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제1대구치 기성금속관 생존율에 관한 후향적 연구

Retrospective Study on the Survival Rate of Preformed Metal Crowns in Permanent First Molars

  • 오나영 (경북대학교치과병원 소아치과) ;
  • 남순현 (경북대학교 치의학전문대학원 소아치과학교실) ;
  • 이제식 (경북대학교 치의학전문대학원 소아치과학교실) ;
  • 김현정 (경북대학교 치의학전문대학원 소아치과학교실)
  • Oh, Nayoung (Department of Pediatric Dentistry, Kyungpook National University Dental Hospital) ;
  • Nam, Soonhyeun (Department of Pediatric Dentistry, College of Dentistry, Kyungpook National University) ;
  • Lee, Jaesik (Department of Pediatric Dentistry, College of Dentistry, Kyungpook National University) ;
  • Kim, Hyunjung (Department of Pediatric Dentistry, College of Dentistry, Kyungpook National University)
  • 투고 : 2019.09.24
  • 심사 : 2019.11.04
  • 발행 : 2020.05.31

초록

이 연구는 영구 제1대구치 기성금속관에 있어서 장기간 생존율을 후향적으로 평가하고 생존율에 영향을 미치는 요소를 분석하고자 하였다. 10년 동안 수복된 115개의 제1대구치 기성금속관을 후향적으로 분석하였으며, 제1대구치 기성금속관의 5년 생존율 82.8%로 나타났으며 원심와동, 하악 치아에서 생존율이 유의하게 낮게 나타났다. 이 연구를 통해서 임상적으로 기성금속관 성공률에 영향을 미치는 요인들을 확인하였으며, 성공률을 높이기 위한 치료지침을 확립하는데 도움이 될 수 있으리라 생각된다.

This study analyzed the longevity of preformed metal crowns (PMCs) in first permanent molars and evaluated factors influencing their survival during a long-term follow-up period. In all, 115 first permanent molars treated with PMCs between June 2008 and June 2018 were retrospectively analyzed. The overall combined success rate for the study group was 84.3%. The 5-year survival rate was 82.8%. Multivariate Cox regression analyses identified distal cavities and mandibular PMC placement as risk factors for restoration failure. Careful placement of PMCs at the final try-in stage augments the longevity of the crown.

키워드

참고문헌

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