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Complication and Failure Analysis of Endodontically Treated Teeth Restored with Post and Cores  

Yun, Mi-Jung (Department of Prosthodontics, School of Dentistry, Pusan National University)
Kim, Mu-Hyon (Department of Prosthodontics, School of Dentistry, Pusan National University)
Jeong, Chang-Mo (Department of Prosthodontics, School of Dentistry, Pusan National University)
Huh, Jung-Bo (Department of Prosthodontics, School of Dentistry, Pusan National University)
Jeon, Yeong-Chan (Department of Prosthodontics, School of Dentistry, Pusan National University)
Publication Information
Journal of Dental Rehabilitation and Applied Science / v.28, no.4, 2012 , pp. 359-370 More about this Journal
Abstract
The endodontically treated tooth is generally restored with post and core, owing to the brittle and the loss of large amount of tooth structure. The purpose of this study was to evaluate the clinical status of fixed prostheses to improve the quality of dental care. In order to assess the clinical status of fixed prostheses, a total of 101 individuals (aged 30-89, 66 women and 35 men loaded with 125 fixed prostheses) who treated in the Department of Prosthodontics, Pusan National University Dental Hospital, between January 1990 to December 2005 were examined. The results of this study were as follows: 1. Length of service of fixed prostheses was $9.7{\pm}3.4$ years (mean), 11.1 years (median). 2. Age and sex of patient was found to have no statistically significant influence on longevity of fixed prostheses (P>.05). 3. Location of fixed prostheses was found to have statistically significant influence on longevity of fixed prostheses (P<.05). The longevity of fixed prostheses was low in anterio-posterior combination region (median:9.2 years). 4. Longevity of fixed prostheses made of base metal ceramic(median:12.0 years) and noble metal ceramic (median:11.3 years) is long (P<.05). 5. Number of units in fixed prostheses was found to have no statistically significant influence on longevity of fixed prostheses (P>.05). 6. Condition of opposing dentition was found to have no statistically significant influence on longevity of fixed prostheses (P>.05). 7. Dental caries, periapical disease, tooth fracture were frequent complications. In 51.9% of the cases, abutment state after removing fixed prostheses was needed to be extracted.
Keywords
clinical evaluation; core; fixed prostheses; post;
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