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Prosthetic treatment planning on the basis of scientific evidence

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Prosthetic treatment planning on the basis of scientific evidence

Auteurs : B. E. Pjetursson [Islande, Suisse] ; N. P. Lang [Suisse, Danemark]

Source :

Journal of Oral Rehabilitation [ 0305-182X ] ; 2008-01.

RBID : ISTEX:FA536B03CD212CCC100FD9E543E58377D8A22821

Descripteurs français

Wicri :
- topic : Soins de santé.

English descriptors

Abstract

Summary The objective of this report is to summarize the results on survival and complication rates of different designs of fixed dental prostheses (FDP) published in a series of systematic reviews. Moreover, the various parameters for survival and risk assessment are to be used in attempt to perform treatment planning on the basis of scientific evidence. Three electronic searches complemented by manual searching were conducted to identify prospective and retrospective cohort studies on FDP and implant‐supported single crowns (SC) with a mean follow‐up time of at least 5 years. Patients had to have been examined clinically at the follow‐up visit. Failure and complication rates were analyzed using random‐effects Poisson regression models to obtain summary estimates of 5‐ and 10‐year survival proportions. Meta‐analysis of the studies included indicated an estimated 5‐year survival of conventional tooth‐supported FDP of 93·8%, cantilever FDP of 91·4%, solely implant‐supported FDP of 95·2%, combined tooth‐implant‐supported FDP of 95·5% and implant‐supported SC of 94·5% as well as resin‐bonded bridges 87·7%. Moreover, after 10 years of function the estimated survival decreased to 89·2% for conventional FDP, to 80·3% for cantilever FDP, to 86·7% for implant‐supported FDP, to 77·8% for combined tooth‐implant‐supported FDP, to 89·4% for implant‐supported SC and to 65% for resin‐bonded bridges. When planning prosthetic rehabilitations, conventional end‐abutment tooth‐supported FDP, solely implant‐supported FDP or implant‐supported SC should be the first treatment option. Only as a second option, because of reasons such as financial aspects patient‐centered preferences or anatomical structures cantilever tooth‐supported FDP, combined tooth‐implant‐supported FDP or resin‐bonded bridges should be chosen.

Url:

https://api.istex.fr/document/FA536B03CD212CCC100FD9E543E58377D8A22821/fulltext/pdf

DOI: 10.1111/j.1365-2842.2007.01824.x

Affiliations:

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Le document en format XML

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<term>Annual failure rate survival summary estimate</term>
<term>Annual failure rates</term>
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<term>Relative failure rates</term>
<term>Retrospective cohort studies</term>
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<term>Second option</term>
<term>Single crown</term>
<term>Single crowns</term>
<term>Single tooth gaps</term>
<term>Soft tissue</term>
<term>Standard poisson regression</term>
<term>Such studies</term>
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<term>Systematic reviews</term>
<term>Technical complications</term>
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<term>Alveolar bone</term>
<term>Annual complication rate</term>
<term>Annual failure rate</term>
<term>Annual failure rate survival summary estimate</term>
<term>Annual failure rates</term>
<term>Annual rate</term>
<term>Anterior mandible</term>
<term>Anterior maxilla</term>
<term>Augmentation procedures</term>
<term>Available evidence</term>
<term>Biological complications</term>
<term>Blackwell publishing</term>
<term>Blackwell science</term>
<term>Cantilever</term>
<term>Ceramic fractures</term>
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<term>Clinical situations</term>
<term>Clinical trials</term>
<term>Complication</term>
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<term>Exposure time</term>
<term>Failure rate</term>
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<term>Fracture</term>
<term>Frequent complications</term>
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<term>Implant treatment</term>
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<term>Partial dentures</term>
<term>Periodontal disease</term>
<term>Pjetursson</term>
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<term>Poisson regression</term>
<term>Posterior region</term>
<term>Prosthetic</term>
<term>Prosthetic reconstruction</term>
<term>Pulp vitality</term>
<term>Relative failure rates</term>
<term>Retrospective cohort studies</term>
<term>Risk assessment</term>
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<term>Single crown</term>
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<term>Systematic reviews</term>
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<front><div type="abstract">Summary  The objective of this report is to summarize the results on survival and complication rates of different designs of fixed dental prostheses (FDP) published in a series of systematic reviews. Moreover, the various parameters for survival and risk assessment are to be used in attempt to perform treatment planning on the basis of scientific evidence. Three electronic searches complemented by manual searching were conducted to identify prospective and retrospective cohort studies on FDP and implant‐supported single crowns (SC) with a mean follow‐up time of at least 5 years. Patients had to have been examined clinically at the follow‐up visit. Failure and complication rates were analyzed using random‐effects Poisson regression models to obtain summary estimates of 5‐ and 10‐year survival proportions. Meta‐analysis of the studies included indicated an estimated 5‐year survival of conventional tooth‐supported FDP of 93·8%, cantilever FDP of 91·4%, solely implant‐supported FDP of 95·2%, combined tooth‐implant‐supported FDP of 95·5% and implant‐supported SC of 94·5% as well as resin‐bonded bridges 87·7%. Moreover, after 10 years of function the estimated survival decreased to 89·2% for conventional FDP, to 80·3% for cantilever FDP, to 86·7% for implant‐supported FDP, to 77·8% for combined tooth‐implant‐supported FDP, to 89·4% for implant‐supported SC and to 65% for resin‐bonded bridges. When planning prosthetic rehabilitations, conventional end‐abutment tooth‐supported FDP, solely implant‐supported FDP or implant‐supported SC should be the first treatment option. Only as a second option, because of reasons such as financial aspects patient‐centered preferences or anatomical structures cantilever tooth‐supported FDP, combined tooth‐implant‐supported FDP or resin‐bonded bridges should be chosen.</div>
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Prosthetic treatment planning on the basis of scientific evidence

Prosthetic treatment planning on the basis of scientific evidence

Source :

Descripteurs français

English descriptors

Abstract

Links toward previous steps (curation, corpus...)

Le document en format XML

Pour manipuler ce document sous Unix (Dilib)

Pour mettre un lien sur cette page dans le réseau Wicri