PERTANYAAN PEMBELAJARAN 1. Apa yang harus dimasukkan dalam penilaian pasca perawatan setelah pengobatan yang diberikan sebelumnya telah selesai? Kapan dan seberapa sering pasien diperiksa ulang? Berikan contoh variabel yang memengaruhi frekuensi ini. 2. Apa komplikasi jangka pendek pasca sementasi? Bagaimana cara menghindarinya? Bagaimana penyelesaiannya? 3. Bagaimana karies akar dapat diselesaikan dengan memuaskan? 4. Bagaimana memperbaiki retainer yang longgar? Bagaimana FDP dihapus? 5. Berikan tiga contoh rencana perawatan yang mengambil kegagalan masa depan sebagai pertimbangan. RINGKASAN Perawatan pascaoperasi yang efisien adalah mekanisme utama untuk memastikan kesuksesan jangka panjang dalam fixed prostodontik. Gigi yang direstorasi memerlukan penghapusan plak lebih tekun dan pemeliharaan daripada gigi biasa, FDP membutuhkan perawatan tambahan dan perhatian.Komplikasi umum setelah selesai fase aktif pengobatan termasuk karies, kegagalan periodontal, kegagalan endodontik, retainer longgar, porselen fraktur, dan fraktur. Jika memungkinkan, dokter gigi harus mengantisipasi prognosis dan pengobatan jangka panjang kebutuhan pasien dan upaya untuk merancang rencana perawatan yang sesuai. FDP dapat dirancang sedemikian rupa sehingga pengobatan ulang di masa mendatang dapat diantisipasi dan disederhanakan. Pasien harus memahami berbagai keterbatasan dari prostodontik yang tetap sebelum pengobatan dimulai. GLOSARIUMKegagalan adesif (1998): kegagalan obligasi pada antarmuka dua bahan karena tertarik atau bergeser Karies : penyakit gigi menyebabkan kerusakan enamel, dentin dan / atau sementum. Etiologi Ini pada umumnya dianggap berasal dari bakteri penghasil asampenyesuaian oklusal : perubahan dalam oklusitrauma oklusal : trauma periodonsium dari fungsional atau parafungsional yang menyebabkan kerusakan pada peralatan periodonsium melebihi kapasitas adaptif dan reparatif. analisis oklusi: pemeriksaan sistem pengunyahan dengan pertimbangan khusus untuk efek oklusi gigi pada gigi dan struktur yang terkait overclusure : dimensi vertikal occluding pada jarak antar lengkung berkurang; dimensi vertikal occluding yang menghasilkan jarak interoklusal berlebihan saat mandibula dalam posisi istirahat; itu menghasilkan jarak interridge berkurang ketika gigi berada dalam kontakoverdenture : setiap prostesis gigi yang mencakup dan bertumpu pada satu atau lebih gigi alami, akar gigi alami, dan / atau implan gigiakar : bagian dari apikal gigi yang biasanya ditutupi oleh sementum dan melekat ke ligament periodontal.REFERENSI1. Tolboe H, et al: Inuence of oral hygiene on the mucosal conditions beneath bridge pontics. Scand J Dent Res 95:475, 1987. 2. Tolboe H, et al: Inuence of pontic material on alveolar mucosal conditions. Scand J Dent Res 96:442, 1988. 3. Ericson G, et al: Cross-sectional study of patients tted with xed partial dentures with special ref erence to the caries situation. Scand J Dent Res 98:8, 1990. 4. Akerboom HB, et al: Radiopacity of posterior com- posite resins, composite resin luting cements, and glass ionomer lining cements. J Prosthet Dent 70:351, 1993. 5. Matsumura H, et al: Radiopacity of dental cements. Am J Dent 6:43, 1993. 6. el-Mowafy OM, Benmergui C: Radiopacity of resin- based inlay luting cements. Oper Dent 19:11, 1994. 7. Gibson G: Identifying and treating xerostomia in restorative patients. J Esthet Dent 10:253, 1998. 8. Keene JJ Jr, et al: Antidepressant use in psychiatry and medicine: importance in dental practice. J Am Dent Assoc 134:71, 2003.9. Walton JN, et al: A survey of crown and xed partial denture failures: length of service and reasons for replacement. J Prosthet Dent 56:416, 1986. 10. Libby G, et al: Longevity of xed partial dentures. J Prosthet Dent 78:127, 1997. 11. Sundh B, Odman P: A study of xed prosthodon- tics performed at a university clinic 18 years after insertion. Int J Prosthodont 10:513, 1997. 12. Priest GF: Failure rates of restorations for singletooth replacement. Int J Prosthodont 9:38, 1996.13. Bauer JG, et al: The reliability of diagnosing root caries using oral examinations. J Dent Educ 52:622, 1988. 14. Silverstone LM: Remineralization phenomena. Caries Res 11(suppl 1):59, 1977. 15. Gordon SR: Older adults: demographics and need for quality care. J Prosthet Dent 61:737, 1989. 16. Hellyer PH, et al: Root caries in older people attending a general dental practice in East Sussex. Br Dent J 169:201, 1990. 17. Guivante-Nabet C, et al: Active and inactive caries lesions in a selected elderly institutionalised French population. Int Dent J 48:111, 1998. 18. Gustafsson BE, et al: The Vipeholm dental caries study: the effect of different levels of carbohydrate intake on caries activity in 436 individuals observed for 5 years. Acta Odontol Scand 11:232, 1954. 19. Fure S: Five-year incidence of caries, salivary and microbial conditions in 60-, 70- and 80- year-old Swedish individuals. Caries Res 32:166, 1998. 20. Winn DM, et al: Coronal and root caries in the dentition of adults in the United States, 1988- 1991. J Dent Res 75(Spec. No.):642, 1996. 21. Reiker J, et al: A cross-sectional study into the prevalence of root caries in periodontal mainte- nance patients. J Clin Periodont 26:26, 1999.22. Younger H, et al: Relationship among stimulated whole, glandular salivary ow rates, and root caries prevalence in an elderly population: a preliminary study. Spec Care Dentist 18:156, 1998. 23. Powell LV, et al: Factors associated with caries inci- dence in an elderly population. Community Dent Oral Epidemiol 26:170, 1998. 24. Sorensen JA: A rationale for comparison of plaque- retaining properties of crown systems. J Prosthet Dent 62:264, 1989. 25. Alexander AG: Periodontal aspects of conservative dentistry. Br Dent J 125:111, 1968. 26. Valderhaug J: Gingival reaction to xed prostheses. J Dent Res 50:74, 1971. 27. Reichen-Graden S, Lang NP: Periodontal and pulpal conditions of abutment teeth. Status after four to eight years following the incorporation of xed reconstructions. Schweiz Monatsschr Zahnmed 99:1381, 1989. 28. Wagman SS: The role of coronal contour in gingi- val health. J Prosthet Dent 37:280, 1977. 29. Mojon P, et al: Relationship between prosthodon- tic status, caries, and periodontal disease in a geri- atric population. Int J Prosthodont 8:564, 1995.30. Rantanen T: A control study of crowns and bridges on root canal lled teeth. Suom Hammaslaak Toim 66:275, 1970. 31. Abou-Rass M: The stressed pulp condition: an endodontic-restorative diagnostic concept. J Pros- thet Dent 48:264, 1982. 32. Saunders WP, Saunders EM: Prevalence of peri- radicular periodontitis associated with crowned teeth in an adult Scottish subpopulation. Br Dent J 185:137, 1998. 33. Karlsson S: A clinical evaluation of xed bridges, 10 years following insertion. J Oral Rehabil 13:423, 1986. 34. Eckerbom M, et al: Prevalence of apical periodon- titis, crowned teeth and teeth with posts in a Swedish population. Endod Dent Traumatol 7:214, 1991. 35. Valderhaug J, et al: Assessment of the periapical and clinical status of crowned teeth over 25 years. J Dent 25:97, 1997. 36. Olin PS: Effect of prolonged ultrasonic instrumen- tation on the retention of cemented cast crowns. J Prosthet Dent 64:563, 1990. 37. Oliva RA: Clinical evaluation of a new crown and xed partial denture remover. J Prosthet Dent 44:267, 1980. 38. Parreira FR, et al: Cast prosthesis removal using ultrasonics and a thermoplastic resin adhesive. J Endod 20:141, 1994. 39. Robbins JW: Intraoral repair of the fractured porcelain restoration. Oper Dent 23:203, 1998.40. Chung KH, Hwang YC: Bonding strengths of porcelain repair systems with various surface treat- ments. J Prosthet Dent 78:267, 1997. 41. Kupiec KA, et al: Evaluation of porcelain surface treatments and agents for composite-to-porcelain repair. J Prosthet Dent 76:119, 1996.42. Pameijer CH, et al: Repairing fractured porcelain: how surface preparation affects shear force resist- ance. J Am Dent Assoc 127:203, 1996. 43. Nowlin TP, et al: Evaluation of the bonding of three porcelain repair systems. J Prosthet Dent 46:516, 1981. 44. Gregory WA, et al: Composite resin repair of porcelain using different bonding materials. Oper Dent 13:114, 1988. 45. Barreto MT, Bottaro BF: A practical approach to porcelain repair. J Prosthet Dent 48:349, 1982.46. Welsh SL, Schwab JT: Repair technique for porcelain-fused-to-metal restorations. J Prosthet Dent 38:61, 1977. 47. Miller TH, Thayer KE: Intraoral repair of xed partial dentures. J Prosthet Dent 25:382, 1971. 48. Cardoso AC, Spinelli Filho P: Clinical and labora- tory techniques for repair of fractured porcelain in xed prostheses: a case report. Quintessence Int 25:835, 1994. 49. Westerman RD: A new paradigm for the con- struction and service of xed prosthodontics. Dent Today 18:62, 1999. 50. Goodacre CJ, et al: Clinical complications in xed prosthodontics. J Prosthet Dent 90:31, 2003. 51. Goodacre CJ, et al: Clinical complications with implants and implant prostheses. J Prosthet Dent 90:121, 2003.967