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A prospective clinical evaluation of fixed dental prostheses made of metal alloys in patients with cerebral palsy
BACKGROUND: In general, the prevalence of caries and other oral and dental issues is increased in patients with disabilities, such as those with cerebral palsy. Providing appropriate dental treatment at a primary dental clinic for patients with cerebral palsy and intellectual disability, among other...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
John Wiley and Sons Inc.
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8404493/ https://www.ncbi.nlm.nih.gov/pubmed/33314696 http://dx.doi.org/10.1002/cre2.378 |
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author | Magata, Nobuaki Tanoue, Naomi Ayuse, Terumi Ayuse, Takao |
author_facet | Magata, Nobuaki Tanoue, Naomi Ayuse, Terumi Ayuse, Takao |
author_sort | Magata, Nobuaki |
collection | PubMed |
description | BACKGROUND: In general, the prevalence of caries and other oral and dental issues is increased in patients with disabilities, such as those with cerebral palsy. Providing appropriate dental treatment at a primary dental clinic for patients with cerebral palsy and intellectual disability, among other conditions, is challenging. OBJECTIVE: The objective of this study was to evaluate the longevity and investigate the related prognostic factors of fixed prostheses in patients with cerebral palsy. METHODS: The records of 36 cerebral palsy patients were used for collecting and analyzing data. A total of 155 prostheses made from metal alloys were finally included in this study. Annual failure rates were calculated; patient‐ and tooth‐related variables associated with prosthesis failure were assessed by a multivariate Cox‐regression analysis and frailty models to introduce random effects. RESULTS: The 10‐year prosthesis survival rate was 62% and the 20‐year survival rate was 36%. In terms of prosthesis‐related variables, the type of prosthesis had a significant effect, and the hazard ratio of fixed partial dentures was 2.32 times that of single‐unit crowns. In terms of patient‐related variables, the presence of epilepsy had a significant effect on survival, and the hazard ratio for comorbid epilepsy was 3.76 times that for those without comorbid epilepsy. CONCLUSIONS: Our findings suggested that fixed prostheses placed in patients with cerebral palsy might have a particularly low survival rate in cases with comorbid epilepsy. It might also be important to consider the type and/or design of the prosthesis carefully to ensure a better prognosis. |
format | Online Article Text |
id | pubmed-8404493 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | John Wiley and Sons Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-84044932021-09-03 A prospective clinical evaluation of fixed dental prostheses made of metal alloys in patients with cerebral palsy Magata, Nobuaki Tanoue, Naomi Ayuse, Terumi Ayuse, Takao Clin Exp Dent Res Original Articles BACKGROUND: In general, the prevalence of caries and other oral and dental issues is increased in patients with disabilities, such as those with cerebral palsy. Providing appropriate dental treatment at a primary dental clinic for patients with cerebral palsy and intellectual disability, among other conditions, is challenging. OBJECTIVE: The objective of this study was to evaluate the longevity and investigate the related prognostic factors of fixed prostheses in patients with cerebral palsy. METHODS: The records of 36 cerebral palsy patients were used for collecting and analyzing data. A total of 155 prostheses made from metal alloys were finally included in this study. Annual failure rates were calculated; patient‐ and tooth‐related variables associated with prosthesis failure were assessed by a multivariate Cox‐regression analysis and frailty models to introduce random effects. RESULTS: The 10‐year prosthesis survival rate was 62% and the 20‐year survival rate was 36%. In terms of prosthesis‐related variables, the type of prosthesis had a significant effect, and the hazard ratio of fixed partial dentures was 2.32 times that of single‐unit crowns. In terms of patient‐related variables, the presence of epilepsy had a significant effect on survival, and the hazard ratio for comorbid epilepsy was 3.76 times that for those without comorbid epilepsy. CONCLUSIONS: Our findings suggested that fixed prostheses placed in patients with cerebral palsy might have a particularly low survival rate in cases with comorbid epilepsy. It might also be important to consider the type and/or design of the prosthesis carefully to ensure a better prognosis. John Wiley and Sons Inc. 2020-12-13 /pmc/articles/PMC8404493/ /pubmed/33314696 http://dx.doi.org/10.1002/cre2.378 Text en © 2020 The Authors. Clinical and Experimental Dental Research published by John Wiley & Sons Ltd. https://creativecommons.org/licenses/by/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Articles Magata, Nobuaki Tanoue, Naomi Ayuse, Terumi Ayuse, Takao A prospective clinical evaluation of fixed dental prostheses made of metal alloys in patients with cerebral palsy |
title | A prospective clinical evaluation of fixed dental prostheses made of metal alloys in patients with cerebral palsy |
title_full | A prospective clinical evaluation of fixed dental prostheses made of metal alloys in patients with cerebral palsy |
title_fullStr | A prospective clinical evaluation of fixed dental prostheses made of metal alloys in patients with cerebral palsy |
title_full_unstemmed | A prospective clinical evaluation of fixed dental prostheses made of metal alloys in patients with cerebral palsy |
title_short | A prospective clinical evaluation of fixed dental prostheses made of metal alloys in patients with cerebral palsy |
title_sort | prospective clinical evaluation of fixed dental prostheses made of metal alloys in patients with cerebral palsy |
topic | Original Articles |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8404493/ https://www.ncbi.nlm.nih.gov/pubmed/33314696 http://dx.doi.org/10.1002/cre2.378 |
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