Success Rate of Tooth-Supported Overdenture Abutment, Department of Medical Services, Ministry of Public Health
Keywords:
success rate, survival rate, tooth-supported overdenture, coping prosthesis, affecting factorsAbstract
Background: Tooth supported overdentures have been made for aging patients in the institute of Dentistry continuously due to its major benefits. However, this treatment outcomes have never been systematically evaluated. Studying the treatment outcomes and associating factors can improve treatment efficacy.
Objectives: to evaluate the success rate of treatment of Tooth-supported Overdenture Abutment Teeth (TOAT) with coping restoration as well as factors affecting the treatment outcome.
Methods: patients who underwent tooth-supported overdenture at the Institute of Dentistry, Department of Medical Services, Ministry of Public Health, Thailand during January 2009 to December 2017 were clinically and radiographically examined. Previous data were reviewed.
Results: among 184 patients who underwent tooth-supported overdenture, 105 patients (55 men and 50 women) with the mean age of 70 (47-90) years were recalled to participate in this study. The recall rate was 56.1% with the average recall interval of 4.3 years. The total number of abutment teeth were 230 while 20 abutment were extracted within the first 2 years after treatment. The survival rate of TOAT is 91.3% (210/230). The remaining 210 TOAT with coping were clinically examined and underwent radiographic evaluation. Treatment outcomes of this study were considered in 3 aspects: endodontic aspect (67.4% healed VS 8.2% disease), periodontal aspect (92.4% maintenance VS 7.6% progression) and restorative aspect (82.9% success VS 14.3 %failures). Among several factors analyzed, statistically significant factors associated with treatment outcomes are medical welfare scheme, frequency of patient recall, apical pathology, extension of root canal filling, underlying medical condition, Kennedy classification and gingival inflammation.
Conclusions: this study demonstrates that restoring procedures of TOAT in our institute has satisfactory outcomes and high success rate. However, the outcomes are affected by several factors which should be concerned and monitoring for further improvement of the treatment outcomes.
References
Health Bureau Dental. Report on the seventh national oral health survey of Thailand 2012, Bangkok. Ministry of pubpic health. 2013.
Atwood DA. Bone loss of edentulous alveolar ridges. J Periodontol 1979;50:11-21.
Miller PA. Complete dentures supported by natural teeth. J Prosthet Dent1958;8:924-8.
Morrow RM, Feldmann EE, Rudd KD, Trovillion HM. Toothsupported complete dentures: an approach to preventive prosthodontics. J Prosthet Dent 1969;21:513-22.
Dolder EJ. The bar joint mandibular denture. J Prosthet Dent 1961;11:689-707.
Hug S, Mantokoudis D, Mericske-Stern R. Clinical evaluation of 3 overdenture concepts with tooth roots and implants: 2-year results. Int J Prosthodont 2006;19:236-43.
Ettinger RL, Qian F. Abutment tooth loss in patients with overdentures. J Am Dent Assoc 2004;135:739-46.
Halse A, Molven O. A strategy for the diagnosis of periapical pathosis. J Endod 1986;12:534-8.
Bender IB, Seltzer S, Soltanoff W. Endodontic success--a reappraisal of criteria. 1. Oral Surg Oral Med Oral Pathol 1966;22:780-9.
Friedman S, Mor C. The success of endodontic therapy--healing and functionality. J Calif Dent Assoc 2004;32:493-503.
Strindberg LZ. The dependence of the results of pulp therapy on certain factors: an analytic study based on radiographic and clinical follow-up examinations;1956.
Newman MG, Takei HH, Klokkevold PR, Carranza FA. Carranza’s Clinical Periodontology: Elsevier Saunders; 2014.
Kirsch J, Tchorz J, Hellwig E, Tauböck TT, Attin T, Hannig C. Decision criteria for replacement of fillings: a retrospective study. Clin Exp Dent Res 2016;2:121-8.
Walton JN, Gardner FM, Agar JR. A survey of crown and fixed partial denture failures: length of service and reasons for replacement. J Prosthet Dent 1986;56:416-21.
Ettinger RL, Krell K. Endodontic problems in an overdenture population. J Prosthet Dent 1988;59:459-62.
Ettinger RL, Taylor TD, Scandrett FR. Treatment needs of overdenture patients in a longitudinal study: five-year results. J Prosthet Dent 1984;52:532-7.
Keltjens HM, Creugers TJ, Mulder J, Creugers NH. Survival and retreatment need of abutment teeth in patients with overdentures: a retrospective study. Community Dent Oral Epidemiol 1994;22:453-5.
Patel S, Durack C, Abella F, Shemesh H, Roig M, Lemberg K. Cone beam computed tomography in Endodontics - a review. Int Endod J 2015;48:3-15.
Chhabra A, Chhabra N, Jain A, Kabi D. Overdenture prostheses with metal copings: a retrospective analysis of survival and prosthodontic complications. J Prosthodont 2019; 28:876-82.
Ettinger RL, Qian F. Postprocedural problems in an overdenture population: a longitudinal study. J Endod 2004;30:310-4.
Mericske-Stern R, Hofmann J, Wedig A, Geering AH. In vivo measurements of maximal occlusal force and minimal pressure threshold on overdentures supported by implants or natural roots: a comparative study, Part 1. Int J Oral Maxillofac Implants 1993;8:641-9.
Yang TC, Sugie M, Maeda Y, Ikebe K. Effects of different root coping materials for abutment teeth on secondary caries and periodontal conditions: a retrospective study. Int J Prosthodont 2012;25:63-5.
Dula LJ, Ahmedi EF, Lila - Krasniqi ZD, Shala KSh. Clinical evaluation of removable partial dentures on the periodontal health of abutment teeth: a retrospective study 2015; 9: 132-9.
Renner RP, Gomes BC, Shakun ML, Baer PN, Davis RK, Camp P. Four-year longitudinal study of the periodontal health status of overdenture patients. J Prosthet Dent 1984;51:593-8.
Toolson LB, Taylor TD. A 10-year report of a longitudinal recall of overdenture patients. J Prosthet Dent 1989;62:179-81.
Song M, Kim H-C, Lee W, Kim E. Analysis of the cause of failure in nonsurgical endodontic treatment by microscopic inspection during endodontic microsurgery. J Endod 2011;37:1516-9.
Sriwatana W. Access to dental survice of the Insured in Thailand in B.E. 2558. Journal of health survice.2017;26:400-8.
Friedman S. Prognosis of healing in treated teeth with endodontic infections 2017; 341-84.
Friedman S. Prognosis of initial endodontic therapy.Endodontic Topics 2002;2:59-88.
Ng YL, Mann V, Gulabivala K. A prospective study of the factors affecting outcomes of nonsurgical root canal treatment: part 1: periapical health. Int Endodont J 2011;44:583-609.
Ricucci D, Russo J, Rutberg M, Burleson JA, Spangberg LS. A prospective cohort study of endodontic treatments of 1,369 root canals: results after 5 years. Oral Surg Oral Med Oral Pathol Oral Radiol Endodont 2011;112:825-42.
Iacopino AM, Cutler CW. Pathophysiological relationships between periodontitis and systemic disease: recent concepts involving serum lipids. J Periodontol 2000;71:1375-84.
Becker MH. The Health belief model and personal health behavior. Thorofare, N.J.: Slack; 1974. 34. Ca rr AB, Br own DT. Mc Cra cke n’s remo vab le par tia l prosthodontics: Twelfth edition. McCracken’s Removable Partial Prosthodontics: Twelfth Edition. 2010:1-385.
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