Retrospective Analysis of Full-Arch Zirconia Rehabilitations on Dental Implants: Clinical Outcomes and Patient Satisfaction

The use of zirconia for full-arch Implant-Supported Fixed Complete Dental Prostheses (ISFCDPs) is common and reliable, with different techniques available for their design and fabrication. This retrospective study investigated prosthetic and implant survival/success rates and patients’ satisfaction...

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Main Authors: Vincenzo Marchio, Chiara Cinquini, Fortunato Alfonsi, Stefano Romeggio, Marco Stoppaccioli, Francesco Zingari, Mattia Priami, Antonio Barone
Format: Article
Language:English
Published: MDPI AG 2025-01-01
Series:Applied Sciences
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Online Access:https://www.mdpi.com/2076-3417/15/1/416
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author Vincenzo Marchio
Chiara Cinquini
Fortunato Alfonsi
Stefano Romeggio
Marco Stoppaccioli
Francesco Zingari
Mattia Priami
Antonio Barone
author_facet Vincenzo Marchio
Chiara Cinquini
Fortunato Alfonsi
Stefano Romeggio
Marco Stoppaccioli
Francesco Zingari
Mattia Priami
Antonio Barone
author_sort Vincenzo Marchio
collection DOAJ
description The use of zirconia for full-arch Implant-Supported Fixed Complete Dental Prostheses (ISFCDPs) is common and reliable, with different techniques available for their design and fabrication. This retrospective study investigated prosthetic and implant survival/success rates and patients’ satisfaction for ISFCDPs produced with three different techniques: zirconia-on-titanium (milled zirconia arch glued to a titanium bar), progressive monolithic zirconia (entirely made of zirconia and directly screwed to the implants) and zirconia-on-zirconia (milled esthetic zirconia crowns glued to a milled high resistance zirconia frame). Fourteen patients (five males, nine females) aged 52–80 and treated with 14 ISFCDPs (86 implants) were included in this analysis. The mean follow-up at the time of recall was 36 months. Prosthetic and implant-related success rates were, respectively, 92.86% and 95.35%. No failures have been reported. One case of prosthetic chipping was observed; however, it was successfully repaired intraorally. Patients’ satisfaction was high: 78.57% were completely satisfied, 14.53% very satisfied and 7.14% satisfied. In conclusion, all the patients recommend treatment with ISFCDPs as full-arch prosthetic rehabilitation. The present study demonstrates positive clinical outcomes and high patients’ satisfaction. Further long-term, prospective studies with a larger cohort of patients are needed to confirm the advantages of the different prosthetic designs.
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spelling doaj-art-e3dc6391ce4743c79cb22fe090e201e62025-01-10T13:15:28ZengMDPI AGApplied Sciences2076-34172025-01-0115141610.3390/app15010416Retrospective Analysis of Full-Arch Zirconia Rehabilitations on Dental Implants: Clinical Outcomes and Patient SatisfactionVincenzo Marchio0Chiara Cinquini1Fortunato Alfonsi2Stefano Romeggio3Marco Stoppaccioli4Francesco Zingari5Mattia Priami6Antonio Barone7Department of Surgical, Medical, Molecular and Critical Area Pathology, University-Hospital of Pisa, University of Pisa, 56124 Pisa, ItalyDepartment of Surgical, Medical, Molecular and Critical Area Pathology, University-Hospital of Pisa, University of Pisa, 56124 Pisa, ItalyDepartment of Surgical, Medical, Molecular and Critical Area Pathology, University-Hospital of Pisa, University of Pisa, 56124 Pisa, ItalyLibero Professionista, Innova Clinique, 28845 Domodossola, ItalyOdontotecnico Libero Professionista, Dental Team Work Lab, 67100 L’Aquila, ItalyDipartimento di Chirurgia Maxillo-Facciale, Ospedale Galeazzi, 20157 Milan, ItalyDepartment of Surgical, Medical, Molecular and Critical Area Pathology, University-Hospital of Pisa, University of Pisa, 56124 Pisa, ItalyDepartment of Surgical, Medical, Molecular and Critical Area Pathology, University-Hospital of Pisa, University of Pisa, 56124 Pisa, ItalyThe use of zirconia for full-arch Implant-Supported Fixed Complete Dental Prostheses (ISFCDPs) is common and reliable, with different techniques available for their design and fabrication. This retrospective study investigated prosthetic and implant survival/success rates and patients’ satisfaction for ISFCDPs produced with three different techniques: zirconia-on-titanium (milled zirconia arch glued to a titanium bar), progressive monolithic zirconia (entirely made of zirconia and directly screwed to the implants) and zirconia-on-zirconia (milled esthetic zirconia crowns glued to a milled high resistance zirconia frame). Fourteen patients (five males, nine females) aged 52–80 and treated with 14 ISFCDPs (86 implants) were included in this analysis. The mean follow-up at the time of recall was 36 months. Prosthetic and implant-related success rates were, respectively, 92.86% and 95.35%. No failures have been reported. One case of prosthetic chipping was observed; however, it was successfully repaired intraorally. Patients’ satisfaction was high: 78.57% were completely satisfied, 14.53% very satisfied and 7.14% satisfied. In conclusion, all the patients recommend treatment with ISFCDPs as full-arch prosthetic rehabilitation. The present study demonstrates positive clinical outcomes and high patients’ satisfaction. Further long-term, prospective studies with a larger cohort of patients are needed to confirm the advantages of the different prosthetic designs.https://www.mdpi.com/2076-3417/15/1/416implantszirconiafull arch
spellingShingle Vincenzo Marchio
Chiara Cinquini
Fortunato Alfonsi
Stefano Romeggio
Marco Stoppaccioli
Francesco Zingari
Mattia Priami
Antonio Barone
Retrospective Analysis of Full-Arch Zirconia Rehabilitations on Dental Implants: Clinical Outcomes and Patient Satisfaction
Applied Sciences
implants
zirconia
full arch
title Retrospective Analysis of Full-Arch Zirconia Rehabilitations on Dental Implants: Clinical Outcomes and Patient Satisfaction
title_full Retrospective Analysis of Full-Arch Zirconia Rehabilitations on Dental Implants: Clinical Outcomes and Patient Satisfaction
title_fullStr Retrospective Analysis of Full-Arch Zirconia Rehabilitations on Dental Implants: Clinical Outcomes and Patient Satisfaction
title_full_unstemmed Retrospective Analysis of Full-Arch Zirconia Rehabilitations on Dental Implants: Clinical Outcomes and Patient Satisfaction
title_short Retrospective Analysis of Full-Arch Zirconia Rehabilitations on Dental Implants: Clinical Outcomes and Patient Satisfaction
title_sort retrospective analysis of full arch zirconia rehabilitations on dental implants clinical outcomes and patient satisfaction
topic implants
zirconia
full arch
url https://www.mdpi.com/2076-3417/15/1/416
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