Department of Prosthodontics, RWTH Aachen University, Aachen, Germany.
Int J Prosthodont. 2012 Sep-Oct;25(5):491-6.
This study evaluated the recall attendance and maintenance for a patient population after prosthodontic treatment in undergraduate student courses.
Four hundred ninety-three patients who received fixed restorations (FRs; crowns or fixed partial dentures) or removable partial dentures (RPDs; conical crown-retained or precision attachment-retained dental prostheses) were included in a recall program. The number of patients attending regularly scheduled follow-up visits every 6 months was recorded. On the basis of the complexity of the performed treatment, all follow-up interventions were assigned to the categories minimal, moderate, or extensive.
After 60 months, a cumulative follow-up attendance rate between 63% (RPD) and 74% (FR) was evident and not gender related. Altogether, 399 patients (193 FR, 206 RPD) regularly attended the follow-up visits. Between 61.9% (RPD) and 93.8% (FR) of these patients did not need any extensive treatment; however, only 19.2% (RPD) to 85.6% (FR) did not need any moderate or extensive treatment between follow-up visits.
Patients treated with FRs showed a higher recall attendance than patients treated with RPDs. Further, patients with RPDs needed more extensive and moderate treatments than patients with FRs. This difference should be taken into consideration during prosthetic planning and patient consultation.
本研究评估了在本科生课程中为患者进行修复治疗后,患者的复诊出席率和维持情况。
共有 493 名接受固定修复体(FR,即牙冠或固定局部义齿)或可摘局部义齿(RPD,即圆锥冠或精密附着体保持的义齿)修复的患者纳入了召回计划。记录定期每 6 个月进行复诊的患者人数。根据治疗的复杂性,所有的随访干预措施被分为轻度、中度或重度。
60 个月后,FR(74%)和 RPD(63%)的累积复诊出席率较为明显,且与性别无关。共有 399 名患者(FR 193 例,RPD 206 例)定期接受了随访。这些患者中,有 61.9%(RPD)至 93.8%(FR)的患者无需接受重度治疗;然而,只有 19.2%(RPD)至 85.6%(FR)的患者在随访期间无需接受中度或重度治疗。
FR 治疗的患者比 RPD 治疗的患者有更高的复诊出席率。此外,RPD 治疗的患者需要更多的重度和中度治疗,而 FR 治疗的患者则不需要。在进行修复治疗计划和患者咨询时,应考虑到这一差异。