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Changes of anterior clinical crown height in patients provided with single-implant restorations after more than 15 years of follow-up.

Artikel i vetenskaplig tidskrift
Författare Torsten Jemt
Gunilla Ahlberg
Kristina Henriksson
Olav Bondevik
Publicerad i The International journal of prosthodontics
Volym 19
Nummer/häfte 5
Sidor 455-61
ISSN 0893-2174
Publiceringsår 2006
Publicerad vid Institutionen för odontologi
Sidor 455-61
Språk en
Länkar www.ncbi.nlm.nih.gov/entrez/query.f...
Ämnesord Adult, Case-Control Studies, Chi-Square Distribution, Crowns, Dental Implants, Single-Tooth, Dental Prosthesis, Implant-Supported, Female, Follow-Up Studies, Gingival Recession, Humans, Male, Statistics, Nonparametric
Ämneskategorier Odontologi, Oral protetik

Sammanfattning

PURPOSE: To measure the long-term changes of clinical crown height in patients treated with single-implant crowns and compare them to those of an adult population with normal dentition. MATERIALS AND METHODS: The test group comprised 23 patients, consecutively restored with a total of 48 single-implant crowns in the anterior maxilla. Mean age was 26.1+/-11.4 years at inclusion. Original master casts were stored after treatment, and patients were recalled for new study casts an average of 15.8+/-0.74 years later. The control group comprised 141 dental students with a mean age of 22.9 +/-1.20 years at inclusion. Study casts were made at inclusion and after 10 (n = 141) and 20 years (n = 60). Clinical crown height was measured for maxillary anterior teeth, and data were pooled and compared regarding clinical crown height and changes in height. RESULTS: Implant clinical crowns were an average of 0.6+/-1.04 mm longer than the contralateral teeth (P < .05). Central and lateral incisors showed mucosal recession at an average of 0.4+/-0.53 mm (P < .05) and 0.6+/-0.58 mm (P < .01), respectively. In the control group, only minor insignificant changes (+/-0.1 mm) in mean clinical crown height could be observed during the follow-up period. However, obvious individual variations of changes could be found in the control group, and were more pronounced for women. Altogether, 15% and 9% of measured teeth showed > or = 1.0 mm increase or decrease of clinical crown height during 20 years, respectively. Initially, shorter teeth presented a trend (P < .05 to .001) of more mucosal recession than longer teeth. CONCLUSION: Mean values of clinical crown height disguise significant individual variations of changes. To perform a risk evaluation for potential future mucosal recession, it could be suggested that greater changes in clinical crown height may occur in patients provided with implant-supported crowns than in untreated control subjects, possibly more for women than men, and more for initially shorter teeth than for longer adjacent teeth.

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