The European journal of prosthodontics and restorative dentistry · 2018
The Current Evidence on Retaining or Prosthodontically Replacing Retained Deciduous Teeth in the Adult Hypodontia Patient: A Systematic Review.
СтатьяСистематический обзорНазвание и аннотация: Перевод пока не подготовлен
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Laverty D P, Fairbrother K, Addison O
Аннотация
BACKGROUND: This systematic review aims to evaluate the survival of retaining or replacing deciduous teeth in hypodontia patients with a variety of prosthetic tooth replacement options, to evaluate prognostic factors associated with retaining deciduous teeth, and report on patient based outcomes with these treatment modalities.
METHODS: MEDLINE, The Cochrane Central Register of Controlled Trials and Science Direct databases were searched (01/1980 - 08/2017) for studies reporting outcomes associated with retaining or replacing deciduous teeth via prosthetic means in adult hypodontia patients.
RESULTS: Twenty-one articles were included. The following survival figures were reported; retaining deciduous tooth/teeth (83%-93%), resin-bonded bridgework (59-96.9%) and implants (86-100%). No survival data was reported for fixed or removable partial dentures. Prognostic factors for deciduous tooth survival, quality of life and patient satisfaction data were also reported.
CONCLUSION: Within the limits of this review, retaining deciduous teeth have reasonable survival; however, studies beyond the third decade of life are lacking. Dental implants appear to be a highly successful long-term tooth replacement option with high patient satisfaction within this patient group, as have resin-bonded bridgework, albeit over the short to medium term. Tooth replacement options in the form of fixed and removable partial dentures were poorly reported upon.
METHODS: MEDLINE, The Cochrane Central Register of Controlled Trials and Science Direct databases were searched (01/1980 - 08/2017) for studies reporting outcomes associated with retaining or replacing deciduous teeth via prosthetic means in adult hypodontia patients.
RESULTS: Twenty-one articles were included. The following survival figures were reported; retaining deciduous tooth/teeth (83%-93%), resin-bonded bridgework (59-96.9%) and implants (86-100%). No survival data was reported for fixed or removable partial dentures. Prognostic factors for deciduous tooth survival, quality of life and patient satisfaction data were also reported.
CONCLUSION: Within the limits of this review, retaining deciduous teeth have reasonable survival; however, studies beyond the third decade of life are lacking. Dental implants appear to be a highly successful long-term tooth replacement option with high patient satisfaction within this patient group, as have resin-bonded bridgework, albeit over the short to medium term. Tooth replacement options in the form of fixed and removable partial dentures were poorly reported upon.