Goodacre Charles J, Bernal Guillermo, Rungcharassaeng Kitichai, Kan Joseph Y K
Loma Linda University, Loma Linda, CA, USA.
J Prosthet Dent. 2003 Jul;90(1):31-41. doi: 10.1016/s0022-3913(03)00214-2.
The purpose of this article is to identify the incidence of complications and the most common complications associated with single crowns, fixed partial dentures, all-ceramic crowns, resin-bonded prostheses, and posts and cores. A Medline and an extensive hand search were performed on English-language publications covering the last 50 years. The searches focused on publications that contained clinical data regarding success/failure/complications. Within each type of prosthesis, raw data were combined from multiple studies and mean values calculated to determine what trends were noted in the studies. The lowest incidence of clinical complications was associated with all-ceramic crowns (8%). Posts and cores (10%) and conventional single crowns (11%) had comparable clinical complications incidences. Resin-bonded prostheses (26%) and conventional fixed partial dentures (27%) were found to have comparable clinical complications incidences. The 3 most common complications encountered with all-ceramic crowns were crown fracture (7%), loss of retention (2%), and need for endodontic treatment (1%). The 3 most common complications associated with posts and cores were post loosening (5%), root fracture (3%), and caries (2%). With single crowns, the 3 most common complications were need for endodontic treatment (3%), porcelain veneer fracture (3%), and loss of retention (2%). When fixed partial denture studies were reviewed, the 3 most commonly reported complications were caries (18% of abutments), need for endodontic treatment (11% of abutments), and loss of retention (7% of prostheses). The 3 most common complications associated with resin-bonded prostheses were prosthesis debonding (21%), tooth discoloration (18%), and caries (7%).
本文旨在确定与单冠、固定局部义齿、全瓷冠、树脂粘结修复体以及桩核相关的并发症发生率及最常见的并发症。我们对过去50年的英文出版物进行了Medline检索及广泛的手工检索。检索重点为包含成功/失败/并发症临床数据的出版物。在每种修复体类型中，我们整合了多项研究的原始数据并计算平均值，以确定研究中呈现的趋势。临床并发症发生率最低的是全瓷冠（8%）。桩核（10%）和传统单冠（11%）的临床并发症发生率相当。树脂粘结修复体（26%）和传统固定局部义齿（27%）的临床并发症发生率相当。全瓷冠最常遇到的3种并发症是冠折（7%）、固位丧失（2%）和需要进行牙髓治疗（1%）。与桩核相关的3种最常见并发症是桩松动（5%）、根折（3%）和龋齿（2%）。对于单冠，3种最常见并发症是需要进行牙髓治疗（3%）、瓷贴面折断（3%）和固位丧失（2%）。在回顾固定局部义齿研究时，最常报告的3种并发症是龋齿（基牙的18%）、需要进行牙髓治疗（基牙的11%）和固位丧失（修复体的7%）。与树脂粘结修复体相关的3种最常见并发症是修复体脱粘（21%）、牙齿变色（18%）和龋齿（7%）。
