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可摘局部义齿的流行病学数据及生存率

Epidemiological Data and Survival Rate of Removable Partial Dentures.

作者信息

Moreno Amália, Haddad Marcela Filié, Goiato Marcelo Coelho, Rocha Eduardo Passos, Assunção Wirley Gonçalves, Filho Humberto Gennari, Santos Emerson Gomes Dos, Sonego Mariana Vilela, Santos Daniela Micheline Dos

机构信息

Associate Professor, Department of Dental Clinical, Oral Surgery and Pathology, School of Dentistry, UFMG - Univ Federal de Minas Gerais, Dental School , Belo Horizonte, Minas Gerais, Brazil .

Associate Professor, Department of Dentistry, School of Dentistry, UNIFAL - Univ Federal de Alfenas , Alfenas, Minhas Gerais, Brazil .

出版信息

J Clin Diagn Res. 2016 May;10(5):ZC84-7. doi: 10.7860/JCDR/2016/16638.7816. Epub 2016 May 1.

Abstract

INTRODUCTION

The use of removable partial denture (RPD) is considered as low-cost and common treatment option to rehabilitate edentulous areas.

AIM

This study aimed to investigate the epidemiological data of patients rehabilitated with removable partial denture (RPD) in order to assess treatment survival rate and failures.

MATERIALS AND METHODS

Epidemiological data and medical records of patients treated with RPD between 2007 and 2012 at the RPD discipline of a Brazilian University (Aracatuba Dental School- UNESP) were evaluated as well as dental records of patients who underwent RPD treatments (fabrication or repairs) between 2000 and 2010. Factors such as gender, age, presence of systemic disease, main complaint, edentulous arch, period and cause of denture replacement and the prosthesis characteristics were recorded. The chi-square test was used to assess the differences between the variables and the Kaplan Meyer to assess the survival of the RPDs evaluated.

RESULTS

A total of 324 maxillary RPD and 432 mandibular RPD were fabricated. Most of the patients were women aging 41 to 60-year-old. The number of mandibular RPD Kennedy class I (26%) was statistically higher for the maxillary arch (p<.05). There was no association between main complaint to gender or the presence of systemic disease. The lingual plate was the most common major connector used in the mandible (32%). The main reason for altering the design of replaced RPDs were changes during treatment plan.

CONCLUSION

The number of patients who require RPD is large; most of RPDs are Kennedy Class I. A good treatment plan is very important for achieving a positive treatment outcome, and it is strictly related to the survival rate.

摘要

引言

可摘局部义齿(RPD)的使用被认为是修复无牙区的低成本且常用的治疗选择。

目的

本研究旨在调查使用可摘局部义齿(RPD)修复患者的流行病学数据,以评估治疗生存率和失败情况。

材料与方法

对2007年至2012年在巴西一所大学(阿拉萨图巴牙科学院 - 圣保罗州立大学)RPD学科接受RPD治疗的患者的流行病学数据和病历进行评估,以及对2000年至2010年接受RPD治疗(制作或修复)患者的牙科记录进行评估。记录诸如性别、年龄、全身疾病的存在、主要诉求、无牙弓、义齿更换的时期和原因以及义齿特征等因素。使用卡方检验评估变量之间的差异,并使用Kaplan Meyer评估所评估的RPD的生存率。

结果

共制作了324副上颌RPD和432副下颌RPD。大多数患者为41至60岁的女性。下颌RPD肯尼迪I类的数量(26%)在上颌弓中在统计学上更高(p<.05)。主要诉求与性别或全身疾病的存在之间没有关联。舌板是下颌最常用的大连接体(32%)。更换RPD设计的主要原因是治疗计划期间的改变。

结论

需要RPD的患者数量众多;大多数RPD为肯尼迪I类。良好的治疗计划对于获得积极的治疗结果非常重要,并且它与生存率密切相关。

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本文引用的文献

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Esthetics in removable partial denture--a review.
Kathmandu Univ Med J (KUMJ). 2013 Oct-Dec;11(44):344-8. doi: 10.3126/kumj.v11i4.13482.
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Color differences between artificial and natural teeth in removable partial denture wearers.
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