Elagra Marwa E I, Alhayek Abdulhadi I A, Al-Mutairi Bashayir F M, Aljohar Noora A, Aladwani Reem A
Department of Prosthodontics, Riyadh Elm University, Riyadh, Saudi Arabia.
General Practitioner, Riyadh Elm University, Riyadh, Saudi Arabia.
J Family Med Prim Care. 2019 Jun;8(6):1914-1918. doi: 10.4103/jfmpc.jfmpc_360_19.
The choice of prosthetic replacement is largely determined by the patient's choice and economic status, available technology and expertise, as well as the number of missing teeth. The aim of this study was to identify the trend in prosthetic replacement, in partially edentulous patients treated at Riyadh Elm University (REU) hospitals, as well as to investigate the factors that might influence the prosthetic choice.
The records from Dentoplus digital system of all partially edentulous patients who had a prosthetic replacement at REU 2013, until June 2018, were screened and analyzed using Statistical software SPSS version 25. Chi-square and Fisher exact tests were performed. Alpha level was set at ≤0.05.
6,340 patients received implants, removable or fixed prosthesis. Majority of the patients were females (60%). RPDs were the highest placed restorations (69%). Students (73%) placed most RPDs. Implants significantly increased through the years by almost (30%) (-value = 0.00). Among FPDs, metal-ceramics were the highest restorations (74%), with a significant increase of all-ceramic restorations through years (-value = 0.00). Moreover, FPDs were significantly the highest restorations among young-adult and middle-aged patients (-value = 0.00).
There was a clear change in prosthetic rehabilitation trends over the past few years. Although removable partial dentures continued to play a major role in prosthetic teeth replacement, the use of dental implants showed a steady increase every year. Students' requirements and level of experience, along with the patient age, had an influence in the prosthetic choice.
修复体的选择很大程度上取决于患者的选择和经济状况、可用技术和专业知识以及缺失牙的数量。本研究的目的是确定利雅得艾尔姆大学（REU）医院治疗的部分牙列缺损患者的修复趋势，并调查可能影响修复体选择的因素。
筛选并分析了2013年至2018年6月在REU接受修复治疗的所有部分牙列缺损患者在Dentoplus数字系统中的记录，使用统计软件SPSS 25版进行分析。进行了卡方检验和Fisher精确检验。设定α水平≤0.05。
6340名患者接受了种植体、可摘或固定修复体。大多数患者为女性（60%）。可摘局部义齿是放置最多的修复体（69%）。学生（73%）放置的可摘局部义齿最多。这些年来种植体显著增加了近（30%）（-值 = 0.00）。在固定桥中，金属烤瓷修复体是最多的修复体（74%），全瓷修复体多年来显著增加（-值 = 0.00）。此外，固定桥在年轻和中年患者中显著是最多的修复体（-值 = 0.00）。
在过去几年中修复康复趋势有明显变化。尽管可摘局部义齿在假牙修复中继续发挥主要作用，但种植牙的使用每年都在稳步增加。学生的需求和经验水平，以及患者年龄，对修复体选择有影响。
