.: ORİJİNAL ARAŞTIRMA
An Investigation of Reasons for the Removal of Tooth-Supported Fixed Prosthetic Restorations
Diş Destekli Sabit Protezlerin Söküm Nedenlerinin Araştırılması
Turkiye Klinikleri J Dental Sci. 2019;25(2):117-23
doi: 10.5336/dentalsci.2018-60935
Makale Dili: EN
Tam Metin
ABSTRACT
Objective: The aim of this study is to determine the reasons for the removal of toothsupported fixed prosthetic restorations, and to investigate the relationship between the service length of a fixed prosthesis and the reason for its removal indicated by the clinician, the fabrication place, and the type of materials used in the fabrication of the prosthesis. Material and Methods: A questionnaire was prepared, and clinical examination was conducted, pertaining to the type of the fixed prosthesis, the service length of the fixed prosthesis, the reason for its removal indicated by the clinician, the number of units involved, the fabrication place, and the type of materials used in the fabrication of the prosthesis. Descriptive statistics, the chi-squared test, the Mann-Whitney U and the Kruskal-Wallis H tests, and the Spearman's rho correlation coefficient were used for statistical analysis. Statistical significance was assumed for p<0.05. Results: The mean service length of fixed prosthesis was 9,28±5,92 years, and the leading reasons for the removal of fixed prosthetic restorations were: renewal (29,7%), multiple reasons (23,2%), tooth extraction (11,6%), and apical pathology (8,4%), respectively. A statistical relationship was not found between the reasons for removal and the length of service of the fixed prosthesis (p>0.05). However, there was a statistically significant relationship between the length of service and the fabrication place and type of materials used in fabrication (p<0.05). Conclusion: The fabrication place and the type of materials used in fabrication are important parameters that determine the service length of the prosthesis.
Keywords: Fixed prosthetic restoration; removal reason; failure
Objective: The aim of this study is to determine the reasons for the removal of toothsupported fixed prosthetic restorations, and to investigate the relationship between the service length of a fixed prosthesis and the reason for its removal indicated by the clinician, the fabrication place, and the type of materials used in the fabrication of the prosthesis. Material and Methods: A questionnaire was prepared, and clinical examination was conducted, pertaining to the type of the fixed prosthesis, the service length of the fixed prosthesis, the reason for its removal indicated by the clinician, the number of units involved, the fabrication place, and the type of materials used in the fabrication of the prosthesis. Descriptive statistics, the chi-squared test, the Mann-Whitney U and the Kruskal-Wallis H tests, and the Spearman's rho correlation coefficient were used for statistical analysis. Statistical significance was assumed for p<0.05. Results: The mean service length of fixed prosthesis was 9,28±5,92 years, and the leading reasons for the removal of fixed prosthetic restorations were: renewal (29,7%), multiple reasons (23,2%), tooth extraction (11,6%), and apical pathology (8,4%), respectively. A statistical relationship was not found between the reasons for removal and the length of service of the fixed prosthesis (p>0.05). However, there was a statistically significant relationship between the length of service and the fabrication place and type of materials used in fabrication (p<0.05). Conclusion: The fabrication place and the type of materials used in fabrication are important parameters that determine the service length of the prosthesis.
Keywords: Fixed prosthetic restoration; removal reason; failure
ÖZET
Amaç: Bu çalışmanın amacı, sabit protetik restorasyonların söküm nedenlerini belirlemek ve sabit protezin hizmet süresi ile protez söküm nedeni, protezin yapıldığı yer ve protez materyali arasındaki ilişkiyi araştırmaktır. Gereç ve Yöntemler: Çalışma için sabit protezin tipi (kron veya köprü), sabit protezin hizmet süresi, klinisyen tarafından belirtilen söküm nedeni, üye sayısı, protezin yapıldığı yer (özel muayenehane, kamu hastanesi) ve protez materyaline ilişkin bilgileri kaydetmek üzere anket hazırlandı. Katılımcıların sosyo-demografik verileri ve oral hijyen alışkanlıkları da kaydedildi. Verilerin analizinde tanımlayıcı istatistikler, ki-kare, Mann-Whitney U, Kruskal Wallis H ve Spearman rho testleri uygulandı. p<0,05 seviyesinde anlamlı kabul edildi. Bulgular: Sabit protezin ortalama hizmet süresi 9,28±5,92 yıldı ve sabit protez restorasyonların söküm nedenlerini sırasıyla: yenileme (%29,7), çoklu nedenler (%23,2), diş çekimi (11,6) ve apikal patoloji (%8,4) oluşturmaktaydı. Sabit protezin hizmet süresi ile söküm nedeni arasında istatistiksel olarak anlamlı ilişki bulunmazken (p>0.05), protezin yapıldığı yer ve protez materyali ile ilişki bulunmaktaydı (p<0,05). Sonuç: Sabit protezin yapıldığı yer ve yapımda kullanılan materyal protezin hizmet süresini belirleyen önemli parametrelerdir.
Anahtar Kelimeler: Sabit protetik restorasyon; söküm nedeni; başarısızlık
Amaç: Bu çalışmanın amacı, sabit protetik restorasyonların söküm nedenlerini belirlemek ve sabit protezin hizmet süresi ile protez söküm nedeni, protezin yapıldığı yer ve protez materyali arasındaki ilişkiyi araştırmaktır. Gereç ve Yöntemler: Çalışma için sabit protezin tipi (kron veya köprü), sabit protezin hizmet süresi, klinisyen tarafından belirtilen söküm nedeni, üye sayısı, protezin yapıldığı yer (özel muayenehane, kamu hastanesi) ve protez materyaline ilişkin bilgileri kaydetmek üzere anket hazırlandı. Katılımcıların sosyo-demografik verileri ve oral hijyen alışkanlıkları da kaydedildi. Verilerin analizinde tanımlayıcı istatistikler, ki-kare, Mann-Whitney U, Kruskal Wallis H ve Spearman rho testleri uygulandı. p<0,05 seviyesinde anlamlı kabul edildi. Bulgular: Sabit protezin ortalama hizmet süresi 9,28±5,92 yıldı ve sabit protez restorasyonların söküm nedenlerini sırasıyla: yenileme (%29,7), çoklu nedenler (%23,2), diş çekimi (11,6) ve apikal patoloji (%8,4) oluşturmaktaydı. Sabit protezin hizmet süresi ile söküm nedeni arasında istatistiksel olarak anlamlı ilişki bulunmazken (p>0.05), protezin yapıldığı yer ve protez materyali ile ilişki bulunmaktaydı (p<0,05). Sonuç: Sabit protezin yapıldığı yer ve yapımda kullanılan materyal protezin hizmet süresini belirleyen önemli parametrelerdir.
Anahtar Kelimeler: Sabit protetik restorasyon; söküm nedeni; başarısızlık
REFERANSLAR:
- Khalil A, Aslam F, Khan AA. Complaints among patients wearing metal ceramic fixed partial dentures. JKCD. 2014;5(1):2-5.
- Briggs P, Ray-Chaudhuri A, Shah K. Avoiding and managing the failure of conventional crowns and bridges. Dent Update. 2012;39(2): 78-80, 82-4. [Crossref] [PubMed]
- Baydas S, Yanıkoğlu N, Mutluergil F, Denizoğlu S, Duymus Yesil Z, Ceylan G, et al. [An investigation of the causes of the removal of crowns and bridges]. Ataturk Universitesi Dis Hek Fak Derg. 1998;8(2):37-43.
- Sharma A, Rahul GR, Poduval ST, Shetty K. Removal of failed crown and bridge. J Clin Exp Dent. 2012;4(3):e167-72. [Crossref] [PubMed] [PMC]
- Özdemir N, Coşkun Akar G, Uluer H, Aksoy G. [An evaluation of the causes and the methods of removal of fixed partial dentures]. EÜ Dişhek Fak Derg. 2007;28:169-77.
- Libby G, Arcuri MR, LaVelle WE, Hebl L. Longevity of fixed dental prosthesis. J Prosthet Dent. 1997;78(2):127-31. [Crossref]
- Sundh B, Odman P. A study of fixed prosthodontics performed at a university clinic 18 years after insertion. Int J Prosthodont. 1997;10(6):513-9.
- Owall B, Cronström R, René N. Prosthodontic claims in the Swedish Patient Insurance Scheme. Acta Odontol Scand. 1992;50(6): 365-74. [Crossref] [PubMed]
- Glantz PO, Nilner K, Jendresen MD, Sundberg H. Quality of fixed prosthodontics after 15 years. Acta Odontol Scand. 1993;51(4): 247-52. [Crossref] [PubMed]
- Kandemir S. [Investigation of the removal reasons and functional durations of fixed pros thesis (bridges)]. Ege Dişhek Fak Derg. 1992;13:49-55.
- Goodacre CJ, Bernal G, Rungcharassaeng K, Kan JY. Clinical complications in fixed prosthodontics. J Prosthet Dent. 2003;90(1): 31-41. [Crossref]
- Leempoel PJ, Eschen S, De Haan AF, Van?t Hof MA. An evaluation of crowns and bridges in a general dental practice. J Oral Rehabil. 1985;12(6):515-28. [Crossref] [PubMed]
- Ioannidis G, Paschalidis T, Petridis HP, Anastassiadou V. The influence of age on tooth supported fixed prosthetic restoration longevity. A systematic review. J Dent. 2010;38(3):173-81. [Crossref] [PubMed]
- De Backer H, Van Maele G, De Moor N, Van den Berghe L. The influence of gender and age on fixed prosthetic restoration longevity: an up to 18to 20-year follow-up in an undergraduate clinic. Int J Prosthodont. 2007;20(6): 579-86.
- Sağsöz NP, Yanıkoğlu N, Aladağ Lİ, Özdemir H, Çiftçi H. [The investigation of reasons for removal of fixed prosthetic restorations and comparison of traditional removal method with KaVo CORONAflex restoration remover]. J Dent Fac Ataturk Univ. 2014;24(3):378-85.
- Walton JN, Gardner FM, Agar JR. A survey of crown and fixed partial denture failures: length of service and reasons for replacement. J Prosthet Dent. 1986;56(4):416-21. [Crossref]
- Valderhaug J. A 15-year clinical evalution of fixed prosthodontics. Acta Odontol Scand. 1991;49(1):35-40. [Crossref] [PubMed]
- Kerschbum T, Voss R, Thie BM. [Kronen und brücken zahnersatz]. ZWR. 1986;95:494509.
- Foster LV. Failed conventional bridge work form general dental practice: clinical aspects and treatment needs of 142 cases. Br Dent J. 1990;168(5):199-201. [Crossref] [PubMed]
- Şermet B, Değer S, İşsever H. [The life-span and the reasons for replacement in fixed prosthodontics]. GÜ Dişhek Fak Derg. 1997; 14(1-2):79-86.
- Reuter JE, Brose MO. Failures in full crown retained dental bridges. Br Dent J. 1984; 157(2):61-3. [Crossref]
- Näpänkangas P, Salonen-Kemppi MA, Raustia AM. Longevity of fixed metal ceramic bridge prostheses: a clinical follow-up study. J Oral Rehabil. 2002;29(2):140-5. [Crossref] [PubMed]
- Cheung GS, Lai SC, Ng RP. Fate of vital pulps beneath a metal-ceramic crown or a bridge retainer. Int Endod J. 2005;38(8):521-30. [Crossref] [PubMed]
- Pawar S. Failures of crown and fixed partial dentures-a clinical survey. IJCD. 2011;2(1): 120-1.
- Randow K, Glantz PO, Zöger B. Technical failures and some related clinical complications in extensive fixed prosthodontics. An epidemiological study of long-term clinical quality. Acta Odontol Scand. 1986;44(4):241-55. [Crossref] [PubMed]
- Johnston JF, Dykema RW, Phillips RW, Goodacre CJ. Jonston?s Modern Practice in Fixed Prosthodontics. 4th ed. Philadelphia: WB Saunders Co; 1986. p.468.
- Burke FJ, Lucarotti PS. Ten-year outcome of crowns placed within the General Dental Services in England and Wales. J Dent. 2009;37(1):12-24. [Crossref] [PubMed]
.: İşlem Listesi