Vital Abutman Dişlerin Protetik Tedavinin Tamamlanmasından Üç Yıl Sonraki Durumlarının Değerlendirilmesi

Abstract

Amaç: Bu çalışmada amaç, diş hekimliği öğrencileri

tarafından yapılan sabit protezlere destek olarak kullanılan vital

abutman dişlerin, tedavi bitiminden üç yıl sonraki periapikal

durumlarının radyografik olarak değerlendirilmesidir.

Materyal-Method: Çalışmaya sabit protezin kalıcı

simantasyonu esnasında vital ve sağlam durumda olan 67

hastaya (44 kadın, 23 erkek) ait 395 diş dahil edilmiştir.

Hastaların ortalama yaşı 50,8±11,8 olarak bulunmuştur. Sabit

protezin tipi, abutman dişlerin türü,ve hastaların tedavi ile

ilgili memnuniyet durumları kaydedilmiştir. Abutman dişler

periapikal radyografiler üzerinde iki okuyucu tarafından

değerlendirilmiş ve dişlerin periapikal durumları Periapikal

İndeks Skalası’na (PAI) göre skorlanmıştır.

Bulgular: Okuyucular tarafından yapılan okumalar arasındaki

uyum 0,87 olarak bulunmuştur. Hastaların 56’sı (%83,5)

yapılan tedaviden memnun olduklarını belirtmişlerdir. Apikal

periodontitis görülme yüzdesinin en düşük olduğu diş türü

mandibular kesici dişlerdir (%3,4, p<0,05). Maksiller dişlerde

(%20) apikal periodontitis görülme yüzdesi mandibular

dişlerden (%10,6) daha yüksek bulunmuştur (p<0,05).

Sonuç: Hastaların büyük çoğunluğunun yapılan sabit

protezlerden memnun olmalarına rağmen, klinik olarak daha

iyi bir sonuç alınabilmesi için tedavi esnasında diş hekimliği

öğrencilerinin denetlenmesine daha çok önem verilmelidir.

Keywords

• Sabit Protez,İntraoral Radyografi,Periapikal İndeks,Diş Hekimliği Eğitimi

The Status of Vital Abutment Teeth Three Years after Prosthodontic Treatment

Abstract

Objective: The aim of this study was to radiographically

evaluate the periapical status of vital teeth that serve as

abutments to fixed metal ceramic dental prostheses (FDP)

three years after undergraduate dental students performed the

treatment.

Material-Method: The study sample consisted of 395 vital

and intact teeth prior to the permanent cementation of FDP of

44 female and 23 male patients with a mean age of 50.8±11.8

years. The type of FDP and the type of teeth, as well as the age

and gender of the patients, were recorded. Patient satisfaction

with the treatment was also determined. Each tooth was

examined on periapical radiographs and scored using the

periapical index (PAI) to determine the periapical status.

Results: Interobserver agreement between readings was

0.87. Fifty-six patients (83.5%) were satisfied with their

treatment. The percentage of apical periodontitis was found

to be the least in mandibular incisors (3.4%, p<0.05). Apical

periodontitis was more frequently observed in maxillary

teeth than in mandibular teeth (20% and 10.6%, respectively;

p<0.05).

Conclusions: Although patients were generally satisfied with

the treatment they received, and FDP treatment performed

by undergraduate students appears to be satisfactory, more

emphasis must be placed on the supervision of students to

obtain better results.

Keywords

• Fixed Dental Prostheses,Intraoral Radiography,Periapical Index,Undergraduate Dental Education

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