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Group 2 ITI Consensus Report: Technological developments in implant prosthetics.

W Derksen1,2, T Joda3, J Chantler3

  • 1Private Practice, Arnhem, The Netherlands.

Clinical Oral Implants Research
|September 26, 2023
PubMed
Summary
This summary is machine-generated.

Both additive and subtractive manufacturing are viable for interim implant restorations. Monolithic zirconia is recommended for posterior multi-unit restorations to minimize complications.

Keywords:
clinical researchclinical trialsmaterial sciencespatient centered outcomesprosthodontics

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Area of Science:

  • Dental Implantology
  • Biomaterials Science
  • Digital Dentistry

Background:

  • The evolution of dental implant technology necessitates a review of current manufacturing techniques and material performance.
  • Understanding the clinical outcomes of various implant restoration approaches is crucial for evidence-based practice.

Purpose of the Study:

  • To systematically review the scientific evidence on additive versus subtractive manufacturing of implant restorations.
  • To compare prefabricated versus customized abutments regarding survival, complications, and esthetics.
  • To evaluate the survival rates of posterior implant-supported multi-unit fixed dental prostheses.

Main Methods:

  • Systematic literature screening following PRISMA guidelines.
  • Critical review of 67 publications, resulting in three systematic reviews.
  • Consensus statements developed and accepted by a plenary session.

Main Results:

  • No clear advantage for additive or subtractive manufacturing in zirconia and polymer implant restorations regarding adaptation and mechanical properties.
  • Similar 1-year survival rates for implant single crowns using titanium base versus customized abutments.
  • High 3-year survival rates for PFM, veneered, and monolithic zirconia multi-unit posterior prostheses, with veneered restorations showing higher ceramic fracture/chipping rates.

Conclusions:

  • Additive and subtractive manufacturing are viable for interim implant restorations; clinical performance of additive methods requires further investigation.
  • Implant single crowns on titanium base abutments show comparable clinical performance to other abutments, but long-term RCT data is needed.
  • Monolithic zirconia is recommended for posterior multi-unit implant restorations to reduce technical complications; digital planning aids prosthetic design and abutment selection.