAL-c4387-418aabf4c5b695c96875cb57a1f24980ca7e76466f9bbe62971d07da39ffdd443</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fj.1600-0501.2009.01907.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fj.1600-0501.2009.01907.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/20443806$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Schmidlin, Kurt</creatorcontrib><creatorcontrib>Schnell, Natascha</creatorcontrib><creatorcontrib>Steiner, Stefanie</creatorcontrib><creatorcontrib>Salvi, Giovanni E.</creatorcontrib><creatorcontrib>Pjetursson, Bjarni</creatorcontrib><creatorcontrib>Matuliene, Giedre</creatorcontrib><creatorcontrib>Zwahlen, Marcel</creatorcontrib><creatorcontrib>Brägger, Urs</creatorcontrib><creatorcontrib>Lang, Niklaus P.</creatorcontrib><title>Complication and failure rates in patients treated for chronic periodontitis and restored with single crowns on teeth and/or implants</title><title>Clinical oral implants research</title><addtitle>Clin Oral Implants Res</addtitle><description>Objectives: To assess the biological and technical complication rates of single crowns on vital teeth (SC‐V), endodontically treated teeth without post and core (SC‐E), with a cast post and core (SC‐PC) and on implants (SC‐I).
Material and methods: From 392 patients with chronic periodontitis treated and documented by graduate students during the period from 1978 to 2002, 199 were reexamined during 2005 for this retrospective cohort study, and 64 of these patients were treated with SCs. Statistical analysis included Kaplan–Meier survival functions and event rates per 100 years of object‐time. Poisson regression was used to compare the four groups of crowns with respect to the incidence rate ratio of failures, and failures and complications combined over 10 years and the entire observation period.
Results: Forty‐one (64%) female and 23 (36%) male patients participated in the reexamination. At the time of seating the crowns, the mean patient age was 46.8 (range 24–66.3) years. One hundred and sixty‐eight single unit crowns were incorporated. Their mean follow‐up time was 11.8 (range 0.8–26.4) years. During the time of observation, 22 biological and 11 technical complications occurred; 19 SC were lost. The chance for SC‐V (56) to remain free of any failure or complication was 89.3% (95% confidence interval [CI] 76.1–95.4) after 10 years, 85.8% (95% CI 66–94.5) for SC‐E (34), 75.9% for SC‐PC (39), (95% CI 58.8–86.7) and 66.2% (95% CI 45.1–80.7) for SC‐I (39). Over 10 years, 95% of SC‐I remained free of failure and demonstrated a cumulative incidence of failure or complication of 34%. Compared with SC‐E, SC‐I were 3.5 times more likely to yield failures or complications and SC‐PC failed 1.7 times more frequently than did SC‐E. SC‐V had the lowest rate of failures or complications over the 10 years.
Conclusions: While SCs on vital teeth have the best prognosis, those on endodontically treated teeth have a slightly poorer prognosis over 10 years. Crowns on teeth with post and cores and implant‐supported SCs displayed the highest incidence of failures and complications.
To cite this article:
Schmidlin K, Schnell N, Steiner S, Salvi GE, Pjetursson B, Matuliene G, Zwahlen M, Brägger U, Lang NP. Complication and failure rates in patients treated for chronic periodontitis and restored with single crowns on teeth and/or implants
Clin. Oral Impl. Res. 21, 2010; 550–557.
doi: 10.1111/j.1600‐0501.2009.01907.x</description><subject>Adult</subject><subject>Aged</subject><subject>Chronic Disease</subject><subject>complications</subject><subject>comprehensive care</subject><subject>Crowns - adverse effects</subject><subject>dental implants</subject><subject>Dental Implants - adverse effects</subject><subject>Dental Restoration Failure</subject><subject>Dentistry</subject><subject>endodontics</subject><subject>failure</subject><subject>Female</subject><subject>Humans</subject><subject>incidence rate</subject><subject>Male</subject><subject>Middle Aged</subject><subject>periodontitis</subject><subject>Periodontitis - diagnostic imaging</subject><subject>Periodontitis - therapy</subject><subject>Poisson Distribution</subject><subject>porcelain fused to metal crowns</subject><subject>post and core</subject><subject>Post and Core Technique - adverse effects</subject><subject>Radiography</subject><subject>Retrospective Studies</subject><subject>risk</subject><subject>Risk Factors</subject><subject>success</subject><subject>supportive periodontal therapy</subject><subject>Surveys and Questionnaires</subject><subject>Treatment Outcome</subject><issn>0905-7161</issn><issn>1600-0501</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkc9u1DAQxi0EokvhFZBvnJKO88eODxxgBS3VCkQBVeJiOY5DvWTj1PZqtw_Ae3fSLXsFX2yNf983M_oIoQxyhudsnTMOkEENLC8AZA5Mgsj3T8ji-PGULEBCnQnG2Ql5EeMaALhs5HNyUkBVlQ3wBfmz9JtpcEYn50eqx4722g3bYGnQyUbqRjrhnx1TpClYrCHhAzU3wY_O0MkG5zs_JpdcfNAHG5MPiO1cuqHRjb8GS03wuzFSbJGsxTKCZ-jisLdG65fkWa-HaF893qfkx8cP35cX2erL-aflu1VmcFyRVazRuu0rU7dc1kbyRtSmrYVmfVHJBowWVvCK8162reWFFKwD0elS9n3X4cqn5M3Bdwr-douDqo2Lxg44hPXbqETFC1HVEv5NlqWsmSxnsjmQuGOMwfZqCm6jw51ioOa01FrNoag5FDWnpR7SUnuUvn5ssm03tjsK_8aDwNsDsHODvftvY7VcXc0v1GcHvYvJ7o96HX4rLkpRq-vP5-rr5cXP4vrqm3pf3gNaKLTu</recordid><startdate>201005</startdate><enddate>201005</enddate><creator>Schmidlin, Kurt</creator><creator>Schnell, Natascha</creator><creator>Steiner, Stefanie</creator><creator>Salvi, Giovanni E.</creator><creator>Pjetursson, Bjarni</creator><creator>Matuliene, Giedre</creator><creator>Zwahlen, Marcel</creator><creator>Brägger, Urs</creator><creator>Lang, Niklaus P.</creator><general>Blackwell Publishing Ltd</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>7QO</scope><scope>7QP</scope><scope>8FD</scope><scope>FR3</scope><scope>P64</scope></search><sort><creationdate>201005</creationdate><title>Complication and failure rates in patients treated for chronic periodontitis and restored with single crowns on teeth and/or implants</title><author>Schmidlin, Kurt ; Schnell, Natascha ; Steiner, Stefanie ; Salvi, Giovanni E. ; Pjetursson, Bjarni ; Matuliene, Giedre ; Zwahlen, Marcel ; Brägger, Urs ; Lang, Niklaus P.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4387-418aabf4c5b695c96875cb57a1f24980ca7e76466f9bbe62971d07da39ffdd443</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2010</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Chronic Disease</topic><topic>complications</topic><topic>comprehensive care</topic><topic>Crowns - adverse effects</topic><topic>dental implants</topic><topic>Dental Implants - adverse effects</topic><topic>Dental Restoration Failure</topic><topic>Dentistry</topic><topic>endodontics</topic><topic>failure</topic><topic>Female</topic><topic>Humans</topic><topic>incidence rate</topic><topic>Male</topic><topic>Middle Aged</topic><topic>periodontitis</topic><topic>Periodontitis - diagnostic imaging</topic><topic>Periodontitis - therapy</topic><topic>Poisson Distribution</topic><topic>porcelain fused to metal crowns</topic><topic>post and core</topic><topic>Post and Core Technique - adverse effects</topic><topic>Radiography</topic><topic>Retrospective Studies</topic><topic>risk</topic><topic>Risk Factors</topic><topic>success</topic><topic>supportive periodontal therapy</topic><topic>Surveys and Questionnaires</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Schmidlin, Kurt</creatorcontrib><creatorcontrib>Schnell, Natascha</creatorcontrib><creatorcontrib>Steiner, Stefanie</creatorcontrib><creatorcontrib>Salvi, Giovanni E.</creatorcontrib><creatorcontrib>Pjetursson, Bjarni</creatorcontrib><creatorcontrib>Matuliene, Giedre</creatorcontrib><creatorcontrib>Zwahlen, Marcel</creatorcontrib><creatorcontrib>Brägger, Urs</creatorcontrib><creatorcontrib>Lang, Niklaus P.</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>Biotechnology Research Abstracts</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>Biotechnology and BioEngineering Abstracts</collection><jtitle>Clinical oral implants research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Schmidlin, Kurt</au><au>Schnell, Natascha</au><au>Steiner, Stefanie</au><au>Salvi, Giovanni E.</au><au>Pjetursson, Bjarni</au><au>Matuliene, Giedre</au><au>Zwahlen, Marcel</au><au>Brägger, Urs</au><au>Lang, Niklaus P.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Complication and failure rates in patients treated for chronic periodontitis and restored with single crowns on teeth and/or implants</atitle><jtitle>Clinical oral implants research</jtitle><addtitle>Clin Oral Implants Res</addtitle><date>2010-05</date><risdate>2010</risdate><volume>21</volume><issue>5</issue><spage>550</spage><epage>557</epage><pages>550-557</pages><issn>0905-7161</issn><eissn>1600-0501</eissn><abstract>Objectives: To assess the biological and technical complication rates of single crowns on vital teeth (SC‐V), endodontically treated teeth without post and core (SC‐E), with a cast post and core (SC‐PC) and on implants (SC‐I).
Material and methods: From 392 patients with chronic periodontitis treated and documented by graduate students during the period from 1978 to 2002, 199 were reexamined during 2005 for this retrospective cohort study, and 64 of these patients were treated with SCs. Statistical analysis included Kaplan–Meier survival functions and event rates per 100 years of object‐time. Poisson regression was used to compare the four groups of crowns with respect to the incidence rate ratio of failures, and failures and complications combined over 10 years and the entire observation period.
Results: Forty‐one (64%) female and 23 (36%) male patients participated in the reexamination. At the time of seating the crowns, the mean patient age was 46.8 (range 24–66.3) years. One hundred and sixty‐eight single unit crowns were incorporated. Their mean follow‐up time was 11.8 (range 0.8–26.4) years. During the time of observation, 22 biological and 11 technical complications occurred; 19 SC were lost. The chance for SC‐V (56) to remain free of any failure or complication was 89.3% (95% confidence interval [CI] 76.1–95.4) after 10 years, 85.8% (95% CI 66–94.5) for SC‐E (34), 75.9% for SC‐PC (39), (95% CI 58.8–86.7) and 66.2% (95% CI 45.1–80.7) for SC‐I (39). Over 10 years, 95% of SC‐I remained free of failure and demonstrated a cumulative incidence of failure or complication of 34%. Compared with SC‐E, SC‐I were 3.5 times more likely to yield failures or complications and SC‐PC failed 1.7 times more frequently than did SC‐E. SC‐V had the lowest rate of failures or complications over the 10 years.
Conclusions: While SCs on vital teeth have the best prognosis, those on endodontically treated teeth have a slightly poorer prognosis over 10 years. Crowns on teeth with post and cores and implant‐supported SCs displayed the highest incidence of failures and complications.
To cite this article:
Schmidlin K, Schnell N, Steiner S, Salvi GE, Pjetursson B, Matuliene G, Zwahlen M, Brägger U, Lang NP. Complication and failure rates in patients treated for chronic periodontitis and restored with single crowns on teeth and/or implants
Clin. Oral Impl. Res. 21, 2010; 550–557.
doi: 10.1111/j.1600‐0501.2009.01907.x</abstract><cop>Oxford, UK</cop><pub>Blackwell Publishing Ltd</pub><pmid>20443806</pmid><doi>10.1111/j.1600-0501.2009.01907.x</doi><tpages>8</tpages></addata></record> |
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| subjects | Adult Aged Chronic Disease complications comprehensive care Crowns - adverse effects dental implants Dental Implants - adverse effects Dental Restoration Failure Dentistry endodontics failure Female Humans incidence rate Male Middle Aged periodontitis Periodontitis - diagnostic imaging Periodontitis - therapy Poisson Distribution porcelain fused to metal crowns post and core Post and Core Technique - adverse effects Radiography Retrospective Studies risk Risk Factors success supportive periodontal therapy Surveys and Questionnaires Treatment Outcome |
| title | Complication and failure rates in patients treated for chronic periodontitis and restored with single crowns on teeth and/or implants |
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