Clinical signs of the quality level of fixed dentures in the process of use and rationale for feasibility of their replacement
DOI:
https://doi.org/10.26641/2307-0404.2023.2.283359Ключевые слова:
artificial crowns, bridge-like dentures, index of qualityАннотация
The growing requirements for the quality of dental care necessitates expert evaluation of dental prostheses. Therefore, on the way to improve the structure and process of providing dental care, it is important to analyze the primary data of its results in quantitative and qualitative terms. The purpose of this work is to clarify the content and results of consulting care by analyzing clinically important indicators of the quality of fixed dentures that determine their applicability for further use. Among the 410 patients aged 35-81 examined for damage to abutment teeth and periodontal tissues, unsatisfactory condition of crowns and bridges, the 1st subgroup included 76 (18.5%) persons who sought counseling on their own initiative and the 2nd subgroup – 334 (81.5%) persons with referrals from other medical institutions. Quality indicators of 759 artificial crowns and 803 bridges were determined (K08.5 – unsatisfactory restoration of teeth) in the early (up to 24 months) and remote (more than 24 months of use) periods of observation using a modified index of clinical and technological quality. In patients of both groups in the early observation period 67 crowns and 101 bridges (all signs – 253), and in the remote period – 692 crowns and 702 bridges (3804 signs) of low quality were revealed. Quality index of these structures in the early and remote periods of observation was 0,71 versus 0,36 (p<0.05) and 0.64 versus 0.37 respectively (p<0.05). In 71 (93.4%) patients of the 1st group grounds for replacement of 292 out of 327 (89.3%), and in 238 (71.3%) patients of the 2nd group – 827 (67.0%) out of 1235 fixed partial dentures were found. Thus, expert assessment of the quality of dental care is an integral part of ensuring the predicted results of prosthetic treatment. The proposed method of assessing the clinical and technological quality of fixed dentures makes it possible to determine their suitability or unsuitability for further use.
Библиографические ссылки
Herych MS, Syniavska ОО. [Mathematical statistics: a study guide] Uzhhorod: DVNZ “UzhNU”; 2021. p. 58-78. Ukrainian.
[SSTU ISO 9000:2015 (ISO 9000:2015, IDT). Quality management systems. Basic provisions and glossary of terms]. Kyiv: SE UkrSRTC; 2016. p. 49 Ukrainian.
Krut AH. [Criteria and indicators of the quality of dental care: state of development and use]. Ukrainskyi zhurnal medytsyny, biolohii ta sportu. 2021;5:285-93. Ukrainian. doi: https://doi.org/10.26693/jmbs06.05.285
Mazur IP, Pavlenko OV, Blyznyuk VH. [The current state of dental care in Ukraine]. Zdorovya Ukrainy 21 storichchya. 2017;18(415):74-5. Ukrainian.
[National classifier of Ukraine. Classifier of diseases and related problems of health care. NC 025 2021]. Kyiv: Мinistry of Health of Ukraine; 2021. р. 4, 350-56, 1613, 1636, 1665, 1666. Ukrainian.
Yanіshen ІV. [Assessment of the quality of fixed constructions of dental prostheses]. Ukrainskyi stomatologіchnyi almanakh. 2016;1(1):70-4. Ukrainian.
Yanіshen ІV, Yarova AV, Berezhna OO, Dolya AV, Bogatirenko MV. [The quality of treatment with use of orthopedic dental constructions as a problem of clinical dentistry (literature review)]. Ukrainskyi zhurnal medytsyny, bіolohіi ta sportu. 2018;2(18):59-68. Ukrainian. doi: https://doi.org/10.26693/jmbs04.02.059
Al Refai R, Saker S. Clinical and Radiographic Assessment of Reasons for Replacement of Metal-Ceramic Fixed Dental Prostheses in Patients Referring to Dental School. J Clin Exp Dent. 2018;10(1):75-80. doi: https://doi.org/10.4317/jced.53850
Chansoria Sh, Chansoria H. Abutment Selection In Fixed Partial Denture IOSR. Journal of Dental and Medical Sciences. 2018;17:4-12. doi: https://doi.org/10.9790/0853-1703010412
Naz A, Musharraf H, Jawad A, Zia K, Kumar B, Lone MA. Assessment of failure of prosthesis in fixed prosthodontics among patients reporting to a teaching dental hospital of Karachi. J Pak Dent Assoc. 2020;29(3):105-9. doi: https://doi.org/10.25301/JPDA.293.105
Hawthan MA, Chrcanovic BR, Larsson C. Longterm retrospective clinical study of tooth-supported fixed partial dentures: A multifactorial analysis. J Prosthodont Res. 2023;67(2):238-45. doi: https://doi.org/10.2186/jpr.JPR_D_21_00222
Pjetursson BE, Valente NA, Strasding M, Zwahlen M, Liu S, Sailer I. A systematic review of the survival and complication rates of zircinia-ceramic and metal-ceramic single crowns. Clin Oral Implants Research. 2018;29(16):199-214. doi: https://doi.org/10.1111/clr.13306
Sailer I, Fehmer V, Pjetursson B. Guide to the selection of materials and fabrication technology. Quintessence Publishing. 1st ed. Quintessenz Verlag; 2021. р. 752.
Sharanya H, Ganapathy D, Visalakshi RM. Awareness on the management of periodontally compromised abutments in fixed partial denture – A cross-sectional survey. Journal Drug Invention Today. 2019;12:989-94.
Zavanelli AC, Quinelli Mazaro JV, Nobrega PI, Falcón-Antenucc RM, Zavanelli RA. Data collection about failures in fixed partial dentures: 1-year monitoring. Rev Gaúch Odontol. 2018;66(3):250-6. doi: https://doi.org/10.1590/1981-863720180003000093313
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