Skip to main content

Advertisement

Log in

Long-term behavior of double crown retained dentures with metal and metal-free secondary crowns and frameworks made of Vectris© on all-ceramic primary crowns: a prospective, randomized clinical trial up to 14 years

  • Original Article
  • Published:
Clinical Oral Investigations Aims and scope Submit manuscript

Abstract

Objectives

This prospective randomized clinical trial aimed to evaluate the long-term behavior of metal-free double crown retained dentures with secondary crowns and dental frameworks made of the fiber-reinforced composite Vectris© on all-ceramic primary crowns (IPS Empress 2©) over a period of up to 14 years and to subsequently evaluate patient satisfaction. For the control group, electroplated gold copings and metal frameworks were used.

Materials and methods

A total of 29 patients were treated with a total of 37 prostheses on 165 primary crowns. Of these 37 prostheses, 27 were allotted to the control group and 10 to the test group. The mean observation time was 91 ± 57 months; patient satisfaction surveys were conducted over 77 ± 59 months.

Results

Success rates in both groups were compared using Kaplan–Meier survival curves and log-rank test. Up to about 3 years, both types of prostheses exhibited similar success rates. Afterwards, a massive decrease in the Vectris© curve could be noted, whereas the metal curve dropped only slightly. This difference was also statistically significant (p = 0.032361). There was a comparable susceptibility to damages in both groups: 88.9 % (control) and 90 % (test), respectively, of the prostheses had to be repaired within the period of investigation (p = 0,121). Damages of the Vectris© secondary crowns could be detected significantly more often compared to the electroformed gold copings (p < 0.00005). Patient satisfaction with the restorations was comparably high in both groups.

Conclusion

Metal-free secondary crowns and denture frameworks made with the glass fiber-reinforced composite material Vectris© showed a lower survival rate than the electroplated gold copings and metal frameworks. Primary crowns made of IPS Empress 2© had insufficient stability. Exclusively high-strength zirconia ceramics should be recommended for this indication.

Clinical relevance

Both clinical and statistical data indicated the superiority of the restorations made with electroplated secondary crowns and metal framework. Therefore, the use of Vectris© cannot be recommended for the fabrication of double crown retained removable dentures as permanent restorations.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5
Fig. 6
Fig. 7
Fig. 8
Fig. 9
Fig. 10
Fig. 11
Fig. 12
Fig. 13
Fig. 14
Fig. 15
Fig. 16
Fig. 17
Fig. 18
Fig. 19
Fig. 20
Fig. 21

Similar content being viewed by others

References

  1. Beschnidt SM, Chitmongkolsuk S, Prull R (2001) Telescopic crown-retained removable partial dentures: review and case report. Compend Contin Educ Dent 22:927–928, 929–32, 934 passim; quiz 942

  2. Köhler KC (2002) Clinical follow-up about long-term outcome of double-crown-retained removable dentures. Dissertation, University of Frankfurt

  3. Piwowarczyk A, Köhler KC, Bender R, Büchler A, Lauer HC, Ottl P (2007) Prognosis for abutment teeth of removable dentures: a retrospective study. J Prosthodont 16:377–382

    Article  PubMed  Google Scholar 

  4. 4 Schwindling FS, Dittmann B, Rammelsberg P (2014) Double-crown-retained removable dental prostheses: a retrospective study of survival and complications. J Prosthet Dent. May 12. doi:10.1016/j.prosdent.2014.02.017

  5. Stober T, Bermejo JL, Beck-Mussoter J, Seche AC, Lehmann F, Koob J, Rammelsberg P (2012) Clinical performance of conical and electroplated telescopic double crown-retained partial dentures: a randomized clinical study. Int J Prosthodont 25(3):209–216

    PubMed  Google Scholar 

  6. Wöstmann B, Balkenhol M, Weber A, Ferger P, Rehmann P (2007) Long-term analysis of telescopic crown retained removable partial dentures: survival and need for maintenance. J Dent 35:939–945

    Article  PubMed  Google Scholar 

  7. Bär C, Reich S (2008) Telescopically retained removable partial dentures on CAD/CAM generated all-ceramic primary telescopes. Int J Comput Dent 11(2):115–130

    PubMed  Google Scholar 

  8. Weigl P, Kleutges D (1998) An innovative and simple therapy concept for removable suprastructures with a new retainer application. In: Weber H, Mönkemeyer UR (eds) Therapy concepts for implant dentistry. Quintessenz, Karlsruhe, pp 117–158

    Google Scholar 

  9. Baig MR, Gunaseelan R (2012) Intraoral framework pick-up technique to improve fit of a metal-resin implant prosthesis. Indian J Dent Res 23(3):435–436. doi:10.4103/0970-9290.102257

    Article  PubMed  Google Scholar 

  10. Di Felice R, Rappelli G, Camaioni E, Cattani M, Meyer JM, Belser UC (2007) Cementable implant crowns composed of cast superstructure frameworks luted to electroformed primary copings: an in vitro retention study. Clin Oral Implants Res 18(1):108–113

    Article  PubMed  Google Scholar 

  11. Greven B, Luepke M, von Dorsche SH (2007) Telescoping implant prostheses with intraoral luted galvano mesostructures to improve passive fit. J Prosthet Dent 98(3):239–244

    Article  PubMed  Google Scholar 

  12. Janko S (2002) Prospective clinical study of intraorally luted double-crown-retained dentures. Dissertation, University of Frankfurt

  13. Longoni S, Sartori M, Maroni I, Baldoni M (2010) Intraoral luting: modified prosthetic design to achieve passivity, precision of fit, and esthetics for a cement-retained, implant-supported metal-resin-fixed complete denture. J Prosthodont 19(2):166–170. doi:10.1111/j.1532-849X.2009.00526.x

    Article  PubMed  Google Scholar 

  14. Dietschi D, Magne P, Holz J (1994) Recent trends in esthetic restorations for posterior teeth. Quintessence Int 25(10):659–677

    PubMed  Google Scholar 

  15. Höland W, Rheinberger V, Apel E, Ritzberger C, Rothbrust F, Kappert H, Krumeich F, Nesper R (2009) Future perspectives of biomaterials for dental restoration. J Eur Ceram Soc 29(7):1291–1297

    Article  Google Scholar 

  16. Walia S, Thomas PM, Sandhu H, Santos GC (2009) Restoring esthetics with metal-free ceramics: a case report. J Can Dent Assoc 75(5):353–355

    PubMed  Google Scholar 

  17. Weigl P (1999) All-ceramic primary crowns in the telescope system. In: Heidemann D (ed) Deutscher Zahnärztekalender. Hanser, München – Wien, pp 51–76

    Google Scholar 

  18. Weigl P, Hahn L, Lauer HC (2000) Advanced biomaterials used for a new telescopic retainer for removable dentures. J Biomed Mater Res 53:320–336

    Article  PubMed  Google Scholar 

  19. Weigl P, Lauer HC (2000) Advanced biomaterials used for a new telescopic retainer for removable dentures. J Biomed Mater Res 53:337–347

    Article  PubMed  Google Scholar 

  20. Dabrowa T, Dobrowolska A, Wieleba W (2013) The role of friction in the mechanism of retaining the partial removable dentures with double crown system. Acta Bioeng Biomech 15(4):43–48

    PubMed  Google Scholar 

  21. Körber K, Körber S, Ludwig K (1996) Experimental studies about the stiffening effect of fibre-reinforced bridge frameworks made of Vectris after facing with the ceromer Targis. Quintessenz Zahntech 22:1343–1354

    Google Scholar 

  22. Bohlsen F, Kern M (2003) Clinical outcome of glass-fiber-reinforced crowns and fixed partial dentures: a three-year retrospective study. Quintessence Int 34(7):493–496

    PubMed  Google Scholar 

  23. Göhring TN, Möhrmann WH, Lutz F (1999) Clinical and scanning electron microscopic evaluation of fiber-reinforced inlay fixed partial dentures: preliminary after one year. J Prosthet Dent 82:662–668

    Article  PubMed  Google Scholar 

  24. Langner J (1997) Fiber-reinforced composite Targis and Vectris for crowns and bridges. Quintessenz Zahntech 23:631–646

    Google Scholar 

  25. Loose M, Rosentritt M, Leibrock A, Behr M, Handel G (1998) In-vitro study of fracture strength and marginal adaptation of fiber-reinforced composite versus all-ceramic fixed partial dentures. Eur J Prosthodont Restor Dent 6:55–62

    PubMed  Google Scholar 

  26. Behr M, Rosentritt M, Leibrock A, Schneider-Feyrer S, Handel G (1999) In-vitro study of fracture strength and marginal adaptation of fibre-reinforced adhesive fixed partial inlay dentures. J Dent 27(2):163–168

    Article  PubMed  Google Scholar 

  27. Behr M, Rosentritt M, Handel G (2003) Fiber-reinforced composite crowns and FPDs: a clinical report. Int J Prosthodont 16(3):239–243

    PubMed  Google Scholar 

  28. Perea L, Matinlinna JP, Tolvanen M, Lassila LV, Vallittu PKJ (2014) Fiber-reinforced composite fixed dental prostheses with various pontics. Adhes Dent 16(2):161–168. doi:10.3290/j.jad.a30755

    Google Scholar 

  29. Schulz KF, Grimes DA (2002) Generation of allocation sequences in randomised trials: chance, not choice. Lancet 359(9305):515–519

    Article  PubMed  Google Scholar 

  30. Altman DG, Bland JM (1999) Statistics notes. Treatment allocation in controlled trials: why randomise? BMJ 318(7192):1209

    Article  PubMed  PubMed Central  Google Scholar 

  31. Suresh K (2011) An overview of randomization techniques: an unbiased assessment of outcome in clinical research. J Hum Reprod Sci 4(1):8–11. doi:10.4103/0974-1208.82352

    Article  PubMed  PubMed Central  Google Scholar 

  32. Bergman B, Ericson A, Molin M (1996) Long-term clinical results after treatment with conical crown-retained dentures. Int J Prosthodont 9:533–538

    PubMed  Google Scholar 

  33. Heners M, Walther W (1988) Abutment distribution and rigid support—a clinical long-term study. Dtsch Zahnärztl Z 43:1122–1126

    PubMed  Google Scholar 

  34. Hulten J, Tillström B, Nilner K (1993) Long-term clinical evaluation of conical crown retained dentures. Swed Dent J 17:225–234

    PubMed  Google Scholar 

  35. Trimpou G (2006) Long-term clinical trial of implant retained double crown based overdentures by using prefabricated primary and secondary components of the Ankylos-implant system. Dissertation, University of Frankfurt

  36. Wagner B, Kern M (2000) Clinical evaluation of removable partial dentures 10 years after insertion: success rates, hygienic problems, and technical failures. Clin Oral Investig 4:74–80

    Article  PubMed  Google Scholar 

  37. Widbom T, Löfquist L, Widbom C, Söderfeldt B, Kronström M (2004) Tooth-supported telescopic crown-retained dentures: an up to 9-year retrospective clinical follow-up study. Int J Prosthodont 17:29–34

    PubMed  Google Scholar 

  38. Manicone PF, Rossi Iommetti P, Raffaelli L (2007) An overview of zirconia ceramics: basic properties and clinical applications. J Dent 35:819–826

    Article  PubMed  Google Scholar 

  39. Yilmaz H, Aydin C, Gul BE (2007) Flexural strength and fracture toughness of dental core ceramics. J Prosthet Dent 98:120–128

    Article  PubMed  Google Scholar 

  40. Bayer S, Kraus D, Keilig L, Gölz L, Stark H, Enkling N (2012) Changes in retention force with electroplated copings on conical crowns: a comparison of gold and zirconia primary crowns. Int J Oral Maxillofac Implants 27(3):577–585

    PubMed  Google Scholar 

  41. Bayer S, Zuziak W, Kraus D, Keilig L, Stark H, Enkling N (2011) Conical crowns with electroplated gold copings: retention force changes caused by wear and combined off-axial load. Clin Oral Implants Res 22(3):323–329. doi:10.1111/j.1600-0501.2010.02003.x

    Article  PubMed  Google Scholar 

  42. Rösch R, Mericske-Stern R (2008) Zirconia and removable partial dentures. Schweiz Monatsschr Zahnmed 118:959–966

    PubMed  Google Scholar 

  43. Turp I, Bozdağ E, Sünbüloğlu E, Kahruman C, Yusufoğlu I, Bayraktar G (2014) Retention and surface changes of zirconia primary crowns with secondary crowns of different materials. Clin Oral Investig Jan 31

  44. Zafiropoulos GG, Rebbe J, Thielen U, Deli G, Beaumont C, Hoffmann O (2010) Zirconia removable telescopic dentures retained on teeth or implants for maxilla rehabilitation. Three-year observation of three cases. J Oral Implantol 36(6):455–465. doi:10.1563/AAID-JOI-D-09-00065

    Article  PubMed  Google Scholar 

  45. Behr M, Hofmann E, Rosentritt M, Lang R, Handel G (2000) Technical failure rates of double crown-retained removable partial dentures. Clin Oral Investig 4:87–90

    Article  PubMed  Google Scholar 

  46. Hofmann E, Behr M, Handel G (2002) Frequency and costs of technical failures of clasp- and double crown-retained removable partial dentures. Clin Oral Investig 6:104–108

    Article  PubMed  Google Scholar 

  47. Igarashi Y, Goto T (1997) Ten-year follow-up study of conical crown-retained dentures. Int J Prosthodont 10:149–155

    PubMed  Google Scholar 

  48. Awad MA, Feine JS (1998) Measuring patient satisfaction with mandibular prostheses. Community Dent Oral Epidemiol 26:400–405

    Article  PubMed  Google Scholar 

  49. Awad MA, Locker D, Korner-Bitensky N, Feine JS (2000) Measuring the effect of intra-oral implant rehabilitation on health-related quality of life in a randomized controlled clinical trial. J Dent Res 79:1659–1663

    Article  PubMed  Google Scholar 

  50. Berg E (1984) The influence of some anamnestic, demographic, and clinical variables on patient acceptance of new complete dentures. Acta Odontol Scand 42:119–127

    Article  PubMed  Google Scholar 

  51. Bergman B, Carlsson GE (1972) Review of 54 complete denture wearers. Patients’ opinions 1 year after treatment. Acta Odontol Scand 30:399–414

    Article  PubMed  Google Scholar 

  52. Ettinger RL, Jakobsen JR (1997) A comparison of patient satisfaction and dentist evaluation of overdenture therapy. Community Dent Oral Epidemiol 25:223–227

    Article  PubMed  Google Scholar 

  53. Ericson A, Nilsson B, Bergman B (1991) Clinical results in patients treated with conical crown supported restorations. Quintessenz 8:1237–1252

    Google Scholar 

  54. Gernet W, Adam P, Reither W (1983) Follow-up studies of partial prostheses using K. H. Körber's conical crowns. Dtsch Zahnärztl Z 38:998–1001

    PubMed  Google Scholar 

  55. Grossmann AC, Hassel AJ, Schilling O, Lehmann F, Koob A, Rammelsberg P (2007) Treatment with double crown-retained removable partial dentures and oral health-related quality of life in middle- and high-aged patients. Int J Prosthodont 20:576–578

    PubMed  Google Scholar 

  56. John MT, Slade GD, Szentpétery A, Setz JM (2004) Oral health-related quality of life in patients treated with fixed, removable, and complete dentures 1 month and 6 to 12 months after treatment. Int J Prosthodont 17:503–511

    PubMed  Google Scholar 

  57. Heydecke G (2002) Patient satisfaction as outcome measure in clinical studies of oral health. Schweiz Monatsschr Zahnmed 112:330–336

    PubMed  Google Scholar 

  58. Slade GD (1997) Derivation and validation of a short-form oral health impact profile. Community Dent Oral Epidemiol 25(4):284–290

    Article  PubMed  Google Scholar 

  59. Slade GD, Spencer AJ (1994) Development and evaluation of the oral health impact profile. Community Dent Health 11(1):3–11

    PubMed  Google Scholar 

  60. Lachin JM, Matts JP, Wei LJ (1988) Randomization in clinical trials: conclusions and recommendations. Control Clin Trials 9:365–374

    Article  PubMed  Google Scholar 

  61. Altman DG, Doré CJ (1990) Randomisation and baseline comparisons in clinical trials. Lancet 335(8682):149–153

    Article  PubMed  Google Scholar 

  62. Schulz KF (1998) Randomized controlled trials. Clin Obstet Gynecol 41:245–256

    Article  PubMed  Google Scholar 

  63. Bernhart G, Koob A, Schmitter M, Gabbert O, Stober T, Rammelsberg P (2012) Clinical success of implant-supported and tooth-implant-supported double crown-retained dentures. Clin Oral Investig 16(4):1031–1037. doi:10.1007/s00784-011-0592-1

    Article  PubMed  Google Scholar 

  64. Krennmair G, Krainhöfner M, Waldenberger O, Piehslinger E (2007) Dental implants as strategic supplementary abutments for implant-tooth-supported telescopic crown-retained maxillary dentures: a retrospective follow-up study for up to 9 years. Int J Prosthodont 20(6):617–622

    PubMed  Google Scholar 

  65. Nickenig HJ, Spiekermann H, Wichmann M, Andreas SK, Eitner S (2008) Survival and complication rates of combined tooth-implant-supported fixed and removable partial dentures. Int J Prosthodont 21(2):131–137

    PubMed  Google Scholar 

  66. Duncan JP, Freilich MA, Latvis CJ (2000) Fiber-reinforced composite framework for implant-supported overdentures. HJ Prosthet Dent 84:200–204

    Article  Google Scholar 

  67. Akin H, Turgut M, Coskun ME (2007) Restoration of an anterior edentulous space with a unique glass fiber-reinforced composite removable partial denture: a case report. J Esthet Restor Dent 19(4):193–197, discussion 198

  68. Mete JJ, Dange SP, Khalikar AN, Vaidya SP (2011) Rehabilitation of anterior edentulous space by glass fiber reinforced composite removable partial denture during preadolescent period: a case report. J Indian Prosthodont Soc 11(3):195–198. doi:10.1007/s13191-011-0092-7

    Article  PubMed  PubMed Central  Google Scholar 

  69. Izgi AD, Eskimez S, Kale E, Değer Y (2011) Directly fabricated inlay-retained glass- and polyethylene fiber-reinforced composite fixed dental prostheses in posterior single missing teeth: a short-term clinical observation. J Adhes Dent 13:383–391

    PubMed  Google Scholar 

  70. Vallittu PK (2004) Survival rates of resin-bonded, glass fiber-reinforced composite fixed partial dentures with a mean follow-up of 42 months: a pilot study. J Prosthet Dent 91:241–246

    Article  PubMed  Google Scholar 

  71. Van Heumen CC, Kreulen CM, Creugers NH (2009) Clinical studies of fiber-reinforced resin-bonded fixed partial dentures: a systematic review. Eur J Oral Sci 117:1–6

    Article  PubMed  Google Scholar 

  72. Van Heumen CC, van Dijken JW, Tanner J, Pikaar R, Lassila LV, Creugers NH, Vallittu PK, Kreulen CM (2009) Five-year survival of 3-unit fiber-reinforced composite fixed partial dentures in the anterior area. Dent Mater 25:820–827

    Article  PubMed  Google Scholar 

  73. Bühler NM, Teubner E, Marinello CP (2011) Zirconia in removable prosthodontics. A case report. Schweiz Monatsschr Zahnmed 121(7–8):659–678

    PubMed  Google Scholar 

  74. Groesser J, Sachs C, Heiß P, Stadelmann M, Erdelt K, Beuer F (2014) Retention forces of 14-unit zirconia telescopic prostheses with six double crowns made from zirconia—an in vitro study. Clin Oral Investig 18(4):1173–1179. doi:10.1007/s00784-013-1093-1

    Article  PubMed  Google Scholar 

  75. Karl M, Bauernschmidt B (2010) Erste Erfahrungen mit teleskopierendem Zahnersatz aus 100% Zirkoniumdioxid. Quintessenz Zahntech 36:86–94

    Google Scholar 

  76. Schmidlin PR, Stawarczyk B, Wieland M, Attin T, Hämmerle CH, Fischer J (2010) Effect of different surface pre-treatments and luting materials on shear bond strength to PEEK. Dent Mater 26(6):553–559. doi:10.1016/j.dental.2010.02.003

    Article  PubMed  Google Scholar 

  77. Siewert B, Parra M (2013) Eine neue Werkstoffklasse in der Zahnmedizin. PEEK als Gerüstmaterial bei 12-gliedrigen implantatgetragenen Brücken. Z Zahnärztl Implantol 29:148–159. doi:10.3238/ZZI.2013.0148−0159

    Google Scholar 

  78. Siewert B, Rieger H (2013) PEEK – Ein “neues” Gerüstmaterial für die metallfreie prothetische Therapie. Quintessenz Zahntech 39(10):2–11

    Google Scholar 

  79. Stawarczyk B, Beuer F, Wimmer T, Jahn D, Sener B, Roos M, Schmidlin PR (2013) Polyetheretherketone—a suitable material for fixed dental prostheses? J Biomed Mater Res B Appl Biomater 101(7):1209–1216. doi:10.1002/jbm.b.32932

    Article  PubMed  Google Scholar 

Download references

Conflict of interest

The authors declare that they have no conflict of interest.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to T. Zahn.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Zahn, T., Zahn, B., Janko, S. et al. Long-term behavior of double crown retained dentures with metal and metal-free secondary crowns and frameworks made of Vectris© on all-ceramic primary crowns: a prospective, randomized clinical trial up to 14 years. Clin Oral Invest 20, 1087–1100 (2016). https://doi.org/10.1007/s00784-015-1597-y

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00784-015-1597-y

Keywords

Navigation