Sulaya Kavishma, Guttal Satyabodh S
Department of Prosthodontics, SDM College of Dental Sciences and Hospital, Dharwad, Karnataka, India.
J Indian Prosthodont Soc. 2020 Jan-Mar;20(1):38-44. doi: 10.4103/jips.jips_228_19. Epub 2020 Jan 27.
The aim of this study was to evaluate the clinical performance and patient satisfaction of PEEK Crowns.
In-vivo longitudinal pilot study.
20 PEEK crowns were placed in 20 patients. 11 were placed in the maxilla and 9 were placed in the mandible. All procedural steps were performed by the same operator. The teeth were prepared with a chamfer finish line of 0.8 to 1 mm. The crowns fabricated were luted using resin cement. Using Modified Ryge's Criteria, the crowns were examined for anatomic form, marginal integrity, surface roughness, restoration staining, marginal discoloration and color match at a time interval of 1 week, 1 month, 3 months, 6 months, one year. Patient satisfaction was also evaluated at the same interval using a questionnaire.
The data collected was evaluated using fisher's exact test.
Based on modified Ryge's criteria, almost 90% of the crowns were rated satisfactory. Fracture was registered in only one crown. Slight chipping off was seen in two crowns. No significant difference was seen in any other factors assessed. Slight variation was seen in the periodontal status of 3 patients.
Within the limitations of this study the following conclusions were drawn that the PEEK crowns demonstrated by the use of Modified Ryge's Criteria, its capability to produce quality prostheses that were rated satisfactory with a relatively low rate of fracture over the relative mean period of one year.
本研究旨在评估聚醚醚酮(PEEK)牙冠的临床性能和患者满意度。
体内纵向试点研究。
在20名患者中植入20个PEEK牙冠。其中11个植入上颌,9个植入下颌。所有操作步骤均由同一名操作人员完成。牙齿预备采用0.8至1毫米的肩台边缘线。制作的牙冠用树脂水门汀粘结。使用改良的赖格标准,在1周、1个月、3个月、6个月、1年的时间间隔内检查牙冠的解剖形态、边缘完整性、表面粗糙度、修复体染色、边缘变色和颜色匹配情况。同时使用问卷在相同间隔评估患者满意度。
采用Fisher精确检验对收集的数据进行评估。
根据改良的赖格标准,近90%的牙冠被评为满意。仅1个牙冠出现骨折。2个牙冠有轻微崩瓷。在评估的任何其他因素中均未发现显著差异。3名患者的牙周状况有轻微变化。
在本研究的局限性范围内,得出以下结论:通过使用改良的赖格标准证明,PEEK牙冠能够制作出质量令人满意的修复体,在相对平均的一年时间内骨折率相对较低。