Tek Kuronlarla Restore Edilen Dişlerde Farklı Post ve Kor Sistemlerinin Retrospektif Bir Değerlendirmesi

Year 2022, , 73 - 83, 10.03.2022

Fatih Demirci , Cevdet Çalışkan

https://doi.org/10.33715/inonusaglik.1019047

Abstract

Bu retrospektif klinik çalışmanın amacı; popülasyon yaşının ve cinsiyetin, restorasyon tipinin, diş pozisyonunun, post materyal tipinin, karşıt dişlerin etkisinin ve kullanılan siman tipinin farklı post ve kor sistemlerinin klinik hayatta kalma oranına etkisinin değerlendirilmesidir. Ağustos 2016 ile Mart 2020 arasında post ve kor uygulanan hastaları gösteren elektronik tablolar üzerinde retrospektif bir analiz yapıldı. Dahil etme kriterlerine göre analize toplam 524 kayıt dahil edildi. Veriler Kaplan-Meier ve Cox orantılı risk analizi kullanılarak analiz edildi. Post ve korların hayatta kalma oranları ile yaş, restorasyon tipi, siman tipi, karşıt diş ve hizmet süresi faktörleri ile istatistiksel olarak anlamlı bir ilişki bulunurken (p<.001); diş pozisyonu ve cinsiyet faktörleri ile istatistiksel olarak anlamlı bir ilişki bulunamadı (p>0.05). Analizler, post ve kor sağkalımı ile farklı post ve kor sistemlerinin (prefabrike cam ve karbon fiber destekli kompozit rezin, döküm metal ve prefabrike metal) önemli ölçüde ilişkili olduğuna dair bir kanıt göstermedi. Bununla birlikte, post ve kor sağkalımı ile karşıt diş, siman ve restorasyon tipi istatistiksel olarak anlamlı bir fark gösterdi.

Keywords

Cam fiber, Karbon fiber, Post ve kor, Sağkalım oranı

RETROSPECTIVE EVALUATION OF DIFFERENT POST-AND-CORE SYSTEMS IN TEETH RESTORED WITH SINGLE CROWNS

Abstract

In this retrospective clinical study, the aim is to evaluate the effect of the clinical survival rates of different post-and-core systems in terms of the age and sex of the population, type of restoration, tooth position, type of post material, effect of opposing dentition, and type of cement used. A retrospective analysis was conducted via spreadsheets that showed patients who were treated with post-and-cores between August 2016 and March 2020. A total of 524 records were included in the analysis according to the inclusion criteria. Data were analysed using Kaplan–Meier and Cox proportional hazards analysis. While a statistically significant difference between the post-and-core survival among age, restoration type, cement type, opposing dentition, and service time was determined (p<0.001), a statistically significant difference with tooth position and sex was not detected (p>0.05). The analyzes showed no evidence that different post-and-core systems (prefabricated glass and carbon fiber reinforced composite resin, cast metal and prefabricated metal) were significantly associated with post-and-core survival. However, opposing dentition, type of cement, and restoration exhibited a statistically significant difference with the post-and-core survival.

Keywords

Carbon fiber, Glass fiber, Post and core, Survival rate

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