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고정성 치과보철물의 제거원인 및 지대치 재사용에 관한 연구

A Study of Causes for Removal of Fixed Prostheses and Fate of Abutment

정재헌|오상호|김희중|목원균
대한턱관절교합학회 (Korean academy of stomatognathic function and occlusion)|2008.03|구강회복응용과학지 (Journal of Dental Rehabilitation and Applied Science)|제24권 제1호|pp. 1-17

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참고문헌

주제분류치의학

초록

이 연구의 목적은 고정성 보철물의 제거와 지대치의 생존율을 위한 원인을 조사하는 것이었다. 총 192개의 고정성 보철물이 조선대 치과병원에서 제거되었고 308개의 지대치가 조사되었다. 제거의 가장 빈번한 이유는 치주 문제였고(30.7%), 그 다음이 우식(29.7%), 그리고 치근단 문제(18.8%) 였다. 금속도재관에서 치주 문제는 가장 빈번한 제거의 원인이었다. 완전주조관에서는 우식이 제거의 가장 흔한 이유였다. 치근단과 치주의 문제는 각각 40대 이하와 50대 이상의 사람들에서 가장 흔한 원인이었다. 308개의 지대치 중 생활치와 실활치는 각각 135(43.8%)와 173(56.2%) 이었다. 135개의 생활치 중에서 39(28.9%)개가 발거되었고, 173개의 실활치 중에서 85(49.1%)개가 발거되었다. 고정성 보철물의 제거와 지대치의 발거를 위한 각각의 위험 요소는 최종 보철물과 지대치의 예상과 진단을 위해 더 명확히 평가되어야만 한다.

Abstract

The purpose of this study were to report the reasons for removal of fixed prostheses and survival rate of abutment teeth. A total 192 fixed prostheses removed at Chosun university Dental Hospital and 308 abutment were investigated. The most frequent reason of removal was periodontal problem(30.7%), followed by caries(29.7%), then periapical problem(18.8%) and defective margins(14%). In metal ceramic crown, periodontal problem was the most frequent reason of removal. In complete cast crown, caries was the most frequent reason of removal. Periapical and periodontal problem was the most frequent reason people under forties and over fifties, respectively. Of the 308 abutment teeth, vital and non-vital teeth were 135(43.8%) and 173(56.2%), respectively. Of 135 vital abutment teeth, 39(28.9%) were extracted and of 173 non-vital abutment teeth, 85(49.1%) were extracted. Each risk factor for removal of fixed prostheses and extraction of abutment should be evaluated more clearly for prediction of prognosis of final prostheses and abutment teeth.

참고문헌 (55)

  1. Kawazoe T, "Significance and goal of Crown and bridge prosthodontics. In: Crown and bridge prosthodontics, 3rd edn", pp.2~ (2004), Ishiyaku publishers, Inc.
  2. De Backer H, "Survival of complete crowns and periodontal health: 18-year retrospective study", Int J Prosthodont, 20, pp.151~158 (2007)
  3. Libby G, "Longevity of fixed partial dentures", J Prosthet Dent, 78, pp.127~131 (1997)
  4. Pjetursson BE, "A systematic review of the survival and complication rates of fixed partial dentures (FPDs) after an observation period of at least 5 years", Clin Oral Implants Res, 15, pp.667~676 (2004)
  5. Schwartz NL, "Unserviceable crowns and fixed partial dentures: life-span and causes for loss of serviceability", J Am Dent Assoc, 81, pp.1395~1401 (1970)
  6. Walton JN, "A survey of crown and fixed partial denture failures: length of service and reasons for replacement", J Prosthet Dent, 56, pp.416~421 (1986)
  7. Foster LV, "Failed conventional bridge work from general dental practice: clinical aspects and treatment needs of 142 cases", Br Dent J, 168, pp.199~201 (1990)
  8. Cheung GSP, "A preliminary investigation into the longvity and causes of failure of single unit extracoronal restorations", J Dent, 19, pp.160~163 (1991)
  9. Maryniuk GA, "In search of treatment longevity-a 30-year perspective", J Am Dent Assoc, 109, pp.739~744 (1984)
  10. Leempoel PJB, "The survival rate of bridges. A study of 1674 bridges in 40 Dutch general practices", J Oral Rehabil, 22, pp.327~330 (1995)
  11. Lindquist E, "Success rate and failures for fixed partial dentures after 20 years of service: Part I", Int J Prosthodont, 11, pp.133~138 (1998)
  12. De Backer H, "A 20-year retrospective survival study of fixed partial dentures", Int J Prosthodont, 19, pp.143~153 (2006)
  13. Nassar U, "Longevity of a maxillary 2-unit cantilever fixed partial denture: clinical report", J Can Dent Assoc, 72, pp.253~255 (2006)
  14. Valderhaug J, "Assessment of the periapical and clinical status of crowned teeth over 25 years", J Dent, 25, pp.97~105 (1997)
  15. Holm C, "Longevity and quality of FPDs: a retrospective study of restorations 30, 20, and 10 years after insertion", Int J Prosthodont, 16, pp.283~289 (2003)
  16. De Backer H, "Single-tooth replacement: is a 3-unit fixed partial denture still an option? A 20-year retrospective study", Int J Prosthodont, 19, pp.567~573 (2006)
  17. Cheung GS, "A clinical evaluation of conventional bridgework", J Oral Rehabil, 17, pp.131~136 (1990)
  18. Valderhaug J, "A 15-year clinical evaluation of fixed prosthodontics", Acta Odontol Scand, 49, pp.35~40 (1991)
  19. Karlsson S, "A clinical evaluation of fixed bridges, 10 years following insertion", J Oral Rehabil, 13, pp.423~432 (1986)
  20. Karlsson S, "Failures and length of service in fixed prosthodontics after long-term function. A longitudinal clinical study", Swed Dent J, pp.185~192 (1989)
  21. Hochman N, "A clinical and radiographic evaluation of fixed partial dentures (FPDs) prepared by dental school students: a retrospective study", J Oral Rehabil, 30, pp.165~170 (2003)
  22. Iqbal MK, "A retrospective analysis of factors associated with the periapical status of restored, endodontically treated teeth", Int J Prosthodont, 16, pp.31~38 (2003)
  23. Wolf JE, "A follow-up study of porcelain and acrylic jacket crowns", Proc Finn Dent Soc, 74, pp.54~58 (1978)
  24. De Backer H, "An 18-year retrospective survival study of full crowns with or without posts", Int J Prosthodont, 19, pp.136~142 (2006)
  25. Walton TR, "A 10-year longitudinal study of fixed prosthodontics: clinical characteristics and outcome of single-unit metal-ceramic crowns", Int J Prosthodont, 12, pp.519~526 (1999)
  26. Reuter JE, "Failures in full crown retained dental bridges", Br Dent J, 157, pp.61~63 (1984)
  27. Randow K, "Technical failures and some related clinical complications in extensive fixed prosthodontics. An epidemiological study of long-term clinical quality", Acta Odontol Scand, 44, pp.241~255 (1986)
  28. Ericson G, "Cross-sectional study of patients fitted with fixed partial dentures with special reference to the caries situation", Scand J Dent Res, 98, pp.8~16 (1990)
  29. Glantz PO, "Patient age and long term survival of fixed prosthodontics", Gerodontology, 10, pp.33~39 (1993)
  30. Palmqvist S, "Artificial crowns and fixed partial dentures 18 to 23 years after placement", Int J Prosthodont, 6, pp.279~285 (1993)
  31. Näpänkangas R, "Longevity of fixed metal ceramic bridge prostheses: a clinical follow-up study", J Oral Rehabil, 29, pp.140~145 (2002)
  32. Foster LV, "The relationship between failure and design in conventional bridgework from general dental practice", J Oral Rehabil, 18, pp.491~495 (1991)
  33. Palmqvist S, "Multivariate analyses of factors influencing the longevity of fixed partial dentures, retainers, and abutments", J Prosthet Dent, 71, pp.245~250 (1994)
  34. Walton TR, "An up to 15-year longitudinal study of 515 metal-ceramic FPDs: Part 1. Outcome", Int J Prosthodont, 15, pp.439~445 (2002)
  35. Nyman S, "A longitudinal study of combined periodontal and prosthetic treatment of patients with advanced periodontal disease", J Periodontol, 50, pp.163~169 (1979)
  36. Reichen-Graden S, "Periodontal and pulpal conditions of abutment teeth. Status after four to eight years following the incorporation of fixed reconstructions", Schweiz Monatsschr Zahnmed, 99, pp.1381~1385 (1989)
  37. Budtz-Jorgensen E, "A 5-year longitudinal study of cantilevered fixed partial dentures compared with removable partial dentures in a geriatric population", J Prosthet Dent, 64, pp.42~47 (1990)
  38. Öwall BE, "Twenty-year experience with 12-unit fixed partial dentures supported by two abutments", Int J Prosthodont, 4, pp.24~29 (1991)
  39. Laurell L, "Long-term prognosis of extensive polyunit cantilevered fixed partial dentures", J Prosthet Dent, 66, pp.545~552 (1991)
  40. Carlson BR, "Long-term observations of extensive fixed partial dentures on mandibular canine teeth", J Oral Rehabil, 23, pp.163~169 (1996)
  41. Hämmerle CH, "Long-term analysis of biologic and technical aspects of fixed partial dentures with cantilevers", Int J Prosthodont, 13, pp.409~415 (2000)
  42. Kerschbaum TH, "Verweilzeit-und risikiofaktorenanalyse von festsitzendem zahnersatz", Dtsch Zahnarztl Z, 46, pp.20~24 (1991)
  43. Mäkilä E, "A follow-up study of partial crowns as bridge retainers", Proc Finn Dent Soc, 71, pp.15~28 (1975)
  44. Swartz B, "Long-term changes in marginal and periapical periodontal conditions in patients with fixed prostheses: a radiographic study", J Oral Rehabil, 23, pp.101~107 (1996)
  45. Demarchi MG, "Leakage of interim post and cores used during laboratory fabrication of custom posts", J Endod, 28, pp.328~329 (2002)
  46. Gimbel M, "Calcium hydroxide as a temporary filling of the post space in root-filled teeth", Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 94, pp.98~102 (2002)
  47. Kopper PM, "Comparative in vivo analysis of the sealing ability of three endodontic sealers in post-prepared root canals", Int Endod J, 36, pp.857~863 (2003)
  48. Ravanshad S, "An in vitro study of coronal microleakage in endodontically-treated teeth restored with posts", Aust Endod J, 29, pp.128~133 (2003)
  49. Willershausen B, "Survival rate of endodontically treated teeth in relation to conservative vs post insertion techniques -a retrospective study-", Eur J Med Res, 10, pp.204~208 (2005)
  50. Silness J, "Alveolar bone loss in bridge recipients after six and twelve years", Int Dent J, 35, pp.297~300 (1985)
  51. Valderhaug J, "Oral hygiene, periodontal conditions and carious lesions in patients treated with dental bridges. A 15-year clinical and radiographic follow-up study", J Clin Periodontol, 20, pp.482~489 (1993)
  52. Moser P, "Maintenance of periodontal attachment levels in prosthetically treated patients with gingivitis or moderate chronic periodontitis 5-17 years post therapy", J Clin Periodontol, 29, pp.531~539 (2002)
  53. Öwall B, "Prosthodontic claims in the Swedish Patient Insurance Scheme", Acta Odontol Scand, 50, pp.365~374 (1992)
  54. "Korean Academy of prosthodontics. Survey and analysis on the life of prosthetics", pp.1~11 (2001), Korean Academy of Prosthetics
  55. Shin W-J, "Longevity and failure analysis of fixed restorations serviced in Korea", Korean Academy of Prosthetics, 43, pp.158~175 (2005)

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