Estimating long-term survival of densely sintered alumina crowns: A cohort study over 10 years

Abstract

Alumina-core crowns have become a standard treatment option in contemporary dental practice. The short-term survival of alumina crowns has been well documented. However, there is still a paucity of long-term survival data. The purpose of this prospective cohort study was to estimate long-term survival of alumina crowns in anterior and posterior areas over an observation period of up to 10 years. Between 1997 and 2005, 155 alumina crowns were placed in 50 subjects. Clinical and technical parameters were assessed at baseline. In 2005 and 2008, the crowns were clinically assessed using modified U.S. Public Health Service (USPHS) guidelines. Treatment failure was defined as crown or tooth loss and separated into technical or biological failures. Survival probabilities were estimated using the Kaplan-Meier method. In 2008, 29 subjects with 112 alumina crowns, including 86 (77%) posterior and 26 (23%) anterior crowns, were available for clinical assessment. The average observation period for these subjects was 7.8 years, with a range from 3 to 10.7 years. In total, 3 technical and 8 biological failures were observed. The estimated survival probability considering technical failures only was 95% (95% Confidence Interval (CI), 89% to 100%). The estimated overall survival probability after 10 years was 84% (95% CI, 74% to 95%). There was no significant difference in treatment failures in posterior as compared to anterior crowns (all failures: P=.713; technical failures: P=.352). The results suggest that the expected 10-year survival rate of alumina crowns due to technical failures is 95% (95% CI, 89% to 100%).