Dental failure analysis: the need of a comprehensive failure classification

For more than thirty percent of patients with implant-supported fixed dental prosthesis, various complications can be observed over five-years of function. In some cases, failure can be ascribed to mechanical reasons such as loosening of the retaining screws or fracture of the implant components. The paper evaluates three different failures of implant-supported prostheses. All cases were analyzed by optical and SEM microscopy to identify the failure modes and the possible failure causes. Improper design or errors in finishing operations or in assembly are identified as dental failure causes. A matrix classification is proposed to collect rupture cases of implant-supported prostheses.