Clinical Practice Guidelines for Recall and Maintenance of Patients with Tooth-Borne and Implant-Borne Dental Restorations

Authors

Avinash S. Bidra, University of Connecticut Health Center
Diane M. Daubert, University of Washington School of Dentistry
Lily T. Garcia, University of Iowa College of Dentistry & Dental ClinicsFollow
Timothy F. Kosinski, University of Detroit Mercy School of Dentistry
Conrad A. Nenn, Marquette UniversityFollow
John A. Olsen
Jeffrey A. Platt, Indiana University School of Dentistry
Susan S. Wingrove
Nancy Deal Chandler, American College of Prosthodontists and ACP Education Foundation
Donald A. Curtis, UCSF School of Dentistry, San Francisco

Document Type

Article

Language

eng

Format of Original

9 .; 28 cm

Publication Date

1-2016

Publisher

Wiley

Source Publication

Journal of Prosthodontics

Source ISSN

1059-941X

Original Item ID

doi: 10.1111/jopr.12416; PubMed Central, PMID: 26711219

Abstract

Purpose

To provide guidelines for patient recall regimen, professional maintenance regimen, and at-home maintenance regimen for patients with tooth-borne and implant-borne removable and fixed restorations.

Materials and Methods

The American College of Prosthodontists (ACP) convened a scientific panel of experts appointed by the ACP, American Dental Association (ADA), Academy of General Dentistry (AGD), and American Dental Hygienists Association (ADHA) who critically evaluated and debated recently published findings from two systematic reviews on this topic. The major outcomes and consequences considered during formulation of the clinical practice guidelines (CPGs) were risk for failure of tooth- and implant-borne restorations. The panel conducted a round table discussion of the proposed guidelines, which were debated in detail. Feedback was used to supplement and refine the proposed guidelines, and consensus was attained.

Results

A set of CPGs was developed for tooth-borne restorations and implant-borne restorations. Each CPG comprised (1) patient recall, (2) professional maintenance, and (3) at-home maintenance. For tooth-borne restorations, the professional maintenance and at-home maintenance CPGs were subdivided for removable and fixed restorations. For implant-borne restorations, the professional maintenance CPGs were subdivided for removable and fixed restorations and further divided into biological maintenance and mechanical maintenance for each type of restoration. The at-home maintenance CPGs were subdivided for removable and fixed restorations.

Conclusions

The clinical practice guidelines presented in this document were initially developed using the two systematic reviews. Additional guidelines were developed using expert opinion and consensus, which included discussion of the best clinical practices, clinical feasibility, and risk-benefit ratio to the patient. To the authors’ knowledge, these are the first CPGs addressing patient recall regimen, professional maintenance regimen, and at-home maintenance regimen for patients with tooth-borne and implant-borne restorations. This document serves as a baseline with the expectation of future modifications when additional evidence becomes available.

Comments

Accepted version. Journal of Prosthodontics, Vol. 25, No. S1 (January 2016): S32–S40. DOI. © 2016 John Wiley & Sons, Inc. Used with permission.

Recommended Citation

Bidra, Avinash S.; Daubert, Diane M.; Garcia, Lily T.; Kosinski, Timothy F.; Nenn, Conrad A.; Olsen, John A.; Platt, Jeffrey A.; Wingrove, Susan S.; Chandler, Nancy Deal; and Curtis, Donald A., "Clinical Practice Guidelines for Recall and Maintenance of Patients with Tooth-Borne and Implant-Borne Dental Restorations" (2016). School of Dentistry Faculty Research and Publications. 136.
https://epublications.marquette.edu/dentistry_fac/136