Turkiye Klinikleri Journal of Dental Sciences

.: ORIGINAL RESEARCH
Sabit Protetik Restorasyonların Söküm Nedenlerinin ve Ağızda Kalma Sürelerinin Değerlendirilmesi: Kesitsel Araştırma
Assessment of Removal Reasons and Life-Span of Fixed Prosthetic Restorations: Cross-Sectional Research
Zeynep CEYLANa , Şükriye Ece GEDUKa , Seda CENGİZb , Gaye SAĞLAMa
aZonguldak Bülent Ecevit Üniversitesi Diş Hekimliği Fakültesi, Protetik Diş Tedavisi AD, Zonguldak, Türkiye
bTürkiye Cumhuriyeti Viyana Büyükelçiliği Eğitim Müşavirliği, Viyana, Avusturya
Turkiye Klinikleri J Dental Sci. 2025;31(1):109-16
doi: 10.5336/dentalsci.2024-105702
Article Language: TR
Full Text
ÖZET
 Amaç: Bu çalışmada, sabit protetik restorasyonların söküm nedenleri ve yöntemleri, protezin mevcut durumu, kullanım süresi, hasta şikâyeti faktörlerinin dağılımı ve birbiri ile ilişkisinin değerlendirilmesi amaçlanmıştır. Gereç ve Yöntemler: Çalışma, yaşları 14-79 arasında değişen 95 kadın ve 87 erkek olmak üzere 182 hasta ile gerçekleştirilmiştir. Toplamda 220 metal-seramik kron ve köprü protezinin klinik durumu ve sökümü değerlendirilmiştir. Hastalara ait demografik veriler ve protezlerin sökümü ile ilgili klinik ve radyografik bilgiler önceden hazırlanan formlara kaydedilmiştir. Verilerin normal dağılıma uygunluğu Kolmogorov-Smirnov testi ile incelenmiştir. Kategorik verilerin karşılaştırılmasında Fisher-Freeman-Halton testi, Pearson kikare testi kullanılmıştır. Bulgular: En sık söküm yapılan grubun 10 yıldan uzun süredir kullanılan sabit protezler olduğu görülmüştür. En sık karşılaşılan söküm nedeni protezin yenilenmesi (%37) olmuştur. Söküm için başvuran hastalarda en fazla görülen bulgu kole bölgesinde açıklık (%37,7) olmuştur. Yapıldıktan 6 ay-1 yıl sonra çıkarılan protezler ağrı, 5-10 yıl ve üzeri sürede çıkarılan protezler yenileme nedeniyle sökülmüştür. En sık tercih edilen söküm yöntemi manuel köprü söküm aleti (%64,5) kullanımıdır. Radyografik bulgularda periodontal aralıkta genişleme ve dayanak dişte kemik kaybı görüldüğü durumlarda vestibül kesim yöntemi tercih edilmiştir. Sonuç: Restorasyonların en çok karşılaşılan söküm nedeni yenileme ihtiyacıdır. Protezlerin klinik ve radyografik bulgularına göre tercih edilen söküm yöntemi değişmektedir.

Anahtar Kelimeler: Kron-köprü sökümü; sabit protetik restorasyon; söküm nedeni; söküm yöntemi
ABSTRACT
 Objective: This study aimed to evaluate the reasons and methods for removal of fixed prosthetic restorations, the condition of the prosthesis, the duration of use, and the prevalence and association of patient discomfort factors. Material and Methods: The study was carried out on 182 patients, including 95 females and 87 males, aged between 14 and 79 years. A total of 220 metal-ceramic crowns and bridges were evaluated for clinical condition and removal. Patient demographics and clinical and radiographic information related to prosthesis removal were recorded on forms provided. Normality of data distribution was assessed using the Kolmogorov-Smirnov test. The Fisher-Freeman-Halton test and the Pearson chi-square test were used to compare categorical data. Results: It was found that the most frequently removed fixed prostheses group were used for over 10 years. The most common reason for removal was replacement (37%). The most common clinical finding was an opening in the margin area (37.7%). Prostheses removed within 6 months to 1 year were mainly due to pain, while those removed after 5-10 years or more were mainly due to the need for replacement. The most commonly used removal method was the manual bridge removal tool (64.5%). The vestibular sectioning method was preferred in cases where radiographic findings indicated expansion of the periodontal space and bone loss around the teeth. Conclusion: The most common reason for removal of restorations is the need for renewal. The method of removal varies according to the clinical and radiographic findings of the restorations.

Keywords: Crown-bridge removal; fixed prosthetic restoration; removal reason; removal method
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