Dentist‐specific effects on the longevity of dental restorations

Dobloug, Andreas; Grytten, Jostein

doi:10.1111/cdoe.12114

Cited by 6 publications

(4 citation statements)

References 14 publications

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“…Significant differences in antibiotic prescribing behaviour in the absence of signs of spreading infection or systemic involvement existed between practitioners, even after patient, practitioner and consultation characteristics were controlled for. Indeed, the dentist-specific effects in the current study were greater than those reported in other studies of diagnosis of caries and longevity of dental restorations (33,34), suggesting wide variability in antibiotic prescribing practices amongst this group. Whilst it is vital that judicious antibiotic use is supported and encouraged across the profession, identifying and targeting practitioners who routinely prescribe antibiotics inappropriately may prove the most time-and cost-effective way of improving prescribing.…”

Section: Discussioncontrasting

confidence: 76%

Antibiotic prescribing in UK general dental practice: a cross‐sectional study

Cope

Francis

Wood

et al. 2015

Comm Dent Oral Epid

135

115

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A high level of inappropriate antibiotic prescribing was observed amongst the GDPs studied. Features of the healthcare environment, such as clinical time pressures, and patient-related characteristics, such as expectations for antibiotics and refusal of operative treatment, are associated with antibiotic prescribing in the absence of infection. Individuals responsible for the commissioning and delivery of dental services should seek to develop targeted interventions addressing these issues in order to ensure optimal antimicrobial stewardship within dentistry.

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Section: Discussioncontrasting

confidence: 76%

Antibiotic prescribing in UK general dental practice: a cross‐sectional study

Cope

Francis

Wood

et al. 2015

Comm Dent Oral Epid

135

115

View full text Add to dashboard Cite

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“…The longevity of dental restorations has been the focus of much research and debate (Forss and Widstrom 2004; Kolker et al 2005; Burke and Lucarotti 2009; Opdam et al 2011; Demarco et al 2012; Astvaldsdottir et al 2015; Demarco et al 2015; Dobloug and Grytten 2015; Moraschini et al 2015; Laske et al 2016; Schwendicke et al 2016), but many published studies evaluated restorations placed in the general population and thus did not account for the challenges faced by frail older adults. These challenges are numerous and include systemic health, oral health, and social factors.…”

Section: Introductionmentioning

confidence: 99%

Dental Restoration Longevity among Geriatric and Special Needs Patients

Caplan

et al. 2018

JDR Clinical & Translational Research

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Introduction: Although the population is aging and retaining more teeth, there is a lack of studies that address the longevity of dental restorations placed among older adults. Objectives: This study aimed to describe the survival trajectory of dental restorations placed in an outpatient population of geriatric and adult special needs patients over a 15-y span, with particular interest in the longevity of subsequent restorations in teeth that received multiple restorations over time. Methods: Dental restorations of different types and sizes in patients aged ≥65 y treated between 2000 and 2014 at the University of Iowa College of Dentistry were followed until they incurred an event (i.e., restoration replacement, extraction of the tooth, or endodontic treatment of the tooth). Survival analysis and extended Cox regression models were used to generate hazard ratios for selected predictor variables. Results and Conclusion: A total of 9,184 restorations were followed among 1,551 unique patients. During the follow-up period, 28.7% of these restorations incurred an event, and overall the restorations had a median life span of 6.2 y. In multivariable regression models, after controlling for sex and age, a greater number of restoration surfaces were associated with higher risks of failure, and the initial restoration recorded in the database for each participant tended to have a lower risk of failure than that of restorations that included any of those same surfaces that were placed later. This information could be helpful to older adult patients considering various restorative treatment options during the dental treatment-planning and informed consent process. Knowledge Transfer Statement: Informed decision making with regard to potential treatment options is an important component of health and well-being. The present study could contribute to the improved health of older adult dental patients by providing baseline information that clinicians can use as they discuss different restorative treatment options with these patients and their caregivers during the informed consent process.

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“…[5] Tooth-restoration complex failures may occur either in the restorative material or the tooth itself, or both. Restorations are likely to fail mechanically, such as bulk fracture, staining, loss of retention and deficient marginal adaptation [6,7]. In contrast, tooth failures are correlated to mechanical, structural and biological reasons (caries associated with restorations and sealants {CARS} and fractured cusps) [1,5].…”

Section: Introductionmentioning

confidence: 99%