Radiographical Assessment of Fixed Partial Denture Abutment Teeth

Year 2019, , 1 - 7, 04.03.2019

Nurullah Türker , Merve Özarslan , Şebnem Büyükkaplan Mustafa Özarslan

https://doi.org/10.17343/sdutfd.427172

Abstract

Purpose: Most of dental patients prefer reconstruction with
fixed partial dentures (FPD) rather than removable ones because of comfort,
psychological and social advantages of FPDs. However, a FPD which does not
implement required standards and rules of FPDs may cause different dental
problems. The aim of the present study was evaluation FPDs in terms of complying
Ante’s law, secondary caries and periapical lesions radiographically.

Methods: A total of 380 panoramic radiograph belongs to patients
applied to the clinics of Akdeniz University Faculty of Dentistry examined in
the present study. Current abutments of FPDs were evaluated in terms of
complies with the Ante’s law, secondary caries and periapical lesions
radiographically. Periapical lesion classification was performed according to periapical
index (PAI). Statistical analysis were performed using SPSS 20.1 and Microsoft Excel
software program.

Results: The present study comprised panoramic radiographs
belongs to166 women and 214 men with an age range of 25 to 83 years old (46.0+-
11.1 years for men and 49,4+-11,0 years for women). No relationship was observed between gender and caries formation (p>0,05).
Distribution of periapical lesions was
found 23% class III, 1.8% class IV, 1.3% class V according to PAI. More caries were observed among the
restorations which doesn’t meet the requirements of Ante’s law (p<0,05).

Conclusions: According to the results of the present study, the
rehabilitation of edentulous regions with conventional FPDs may cause different
periapical pathologies and caries. Careful evaluation of abutments regarding to
Ante’s law and periapical status may decrease the complications that could be
observed in long term prognosis of FPDs.

Keywords

fixed partial denture, periapical index, Ante’s law

Sabit Protez Destek Dişlerinin Radyolojik Olarak Değerlendirilmesi

Abstract

Amaç: Dişsizlik problem çeken hastaların çoğu,
psikolojik ve sosyal nedenler ve ayrıca sağladığı konfor nedeniyle hareketli
protezler yerine sabit protezleri tercih etmektedir. Bununla birlikte, temel
standartları sağlamayan bir sabit protez çeşitli dental problemlere sebep
olabilir. Bu çalışmanın amacı sabit protezlerin ante kuralına uyumluluk,
seconder çürük oluşumu ve periapikal lezyon açısından incelenmesidir.

Gereç ve Yöntem: Çalışma için Akdeniz
Üniversitesi Diş Hekimliği Fakültesi’ne başvuran 380 hastaya ait panoramic
radyograf incelendi. Üzerinde sabit protetik restorasyon bulunan destek dişler
seconder çürük ve periapikal lezyon açısından, restorasyonlar Ante kuralına
uyup uymamaları açısından değerlendirildi. Periapikal lezyon sınıflandırması
Periapikal İndeks’e (PAI) gore yapıldı. İstatistiksel analizler SPSS 20.1 ve
Microsoft Excel yazılımları kullanıldı.

Bulgular: İncelenen radyografların 166’sı kadınlar,
214’ü erkeklere aitti ve yaş aralığı 25-83’ tü (46.0+- 11.1 erkekler ve
49,4+-11,0 kadınlar). Cinsiyet ve çürük oluşumu arasında anlamlı bir ilişki
yoktu (p>0,05). Periapikal İndekse gore lezyon dağılımı %23 sınıf III, %1,8
sınıf IV, %1,3 sınıf V şeklindeydi. Ante kuralına uymayan restorasyonlarda daha
fazla çürük oluşumu gözlendi (p<0,05).

Sonuçlar: Çalışma sonuçlarına
göre dişsiz bölgelerin geleneksel sabit protezler ile tedavisi periapikal
patoloji ve çürük oluşumuna sebebiyet verebilir. Destek dişlerin periapikal
açıdan ve Ante kuralına uyum açısından dikkatli değerlendirilmesi sabit
protezlerde oluşacak uzun dönem komplikasyonları azaltabilir.

Keywords

fixed partial denture, periapical index, Ante’s law

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