Lisätietoa aiheesta

Vuosittainen hammaspaikkojen menetys

Lisätietoa aiheesta
25.5.2023
Kaija Hiltunen, Ulla Palotie ja Teemu Taipale
Taulukko 1. Materiaalit takahampaissa (vuosittainen paikkojen menetys (AFR) ja selviytyminen)
Suoran menetelmän materiaalitVuosittainen paikkojen menetys %Selviytyminen % (seuranta-aika vuosina)
Amalgaami 1,7–2,6 «Manhart J, Chen H, Hamm G ym. Buonocore Memorial Lecture. Review of the clinical survival of direct and indirect restorations in posterior teeth of the permanent dentition. Oper Dent 2004;29:481-508 »1, «Moraschini V, Fai CK, Alto RM ym. Amalgam and resin composite longevity of posterior restorations: A systematic review and meta-analysis. J Dent 2015;43:1043-1050 »292,9 (4,5) «Moraschini V, Fai CK, Alto RM ym. Amalgam and resin composite longevity of posterior restorations: A systematic review and meta-analysis. J Dent 2015;43:1043-1050 »2, 60,7 (> 10) «Manhart J, Chen H, Hamm G ym. Buonocore Memorial Lecture. Review of the clinical survival of direct and indirect restorations in posterior teeth of the permanent dentition. Oper Dent 2004;29:481-508 »1
Yhdistelmämuovi 2–3,2 «Moraschini V, Fai CK, Alto RM ym. Amalgam and resin composite longevity of posterior restorations: A systematic review and meta-analysis. J Dent 2015;43:1043-1050 »2, «Heintze SD, Loguercio AD, Hanzen TA ym. Clinical efficacy of resin-based direct posterior restorations and glass-ionomer restorations - An updated meta-analysis of clinical outcome parameters. Dent Ma»395–97 (4) «Heintze SD, Loguercio AD, Hanzen TA ym. Clinical efficacy of resin-based direct posterior restorations and glass-ionomer restorations - An updated meta-analysis of clinical outcome parameters. Dent Ma»3,85–90 (10) «Heintze SD, Loguercio AD, Hanzen TA ym. Clinical efficacy of resin-based direct posterior restorations and glass-ionomer restorations - An updated meta-analysis of clinical outcome parameters. Dent Ma»3
Lasi-ionomeeri > 7 «Heintze SD, Loguercio AD, Hanzen TA ym. Clinical efficacy of resin-based direct posterior restorations and glass-ionomer restorations - An updated meta-analysis of clinical outcome parameters. Dent Ma»387 (4) «Heintze SD, Loguercio AD, Hanzen TA ym. Clinical efficacy of resin-based direct posterior restorations and glass-ionomer restorations - An updated meta-analysis of clinical outcome parameters. Dent Ma»3, 80 (6) «Heintze SD, Loguercio AD, Hanzen TA ym. Clinical efficacy of resin-based direct posterior restorations and glass-ionomer restorations - An updated meta-analysis of clinical outcome parameters. Dent Ma»3
Epäsuoran menetelmän materiaalit
Valetut kultapaikat 1,2–1,4 «Studer SP, Wettstein F, Lehner C ym. Long-term survival estimates of cast gold inlays and onlays with their analysis of failures. J Oral Rehabil 2000;27:461-72 »4, «Vetromilla BM, Opdam NJ, Leida FL ym. Treatment options for large posterior restorations: a systematic review and network meta-analysis. J Am Dent Assoc 2020;151:614-624.e18 »5, «Manhart J, Chen H, Hamm G ym. Buonocore Memorial Lecture. Review of the clinical survival of direct and indirect restorations in posterior teeth of the permanent dentition. Oper Dent 2004;29:481-508 »196,1 (10), 73,5 (30) «Studer SP, Wettstein F, Lehner C ym. Long-term survival estimates of cast gold inlays and onlays with their analysis of failures. J Oral Rehabil 2000;27:461-72 »4, «Manhart J, Chen H, Hamm G ym. Buonocore Memorial Lecture. Review of the clinical survival of direct and indirect restorations in posterior teeth of the permanent dentition. Oper Dent 2004;29:481-508 »1
Kultakruunut 0–0,3 «Vetromilla BM, Opdam NJ, Leida FL ym. Treatment options for large posterior restorations: a systematic review and network meta-analysis. J Am Dent Assoc 2020;151:614-624.e18 »5, «Olley RC, Andiappan M, Frost PM. An up to 50-year follow-up of crown and veneer survival in a dental practice. J Prosthet Dent 2018;119:935-941 »6100 (50) «Olley RC, Andiappan M, Frost PM. An up to 50-year follow-up of crown and veneer survival in a dental practice. J Prosthet Dent 2018;119:935-941 »6
Maasälpäposliini 1,2 «Vetromilla BM, Opdam NJ, Leida FL ym. Treatment options for large posterior restorations: a systematic review and network meta-analysis. J Am Dent Assoc 2020;151:614-624.e18 »5, «Manhart J, Chen H, Hamm G ym. Buonocore Memorial Lecture. Review of the clinical survival of direct and indirect restorations in posterior teeth of the permanent dentition. Oper Dent 2004;29:481-508 »1, «Olley RC, Andiappan M, Frost PM. An up to 50-year follow-up of crown and veneer survival in a dental practice. J Prosthet Dent 2018;119:935-941 »6, «Sailer I, Makarov NA, Thoma DS ym. All-ceramic or metal-ceramic tooth-supported fixed dental prostheses (FDPs)? A systematic review of the survival and complication rates. Part I: Single crowns (SCs).»7 91–94,2 (10) «Manhart J, Chen H, Hamm G ym. Buonocore Memorial Lecture. Review of the clinical survival of direct and indirect restorations in posterior teeth of the permanent dentition. Oper Dent 2004;29:481-508 »1, «Olley RC, Andiappan M, Frost PM. An up to 50-year follow-up of crown and veneer survival in a dental practice. J Prosthet Dent 2018;119:935-941 »6, «Morimoto S, Albanesi RB, Sesma N ym. Main Clinical Outcomes of Feldspathic Porcelain and Glass-Ceramic Laminate Veneers: A Systematic Review and Meta-Analysis of Survival and Complication Rates. Int J»8
CAD/CAM-menetelmällä tehdyt paikat 1,8 «Manhart J, Chen H, Hamm G ym. Buonocore Memorial Lecture. Review of the clinical survival of direct and indirect restorations in posterior teeth of the permanent dentition. Oper Dent 2004;29:481-508 »1, «Wittneben JG, Wright RF, Weber HP ym. A systematic review of the clinical performance of CAD/CAM single-tooth restorations. Int J Prosthodont 2009;22:466-71 »991,6 (5) «Manhart J, Chen H, Hamm G ym. Buonocore Memorial Lecture. Review of the clinical survival of direct and indirect restorations in posterior teeth of the permanent dentition. Oper Dent 2004;29:481-508 »1, «Wittneben JG, Wright RF, Weber HP ym. A systematic review of the clinical performance of CAD/CAM single-tooth restorations. Int J Prosthodont 2009;22:466-71 »9
Litiumdisilikaatti- tai
leusiittivahvistettu 		0,7 «Vetromilla BM, Opdam NJ, Leida FL ym. Treatment options for large posterior restorations: a systematic review and network meta-analysis. J Am Dent Assoc 2020;151:614-624.e18 »5, «Sailer I, Makarov NA, Thoma DS ym. All-ceramic or metal-ceramic tooth-supported fixed dental prostheses (FDPs)? A systematic review of the survival and complication rates. Part I: Single crowns (SCs).»796,6–97,4 (5) «Sailer I, Makarov NA, Thoma DS ym. All-ceramic or metal-ceramic tooth-supported fixed dental prostheses (FDPs)? A systematic review of the survival and complication rates. Part I: Single crowns (SCs).»7
Lasikeramia 1,1–18,2 «Vetromilla BM, Opdam NJ, Leida FL ym. Treatment options for large posterior restorations: a systematic review and network meta-analysis. J Am Dent Assoc 2020;151:614-624.e18 »5, «Manhart J, Chen H, Hamm G ym. Buonocore Memorial Lecture. Review of the clinical survival of direct and indirect restorations in posterior teeth of the permanent dentition. Oper Dent 2004;29:481-508 »1, «Sailer I, Makarov NA, Thoma DS ym. All-ceramic or metal-ceramic tooth-supported fixed dental prostheses (FDPs)? A systematic review of the survival and complication rates. Part I: Single crowns (SCs).»7, «Morimoto S, Albanesi RB, Sesma N ym. Main Clinical Outcomes of Feldspathic Porcelain and Glass-Ceramic Laminate Veneers: A Systematic Review and Meta-Analysis of Survival and Complication Rates. Int J»8, «Gehrt M, Wolfart S, Rafai N ym. Clinical results of lithium-disilicate crowns after up to 9 years of service. Clin Oral Investig 2013;17:275-84 »10 40,3–94,6 (5) «Manhart J, Chen H, Hamm G ym. Buonocore Memorial Lecture. Review of the clinical survival of direct and indirect restorations in posterior teeth of the permanent dentition. Oper Dent 2004;29:481-508 »1, «Sailer I, Makarov NA, Thoma DS ym. All-ceramic or metal-ceramic tooth-supported fixed dental prostheses (FDPs)? A systematic review of the survival and complication rates. Part I: Single crowns (SCs).»7, «Morimoto S, Albanesi RB, Sesma N ym. Main Clinical Outcomes of Feldspathic Porcelain and Glass-Ceramic Laminate Veneers: A Systematic Review and Meta-Analysis of Survival and Complication Rates. Int J»8, «Gehrt M, Wolfart S, Rafai N ym. Clinical results of lithium-disilicate crowns after up to 9 years of service. Clin Oral Investig 2013;17:275-84 »10
Zirkonia 1,8–2,9 «Sailer I, Makarov NA, Thoma DS ym. All-ceramic or metal-ceramic tooth-supported fixed dental prostheses (FDPs)? A systematic review of the survival and complication rates. Part I: Single crowns (SCs).»7, «Miura S, Kasahara S, Yamauchi S ym. Clinical evaluation of zirconia-based all-ceramic single crowns: an up to 12-year retrospective cohort study. Clin Oral Investig 2018;22:697-706 »1191,2–98,5 (5), 67,2 (10) «Sailer I, Makarov NA, Thoma DS ym. All-ceramic or metal-ceramic tooth-supported fixed dental prostheses (FDPs)? A systematic review of the survival and complication rates. Part I: Single crowns (SCs).»7, «Miura S, Kasahara S, Yamauchi S ym. Clinical evaluation of zirconia-based all-ceramic single crowns: an up to 12-year retrospective cohort study. Clin Oral Investig 2018;22:697-706 »11
Yhdistelmämuovikruunut 2–3,6 «Vetromilla BM, Opdam NJ, Leida FL ym. Treatment options for large posterior restorations: a systematic review and network meta-analysis. J Am Dent Assoc 2020;151:614-624.e18 »583,4–90,6 (5) «Vetromilla BM, Opdam NJ, Leida FL ym. Treatment options for large posterior restorations: a systematic review and network meta-analysis. J Am Dent Assoc 2020;151:614-624.e18 »5
Yhdistelmämuovi-inlayt 1,9 «Vetromilla BM, Opdam NJ, Leida FL ym. Treatment options for large posterior restorations: a systematic review and network meta-analysis. J Am Dent Assoc 2020;151:614-624.e18 »5, «Manhart J, Chen H, Hamm G ym. Buonocore Memorial Lecture. Review of the clinical survival of direct and indirect restorations in posterior teeth of the permanent dentition. Oper Dent 2004;29:481-508 »1, «Thordrup M, Isidor F, Hörsted-Bindslev P. A prospective clinical study of indirect and direct composite and ceramic inlays: ten-year results. Quintessence Int 2006;37:139-44 »12, «Grivas E, Roudsari RV, Satterthwaite JD. Composite inlays: a systematic review. Eur J Prosthodont Restor Dent 2014;22:117-24 »13100 (3), 50 (10) «Vetromilla BM, Opdam NJ, Leida FL ym. Treatment options for large posterior restorations: a systematic review and network meta-analysis. J Am Dent Assoc 2020;151:614-624.e18 »5, «Manhart J, Chen H, Hamm G ym. Buonocore Memorial Lecture. Review of the clinical survival of direct and indirect restorations in posterior teeth of the permanent dentition. Oper Dent 2004;29:481-508 »1, «Thordrup M, Isidor F, Hörsted-Bindslev P. A prospective clinical study of indirect and direct composite and ceramic inlays: ten-year results. Quintessence Int 2006;37:139-44 »12, «Grivas E, Roudsari RV, Satterthwaite JD. Composite inlays: a systematic review. Eur J Prosthodont Restor Dent 2014;22:117-24 »13
Taulukko 2. Hammastyypin ja paikan koon vaikutus vuosittaiseen paikkojen menetykseen (AFR). 2 ja 10 vuoden vuosittainen paikkojen menetys paikan onnistumisen ja paikan kestävyyden perusteella ilmoitettuna «Laske M, Opdam NJM, Bronkhorst EM ym. The differences between three performance measures on dental restorations, clinical success, survival and failure: A matter of perspective. Dent Mater 2019;35:150»14. Vuosittainen hammaspaikkojen menetys voidaan ilmoittaa paikan onnistumisen tai paikan kestävyyden perusteella. Paikan onnistuminen (success) tarkoittaa sitä, että hampaaseen ei ole kohdistunut lainkaan korjaavia toimenpiteitä seurannan aikana. Paikan kestävyys (survival) sisältää myös hampaaseen kohdistuneet korjaukset ja juurihoidot.
Muuttujat N (%)Epäonnistumisen kriteerit2 vuoden AFR (%)10 vuoden AFR (%)
Etuhammaspaikat100 224 (31,1)Onnistuminen4,25,1
Kestävyys3,14,0
Takahammaspaikat221 525 (68,9)Onnistuminen4,15,0
Kestävyys2,13,4
1 pinnan paikat135 000 (42,0)Onnistuminen4,04,8
Kestävyys3,44,5
≥ 2 pinnan paikat186 749 (58,0)Onnistuminen4,35,2
Kestävyys1,72,9
≥ 2 pinnan paikat takahampaissa (luokka II)155 056 (48,2)Onnistuminen4,15,0
Kestävyys1,52,9
≥ 2 pinnan paikat etuhampaissa (luokat III ja IV)31 693 (9,9)Onnistuminen5,15,9
Kestävyys2,33,0
Kaikki paikat321 749 (100)Onnistuminen4,25,0
Kestävyys2,43,6
Taulukko 3. Vuosittain menetettyjen yhdistelmämuovipaikkojen osuus eri potilasryhmissä «Opdam NJ, van de Sande FH, Bronkhorst E ym. Longevity of posterior composite restorations: a systematic review and meta-analysis. J Dent Res 2014;93:943-9 »15. Kariesriskin määritystapa vaihteli tutkimuksissa.
Vuosittain menetetyt paikat5 vuotta AFR (%)10 vuotta AFR (%)
Kaikki paikat1,82,4
Kariesriski suuri3,24,6
Kariesriski kohtalainen3,54,1
Kariesriski pieni1,21,6
Ohut lasi-ionomeerikerros pohjalla2,22,7
Ei lasi-ionomeeria pohjalla 1,72,2

Kirjallisuutta

  1. Manhart J, Chen H, Hamm G ym. Buonocore Memorial Lecture. Review of the clinical survival of direct and indirect restorations in posterior teeth of the permanent dentition. Oper Dent 2004;29:481-508 «PMID: 15470871»PubMed
  2. Moraschini V, Fai CK, Alto RM ym. Amalgam and resin composite longevity of posterior restorations: A systematic review and meta-analysis. J Dent 2015;43:1043-1050 «PMID: 26116767»PubMed
  3. Heintze SD, Loguercio AD, Hanzen TA ym. Clinical efficacy of resin-based direct posterior restorations and glass-ionomer restorations - An updated meta-analysis of clinical outcome parameters. Dent Mater 2022;38:e109-e135 «PMID: 35221127»PubMed
  4. Studer SP, Wettstein F, Lehner C ym. Long-term survival estimates of cast gold inlays and onlays with their analysis of failures. J Oral Rehabil 2000;27:461-72 «PMID: 10888273»PubMed
  5. Vetromilla BM, Opdam NJ, Leida FL ym. Treatment options for large posterior restorations: a systematic review and network meta-analysis. J Am Dent Assoc 2020;151:614-624.e18 «PMID: 32718491»PubMed
  6. Olley RC, Andiappan M, Frost PM. An up to 50-year follow-up of crown and veneer survival in a dental practice. J Prosthet Dent 2018;119:935-941 «PMID: 28969914»PubMed
  7. Sailer I, Makarov NA, Thoma DS ym. All-ceramic or metal-ceramic tooth-supported fixed dental prostheses (FDPs)? A systematic review of the survival and complication rates. Part I: Single crowns (SCs). Dent Mater 2015;31:603-23 «PMID: 25842099»PubMed
  8. Morimoto S, Albanesi RB, Sesma N ym. Main Clinical Outcomes of Feldspathic Porcelain and Glass-Ceramic Laminate Veneers: A Systematic Review and Meta-Analysis of Survival and Complication Rates. Int J Prosthodont 2016;29:38-49 «PMID: 26757327»PubMed
  9. Wittneben JG, Wright RF, Weber HP ym. A systematic review of the clinical performance of CAD/CAM single-tooth restorations. Int J Prosthodont 2009;22:466-71 «PMID: 20095195»PubMed
  10. Gehrt M, Wolfart S, Rafai N ym. Clinical results of lithium-disilicate crowns after up to 9 years of service. Clin Oral Investig 2013;17:275-84 «PMID: 22392163»PubMed
  11. Miura S, Kasahara S, Yamauchi S ym. Clinical evaluation of zirconia-based all-ceramic single crowns: an up to 12-year retrospective cohort study. Clin Oral Investig 2018;22:697-706 «PMID: 28608051»PubMed
  12. Thordrup M, Isidor F, Hörsted-Bindslev P. A prospective clinical study of indirect and direct composite and ceramic inlays: ten-year results. Quintessence Int 2006;37:139-44 «PMID: 16475376»PubMed
  13. Grivas E, Roudsari RV, Satterthwaite JD. Composite inlays: a systematic review. Eur J Prosthodont Restor Dent 2014;22:117-24 «PMID: 25831713»PubMed
  14. Laske M, Opdam NJM, Bronkhorst EM ym. The differences between three performance measures on dental restorations, clinical success, survival and failure: A matter of perspective. Dent Mater 2019;35:1506-1513 «PMID: 31421955»PubMed
  15. Opdam NJ, van de Sande FH, Bronkhorst E ym. Longevity of posterior composite restorations: a systematic review and meta-analysis. J Dent Res 2014;93:943-9 «PMID: 25048250»PubMed