[논문]국내에서 제작된 고정성 보철물의 수명과 실패 요인 및 양상

신우진; 전영식; 이근우; 이호용; 한동후

국내에서 제작된 고정성 보철물의 수명과 실패 요인 및 양상
LONGEVITY AND FAILURE ANALYSIS OF FIXED RESTORATIONS SERVICED IN KOREA 원문보기

대한치과보철학회지 = The journal of Korean academy of prosthodontics, v.43 no.2, 2005년, pp.158 - 175

신우진 (연세대학교 치과대학 치과보철학교실) , 전영식 (연세대학교 치과대학 치과보철학교실) , 이근우 (연세대학교 치과대학 치과보철학교실) , 이호용 (연세대학교 치과대학 치과보철학교실) , 한동후 (연세대학교 치과대학 치과보철학교실)

Abstract ▼ AI-Helper

Statement of problem. Every effort has been continually made to obtain objectivity in measuring the longevity of fixed restorations, such as by establishing unified judgement standard for deciding success and adopting statistical method that analyzes the data of successful and failed cases at the same time. In Korea, however desired level of development has not to be made in this field yet. Purpose. This study, adopting California Dental Association (CDA) quality evaluation system, established objective standard for deciding success, and inferred the longevity of fixed restorations and their failure analysis through adopting Kaplan-Meier survival analysis. Material and method. In order to assess the longevity of flxed restorations serviced in Korea and causes of failure, a total of 1109 individuals (aged 15-74, 716 women and 393 men loaded with 2551 unit fixed restorations, and 1934 abutments) who lived in Kyung-In Province were examined and the findings were as follows : Results. 1. Length of service of fixed restorations serviced in Korea was 6.86$\pm$0.15 yr (mean), 5.5 yr (median), and the rate of success was 65.82% in 5 year survival, and 21.15% in 10 year survival. 2. When there was patient's need for replacing old prosthetics, longevity of fixed restorations was 7.51$\pm$0.27 yr (mean), 7 yr (median), and the rate of success was 61.08% in 5 year survival, and 17.57% in 10 year survival. 3. Longevity of fixed restorations was longest in the over-sixty age group(9.21$\pm$0.66) and that of the teen age group(3.39$\pm$0.28) was shortest (p<0.05). 4. Longevity of fixed restorations of women (7.38$\pm$0.18 years) was longer than that of men (6.00$\pm$0.26) (p<0.05). 5. As for the provider factor (such as unlicensed performers, university hospitals, and private clinic), there was no statistically significant difference in longevity of fixed restorations. 6. Defective margin (34.78%). periodontal disease (12.15%), periapical involvement (11.73%), was the most frequent causes of failure and poor esthetics group showed the longest life above all (p<0.05). Actual frequent causes of failure after removing old prosthetics were defective margin, periapical involvement, periodontal disease and uncemented restoration. In 75.67% of the cases, abutment state after removing old prosthetics was good enough for loading another prosthetics. 7. There was found to have statistically significant influence between longevity of single crown (6.35$\pm$0.20 yr) and that of 3 unit fixed restorations (7.60$\pm$0.30 y) (p0.05). 9. Longevity of fixed restorations made of non precious metal was longest (9.60$\pm$0.40 yr) semi precious and precious trailing behind(p0.05). 11. Longevity of fixed restorations was longest in the centric interference group(9.35$\pm$0.62) (p<0.05) among different types of occlusal interference. Conclusion. We found that longevity of fixed restorations serviced in Korea is affected by age, gender and type of material, and that most frequent cause of failure is defective margin. In order to assess the accurate longevity of axed restorations, unified research design. overcoming inter-observer difference and establishing the objective research items are needed. Furthermore, it is thought that prospective approach through thorough study and regular follow-ups is needed just from the start of research. Nationwide detailed stud

주제어

참고문헌 (98)

Allan DN. The Durability of conservative restorations. Br Dent J 1969;126:172-7

상세보기
Bentley C, Drake CW. Longevity of restorations in a dental school clinic. J Dent Educ 1986;50:594-600

상세보기
Cheung GSP. A preliminary investigation into the longevity and causes of failure of single unit extracoronal restorations. J Dent 1991;19:160-3

상세보기
Karlsson S. Failures and length of service in fixed prosthodontics after long-term function. A longitudinal clinical study. Swed Dent J 1989;13:185-92

상세보기
Lindquist E, Karlsson S. Success rate and failures for fixed partial dentures after 20 years of service: part I. Int J Prostho 1998;11:133-8
Odman PA ,Karlsson S. Follow-up study of patients with bridge constructions performed by private dental surgeons and at a university clinic, 8 years following insertion. J Oral Rehabil 1988;15:55-63

상세보기
Moon HY. A study on the life expectation of dental restorations. Korean academy of oral health 1985;9:51-74
Korean Academy of prosthodontics. Survey and analysis on the life of prosthetics. Korean Academy of Prosthetics 2001;1-11
Trapozzano VR. Selecting the correct restoration. Dent Clin North Am 1960;259-75
Moore DL, Stewart JL. Prevalence of defective restorations. J Prosthet Dent 1967;17:372-8

상세보기
Brown MH. Causes and prevention of fixed prosthodontic failure. J Prosthet Dent 1973;30:617-23
Ryge G, Snyder M. Evaluating the clinical quality of restorations. J Am Dent Assoc 1973;87:369-77

상세보기
Elderlon RJ. The causes of failure of restorations: A lileralure review. J Dent 1976;4:257-63

상세보기
Elderton RJ. The prevalence of failure of restorations: a literature review. J Dent 1976;4:207-10

상세보기
Cohen PA. Meta-analysis: application to clinical dentistry and dental education. J Dent Educ 1992;56:172-5

상세보기
Schwartz NL, Whitsett LD, Berry TG, Stewart JL. Unserviceable crowns and fixed partial dentures: life-span and causes for loss of serviceability. J Am Dent Assoc 1970;81:395-401

상세보기
Palmqvist S, Swartz B. Artificial crowns and fixed partial dentures 18 to 23 years after placement. Int J Prosthodont 1993;6:279-85

상세보기
Valderhaug JA. A 15-year clinical evaluation of fixed prosthodontics. Acta Odontol Scand 1991;49:35-40

상세보기
California Dental Association: Quality Evaluation for Dental Care. Guidelines for the Assessment of Clinical Quality and Professional Performance. The California Dental Association 1977;Los Angeles
Glantz P-O, Nilner K, Jendresen MD, Sundberg H. Quality of fixed prostho-dontics after 15 years. Acta Odontol Scand 1993;51:247-52

상세보기
Glantz P-O, Ryge G, Jendresen MD, Nilner K. Quality of extensive fixed prosthodontics after 5 years. J Prosthet Dent 1984;52:475-9

상세보기
Creugers N, Kayser A, Van't Hof MA. A meta-analysis of durability data on conventional fixed ridges. Community Dent Oral Epidemiol 1994;22:448-52

상세보기
Scurria MS, Bader JD. Shugars DA. Meta-analysis of fixed partial denture survival: Prostheses and abutment. J Prosthet Dent 1998;79:459-64

상세보기
Marynuik GA. In search of treatment longevity - a 30-year perspective. J Am Dent Assoc 1984;109:739-44

상세보기
Simmens RJ. Confronting publication bias: A cohort design for meta-analysis. Statistics in medicine 1987;6:11-25

상세보기
Reuter JE ,Brose MO. Failures in full crown retained dental bridges. Br Dent J 1984;157:61-3

상세보기
Cheung GS, Dimmer A, Mellor R ,Gale M. A clinical evaluation of conventional bridge-work. J Oral Rehabil 1990;17:131-6

상세보기
Coornaert J, Adriaens P, De Boever J. Long-term clinical study of porcelainfused-to-gold restorations. J Prosthet Dent 1984;51:338-41

상세보기
Leempoel PJB, Eschen S, De Haan AFJ, Van't Hof MA. An evaluation of crowns and bridges in a general dental practice. J Oral Rehabil 1985: 12: 515-28

상세보기
Walton JN, Gardner FM, Agar JR. A survey of crown and fixed partial denture failures: Length of service and reasons for replacement. J Prosthet Dent 1986;56:416-21

상세보기
Foster LV. Failed conventional bridge work from general dental practice: Clinical aspects and treatment needs of 142 cases. Br Dent J 1990;168:199-201

상세보기
Randow K, Glantz PO, Zoger B. Technical failures and some related clinical complications in extensive fixed prosthodontics. An epidemiological study of long-term clinical quality. Acta Odontol Scand 1986;44:241-55

상세보기
Broughton AM, Smales RJ. Comparison of dental needs with the treatments actually received. Aust Dent J 1991;36:223-30

상세보기
Marynuik GA, Kaplan SA. Longevity of restorations: Survey results of dentists' estimates and attitudes. J Am Dent Assoc 1986;112:39-45

상세보기
Marynuik GA. Clinician's perceptions of restoration longevity. J Dent Educ 1985;49:769-72

상세보기
Davies JA. Dental restorations longevity: a critique of the life table method of analysis. Community Dent Oral Epidemiol 1987;15:202-8

상세보기
Leempoel PJB, Van't Hof MA, De Haan AFJ. Survival studies of dental restorations: criteria, methods and analyses. J Oral Rehabil 1989;16:387-94

상세보기
Kaplan EL, Meier P. Nonparametric estimation from incomplete observations. J American Statistical Association 1958;53:457

상세보기
Cox DR. Regression models and life tables. J Royal Statistical Society B 1972;34:187
Loe H. The Gingival Index. the Plaque Index and the Retention Index systems. J Periodontol 1967;38:610

상세보기
Dawson AS, Smales RJ. Restoration longevity in an australian defence force population. Aust Dent J 1992;37:196-200

상세보기
Mjor IA, Jokstad A, Qvist V. Longevity of posterior restorations. Int Dent J 1990;40:11-17
Paterson N. The longevity of restorations: A study of 200 regular attenders in a General Dental Practice. Br Dent J 1984;157 23-8
Priest G, An 11-year reevaluation of resin-bonded fixed partial dentures. Int J Periodont Rest Dent 1995;15:238-47
Priest GF. Failure rates of restorations for single-tooth replacement. Int J Prostho 1996;9:38-45
Smales RJ, Berekally TL, Webster DA. Predictions of resin-bonded bridge survivals, comparing two statistical models. J Dent 1993;21:147-9

상세보기
Torbjorner A, Karlsson S, Odman P. Survival rate and failure characteristics for two post designs. J Prosthet Dent 1995;73:439-44

상세보기
York AK, Arthur JS. Reasons for placement and replacement of dental restorations in the United States Navy Dental Corps. Oper Dent 1993;18:203-10

상세보기
Walton TR. A 10-year longitudinal study of fixed prosthodontics: 1. Protocol and patient profile. lnt J Prosthodont 1997;10:325-31
Roberts DH. The failure of retainers in bridge prostheses. An analysis of 2,000 retainers. Br Dent J 1970;128:117-24

상세보기
Greg L, Michael RA, William EL, Lisa HR. Longevity of partial dentures. J Prosthet Dent 1997;78:127-3l

상세보기
Drake CW, Marynuik CA, Bentley C. Reasons for restoration replacement: differences in practice patterns. Quintessence Int 1990;21:125-30
Elderton RJ, AI-Ansary AL. Influence of the dentist in the survival of dental restorations. J Dent Res, 1991;70:Sp Iss: 684:Abstr 123
Hawthorne WS, Smales RJ. Factors influencing long-term restoration survival in three private dental practies in Adelaide. Aust Dent J 1997;42:59-63

상세보기
Mahmood S, Smales R, Longevity of dental restorations in selected patients from different practice environment. Aust Dent J 1994;39:15-7

상세보기
Maupome G, Sheiham A. Criteria for restoration replacement and restoration life-span estimates in an educational environment. J Oral Rehabil 1998;25:896-901

상세보기
Hatzikyriakos AH, Reisis GI, Tsingos N. A 3-year postoperative clinical evaluation of posts and cores beneath existing crowns. J Prosthet Dent 1992;67:454-8

상세보기
Karlsson S. A clinical evaluation of fixed bridges. 10 years following insertion. J Oral Rehabil 1986;13:423-32

상세보기
Sundh B. Odman P. A study of fixed prosthodontics performed at a university clinic 18 years after insertion. Int J Prosthodont 1997;10:513-9

상세보기
Ericson G, Nilson H, Bergman B. Cross-sectional study of patients fitted with fixed partial dentures with special reference to the caries situation. Scand J Dent Res 1990;98:8-16

상세보기
Bergenholtz C, Nyman S. Endodontic complications following periodontal and prosthetic treatment of patients with advanced periodontal disease. J Periodontol 1984;55:63-8

상세보기
Goodacre CJ, KJ Spolnik. The prosthodontic management of endodontically treated teeth: A literature review. Part 1. Sucess and failure data, treatment conceps. J Prosthod 1994;3:243-50

상세보기
Roberts DH. The relationship between age and the failure rate of bridge prostheses. Br Dent J 1970;128:175-7

상세보기
Leempoel PJB, Kayser AF, Van Rossum GM, De Haan AFJ. The survival rate of bridges. A study of 1674 bridges in 40 Dutch general practices. J Oral Rehabil 1995;22:327-30

상세보기
Foster LV. The relationship between failure and design in conventional bridgework from general dental practice. J Oral Rehabil 1991;18:491

상세보기
Gustavsen F, Silness J. Clinical and radiographic observations after 6 years on bridge abutment teeth carrying pinledge retainers. J Oral Rehabil 1986;13:295-8

상세보기
Palmqvist SJ, Soderfeldt B. Multivariable analyses of factors influencing the longevity of fixed partial dentures, retainers and abutments. J Prosthet Dent 1994;71:245-50

상세보기
Henry PJ, Johnston JF, Mitchell DF. Tissue changes beneath fixed partial dentures. J Prosthet Dent 1966;16:937-46

상세보기
Hursey RJ. A clinical survey of the failures of crown and bridges. SC Dent J 1958;16:4-11
Budtz-Jorgensen E, Isidor F. Cantilever bridges or removable partial dentures in geriatric patients: A 2-year study. J Oral Rehabil 1987;14:239-49

상세보기
Laurell L, Lundgren D, Falk H, Hugoson A. Long-term prognosis of extensive polyunit cantilevered fixed partial dentures. J Prosthet Dent 1991;66:545-52

상세보기
Laurell L, Lundgren D. Periodontal ligament areas and occlusal forces in dentitions restored with cross-arch unilateral posterior two-unit cantilever bridges. J Clin Periodontol 1986;13:33-8

상세보기
Laurell L, Lundgren D. Occlusal force pattern during chewing and biting in dentitions restored with fixed bridges of crossarch extension. II. Unilateral posterior two-unit cantilevers. J Oral Rehabil 1986;13:191-203

상세보기
Laurell L, Lundgren D. Interfering occlusal contacts and distribution of chewing and biting forces in dentitions with fixed cantilever prostheses. J Prosthet Dent 1987;5:626-32
Laurell L, Lundgren D. Distribution of occlusal forces along unilateral posterior two-unit cantilever segments in crossarch fixed partial dentures. J Prosthet Dent 1988;1:106-12
Laurell L, Lundgren D. Influence of occlusion on posterior cantilevers. J Prosthet Dent 1992;67:645-52

상세보기
Randow K, Glantz P. On cantilever loading of vital and non-vital teeth. An experimental clinical study. Acta Odontol Scand 1986;44:271-77

상세보기
Decock V, Nayer KD, Boever JA. 18Year longitudinal study of cantilevered fixed restorations. Int J Prosthodont 1996;9:331-40

상세보기
Himmel R, Filo R, Assif D, Aviv I. The cantilever fixed partial denture -A literature review. J Prosthet Dent 1992;67:484-7
Hochman N, Ginio I, Ehrlich J. The cantilever fixed partial denture: A 10-year follow up. J Prosthet Dent 1987;58:542-5

상세보기
Nyman S. Lindhe J, Lundgren D. The role of occlusion for the stability of fixed bridges in patients with reduced periodontal tissue support. J Clin Periodontol 1975;2:53-66

상세보기
Nyman S, Lindhe J. Considerations on the design of occlusion in prosthetic rehabilitation of patients with advanced periodontal disease. J Clin Periodontol 1977;4:1-10
Nyman S, Lindhe J. A longitudinal study of combined periodontal and prosthetic treatment of patients with advanced periodontal disease. J Periodontol 1979;50:163-9

상세보기
EI-Ebrashi MK, Craig RG, Peyton FA. Experimental stress analysis of dental restorations. Part VII: Structural design and stress analysis of fixed partial dentures. J Prosthet Dent 1970;23:177-85

상세보기
Lundgren D. Prosthetic reconstruction of dentitions seriously comprised by periodontal disease. J Clin Periodontol 1991: 18:390-5

상세보기
Izikowitz L. A long-term prognosis for the free-end saddle-bridge. J Oral Rehabil 1985;12:247-62

상세보기
Schweitzer JM, Schweitzer RD, Schweitzer J. Free-end pontics used on fixed partial dentures. J Prosthet Dent 1968;20:120-30

상세보기
Nyman S, Ericsson I. The capacity of reduced periodontal tissues to support fixed bridgework. J Clin Periodontol 1982;9:409-14

상세보기
Parkinson CF, Schaberg TV. Pontic design of posterior fixed partial prostheses: Is it a microbial misadventure? J Prosthet Dent, 1984;51:51-62

상세보기
Stein RS. Pontic-residual ridge relationship: A research report. J Prosthet Dent 1966;16:251-60

상세보기
Lundgren D, Nyman S, Heiji L, Carlsson GE. Functional analysis of fixed bridges on abutment teeth with reduced periodontal support. J Oral Rehabil 1975;2:105-16

상세보기
Silness J, Gustavsen F. Alveolar bone loss in bridge recipients after six and twelve years. Int Dent J 1985;35:297-300
Baretto MT. Failures in ceramometal fixed restorations. J Prosthet Dent 1984;51:186-91

상세보기
Kikuchi M, Korioth TWP, Hannam AG. The association among occlusal contacts, clenching effort, and bite force distribution in man. Journal of Dental Research 1997;76:1316-26

상세보기
Strub JR Stiffler S, Scharer P. Causes of failure following oral rehabilitation: biological versus technical factors. Quintessence Int 1988: 19: 215-22,
Bergman B, Lundquist P, Sjogren U, Sundquist G. Restorative and endodontic results after treatment with cast posts and cores, J Prosthet Dent 1989;61:10-5

상세보기
Valderhaug J, Jokstad A, Ambjemsen E, Norheim PW, Assessment of the periapical and clinical status of crowned teeth over 25 years, J Dent 1997;25:97-105

상세보기
Cavozas E. Tissue response to fixed partial denture pontics. J Prosthet Dent 1968;20:143-52

상세보기

저자의 다른 논문 :

표제어: PCR

동의어: Packet Collision Rate

용어 설명 출처 목록 (6)

용어 설명: PCR은 세균 특이성이 있는 primer를 이용하여 적은 수의 세균이 있을지라도 쉽게 검출할 수 있는 유용한 방법이며, 이를 이용하여 구강 내 치면세균막이나 타액에서 직접 세균을 검출할 수 있게 되었다[8].

내보내기 구분	파일저장 인쇄 메일전송
구성항목	기본정보 상세정보 관리번호, 논문명, 저널/프로시딩명, 저자 , 발행년, 권, 호, 시작페이지, 끝페이지, 발행기관 관리번호, 논문명, 대등논문명, 저자 , 저널/프로시딩명, 발행기관, 발행년, 발행언어, 권, 호, 시작페이지, 끝페이지, ISBN, ISSN, 주제분야, 키워드, 초록(한글), 초록(영문), 저자(소속기관)
저장형식	Text(ASCII format) Excel format RefWorks Direct Export RIS format (for Reference Manager, ProCite, EndNote), Scholar's Aids, Mendeley
메일정보	받는사람 (필수) @ 보내는사람 (선택) @ 제목 내용 KISTI 검색결과 이메일 서비스
안내	총 건의 자료가 검색되었습니다. 다운받으실 자료의 인덱스를 입력하세요. (1-10,000) 검색결과의 순서대로 최대 10,000건 까지 다운로드가 가능합니다. 데이타가 많을 경우 속도가 느려질 수 있습니다.(최대 2~3분 소요) 다운로드 파일은 UTF-8 형태로 저장됩니다. 파일의 내용이 제대로 보이지 않을실 때는 웹브라우저 상단의 보기 -> 인코딩 -> 자동선택 여부를 확인하십시오. ~ Text(ASCII format) Excel format

연합인증

국내에서 제작된 고정성 보철물의 수명과 실패 요인 및 양상
LONGEVITY AND FAILURE ANALYSIS OF FIXED RESTORATIONS SERVICED IN KOREA 원문보기

Abstract ▼ AI-Helper

주제어

참고문헌 (98)

이 논문을 인용한 문헌

저자의 다른 논문 :

관련 콘텐츠

원문 보기

원문 URL 링크

이 논문과 함께 이용한 콘텐츠

AI-Helper ※ AI-Helper는 오픈소스 모델을 사용합니다.

선택된 텍스트

연합인증

국내에서 제작된 고정성 보철물의 수명과 실패 요인 및 양상 LONGEVITY AND FAILURE ANALYSIS OF FIXED RESTORATIONS SERVICED IN KOREA 원문보기

Abstract ▼ AI-Helper

주제어

참고문헌 (98)

이 논문을 인용한 문헌

저자의 다른 논문 :

신우진 (1) 전영식 (5) 이근우 (73) 한동후 (49)

관련 콘텐츠

원문 보기

원문 URL 링크

이 논문과 함께 이용한 콘텐츠

AI-Helper ※ AI-Helper는 오픈소스 모델을 사용합니다.

선택된 텍스트

국내에서 제작된 고정성 보철물의 수명과 실패 요인 및 양상
LONGEVITY AND FAILURE ANALYSIS OF FIXED RESTORATIONS SERVICED IN KOREA 원문보기