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First two-year complications of fixed partial dentures, eight units or more. Swedish Guarantee Insurance claims.

Identifieur interne : 000366 ( Ncbi/Checkpoint ); précédent : 000365; suivant : 000367

First two-year complications of fixed partial dentures, eight units or more. Swedish Guarantee Insurance claims.

Auteurs : B. Owall [Danemark] ; R. Cronström

Source :

RBID : pubmed:10894428

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English descriptors

Abstract

This study is an analysis of fixed partial dentures (FPDs), 8 units or more, that failed or suffered severe complications within the first 2 years after cementation. The material consists of claims to the Swedish Guarantee Insurance for Fixed Prosthodontics. Claim reports, radiographs, etc. were available. Over a 6-month period, 36 FPDs were sampled, 34 of which were made by general practitioners. The sampling resulted in 41 complications in 26 maxillary and 10 mandibular FPDs, 29 of which were made in metal-ceramics. The mean extension was 10.9 units, with an abutment/pontic ratio of 1.4; 40.6% of the abutments were root-canal treated and supplied with root posts. The complications were: metal framework fractures 41%, loss of retention 24%, porcelain fractures 17%, tooth/root fractures 10%, and miscellaneous 7%. The high proportion of metal framework fractures is not in accordance with other studies of FPD complications. No factor that could explain this high frequency could be identified. The fact that the selection of FPD complications applied to the first 2 years only, that the FPDs had been constructed by general practitioners, and that there were many root-canal-treated abutments and distal extension cantilever pontics, might be factors of importance.

PubMed: 10894428


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pubmed:10894428

Le document en format XML

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<title xml:lang="en">First two-year complications of fixed partial dentures, eight units or more. Swedish Guarantee Insurance claims.</title>
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<name sortKey="Owall, B" sort="Owall, B" uniqKey="Owall B" first="B" last="Owall">B. Owall</name>
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<nlm:affiliation>Department of Prosthetic Dentistry, School of Dentistry, Faculty of Health Sciences, University of Copenhagen, Denmark. bengt.oewall@odont.ku.dk</nlm:affiliation>
<country xml:lang="fr">Danemark</country>
<wicri:regionArea>Department of Prosthetic Dentistry, School of Dentistry, Faculty of Health Sciences, University of Copenhagen</wicri:regionArea>
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<term>Adult</term>
<term>Aged</term>
<term>Cementation</term>
<term>Dental Abutments</term>
<term>Dental Restoration Failure</term>
<term>Denture Design</term>
<term>Denture Retention</term>
<term>Denture, Partial, Fixed (adverse effects)</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Insurance Claim Review</term>
<term>Insurance, Dental</term>
<term>Jaw, Edentulous, Partially (diagnostic imaging)</term>
<term>Jaw, Edentulous, Partially (rehabilitation)</term>
<term>Male</term>
<term>Mandible</term>
<term>Maxilla</term>
<term>Metal Ceramic Alloys</term>
<term>Middle Aged</term>
<term>Post and Core Technique</term>
<term>Radiography</term>
<term>Root Canal Therapy</term>
<term>Sweden</term>
<term>Tooth Fractures (etiology)</term>
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<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Alliages métal céramique</term>
<term>Assurance dentaire</term>
<term>Cimentation</term>
<term>Conception d'appareil de prothèse dentaire</term>
<term>Examen des demandes de remboursement d'assurance</term>
<term>Femelle</term>
<term>Fractures dentaires (étiologie)</term>
<term>Humains</term>
<term>Mandibule</term>
<term>Maxillaire</term>
<term>Mâchoire partiellement édentée (imagerie diagnostique)</term>
<term>Mâchoire partiellement édentée (rééducation et réadaptation)</term>
<term>Mâle</term>
<term>Piliers dentaires</term>
<term>Prothèse partielle fixe (effets indésirables)</term>
<term>Radiographie</term>
<term>Restauration coronoradiculaire</term>
<term>Rétention d'appareil de prothèse dentaire</term>
<term>Sujet âgé</term>
<term>Suède</term>
<term>Traitement de canal radiculaire</term>
<term>Échec de restauration dentaire</term>
<term>Études de suivi</term>
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<term>Metal Ceramic Alloys</term>
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<term>Denture, Partial, Fixed</term>
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<term>Prothèse partielle fixe</term>
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<term>Tooth Fractures</term>
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<keywords scheme="MESH" qualifier="imagerie diagnostique" xml:lang="fr">
<term>Mâchoire partiellement édentée</term>
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<term>Jaw, Edentulous, Partially</term>
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<term>Mâchoire partiellement édentée</term>
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<term>Fractures dentaires</term>
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<term>Adult</term>
<term>Aged</term>
<term>Cementation</term>
<term>Dental Abutments</term>
<term>Dental Restoration Failure</term>
<term>Denture Design</term>
<term>Denture Retention</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Insurance Claim Review</term>
<term>Insurance, Dental</term>
<term>Male</term>
<term>Mandible</term>
<term>Maxilla</term>
<term>Middle Aged</term>
<term>Post and Core Technique</term>
<term>Radiography</term>
<term>Root Canal Therapy</term>
<term>Sweden</term>
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<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Alliages métal céramique</term>
<term>Assurance dentaire</term>
<term>Cimentation</term>
<term>Conception d'appareil de prothèse dentaire</term>
<term>Examen des demandes de remboursement d'assurance</term>
<term>Femelle</term>
<term>Humains</term>
<term>Mandibule</term>
<term>Maxillaire</term>
<term>Mâle</term>
<term>Piliers dentaires</term>
<term>Radiographie</term>
<term>Restauration coronoradiculaire</term>
<term>Rétention d'appareil de prothèse dentaire</term>
<term>Sujet âgé</term>
<term>Suède</term>
<term>Traitement de canal radiculaire</term>
<term>Échec de restauration dentaire</term>
<term>Études de suivi</term>
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<front>
<div type="abstract" xml:lang="en">This study is an analysis of fixed partial dentures (FPDs), 8 units or more, that failed or suffered severe complications within the first 2 years after cementation. The material consists of claims to the Swedish Guarantee Insurance for Fixed Prosthodontics. Claim reports, radiographs, etc. were available. Over a 6-month period, 36 FPDs were sampled, 34 of which were made by general practitioners. The sampling resulted in 41 complications in 26 maxillary and 10 mandibular FPDs, 29 of which were made in metal-ceramics. The mean extension was 10.9 units, with an abutment/pontic ratio of 1.4; 40.6% of the abutments were root-canal treated and supplied with root posts. The complications were: metal framework fractures 41%, loss of retention 24%, porcelain fractures 17%, tooth/root fractures 10%, and miscellaneous 7%. The high proportion of metal framework fractures is not in accordance with other studies of FPD complications. No factor that could explain this high frequency could be identified. The fact that the selection of FPD complications applied to the first 2 years only, that the FPDs had been constructed by general practitioners, and that there were many root-canal-treated abutments and distal extension cantilever pontics, might be factors of importance.</div>
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