EdenteV2, Istex, Corpus, bibRecord, 002096

Tooth extraction decision model in periodontitis patients

Identifieur interne : 002096 ( Istex/Corpus ); précédent : 002095; suivant : 002097

Tooth extraction decision model in periodontitis patients

Auteurs : A. Popelut ; B. Rousval ; O. Fromentin ; M. Feghali ; F. Mora ; P. Bouchard

Source :

Clinical Oral Implants Research [ 0905-7161 ] ; 2010-01.

RBID : ISTEX:4335055F59C36268E4F5615C7544B2ECE8A5F43D

English descriptors

KwdEn :
- Adult periodontitis patients, Articles study reason, Bouchard, Chronic periodontitis, Clin, Clinical expertize, Clinical periodontology, Clinician, Cohort, Complication rates, Creugers, Decision tree, Dental implant, Dental implants, Dental prostheses, Dentistry, Denture, Entire article, Extraction, Extraction option, Final number, Fpd, Full text articles, Further hand, Human trials, Impl, Implant, Implant dentistry, Implant survival, Implant survival rate, Implant therapy, Implants research, Inclusion criteria, International journal, John wiley sons, Lang, Literature search process, Medical scenario, Mesh, Natural history, Observation period, Option, Oral impl, Oral rehabilitation, Partial denture, Partial denture therapy, Partial dentures, Passive option, Periodontal, Periodontal disease, Periodontal option, Periodontal patients, Periodontal reasons, Periodontal treatment, Periodontally, Periodontitis, Periodontitis patients, Periodontology, Pjetursson, Popelut, Present model, Probability case, Prosthetic, Prosthetic dentistry, Retrospective, Retrospective study, Same patient cohorts, Search strategy, Search terms, Single crown, Single crown therapy, Single crowns, Single tooth, Supportive therapy, Survival rate, Systematic approach, Systematic review, Systematic reviews, Titles abstracts, Titles discussion, Tooth, Tooth extraction, Tooth loss, Tooth loss rate, Tooth loss rate calculation, Tooth loss rate calculation data, Tooth mortality, Tooth survival, Uncertain success, Upper limit.
Teeft :
- Adult periodontitis patients, Articles study reason, Bouchard, Chronic periodontitis, Clin, Clinical expertize, Clinical periodontology, Clinician, Cohort, Complication rates, Creugers, Decision tree, Dental implant, Dental implants, Dental prostheses, Dentistry, Denture, Entire article, Extraction, Extraction option, Final number, Fpd, Full text articles, Further hand, Human trials, Impl, Implant, Implant dentistry, Implant survival, Implant survival rate, Implant therapy, Implants research, Inclusion criteria, International journal, John wiley sons, Lang, Literature search process, Medical scenario, Mesh, Natural history, Observation period, Option, Oral impl, Oral rehabilitation, Partial denture, Partial denture therapy, Partial dentures, Passive option, Periodontal, Periodontal disease, Periodontal option, Periodontal patients, Periodontal reasons, Periodontal treatment, Periodontally, Periodontitis, Periodontitis patients, Periodontology, Pjetursson, Popelut, Present model, Probability case, Prosthetic, Prosthetic dentistry, Retrospective, Retrospective study, Same patient cohorts, Search strategy, Search terms, Single crown, Single crown therapy, Single crowns, Single tooth, Supportive therapy, Survival rate, Systematic approach, Systematic review, Systematic reviews, Titles abstracts, Titles discussion, Tooth, Tooth extraction, Tooth loss, Tooth loss rate, Tooth loss rate calculation, Tooth loss rate calculation data, Tooth mortality, Tooth survival, Uncertain success, Upper limit.

Abstract

Objective: The purpose of this study was to build, around several types of input data, a decision analysis model for dental extraction strategy in periodontitis patients.

Url:

https://api.istex.fr/document/4335055F59C36268E4F5615C7544B2ECE8A5F43D/fulltext/pdf

DOI: 10.1111/j.1600-0501.2009.01850.x

Links to Exploration step

ISTEX:4335055F59C36268E4F5615C7544B2ECE8A5F43D

Le document en format XML

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<front><div type="abstract">Objective: The purpose of this study was to build, around several types of input data, a decision analysis model for dental extraction strategy in periodontitis patients.</div>
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<author xml:id="author-0000"><persName><forename type="first">A.</forename>
<surname>Popelut</surname>
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<affiliation>Department of Periodontology, Service of Odontology, Hôtel‐Dieu Hospital, AP‐HP, Paris 7‐Denis Diderot University, U.F.R. of Odontology, Paris, France<address><country key="FR"></country>
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              *Contributed equally to this work.</note>
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<author xml:id="author-0001"><persName><forename type="first">B.</forename>
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              *Contributed equally to this work.</note>
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<author xml:id="author-0002"><persName><forename type="first">O.</forename>
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<author xml:id="author-0003"><persName><forename type="first">M.</forename>
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<author xml:id="author-0005"><persName><forename type="first">P.</forename>
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<profileDesc><abstract xml:lang="en" style="main"><head>Abstract</head>
<p><hi rend="bold">Objective: </hi>
 The purpose of this study was to build, around several types of input data, a decision analysis model for dental extraction strategy in periodontitis patients.</p>
<p><hi rend="bold">Materials and methods: </hi>
 The decision analysis was based on the following scenario: a fictitious adult chronic periodontitis patient with no chief complaint, being referred to make a decision of extraction on one single tooth presenting a periodontal defect that may affect the decision‐making process. A decision tree was used to identify the treatment options within the next 5 years. Scientific evidences were based on probabilities given by a literature analysis using a systematic approach. Clinical expertize was based on subjective utilities (SUs) assigned by an experts' panel. Expected utilities (EUs) were used to rank the following options: no treatment (EU<hi rend="subscript">1</hi>
) or periodontal treatment (EU<hi rend="subscript">2</hi>
); extraction followed by a tooth‐supported fixed partial denture – FPD – (EU<hi rend="subscript">3</hi>
) or an implant‐supported single crown – ISC – (EU<hi rend="subscript">4</hi>
).</p>
<p><hi rend="bold">Results: </hi>
 The robustness analysis calculation indicates that the probability of tooth survival needed to be equal to 0.78 in order that the passive option becomes optimal.</p>
<p>However, EU<hi rend="subscript">1</hi>
 was impossible to calculate due to the lack of available probabilities. The EU intervals were 79–96, 86–89 and 94–95 for EU<hi rend="subscript">2</hi>
, EU<hi rend="subscript">3</hi>
 and EU<hi rend="subscript">4</hi>
, respectively. Consequently, the FPD option is dominated by the ISC option, and it is not possible to conclude to a difference between the periodontal and the ISC therapy.</p>
<p><hi rend="bold">Conclusions: </hi>
 Within the limits of this model, tooth extraction followed by FPD is the worst strategy compared with ISC or periodontal therapies.</p>
<p> 
               <hi rend="bold">To cite this article:</hi>
           Popelut A, Rousval B, Fromentin O, Feghali M, Mora F, Bouchard P. Tooth extraction decision model in periodontitis patients. <hi rend="italic">Clin Oral Impl Res</hi>
. <hi rend="bold">21</hi>
, 2010; 80–89.</p>
</abstract>
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<term xml:id="k6">single crowns</term>
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<term xml:id="k8">systematic review</term>
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<correspondenceTo><b>Correspondence to:</b>
 
<i>Philippe Bouchard</i>
 Departement de Parodontologie U.F.R. d'Odontologie 5 rue Garancière 75006 Paris France Tel.: +00 33 6 14 65 69 47 e‐mail: <email normalForm="phbouch@noos.fr">phbouch@noos.fr</email>
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<keywordGroup xml:lang="en"><keyword xml:id="k1">decision making</keyword>
<keyword xml:id="k2">dental extraction</keyword>
<keyword xml:id="k3">evidence‐based dentistry</keyword>
<keyword xml:id="k4">fixed partial dentures</keyword>
<keyword xml:id="k5">implant dentistry</keyword>
<keyword xml:id="k6">single crowns</keyword>
<keyword xml:id="k7">supportive periodontal therapy</keyword>
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<abstractGroup><abstract type="main" xml:lang="en"><title type="main">Abstract</title>
<p><b>Objective: </b>
 The purpose of this study was to build, around several types of input data, a decision analysis model for dental extraction strategy in periodontitis patients.</p>
<p><b>Materials and methods: </b>
 The decision analysis was based on the following scenario: a fictitious adult chronic periodontitis patient with no chief complaint, being referred to make a decision of extraction on one single tooth presenting a periodontal defect that may affect the decision‐making process. A decision tree was used to identify the treatment options within the next 5 years. Scientific evidences were based on probabilities given by a literature analysis using a systematic approach. Clinical expertize was based on subjective utilities (SUs) assigned by an experts' panel. Expected utilities (EUs) were used to rank the following options: no treatment (EU<sub>1</sub>
) or periodontal treatment (EU<sub>2</sub>
); extraction followed by a tooth‐supported fixed partial denture – FPD – (EU<sub>3</sub>
) or an implant‐supported single crown – ISC – (EU<sub>4</sub>
).</p>
<p><b>Results: </b>
 The robustness analysis calculation indicates that the probability of tooth survival needed to be equal to 0.78 in order that the passive option becomes optimal.</p>
<p>However, EU<sub>1</sub>
 was impossible to calculate due to the lack of available probabilities. The EU intervals were 79–96, 86–89 and 94–95 for EU<sub>2</sub>
, EU<sub>3</sub>
 and EU<sub>4</sub>
, respectively. Consequently, the FPD option is dominated by the ISC option, and it is not possible to conclude to a difference between the periodontal and the ISC therapy.</p>
<p><b>Conclusions: </b>
 Within the limits of this model, tooth extraction followed by FPD is the worst strategy compared with ISC or periodontal therapies.</p>
<p> <b>To cite this article:</b>
           Popelut A, Rousval B, Fromentin O, Feghali M, Mora F, Bouchard P. Tooth extraction decision model in periodontitis patients. <i>Clin Oral Impl Res</i>
. <b>21</b>
, 2010; 80–89.</p>
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Contributed equally to this work.</p>
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<namePart type="family">Mora</namePart>
<affiliation>Department of Periodontology, Service of Odontology, Hôtel‐Dieu Hospital, AP‐HP, Paris 7‐Denis Diderot University, U.F.R. of Odontology, Paris, France</affiliation>
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<name type="personal"><namePart type="given">P.</namePart>
<namePart type="family">Bouchard</namePart>
<affiliation>Department of Periodontology, Service of Odontology, Hôtel‐Dieu Hospital, AP‐HP, Paris 7‐Denis Diderot University, U.F.R. of Odontology, Paris, France</affiliation>
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<originInfo><publisher>Blackwell Publishing Ltd</publisher>
<place><placeTerm type="text">Oxford, UK</placeTerm>
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<dateIssued encoding="w3cdtf">2010-01</dateIssued>
<edition>Date: Accepted 25 August 2009</edition>
<copyrightDate encoding="w3cdtf">2010</copyrightDate>
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<languageTerm type="code" authority="iso639-2b">eng</languageTerm>
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<abstract>Objective: The purpose of this study was to build, around several types of input data, a decision analysis model for dental extraction strategy in periodontitis patients.</abstract>
<abstract>Materials and methods: The decision analysis was based on the following scenario: a fictitious adult chronic periodontitis patient with no chief complaint, being referred to make a decision of extraction on one single tooth presenting a periodontal defect that may affect the decision‐making process. A decision tree was used to identify the treatment options within the next 5 years. Scientific evidences were based on probabilities given by a literature analysis using a systematic approach. Clinical expertize was based on subjective utilities (SUs) assigned by an experts' panel. Expected utilities (EUs) were used to rank the following options: no treatment (EU1) or periodontal treatment (EU2); extraction followed by a tooth‐supported fixed partial denture – FPD – (EU3) or an implant‐supported single crown – ISC – (EU4).</abstract>
<abstract>Results: The robustness analysis calculation indicates that the probability of tooth survival needed to be equal to 0.78 in order that the passive option becomes optimal.</abstract>
<abstract>However, EU1 was impossible to calculate due to the lack of available probabilities. The EU intervals were 79–96, 86–89 and 94–95 for EU2, EU3 and EU4, respectively. Consequently, the FPD option is dominated by the ISC option, and it is not possible to conclude to a difference between the periodontal and the ISC therapy.</abstract>
<abstract>Conclusions: Within the limits of this model, tooth extraction followed by FPD is the worst strategy compared with ISC or periodontal therapies.</abstract>
<abstract>To cite this article:  Popelut A, Rousval B, Fromentin O, Feghali M, Mora F, Bouchard P. Tooth extraction decision model in periodontitis patients. Clin Oral Impl Res. 21, 2010; 80–89.</abstract>
<subject lang="en"><genre>keywords</genre>
<topic>decision making</topic>
<topic>dental extraction</topic>
<topic>evidence‐based dentistry</topic>
<topic>fixed partial dentures</topic>
<topic>implant dentistry</topic>
<topic>single crowns</topic>
<topic>supportive periodontal therapy</topic>
<topic>systematic review</topic>
<topic>tooth loss</topic>
<topic>utility</topic>
</subject>
<relatedItem type="host"><titleInfo><title>Clinical Oral Implants Research</title>
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<identifier type="ISSN">0905-7161</identifier>
<identifier type="eISSN">1600-0501</identifier>
<identifier type="DOI">10.1111/(ISSN)1600-0501</identifier>
<identifier type="PublisherID">CLR</identifier>
<part><date>2010</date>
<detail type="volume"><caption>vol.</caption>
<number>21</number>
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<detail type="issue"><caption>no.</caption>
<number>1</number>
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<extent unit="pages"><start>80</start>
<end>89</end>
<total>10</total>
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<identifier type="DOI">10.1111/j.1600-0501.2009.01850.x</identifier>
<identifier type="ArticleID">CLR1850</identifier>
<accessCondition type="use and reproduction" contentType="copyright">© 2009 John Wiley & Sons A/S</accessCondition>
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Tooth extraction decision model in periodontitis patients

Tooth extraction decision model in periodontitis patients

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