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At least 19 recordsLinked to original sources
PubMed2003

A review of selected dental literature on contemporary provisional fixed prosthodontic treatment: report of the Committee on Research in Fixed Prosthodontics of the Academy of Fixed Prosthodontics.

One goal of the American Academy of Fixed Prosthodontics is regularly to publish comprehensive literature reviews on selected topics germane to the discipline of fixed prosthodontics. The following report is the result of this goal and focuses on provisional fixed prosthodontic treatment. Major subtopics include materials science and clinical considerations involving natural teeth and dental implants. The interrelationship between provisional and definitive fixed prosthodontic treatment is multifaceted and significant. Provisional therapy involves numerous materials and techniques that require special knowledge and technical experience. In this analysis, technical, clinical, and investigational articles are detailed and presented as a comprehensive literature review to provide contemporary guidelines. Referenced publications were found by conducting a Medline search and were limited to peer-reviewed, English-language articles published from 1970 to the present. Materials used with provisional treatment are discussed in terms of clinical selection and the influence of their physical properties on treatment outcome. Specific product names and manufacturers are included in this report only when they are cited in the original referenced publications.

Dental Abutments↗
PubMed1999

Developing a register for randomized controlled trials in prosthodontics: results of a search from prosthodontic journals published in the United States.

STATEMENT OF PROBLEM: Treatment decisions are often made despite absence of evidence from well-conducted clinical trials. Conclusions about treatment efficacy derived from nonexperimental approaches often overestimate treatment effect. Randomized controlled trials (RCTs) provide the most reliable basis for evaluating effectiveness of treatment interventions. PURPOSE: This study attempted to identify and catalog RCTs in prosthodontic journals published in the United States as an initial step in creating a register of clinical trials that would be a resource in setting up systemic overviews of prosthodontic literature. METHODS: The International Journal of Prosthodontics, The Journal of Prosthetic Dentistry, and The Journal of Prosthodontics published between 1988 and 1997 were searched manually to identify clinical trials. Clinical trials had to meet the following criteria for inclusion in the register: the trial must involve human subjects, must include at least 2 treatment groups, and treatment group allocation must be randomized. RESULTS: A total of 3,631 articles in 196 journal issues were screened. Sixty-two articles (1.7%) met the minimum criteria for inclusion in the RCT register. CONCLUSION: Given the lack of randomized controlled trials in prosthodontic journals, a concerted effort by the organized prosthodontic community should be made to screen national and international journals and contribute to the development of a register of randomized controlled trials relevant to prosthodontics.

Dental Research↗
PubMed1984

Prosthodontic laboratory and curriculum survey. Part III: Fixed prosthodontic laboratory survey.

A questionnaire was mailed to 488 dental laboratories in five midwestern states. One hundred ninety (39%) of the questionnaires were returned. The purposes of the survey were (1) to discern what fixed prosthodontic techniques were most frequently used by practicing dentists, (2) to provide insight into the laboratory technician's perception of the quality of fixed prosthodontic care, (3) to point out problems in dentist/technician interaction, and (4) to indicate areas of undergraduate fixed prosthodontic education that may need revision. Results indicate that dentists are using techniques that require a minimum of appointment time and are delegating a great portion of their responsibilities for fixed prosthodontic procedures to the laboratory technician. Dentist/technician interaction is a significant problem, and from the technician's point of view the quality of fixed prosthodontic care provided by the average practicing dentist is marginal at best.

Curriculum↗
PubMed2000

Need for occlusal therapy and prosthodontic treatment in the management of temporomandibular disorders. Part II: Tooth loss and prosthodontic treatment.

The second part of this review, evaluating the literature on the relationship between dental occlusion and temporomandibular disorders (TMDs), focuses on the aetiological importance of tooth loss and the place of prosthodontic replacement in the treatment of TMD. Loss of teeth and lack of posterior occlusal support seem to have little influence on the development of TMD, which calls into question the use of prosthodontic restoration as prevention or treatment for TMD. In addition, there are practically no studies assessing the benefit of instrumental analysis in diagnosis or comparing the outcome of prosthodontic treatment with simple reversible methods in the management of TMD. There is a trend in the current literature to abandon any treatment, including positioning appliances and prosthodontic measures, to 'recapture the disk' in patients with disk displacements because of the favourable, long-term results achieved after using more simple methods. It is concluded that prosthetic therapy in TMD patients is not appropriate for initial TMD treatment and should only be carried out on prosthodontic indications after reversible treatment has alleviated pain and dysfunction.

Bruxism↗
PubMed2005

Prosthodontics 1966-2042: changes in prosthodontic education, past and future.

Past changes in prosthodontic education have been influenced by educators" understanding of learning, the physical plants in which they teach and the evolution of the profession (both clinically and politically). A 1968 survey illustrates an emphasis on materials and techniques, and the literature of the day respected "expert" opinion. Although the need for prosthodontics was expected to decline with the promotion of preventive measures, it is actually increasing with the aging population. Organizational support for defining the specialty of prosthodontics to encompass a broad spectrum of dental restorations and related care helped develop commitment to improved research and education. Instrumental in these improvements were faculty with advanced education in the discipline, better physical plants in which to work and an understanding of the theories of teaching and learning. Faculty will continue to be innovative and adopt new approaches such as evidence-based dentistry and problem-based learning. However, the lure of research funding and institutional expectations will probably influence how faculty spend their time and energy. Prosthodontic education will continue to evolve, but it will be influenced by its institutional and professional environments.

Canada↗
PubMed1998

Defining predoctoral prosthodontic curriculum: a workshop sponsored by the American College of Prosthodontists and the prosthodontic forum.

Prosthodontic educators participated in a workshop held at The American College of Prosthodontists annual session in Kansas City, MO, in October 1996. Their goal was to review elements of the predoctoral prosthodontic curriculum to establish a consensus on the levels of expected skill and knowledge. Skill components were designated at the competency and exposure levels, while knowledge components were designated at the understanding and familiarity levels. The workshop recommendations were distributed to American and Canadian dental schools and the communities of interest for comments in January 1997. The workshop recommendations were reviewed and finalized at the American Association of Dental Schools annual meeting in Orlando, FL, in March 1997. The recommendations may be used by dental educators to prioritize curricular elements in relation to limited time dedicated to the prosthodontic curriculum. Outcomes assessment methods will be needed to ensure competency in the new dentist.

Competency-Based Education↗
PubMedDate not supplied

Prosthodontics and the patient: what is oral rehabilitation need? Conceptual analysis of need and demand for prosthodontic treatment. Part 1: a conceptual analysis.

PURPOSE: The concepts of need and demand are central in studies on dental care. In the literature, a normative definition is often used, but it pays little attention to the individual's personal comfort and quality of life. Need and demand for prosthodontic services are difficult to measure, as prosthodontic treatment is highly individual and not closely related to edentulousness. Need, however defined, does not always lead to demand for treatment, depending on a variety of factors. MATERIALS AND METHODS: The present article is part of a larger study in which the intention is to evaluate need and demand for prosthodontic treatment among the participants in a 1989 and 1999 longitudinal study of a population sample. As the first step, this article reports a conceptual analysis of the need concept from the literature. RESULTS: Need is stated as socially established in the interaction between patient and clinician. It makes demand dependent on available treatment options from the care provider and society. In the prosthetic treatment decision-making process, the emancipatory perspective with the patient-clinician dialogue is of utmost importance to achieve an optimal treatment result. CONCLUSION: The professional attitude toward need must be that there is no true objective or subjective need. Need is established only in a communicative dialogue with mutual respect between the professional and the patient.

Decision Making↗
PubMed1984

Prosthodontic survey. Part II: Removable prosthodontic curriculum survey.

A removable prosthodontic curriculum questionnaire was mailed to 60 United States dental schools. Fifty-one were returned. The results were compared with those of Part I of the study, the removable prosthodontic laboratory survey. The comparisons and their implications were discussed.

Curriculum↗
PubMed2004

A review of selected dental literature on evidence-based treatment planning for dental implants: report of the Committee on Research in Fixed Prosthodontics of the Academy of Fixed Prosthodontics.

This literature review summarizes research with the aim of providing dentists with evidence-based guidelines to apply when planning treatment with osseointegrated implants. Peer-reviewed literature published in the English language between 1969 and 2003 was reviewed using Medline and hand searches. Topics reviewed include systemic host factors such as age, gender, various medical conditions, and patient habits, local host factors involving the quantity and quality of bone and soft tissue, presence of present or past infection and occlusion, prosthetic design factors, including the number and arrangement of implants, size and coatings of implants, cantilevers and connections to natural teeth, and methods to improve outcomes of implant treatment in each category. The review demonstrated that there is no systemic factor or habit that is an absolute contraindication to the placement of osseointegrated implants in the adult patient, although cessation of smoking can improve outcome significantly. The most important local patient factor for successful treatment is the quality and quantity of bone available at the implant site. Specific design criteria are provided, including guidelines for spacing of implants, size, materials, occlusion, and fit. Limitations in the current body of knowledge are identified, and directions for future research are suggested.

Adult↗
PubMed1984

Prosthodontic survey. Part I: Removable prosthodontic laboratory survey.

A questionnaire was mailed to 488 dental laboratories in five midwestern states, of which 303 or 62% were returned after two mailings. The survey was conducted to discern what techniques are most frequently used by practicing dentists. The results indicate that dentists frequently use techniques that require a minimum of appointment time.

Dental Technicians↗