TP6OR2+-+Protetik+-+gruppdiskussion+fast+protetik

__ARTIKEL 1 - SAILER - HELKERAMISKA KRONOR VS MK-KRONOR__

Survival  = överlevnad, k onstruktionen sitter kvar i munnen, säger inget om komplikationer

Success  = sitter kvar i munnen och inga komplikationer


 * Systematisk översikt
 * Följde upp 5 år
 * Begränsning var att många studier var gjorda på universitet [Symbol]  svårt applicera i kliniska vardagen
 * Syfte: se om helkeramiska kronor hade liknande långsiktiga resultat som metalkeramiska

<span class="SpellingError SCX28040160" style="background-color: inherit; font-family: Calibri,sans-serif; font-size: 14pt;">Inklusionskriterier
 * <span style="background-color: transparent; color: windowtext; font-family: verdana; font-size: 11pt; vertical-align: baseline;"><span class="SpellingError SCX28040160" style="background-color: inherit; color: #ff0000; font-family: Calibri,sans-serif; font-size: 12pt;">Prospektiva <span class="NormalTextRun SCX28040160" style="background-color: inherit; color: #ff0000; font-family: Calibri,sans-serif; font-size: 12pt;">, <span class="SpellingError SCX28040160" style="background-color: inherit; color: #ff0000; font-family: Calibri,sans-serif; font-size: 12pt;">restrospektiva <span class="NormalTextRun SCX28040160" style="background-color: inherit; color: #ff0000; font-family: Calibri,sans-serif; font-size: 12pt;"> kohortstudier eller <span class="SpellingError SCX28040160" style="background-color: inherit; color: #ff0000; font-family: Calibri,sans-serif; font-size: 12pt;">fallserier
 * <span style="background-color: transparent; color: windowtext; font-family: verdana; font-size: 12pt; vertical-align: baseline;"><span class="TextRun SCX28040160" style="font-family: Calibri,sans-serif; font-size: 12pt;">Minst en uppföljningstid på 3 år
 * <span style="background-color: transparent; color: windowtext; font-family: verdana; font-size: 12pt; vertical-align: baseline;"><span class="TextRun SCX28040160" style="font-family: Calibri,sans-serif; font-size: 12pt;">Pat måste ha blivit undersökta kliniskt
 * <span style="background-color: transparent; color: windowtext; font-family: verdana; font-size: 12pt; vertical-align: baseline;"><span class="TextRun SCX28040160" style="font-family: Calibri,sans-serif; font-size: 12pt;">Minst 10 patienter följdes upp i studierna
 * <span style="background-color: transparent; color: windowtext; font-family: verdana; font-size: 12pt; vertical-align: baseline;"><span class="SpellingError SCX28040160" style="background-color: inherit; font-family: Calibri,sans-serif; font-size: 12pt;">Exklusionskriterier <span class="TextRun SCX28040160" style="font-family: Calibri,sans-serif; font-size: 12pt;">: mindre än 3 års uppföljning, in vitro eller djurförsök, intervjuer

<span class="TextRun SCX28040160" style="font-family: Calibri,sans-serif; font-size: 14pt;">Resultat

|| <span style="background-color: rgba(198,198,198,0.701961); display: block;"> <span class="TextRun SCX28040160" style="font-family: Calibri,sans-serif; font-size: 10pt;">Metallkeramik || <span style="background-color: rgba(198,198,198,0.701961); display: block;"> <span class="SpellingError SCX28040160" style="background-color: inherit; font-family: Calibri,sans-serif; font-size: 10pt;">Fältspatsporslin || <span style="background-color: rgba(198,198,198,0.701961); display: block;"> <span class="TextRun SCX28040160" style="font-family: Calibri,sans-serif; font-size: 10pt;">Glaskeramer || <span style="background-color: rgba(198,198,198,0.701961); display: block;"> <span class="TextRun SCX28040160" style="font-family: Calibri,sans-serif; font-size: 10pt;">Oxidkeramer
 * <span style="background-color: rgba(198,198,198,0.701961); display: block;">

<span class="TextRun SCX28040160" style="font-family: Calibri,sans-serif; font-size: 10pt;">(Al <span class="NormalTextRun SCX28040160" style="background-color: inherit; font-family: Calibri,sans-serif; font-size: 10pt;">eller <span class="SpellingError SCX28040160" style="background-color: inherit; font-family: Calibri,sans-serif; font-size: 10pt;">zirkonia <span class="TextRun SCX28040160" style="font-family: Calibri,sans-serif; font-size: 10pt;">) || || <span style="background-color: rgba(198,198,198,0.701961); display: block;"> <span class="TextRun SCX28040160" style="font-family: Calibri,sans-serif; font-size: 10pt;">95,7 % || <span style="background-color: rgba(198,198,198,0.701961); display: block;"> <span class="TextRun SCX28040160" style="font-family: Calibri,sans-serif; font-size: 10pt;">90,7% || <span style="background-color: rgba(198,198,198,0.701961); display: block;"> <span class="TextRun SCX28040160" style="font-family: Calibri,sans-serif; font-size: 10pt;">96,6% || <span style="background-color: rgba(198,198,198,0.701961); display: block;"> <span class="TextRun SCX28040160" style="font-family: Calibri,sans-serif; font-size: 10pt;">91,2 % || || <span style="background-color: rgba(198,198,198,0.701961); display: block;"> || <span style="background-color: rgba(198,198,198,0.701961); display: block;"> <span class="NormalTextRun SCX28040160" style="background-color: inherit; font-family: Calibri,sans-serif; font-size: 10pt;">Sämre <span class="SpellingError SCX28040160" style="background-color: inherit; font-family: Calibri,sans-serif; font-size: 10pt;">posteriort <span class="NormalTextRun SCX28040160" style="background-color: inherit; font-family: Calibri,sans-serif; font-size: 10pt;">än <span class="SpellingError SCX28040160" style="background-color: inherit; font-family: Calibri,sans-serif; font-size: 10pt;">anteriort || <span style="background-color: rgba(198,198,198,0.701961); display: block;"> || <span style="background-color: rgba(198,198,198,0.701961); display: block;"> || || <span style="background-color: rgba(198,198,198,0.701961); display: block;"> || <span style="background-color: rgba(198,198,198,0.701961); display: block;"> <span class="SpellingError SCX28040160" style="background-color: inherit; font-family: Calibri,sans-serif; font-size: 10pt;">Framework fracture pga <span class="TextRun SCX28040160" style="font-family: Calibri,sans-serif; font-size: 10pt;">mekaniska instabiliteten av det keramiska materialet
 * <span style="background-color: rgba(198,198,198,0.701961); display: block;"> <span class="TextRun SCX28040160" style="font-family: Calibri,sans-serif; font-size: 10pt;">Överlevnad
 * <span style="background-color: rgba(198,198,198,0.701961); display: block;"> <span class="SpellingError SCX28040160" style="background-color: inherit; font-family: Calibri,sans-serif; font-size: 10pt;">Posteriort <span class="NormalTextRun SCX28040160" style="background-color: inherit; font-family: Calibri,sans-serif; font-size: 10pt;">vs <span class="SpellingError SCX28040160" style="background-color: inherit; font-family: Calibri,sans-serif; font-size: 10pt;">anteriort
 * <span style="background-color: rgba(198,198,198,0.701961); display: block;"> <span class="TextRun SCX28040160" style="font-family: Calibri,sans-serif; font-size: 10pt;">Tekniska komplikationer

<span class="TextRun SCX28040160" style="font-family: Calibri,sans-serif; font-size: 10pt;">(fraktur i skelettet/kärnan) || <span style="background-color: rgba(198,198,198,0.701961); display: block;"> <span class="SpellingError SCX28040160" style="background-color: inherit; font-family: Calibri,sans-serif; font-size: 10pt;">Framework fracture || <span style="background-color: rgba(198,198,198,0.701961); display: block;"> <span class="NormalTextRun SCX28040160" style="background-color: inherit; font-family: Calibri,sans-serif; font-size: 10pt;">- <span class="SpellingError SCX28040160" style="background-color: inherit; font-family: Calibri,sans-serif; font-size: 10pt;">Framework fracture <span class="TextRun SCX28040160" style="font-family: Calibri,sans-serif; font-size: 10pt;">- <span class="NormalTextRun SCX28040160" style="background-color: inherit; font-family: Calibri,sans-serif; font-size: 10pt;">Retentionsförlust hos <span class="SpellingError SCX28040160" style="background-color: inherit; font-family: Calibri,sans-serif; font-size: 10pt;">zirkonia <span class="TextRun SCX28040160" style="font-family: Calibri,sans-serif; font-size: 10pt;">-Chipfrakturer || || <span style="background-color: rgba(198,198,198,0.701961); display: block;"> <span class="TextRun SCX28040160" style="font-family: Calibri,sans-serif; font-size: 10pt;">Mer biologiska komplikationer
 * <span style="background-color: rgba(198,198,198,0.701961); display: block;"> <span class="TextRun SCX28040160" style="font-family: Calibri,sans-serif; font-size: 10pt;">Biologiska komplikationer

<span class="TextRun SCX28040160" style="font-family: Calibri,sans-serif; font-size: 10pt;">än keramiska <span class="NormalTextRun SCX28040160" style="background-color: inherit; font-family: Calibri,sans-serif; font-size: 10pt;">( <span class="SpellingError SCX28040160" style="background-color: inherit; font-family: Calibri,sans-serif; font-size: 10pt;">endoproblem+sek-karies <span class="NormalTextRun SCX28040160" style="background-color: inherit; font-family: Calibri,sans-serif; font-size: 10pt;">) || <span style="background-color: rgba(198,198,198,0.701961); display: block;"> || <span style="background-color: rgba(198,198,198,0.701961); display: block;"> || <span style="background-color: rgba(198,198,198,0.701961); display: block;"> ||

<span style="background-color: #ffffff; display: block; font-family: "Segoe UI",Tahoma,Verdana,sans-serif; font-size: 8px;">
 * <span style="background-color: transparent; color: windowtext; font-family: verdana; font-size: 11pt; vertical-align: baseline;"><span class="TextRun SCX28040160" style="color: #ff0000; font-family: Calibri,sans-serif; font-size: 12pt;">Helkeramiska kronor av glaskeram eller oxidkeramer kan användas som alternativ till MK- <span class="NormalTextRun SCX28040160" style="background-color: inherit; color: #ff0000; font-family: Calibri,sans-serif; font-size: 12pt;">kronor (golden standard) i <span class="SpellingError SCX28040160" style="background-color: inherit; color: #ff0000; font-family: Calibri,sans-serif; font-size: 12pt;">posteriora <span class="NormalTextRun SCX28040160" style="background-color: inherit; color: #ff0000; font-family: Calibri,sans-serif; font-size: 12pt;"> och <span class="SpellingError SCX28040160" style="background-color: inherit; color: #ff0000; font-family: Calibri,sans-serif; font-size: 12pt;">anteriora <span class="NormalTextRun SCX28040160" style="background-color: inherit; color: #ff0000; font-family: Calibri,sans-serif; font-size: 12pt;"> regioner
 * <span style="background-color: transparent; color: windowtext; font-family: verdana; font-size: 12pt; vertical-align: baseline;"><span class="NormalTextRun SCX28040160" style="background-color: inherit; color: #ff0000; font-family: Calibri,sans-serif; font-size: 12pt;">Kronor av <span class="SpellingError SCX28040160" style="background-color: inherit; color: #ff0000; font-family: Calibri,sans-serif; font-size: 12pt;">fältspatsporslin <span class="NormalTextRun SCX28040160" style="background-color: inherit; color: #ff0000; font-family: Calibri,sans-serif; font-size: 12pt;"> hade en lägre överlevnad i den <span class="SpellingError SCX28040160" style="background-color: inherit; color: #ff0000; font-family: Calibri,sans-serif; font-size: 12pt;">posteriora <span class="NormalTextRun SCX28040160" style="background-color: inherit; color: #ff0000; font-family: Calibri,sans-serif; font-size: 12pt;"> regionen än den <span class="SpellingError SCX28040160" style="background-color: inherit; color: #ff0000; font-family: Calibri,sans-serif; font-size: 12pt;">anteriora <span class="UnsupportedObjectText BlobObject SCX28040160" style="background-color: #e1e3e6; font-family: Calibri; font-size: 10pt;">[Symbol] <span class="TextRun SCX28040160" style="color: #ff0000; font-family: Calibri,sans-serif; font-size: 12pt;"> rekommenderas bara i de <span class="SpellingError SCX28040160" style="background-color: inherit; color: #ff0000; font-family: Calibri,sans-serif; font-size: 12pt;">anteriora <span class="TextRun SCX28040160" style="color: #ff0000; font-family: Calibri,sans-serif; font-size: 12pt;">regionerna
 * <span style="background-color: transparent; color: windowtext; font-family: verdana; font-size: 12pt; vertical-align: baseline;"><span class="SpellingError SCX28040160" style="background-color: inherit; color: #ff0000; font-family: Calibri,sans-serif; font-size: 12pt;">Zirkoniakronor <span class="NormalTextRun SCX28040160" style="background-color: inherit; color: #ff0000; font-family: Calibri,sans-serif; font-size: 12pt;"> g <span class="TextRun SCX28040160" style="color: #ff0000; font-family: Calibri,sans-serif; font-size: 12pt;">jorde sämre ifrån sig kliniskt
 * <span style="background-color: transparent; color: windowtext; font-family: verdana; font-size: 12pt; vertical-align: baseline;"><span class="TextRun SCX28040160" style="font-family: Calibri,sans-serif; font-size: 12pt;">Hade många tekniska komplikationer (chipfrakturer, retentionsförlust)
 * <span style="background-color: transparent; color: windowtext; font-family: verdana; font-size: 12pt; vertical-align: baseline;"><span class="TextRun SCX28040160" style="font-family: Calibri,sans-serif; font-size: 12pt;">Därför inget alternativ och <span class="SpellingError SCX28040160" style="background-color: inherit; font-family: Calibri,sans-serif; font-size: 12pt;">pat <span class="NormalTextRun SCX28040160" style="background-color: inherit; font-family: Calibri,sans-serif; font-size: 12pt;"> bör informeras <span class="TextRun SCX28040160" style="font-family: Calibri,sans-serif; font-size: 12pt;">om risker ifall <span class="NormalTextRun SCX28040160" style="background-color: inherit; font-family: Calibri,sans-serif; font-size: 12pt;">man väljer <span class="SpellingError SCX28040160" style="background-color: inherit; font-family: Calibri,sans-serif; font-size: 12pt;">zirkonia
 * <span style="background-color: transparent; color: windowtext; font-family: verdana; font-size: 12pt; vertical-align: baseline;"><span class="TextRun SCX28040160" style="color: #ff0000; font-family: Calibri,sans-serif; font-size: 12pt;">Biologiska komplikationerna var mindre hos helkeramiska kronor än metallkeramiska
 * <span style="background-color: transparent; color: windowtext; font-family: verdana; font-size: 12pt; vertical-align: baseline;"><span class="TextRun SCX28040160" style="font-family: Calibri,sans-serif; font-size: 12pt;">Detta beror på att man avlägsnar mindre tandsubstans när man <span class="SpellingError SCX28040160" style="background-color: inherit; font-family: Calibri,sans-serif; font-size: 12pt;">preppar <span class="NormalTextRun SCX28040160" style="background-color: inherit; font-family: Calibri,sans-serif; font-size: 12pt;"> för helkeramiska kronor
 * <span style="background-color: transparent; color: windowtext; font-family: verdana; font-size: 12pt; vertical-align: baseline;"><span class="TextRun SCX28040160" style="font-family: Calibri,sans-serif; font-size: 12pt;">Trenden <span class="NormalTextRun SCX28040160" style="background-color: inherit; font-family: Calibri,sans-serif; font-size: 12pt;"> gentemot <span class="SpellingError SCX28040160" style="background-color: inherit; font-family: Calibri,sans-serif; font-size: 12pt;">minimalinvasiv <span class="NormalTextRun SCX28040160" style="background-color: inherit; font-family: Calibri,sans-serif; font-size: 12pt;"> tandvård idag kanske ger helke <span class="TextRun SCX28040160" style="font-family: Calibri,sans-serif; font-size: 12pt;">ramiska kronor en liten fördel

<span class="NormalTextRun SCX28040160" style="background-color: inherit; font-family: Calibri,sans-serif; font-size: 16pt;">__ARTIKEL 2 - PJETURSSON - HELKERAMISKA BROAR VS MK-BROAR__

<span style="background-color: #ffffff; display: block; font-family: "Segoe UI",Tahoma,Verdana,sans-serif; font-size: 8px;"> <span class="SpellingError SCX28040160" style="background-color: inherit; font-family: Calibri,sans-serif; font-size: 14pt;">Inklusionskriterier <span class="NormalTextRun SCX28040160" style="background-color: inherit; font-family: Calibri,sans-serif; font-size: 14pt;">:
 * <span style="background-color: transparent; color: windowtext; font-family: verdana; font-size: 12pt; vertical-align: baseline;"><span class="TextRun SCX28040160" style="color: #ff0000; font-family: Calibri,sans-serif; font-size: 12pt;">Systematisk översikt
 * <span style="background-color: transparent; color: windowtext; font-family: verdana; font-size: 12pt; vertical-align: baseline;"><span class="TextRun SCX28040160" style="color: #ff0000; font-family: Calibri,sans-serif; font-size: 12pt;">Följde upp minst 3 år
 * <span style="background-color: transparent; color: windowtext; font-family: verdana; font-size: 12pt; vertical-align: baseline;"><span class="TextRun SCX28040160" style="color: #ff0000; font-family: Calibri,sans-serif; font-size: 12pt;">Begränsning var att dom flesta studierna var gjorda på universitet
 * <span style="background-color: transparent; color: windowtext; font-family: verdana; font-size: 12pt; vertical-align: baseline;"><span class="TextRun SCX28040160" style="color: #ff0000; font-family: Calibri,sans-serif; font-size: 12pt;">Syfte: bedöma 3-års överlevnad av olika broar och mäta biologiska och tekniska
 * <span style="background-color: transparent; color: windowtext; font-family: verdana; font-size: 12pt; vertical-align: baseline;"><span class="TextRun SCX28040160" style="color: #ff0000; font-family: Calibri,sans-serif; font-size: 12pt;">Medeluppföljningstid var 7 år för metallkeramiska broar och 4,7 år för helkeramer
 * <span style="background-color: transparent; color: windowtext; font-family: verdana; font-size: 12pt; vertical-align: baseline;"><span class="TextRun SCX28040160" style="color: #ff0000; font-family: Calibri,sans-serif; font-size: 12pt;">Bortfallet <span class="NormalTextRun SCX28040160" style="background-color: inherit; color: #ff0000; font-family: Calibri,sans-serif; font-size: 12pt;"> ( <span class="SpellingError SCX28040160" style="background-color: inherit; color: #ff0000; font-family: Calibri,sans-serif; font-size: 12pt;">pat <span class="TextRun SCX28040160" style="color: #ff0000; font-family: Calibri,sans-serif; font-size: 12pt;"> som drog sig ur) var 8 % för studier om helkeramer och 19% för studier om MK-broar
 * <span style="background-color: transparent; color: windowtext; font-family: verdana; font-size: 12pt; vertical-align: baseline;"><span class="TextRun SCX28040160" style="font-family: Calibri,sans-serif; font-size: 12pt;">Studien ska ha haft minst 10 patienter
 * <span style="background-color: transparent; color: windowtext; font-family: verdana; font-size: 12pt; vertical-align: baseline;"><span class="TextRun SCX28040160" style="font-family: Calibri,sans-serif; font-size: 12pt;">Minst 3 års uppföljning där bron är under funktion (i munnen)
 * <span style="background-color: transparent; color: windowtext; font-family: verdana; font-size: 12pt; vertical-align: baseline;"><span class="TextRun SCX28040160" style="font-family: Calibri,sans-serif; font-size: 12pt;">S <span class="NormalTextRun SCX28040160" style="background-color: inherit; font-family: Calibri,sans-serif; font-size: 12pt;">tudier som godkändes var: RCT, CCT, <span class="SpellingError SCX28040160" style="background-color: inherit; font-family: Calibri,sans-serif; font-size: 12pt;">prospektiva <span class="NormalTextRun SCX28040160" style="background-color: inherit; font-family: Calibri,sans-serif; font-size: 12pt;"> och retrospektiva studier, kohortstudier
 * <span style="background-color: transparent; color: windowtext; font-family: verdana; font-size: 12pt; vertical-align: baseline;"><span class="TextRun SCX28040160" style="font-family: Calibri,sans-serif; font-size: 12pt;">Patienterna måste ha blivit undersökta kliniskt
 * <span style="background-color: transparent; color: windowtext; font-family: verdana; font-size: 14pt; vertical-align: baseline;"><span class="SpellingError SCX28040160" style="background-color: inherit; font-family: Calibri,sans-serif; font-size: 12pt;">Exklusionskriterier <span class="NormalTextRun SCX28040160" style="background-color: inherit; font-family: Calibri,sans-serif; font-size: 12pt;">: <span class="TextRun SCX28040160" style="font-family: Calibri,sans-serif; font-size: 12pt;"> In vitro studier, mindre än 3 års uppföljningstid, intervjustudier

<span class="TextRun SCX28040160" style="font-family: Calibri,sans-serif; font-size: 14pt;">Resultat


 * || <span class="TextRun SCX28040160" style="font-family: Calibri,sans-serif; font-size: 10pt;">Metallkeramik || <span class="TextRun SCX28040160" style="font-family: Calibri,sans-serif; font-size: 10pt;">Glaskeram  || <span class="TextRun SCX28040160" style="font-family: Calibri,sans-serif; font-size: 10pt;">Aluminiumoxid  || <span class="SpellingError SCX28040160" style="background-color: inherit; font-family: Calibri,sans-serif; font-size: 10pt;">Zirkonia  ||
 * <span class="TextRun SCX28040160" style="font-family: Calibri,sans-serif; font-size: 10pt;">Överlevnad || <span class="TextRun SCX28040160" style="font-family: Calibri,sans-serif; font-size: 10pt;">94,4%  || <span class="TextRun SCX28040160" style="font-family: Calibri,sans-serif; font-size: 10pt;">89.1%  || <span class="TextRun SCX28040160" style="font-family: Calibri,sans-serif; font-size: 10pt;">86,2 %  || <span class="TextRun SCX28040160" style="font-family: Calibri,sans-serif; font-size: 10pt;">90,4 %  ||
 * <span class="TextRun SCX28040160" style="font-family: Calibri,sans-serif; font-size: 10pt;">Tekniska komplikationer ||   || <span class="SpellingError SCX28040160" style="background-color: inherit; font-family: Calibri,sans-serif; font-size: 10pt;">Frameworkfraktur <span class="NormalTextRun SCX28040160" style="background-color: inherit; font-family: Calibri,sans-serif; font-size: 10pt;">, <span class="SpellingError SCX28040160" style="background-color: inherit; font-family: Calibri,sans-serif; font-size: 10pt;">särsklitposteriort <span class="NormalTextRun SCX28040160" style="background-color: inherit; font-family: Calibri,sans-serif; font-size: 10pt;">om <span class="SpellingError SCX28040160" style="background-color: inherit; font-family: Calibri,sans-serif; font-size: 10pt;">connectorn <span class="NormalTextRun SCX28040160" style="background-color: inherit; font-family: Calibri,sans-serif; font-size: 10pt;">är för smal  || <span class="TextRun SCX28040160" style="font-family: Calibri,sans-serif; font-size: 10pt;">- <span class="SpellingError SCX28040160" style="background-color: inherit; font-family: Calibri,sans-serif; font-size: 10pt;">Frameworkfraktur <span class="NormalTextRun SCX28040160" style="background-color: inherit; font-family: Calibri,sans-serif; font-size: 10pt;">, <span class="SpellingError SCX28040160" style="background-color: inherit; font-family: Calibri,sans-serif; font-size: 10pt;">särsklitposteriort <span class="NormalTextRun SCX28040160" style="background-color: inherit; font-family: Calibri,sans-serif; font-size: 10pt;">om <span class="SpellingError SCX28040160" style="background-color: inherit; font-family: Calibri,sans-serif; font-size: 10pt;">connectorn <span class="NormalTextRun SCX28040160" style="background-color: inherit; font-family: Calibri,sans-serif; font-size: 10pt;">är för smal

<span class="TextRun SCX28040160" style="font-family: Calibri,sans-serif; font-size: 10pt;">-Chipfraktur || <span class="TextRun SCX28040160" style="font-family: Calibri,sans-serif; font-size: 10pt;">-Chipfraktur <span class="SpellingError SCX28040160" style="background-color: inherit; font-family: Calibri,sans-serif; font-size: 10pt;">pga <span class="NormalTextRun SCX28040160" style="background-color: inherit; font-family: Calibri,sans-serif; font-size: 10pt;">att termiska <span class="SpellingError SCX28040160" style="background-color: inherit; font-family: Calibri,sans-serif; font-size: 10pt;">expansionskoeefficienten <span class="NormalTextRun SCX28040160" style="background-color: inherit; font-family: Calibri,sans-serif; font-size: 10pt;">inte var lika för <span class="SpellingError SCX28040160" style="background-color: inherit; font-family: Calibri,sans-serif; font-size: 10pt;">ytporslin <span class="NormalTextRun SCX28040160" style="background-color: inherit; font-family: Calibri,sans-serif; font-size: 10pt;">och <span class="SpellingError SCX28040160" style="background-color: inherit; font-family: Calibri,sans-serif; font-size: 10pt;">zirkonia <span class="NormalTextRun SCX28040160" style="background-color: inherit; font-family: Calibri,sans-serif; font-size: 10pt;">+ svårt att dimensionera rätt <span class="TextRun SCX28040160" style="font-family: Calibri,sans-serif; font-size: 10pt;">-Retentionsförlust ||
 * <span class="TextRun SCX28040160" style="font-family: Calibri,sans-serif; font-size: 10pt;">Biologiska komplikationer ||   || <span class="SpellingError SCX28040160" style="background-color: inherit; font-family: Calibri,sans-serif; font-size: 10pt;">Parodontala <span class="NormalTextRun SCX28040160" style="background-color: inherit; font-family: Calibri,sans-serif; font-size: 10pt;">problem  || <span class="SpellingError SCX28040160" style="background-color: inherit; font-family: Calibri,sans-serif; font-size: 10pt;">Parodontala <span class="NormalTextRun SCX28040160" style="background-color: inherit; font-family: Calibri,sans-serif; font-size: 10pt;">problem  || <span class="TextRun SCX28040160" style="font-family: Calibri,sans-serif; font-size: 10pt;">-Sekundärkaries

<span class="NormalTextRun SCX28040160" style="background-color: inherit; font-family: Calibri,sans-serif; font-size: 10pt;">- <span class="SpellingError SCX28040160" style="background-color: inherit; font-family: Calibri,sans-serif; font-size: 10pt;">Endoproblem

<span class="TextRun SCX28040160" style="font-family: Calibri,sans-serif; font-size: 10pt;">-Marginal missfärgning

<span class="SpellingError SCX28040160" style="background-color: inherit; font-family: Calibri,sans-serif; font-size: 10pt;">pga <span class="NormalTextRun SCX28040160" style="background-color: inherit; font-family: Calibri,sans-serif; font-size: 10pt;">glipor när man designar i CAD/CAM ||


 * <span style="background-color: transparent; color: windowtext; font-family: verdana; font-size: 12pt; vertical-align: baseline;"><span class="TextRun SCX28040160" style="color: #ff0000; font-family: Calibri,sans-serif; font-size: 12pt;">MK-broar hållbarare än alla typer av keramiska broar (kanske <span class="SpellingError SCX28040160" style="background-color: inherit; color: #ff0000; font-family: Calibri,sans-serif; font-size: 12pt;">pga <span class="NormalTextRun SCX28040160" style="background-color: inherit; color: #ff0000; font-family: Calibri,sans-serif; font-size: 12pt;"> vi har längre erfarenhet av det <span class="TextRun SCX28040160" style="color: #ff0000; font-family: Calibri,sans-serif; font-size: 12pt;">)
 * <span style="background-color: transparent; color: windowtext; font-family: verdana; font-size: 12pt; vertical-align: baseline;"><span class="NormalTextRun SCX28040160" style="background-color: inherit; color: #ff0000; font-family: Calibri,sans-serif; font-size: 12pt;">Till mindre broar kan man använda <span class="SpellingError SCX28040160" style="background-color: inherit; color: #ff0000; font-family: Calibri,sans-serif; font-size: 12pt;">zirkonia <span class="NormalTextRun SCX28040160" style="background-color: inherit; color: #ff0000; font-family: Calibri,sans-serif; font-size: 12pt;"> (starkare än al-oxid) och ibland glaskeram
 * <span style="background-color: transparent; color: windowtext; font-family: verdana; font-size: 12pt; vertical-align: baseline;"><span class="SpellingError SCX28040160" style="background-color: inherit; color: #ff0000; font-family: Calibri,sans-serif; font-size: 12pt;">Zirkonia <span class="NormalTextRun SCX28040160" style="background-color: inherit; color: #ff0000; font-family: Calibri,sans-serif; font-size: 12pt;"> som kärnmaterial leder till låg andel <span class="SpellingError SCX28040160" style="background-color: inherit; color: #ff0000; font-family: Calibri,sans-serif; font-size: 12pt;">frameworkfraktur <span class="TextRun SCX28040160" style="color: #ff0000; font-family: Calibri,sans-serif; font-size: 12pt;">, men leder till problem med <span class="NormalTextRun SCX28040160" style="background-color: inherit; color: #ff0000; font-family: Calibri,sans-serif; font-size: 12pt;"> chipfraktur, retentionsförlust samt sekundärkaries, <span class="SpellingError SCX28040160" style="background-color: inherit; color: #ff0000; font-family: Calibri,sans-serif; font-size: 12pt;">endoproblem <span class="NormalTextRun SCX28040160" style="background-color: inherit; color: #ff0000; font-family: Calibri,sans-serif; font-size: 12pt;">, missfärgningar
 * <span style="background-color: transparent; color: windowtext; font-family: verdana; font-size: 12pt; vertical-align: baseline;"><span class="TextRun SCX28040160" style="font-family: Calibri,sans-serif; font-size: 12pt;">Alla dessa kan vara relaterade till sämre passformen (blir glipor när man designar i CADCAM)
 * <span style="background-color: transparent; color: windowtext; font-family: verdana; font-size: 12pt; vertical-align: baseline;"><span class="TextRun SCX28040160" style="font-family: Calibri,sans-serif; font-size: 12pt;">MK-broar har lägre misslyckande än helkeramer efter 3 år.
 * <span style="background-color: transparent; color: windowtext; font-family: verdana; font-size: 12pt; vertical-align: baseline;"><span class="TextRun SCX28040160" style="font-family: Calibri,sans-serif; font-size: 12pt;">I framtiden är det bra om man kan förbättra framstä <span class="NormalTextRun SCX28040160" style="background-color: inherit; font-family: Calibri,sans-serif; font-size: 12pt;">llningsteknikerna för <span class="SpellingError SCX28040160" style="background-color: inherit; font-family: Calibri,sans-serif; font-size: 12pt;">helkramer