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Multifactorial risk assessment for survival of abutments of removable partial dentures based on practice-based longitudinal study.

Identifieur interne : 000453 ( Ncbi/Merge ); précédent : 000452; suivant : 000454

Multifactorial risk assessment for survival of abutments of removable partial dentures based on practice-based longitudinal study.

Auteurs : Sayaka Tada [Japon] ; Kazunori Ikebe ; Ken-Ichi Matsuda ; Yoshinobu Maeda

Source :

RBID : pubmed:23911599

Descripteurs français

English descriptors

Abstract

Predicting the tooth survival is such a great challenge for evidence-based dentistry. To prevent further tooth loss of partially edentulous patients, estimation of individualized risk and benefit for each residual tooth is important to the clinical decision-making. While there are several reports indicating a risk of losing the abutment teeth of RPDs, there are no existing reports exploring the cause of abutment loss by multifactorial analysis. The aim of this practice-based longitudinal study was to determine the prognostic factors affecting the survival period of RPD abutments using a multifactorial risk assessment.

DOI: 10.1016/j.jdent.2013.07.018
PubMed: 23911599

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<title xml:lang="en">Multifactorial risk assessment for survival of abutments of removable partial dentures based on practice-based longitudinal study.</title>
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<name sortKey="Tada, Sayaka" sort="Tada, Sayaka" uniqKey="Tada S" first="Sayaka" last="Tada">Sayaka Tada</name>
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<nlm:affiliation>Department of Prosthodontics, Gerodontology and Oral Rehabilitation, Osaka University Graduate School of Dentistry, Japan.</nlm:affiliation>
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<term>Kaplan-Meier Estimate</term>
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<term>Adulte d'âge moyen</term>
<term>Alliages de chrome ()</term>
<term>Analyse de survie</term>
<term>Analyse multivariée</term>
<term>Conception d'appareil de prothèse dentaire</term>
<term>Couronne dentaire (anatomie et histologie)</term>
<term>Crochets dentaires</term>
<term>Estimation de Kaplan-Meier</term>
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<term>Humains</term>
<term>Modèles de hasards proportionnels</term>
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<term>Traitement de canal radiculaire ()</term>
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<term>Kaplan-Meier Estimate</term>
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<term>Odontometry</term>
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<term>Analyse de survie</term>
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<term>Conception d'appareil de prothèse dentaire</term>
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<term>Estimation de Kaplan-Meier</term>
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<term>Humains</term>
<term>Modèles de hasards proportionnels</term>
<term>Mâle</term>
<term>Odontométrie</term>
<term>Perte dentaire</term>
<term>Piliers dentaires</term>
<term>Poche parodontale</term>
<term>Pronostic</term>
<term>Prothèse dentaire partielle amovible</term>
<term>Recherche participative basée sur la communauté</term>
<term>Sujet âgé</term>
<term>Traitement de canal radiculaire</term>
<term>Études de cohortes</term>
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<front>
<div type="abstract" xml:lang="en">Predicting the tooth survival is such a great challenge for evidence-based dentistry. To prevent further tooth loss of partially edentulous patients, estimation of individualized risk and benefit for each residual tooth is important to the clinical decision-making. While there are several reports indicating a risk of losing the abutment teeth of RPDs, there are no existing reports exploring the cause of abutment loss by multifactorial analysis. The aim of this practice-based longitudinal study was to determine the prognostic factors affecting the survival period of RPD abutments using a multifactorial risk assessment.</div>
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<DateCompleted>
<Year>2015</Year>
<Month>10</Month>
<Day>21</Day>
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<DateRevised>
<Year>2013</Year>
<Month>12</Month>
<Day>09</Day>
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<ISSN IssnType="Electronic">1879-176X</ISSN>
<JournalIssue CitedMedium="Internet">
<Volume>41</Volume>
<Issue>12</Issue>
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<Year>2013</Year>
<Month>Dec</Month>
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<Title>Journal of dentistry</Title>
<ISOAbbreviation>J Dent</ISOAbbreviation>
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<ArticleTitle>Multifactorial risk assessment for survival of abutments of removable partial dentures based on practice-based longitudinal study.</ArticleTitle>
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<Abstract>
<AbstractText Label="OBJECTIVES" NlmCategory="OBJECTIVE">Predicting the tooth survival is such a great challenge for evidence-based dentistry. To prevent further tooth loss of partially edentulous patients, estimation of individualized risk and benefit for each residual tooth is important to the clinical decision-making. While there are several reports indicating a risk of losing the abutment teeth of RPDs, there are no existing reports exploring the cause of abutment loss by multifactorial analysis. The aim of this practice-based longitudinal study was to determine the prognostic factors affecting the survival period of RPD abutments using a multifactorial risk assessment.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">One hundred and forty-seven patients had been previously provided with a total of 236 new RPDs at the Osaka University Dental Hospital; the 856 abutments for these RPDs were analyzed. Survival of abutment teeth was estimated using the Kaplan-Meier method. Multivariate analysis was conducted by Cox's proportional hazard modelling.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">The 5-year survival rates were 86.6% for direct abutments and 93.1% for indirect abutments, compared with 95.8% survival in non-abutment teeth. The multivariate analysis showed that abutment survival was significantly associated with crown-root ratio (hazard ratio (HR): 3.13), root canal treatment (HR: 2.93), pocket depth (HR: 2.51), type of abutments (HR: 2.19) and occlusal support (HR: 1.90).</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">From this practice-based longitudinal study, we concluded that RPD abutment teeth are more likely to be lost than other residual teeth. From the multifactorial risk factor assessment, several prognostic factors, such as occlusal support, crown-root ratio, root canal treatment, and pocket depth were suggested.</AbstractText>
<AbstractText Label="CLINICAL SIGNIFICANCE" NlmCategory="CONCLUSIONS">These results could be used to estimate the individualized risk for the residual teeth, to predict the prognosis of RPD abutments and to facilitate an evidence-based clinical decision making.</AbstractText>
<CopyrightInformation>Copyright © 2013 Elsevier Ltd. All rights reserved.</CopyrightInformation>
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