Document Type
Article
Language
eng
Publication Date
1-2016
Publisher
Wiley
Source Publication
Journal of Prosthodontics
Source ISSN
1059-941X
Original Item ID
DOI: 10.1111/jopr.12417
Abstract
Purpose
To evaluate the current scientific evidence on patient recall and maintenance of dental restorations on natural teeth, standardize patient care regimens, and improve maintenance of oral health. An additional purpose was to examine areas of deficiency in the current scientific literature and provide recommendations for future studies.
Materials and Methods
An electronic search for articles in the English language literature from the past 15 years was performed independently by multiple investigators using a systematic search process. After application of predetermined inclusion and exclusion criteria, the final list of articles was reviewed in depth to meet the objectives of this review.
Results
The initial electronic search resulted in 2161 titles. The systematic application of inclusion and exclusion criteria resulted in 12 articles that met the objectives of the study. An additional 4 articles were added through a supplemental search process for a total of 16 studies. Out of these, 9 were randomized controlled clinical trials and 7 were observational studies. The majority of the studies (14 out of 16) were conducted in the past 5 years, and most of the studies were conducted in Europe (10). Results from the qualitative data, on a combined 3569 patients, indicated that outcome improvements in recall and maintenance regimen were related to (1) patient/treatment characteristics (adherence to recall appointments, type of restoration and type of restorative material); (2) agent (chlorhexidine, fluoride, triclosan); and (3) professional interventions (repeated oral hygiene instruction, regular oral hygiene intervention).
Conclusions
There is minimal evidence related to recall regimens in patients with removable and fixed tooth-borne restorations; however, there is considerable evidence indicating that patients with tooth-borne removable and fixed restorations require lifelong dental professional maintenance to provide repeated oral hygiene instruction and regular oral hygiene intervention customized to each patient's treatment. Current evidence also indicates that use of specific oral topical agents like chlorhexidine, fluoride, and triclosan can aid in reducing risk for gingival inflammation, dental caries, and candidiasis. Therefore, these agents may aid in improvement of professional and at-home maintenance of various tooth-borne dental restorations. Furthermore, due to the heterogeneity of patient populations, restorations, and treatment needs, the evidence compels forethought of creating clinical practice guidelines for recall and maintenance of patients with tooth-borne dental restorations.
Recommended Citation
Bidra, Avinash S.; Daubert, Diane M.; Garcia, Lily T.; Gauthier, Marissa F.; Kosinski, Timothy F.; Nenn, Conrad A.; Olsen, John A.; Platt, Jeffrey A.; Wingrove, Susan S.; Chandler, Nancy Deal; and Curtis, Donald A., "A Systematic Review of Recall Regimen and Maintenance Regimen of Patients with Dental Restorations. Part 1: Tooth-Borne Restorations" (2016). School of Dentistry Faculty Research and Publications. 137.
https://epublications.marquette.edu/dentistry_fac/137
Comments
Accepted version. Journal of Prosthodontics, Vol. 25, No. S1 (January 2016): S2–S15. DOI. © 2016 John Wiley & Sons, Inc. Used with permission.