Buonocore Memorial Lecture 2023: Longevity of Dental Restorations or Longevity of Teeth: What Matters?

IF 1.4 4区 医学 Q3 DENTISTRY, ORAL SURGERY & MEDICINE
Njm Opdam, A F Montagner, M S Cenci
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Abstract

This paper aims to raise a discussion from the perspective of maintaining long-term oral health, posing a critical question: What holds greater significance for maintaining oral health, the longevity of restorations or teeth? This question explores the aspects that truly matter in ensuring sustained oral health throughout an individual's life. Restoration longevity is well-researched, and evidence shows several risk factors influencing longevity. The dentist's decision-making factor may be of utmost importance, and further studies are needed to investigate its relevance. The critical risk factors for restoration longevity are active pathology (high caries risk), less prominent parafunction, and extensive defects such as endodontic treatment. However, tooth longevity and the main risk factors for tooth loss are not well-researched. The evidence shows dental caries, and its sequelae, are the principal reasons for tooth loss. Patient-related risk factors, especially those associated with lifestyle and health choices, play a major role in the longevity of restorations and, more importantly, tooth longevity. To provide personalized dental care with maximum patient benefit, clinicians should identify and record potential risk factors, promoting a healthy lifestyle to ensure tooth and dentition longevity. Moreover, the evidence suggests that decision-making frameworks based on minimal intervention principles offer the best standard for clinical practice, promoting a longstanding healthy oral environment.

布诺科雷纪念讲座 2023:牙科修复体的寿命还是牙齿的寿命?什么最重要?
本文旨在从维护长期口腔健康的角度展开讨论,提出一个关键问题:什么对保持口腔健康更有意义,是修复体的寿命还是牙齿的寿命?这个问题探讨了确保个人一生口腔持续健康的真正重要方面。修复体的寿命是经过充分研究的,有证据表明影响寿命的几个风险因素。牙医的决策因素可能最为重要,需要进一步研究其相关性。影响修复体寿命的关键风险因素是活动性病变(高龋坏风险)、不太突出的副功能以及广泛的缺损,如牙髓治疗。然而,对牙齿寿命和牙齿脱落的主要风险因素的研究并不充分。证据显示,龋齿及其后遗症是牙齿脱落的主要原因。与患者相关的风险因素,尤其是与生活方式和健康选择相关的风险因素,对修复体的寿命,更重要的是对牙齿的寿命起着重要作用。为了提供个性化的牙科护理,使患者获得最大利益,临床医生应识别并记录潜在的风险因素,提倡健康的生活方式,以确保牙齿和牙列的寿命。此外,有证据表明,基于最小干预原则的决策框架为临床实践提供了最佳标准,可促进长期健康的口腔环境。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Operative dentistry
Operative dentistry 医学-牙科与口腔外科
CiteScore
4.00
自引率
9.10%
发文量
124
审稿时长
6-12 weeks
期刊介绍: Operative Dentistry is a refereed, international journal published bi-monthly and distributed to subscribers in over 50 countries. In 2012, we printed 84 articles (672 pages). Papers were submitted by authors from 45 countries, in the categories of Clinical Research, Laboratory Research, Clinical Techniques/Case Presentations and Invited Papers, as well as Editorials and Abstracts. One of the strong points of our journal is that our current publication time for accepted manuscripts is 4 to 6 months from the date of submission. Clinical Techniques/Case Presentations have a very quick turnaround time, which allows for very rapid publication of clinical based concepts. We also provide color for those papers that would benefit from its use. The journal does not accept any advertising but you will find postings for faculty positions. Additionally, the journal also does not rent, sell or otherwise allow its subscriber list to be used by any other entity
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