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牙支持式固定-固定设计金属陶瓷固定义齿的常见后期拟合并发症。

Common Post-fitting Complications in Tooth-supported Fixed-Fixed Design Metal-Ceramic Fixed Dental Prostheses.

机构信息

Nadia Zafar, BDS, Department of Prosthodontics, Khyber College of Dentistry, University Campus, Peshawar, Pakistan.

Fazal Ghani, BSc, BDS, MSc, CMP, PhD, FDSRCPSGlasg, Department of Prosthodontics, Khyber College of Dentistry, University Campus, Peshawar, Pakistan.

出版信息

Pak J Med Sci. 2014 May;30(3):619-25. doi: 10.12669/pjms.303.5599.

Abstract

OBJECTIVES

To report the frequency of common complications and their levels in metal-ceramic fixed dental prostheses (MC-FDPs).

METHODS

A Descriptive Cross-sectional study was conducted at the Prosthodontics Department, Khyber College of Dentistry Peshawar from January 2011 to October 2012. Using a structured proforma, data from 139 subjects fulfilling the inclusion and exclusion criteria for the study and reporting complications in their MC- FDPs were collected using the method of interview, clinical & radiographic examination.

RESULTS

Of 139 subjects (Mean age = 34+ 6.4 Years), 81 (58.3%) were males and 58 (41.7%) were females with a male to female ratio of 1.4:1. De-cementation was the most common complication (41.7%). Least common complication was secondary caries (6.5%). Level-1 complications were more prevalent (77.7%) than level-2 complications (22.3%). In 91.4% cases, complications occurred before the FDP completed their fifth-years' service life with 25.2% of these occurring within the first years' service life.

CONCLUSION

Irrespective of the type of complications, level-1 complications were more common with de-cementation being the most common complication. One-quarter of all the complications occurred within the first-year service life of the FDPs highlighting concern over the quality of the provided MC-FDPs. .

摘要

目的

报告金属烤瓷固定义齿(MC-FDP)常见并发症及其程度的发生频率。

方法

本研究为描述性的横断研究,于 2011 年 1 月至 2012 年 10 月在白沙瓦牙科医学院修复科进行。使用结构化的表格,通过访谈、临床和影像学检查,收集了符合研究纳入和排除标准并报告 MC-FDP 并发症的 139 名受试者的数据。

结果

在 139 名受试者中(平均年龄为 34+6.4 岁),81 名(58.3%)为男性,58 名(41.7%)为女性,男女比例为 1.4:1。离位是最常见的并发症(41.7%)。最不常见的并发症是继发龋(6.5%)。一级并发症比二级并发症更常见(77.7%比 22.3%)。在 91.4%的病例中,并发症发生在 FDP 完成其五年使用寿命之前,其中 25.2%发生在第一个使用寿命年内。

结论

无论并发症类型如何,一级并发症更为常见,其中离位是最常见的并发症。四分之一的所有并发症发生在 FDP 的第一年服务寿命内,这突显了对提供的 MC-FDP 质量的关注。

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