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聚醚醚酮(PEEK)固定义齿在部分牙列缺损患者中的临床可接受性——一项单臂为期一年的试点研究。

Clinical acceptability of PEEK fixed dental prosthesis in partially edentulous patient - A one year single arm pilot study.

作者信息

Raj D Arun, Chander Naveen Gopi, Reddy Jetti Ramesh, Balasubramaniam Muthukumar

机构信息

Department of Prosthodontics, Sri Ramaswami Memorial Dental College, Ramapuram, India.

出版信息

J Oral Biol Craniofac Res. 2020 Oct-Dec;10(4):523-528. doi: 10.1016/j.jobcr.2020.08.006. Epub 2020 Aug 18.

Abstract

PURPOSE

The study evaluated the clinical efficacy of Polyether ether ketone (PEEK) fixed dental prosthesis (FDP) over a period of one year using modified Ryges criteria and California Dental Assessment system.

METHODS

The group consisted of 20 patients restored with posterior three-unit PEEK FDP. Patient recall and clinical examination of the restorations were done at interval of 0, 3, 6, 9 and 12 months. Clinical examination for evaluation of longevity of restorations was done using modified Ryges criteria and California dental assessment system on chipping of the veneered composite, discoloration at the marginal areas, and marginal adaptation, retention, periodontal health and hygiene of PEEK FDP. Radiographic assessment was done after 12 months. Statistical analysis were done using Friedman test.

RESULTS

95% of the patients had maintained the restoration of PEEK FDP without fracture during the study period. 5% patient reported with de-cementation of fixed dental prosthesis. 10% of the PEEK FDP shows marginal discoloration. However, no significant changes were observed during the periodic time interval evaluation in marginal adaptation, oral hygiene status and periodontal health. (p < 0.5).

CONCLUSION

PEEK FDP had satisfactory clinical efficacy and acceptable clinical outcome during the observation period of 12 months. No significant radiological changes were observed at the end of 12 months.

摘要

目的

本研究使用改良的Ryges标准和加利福尼亚牙科评估系统,在一年的时间里评估聚醚醚酮(PEEK)固定义齿(FDP)的临床疗效。

方法

该组由20例接受后牙三单位PEEK FDP修复的患者组成。在0、3、6、9和12个月时对患者进行回访并对修复体进行临床检查。使用改良的Ryges标准和加利福尼亚牙科评估系统,对贴面复合材料的崩裂、边缘区域的变色、边缘适应性、固位、PEEK FDP的牙周健康和卫生状况进行临床检查,以评估修复体的使用寿命。12个月后进行影像学评估。使用Friedman检验进行统计分析。

结果

在研究期间,95%的患者保持了PEEK FDP修复体无骨折。5%的患者报告固定义齿松动。10%的PEEK FDP显示边缘变色。然而,在定期评估期间,边缘适应性、口腔卫生状况和牙周健康方面未观察到显著变化(p < 0.5)。

结论

在12个月的观察期内,PEEK FDP具有令人满意的临床疗效和可接受的临床结果。在12个月末未观察到明显的影像学变化。

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