Outcomes of treatment and monitoring of posterior teeth with cracks: three-year results from the National Dental Practice-Based Research Network.

Autor: Ferracane JL; Department of Restorative Dentistry, School of Dentistry, Oregon Health & Science University, 2730 S. Moody Ave, Portland, OR, 97201-5042, USA. ferracan@ohsu.edu.; Department of Restorative Dentistry, School of Dentistry, Oregon Health & Science University, 2730 S. Moody Ave, Portland, OR, 97201-5042, USA. ferracan@ohsu.edu., Hilton TJ; Department of Restorative Dentistry, School of Dentistry, Oregon Health & Science University, 2730 S. Moody Ave, Portland, OR, 97201-5042, USA., Funkhouser E; School of Medicine, University of Alabama, Birmingham, 1720 2nd Avenue South, Birmingham, AL, 35294-0007, USA., Gordan VV; Department of Restorative Dental Sciences, University of Florida, 1600 SW Archer Rd, Gainesville, FL, 32610, USA., Gilbert GH; Department of Clinical and Community Sciences, School of Dentistry, University of Alabama at Birmingham, 1919 7th Ave. S., Birmingham, AL, 35233, USA., Mungia R; Department of Periodontics, School of Dentistry, University of Texas Health Science Center at San Antonio, 7703 Floyd Curl Drive, San Antonio, TX, 78229, USA., Burton V; HealthPartners, 5901 John Martin Dr, Brooklyn Center, MN, 55430, USA., Meyerowitz C; Eastman Institute for Oral Health, University of Rochester, 601 Elmwood Avenue, Box 686, Rochester, NY, 14642, USA., Kopycka-Kedzierawski DT; Eastman Institute for Oral Health, 625 Elmwood Ave, Box 683, Rochester, NY, 14620, USA., Group NDPC
Jazyk: angličtina
Zdroj: Clinical oral investigations [Clin Oral Investig] 2022 Mar; Vol. 26 (3), pp. 2453-2463. Date of Electronic Publication: 2021 Oct 09.
DOI: 10.1007/s00784-021-04211-0
Abstrakt: Objectives: To describe treatment and monitoring outcomes of posterior teeth with cracks at baseline followed in the National Dental Practice-Based Research Network for up to three years.
Materials and Methods: Two hundred and nine dentists enrolled a convenience sample of 2,858 patients, each with a posterior tooth with at least one visible crack and followed them for three years. Characteristics at the patient, tooth, and crack level were recorded at baseline and at annual recall visits. Data on all teeth referred for extraction were reviewed. Data on all other teeth, treated or monitored, seen at one or more recall visits were reviewed for evidence of failure (subsequent extraction, endodontics, or recommendation for a re-treatment).
Results: The survival rate for teeth with cracks at baseline exceeded 98% (only 37 extractions), and the failure rate for teeth that were treated restoratively was only 14%. Also, only about 14% of teeth recommended at baseline for monitoring were later recommended to be treated, and about 6.5% of teeth recommended for monitoring at baseline were later treated without a specific recommendation. Thus, about 80% of teeth recommended at baseline for monitoring continued with a monitoring recommendation throughout the entire three years of the study. Treatment failures were associated with intracoronal restorations (vs. full or partial coverage) and male patients.
Conclusions: In this large 3-year practice-based study conducted across the USA, the survival rate of posterior teeth with a visible crack exceeded 85%. Clinical relevance Dentists can effectively evaluate patient-, tooth-, and crack-level characteristics to determine which teeth with cracks warrant treatment and which only warrant monitoring.
(© 2021. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.)
Databáze: MEDLINE
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