The Effect of Span Length on Clinical Performance of Y-TZP Fixed Partial Dentures

Authors : Senem Başbuğ Aydın, , Deniz Gemalmaz

Pages : 0-0

View : 19 | Download : 10

Publication Date : 2016-05-13

Article Type : Research Paper

Abstract :Objectives: The aim of this study was to evaluate the effect of span length on clinical performance and adaptation of Y-TZP fixed partial dentures. Methods: Thirty four zirconia FPDs using a CAD/CAM system insert ignore into journalissuearticles values(LAVA, 3M Espe); were placed to 25 patients. FPDs were divided into two groups; insert ignore into journalissuearticles values(1); 3 units and insert ignore into journalissuearticles values(2); 4 units. Frameworks were layered with e-max Ceram insert ignore into journalissuearticles values(Ivoclar);. A self adhesive luting cement, G-Cem Automix insert ignore into journalissuearticles values(GC); was used. Restorations were clinically assessed at baseline, 6, 12, 18, 24, 30 months after cementation by using ‘California Dental Association Criteria’, plaque and gingival indexes and patients satisfaction criteria. The marginal and internal adaptation was measured under an optical microscope using silicone replica technique. “Kruskal Wallis” and “Wilcoxon Signed Ranks” tests were used for statistical analysis insert ignore into journalissuearticles values(p<0.05);. Results: No framework fracture was observed. One restoration showed veneer porcelain chipping after 6 months; 2 restorations were debonded at 3rd and 6th months, respectively. The mean marginal gaps were 70.92insert ignore into journalissuearticles values(±40.02); μm for extended span length Y-TZP FPDs and 88.01insert ignore into journalissuearticles values(±54.34); μm for short span length Y-TZP FPDs. The highest gap value was observed at the occlusal area and lowest one at the marginal area insert ignore into journalissuearticles values(p<0.05);. There was no significant difference in relation to span length. Conclusion: Regarding all of the clinical evaluation criteria all 34 zirconia FPDs exhibited clinically acceptable scores within an average evaluation time of 18 months. Relying on these early results, zirconia fixed partial dentures even with long span lengths seems to be promising in the posterior area.
Keywords : All ceramic, fixed dental prostheses, long span, marginal fit, zirconia