The Experts below are selected from a list of 309 Experts worldwide ranked by ideXlab platform
Donald A Curtis - One of the best experts on this subject based on the ideXlab platform.
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Improving Oral Health Through Curriculum Framework Innovation in Supportive Care and Home Maintenance.
Journal of dental education, 2019Co-Authors: Lily T Garcia, Donald A Curtis, Kent L. Knoernschild, Stephen D. CampbellAbstract:How can dental educators drive efforts to ensure our communities maintain oral health? In 2014, the American Dental Association (ADA) Health Policy Institute reported a decline in dental care utilization among adults.[1][1] Is predoctoral dental education doing enough to address this disturbing
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Patient-Specific, Risk-Based Prevention, Maintenance, and Supportive Care: A Need for Action and Innovation in Education.
Journal of prosthodontics : official journal of the American College of Prosthodontists, 2019Co-Authors: Fatemeh S. Afshari, Lily T Garcia, Donald A Curtis, Stephen D. Campbell, Kent L. Knoernschild, Judy Chia Chun YuanAbstract:Purpose To develop a competency-based curriculum framework for prevention, supportive care, and Maintenance for use in educational and patient care programs and to seek consensus on an overarching competency statement that embraces these critical learning and patient care concepts. Materials and methods A preliminary survey of current preventive and Maintenance practices in U.S. dental and prosthodontic programs was completed and summarized with quantitative analysis. The American College of Prosthodontists organized a one-day consensus workshop with 14 participants from various U.S. dental schools with diverse backgrounds to develop a curriculum framework. The curriculum framework was used in the development of a joint competency statement using an iterative, online consensus process of debate and feedback. Results The preliminary survey helped frame the initiative and identify potential educational needs and gaps. Consensus was achieved for a recommended competency statement: "Graduates must be competent in promoting oral health through risk assessment, diagnosis, prevention, and management of the hard tissue, soft tissue, and prostheses, and as part of professional recall and Home Maintenance." This competency statement complements the proposed curriculum framework designed around 3 domains-caries prevention, periodontal supportive care, and prosthesis supportive care-with a set of recommended learning objectives. Conclusions Commission on Dental Accreditation (CODA) learning standards do not outline patient-customized, evidence-based recall and Home Maintenance programs that highlight prevention of dental caries, periodontal supportive care, prosthesis Maintenance, and patient education. The proposed competency-based curricular framework serves as an initial step in addressing student learning and patient care within the context of a recall system and Home Maintenance program while offering schools the needed flexibility for implementation within their curriculum.
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clinical practice guidelines for recall and Maintenance of patients with tooth borne and implant borne dental restorations
General dentistry, 2016Co-Authors: Avinash S Bidra, Diane M Daubert, Lily T Garcia, Timothy F Kosinski, Conrad A Nenn, John A Olsen, Jeffrey A Platt, Susan S Wingrove, Nancy Deal Chandler, Donald A CurtisAbstract:The purpose of this article is to provide guidelines for patient recall regimen, professional Maintenance regimen, and at-Home Maintenance regimen for patients with tooth-borne and implant-borne removable and fixed restorations. The American College of Prosthodontists (ACP) convened a scientific panel of experts appointed by the ACP, American Dental Association, Academy of General Dentistry, and American Dental Hygienists Association, who critically evaluated and debated recently published findings from 2 systematic reviews on this topic. The major outcomes and consequences considered during formulation of the clinical practice guidelines (CPGs) were risk for failure of tooth- and implant-borne restorations. The panel conducted a roundtable discussion of the proposed guidelines, which were debated in detail. Feedback was used to supplement and refine the proposed guidelines, and consensus was attained. A set of CPGs was developed for tooth-borne restorations and implant-borne restorations. Each CPG comprised (1) patient recall, (2) professional Maintenance, and (3) at-Home Maintenance. For tooth-borne restorations, the professional Maintenance and at-Home Maintenance CPGs were subdivided for removable and fixed restorations. For implant-borne restorations, the professional Maintenance CPGs were subdivided for removable and fixed restorations and further divided into biological Maintenance and mechanical Maintenance for each type of restoration. The at-Home Maintenance CPGs were subdivided for removable and fixed restorations. The clinical practice guidelines presented in this document were initially developed using the 2 systematic reviews. Additional guidelines were developed using expert opinion and consensus, which included discussion of the best clinical practices, clinical feasibility, and risk-benefit ratio to the patient. To the authors' knowledge, these are the first CPGs addressing patient recall regimen, professional Maintenance regimen, and at-Home Maintenance regimen for patients with tooth-borne and implant-borne restorations. This document serves as a baseline with the expectation of future modifications when additional evidence becomes available.
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clinical practice guidelines for recall and Maintenance of patients with tooth borne and implant borne dental restorations
Journal of Prosthodontics, 2016Co-Authors: Avinash S Bidra, Diane M Daubert, Lily T Garcia, Timothy F Kosinski, Conrad A Nenn, John A Olsen, Jeffrey A Platt, Susan S Wingrove, Nancy Deal Chandler, Donald A CurtisAbstract:Purpose To provide guidelines for patient recall regimen, professional Maintenance regimen, and at-Home Maintenance regimen for patients with tooth-borne and implant-borne removable and fixed restorations. Materials and Methods The American College of Prosthodontists (ACP) convened a scientific panel of experts appointed by the ACP, American Dental Association (ADA), Academy of General Dentistry (AGD), and American Dental Hygienists Association (ADHA) who critically evaluated and debated recently published findings from two systematic reviews on this topic. The major outcomes and consequences considered during formulation of the clinical practice guidelines (CPGs) were risk for failure of tooth- and implant-borne restorations. The panel conducted a round table discussion of the proposed guidelines, which were debated in detail. Feedback was used to supplement and refine the proposed guidelines, and consensus was attained. Results A set of CPGs was developed for tooth-borne restorations and implant-borne restorations. Each CPG comprised (1) patient recall, (2) professional Maintenance, and (3) at-Home Maintenance. For tooth-borne restorations, the professional Maintenance and at-Home Maintenance CPGs were subdivided for removable and fixed restorations. For implant-borne restorations, the professional Maintenance CPGs were subdivided for removable and fixed restorations and further divided into biological Maintenance and mechanical Maintenance for each type of restoration. The at-Home Maintenance CPGs were subdivided for removable and fixed restorations. Conclusions The clinical practice guidelines presented in this document were initially developed using the two systematic reviews. Additional guidelines were developed using expert opinion and consensus, which included discussion of the best clinical practices, clinical feasibility, and risk-benefit ratio to the patient. To the authors’ knowledge, these are the first CPGs addressing patient recall regimen, professional Maintenance regimen, and at-Home Maintenance regimen for patients with tooth-borne and implant-borne restorations. This document serves as a baseline with the expectation of future modifications when additional evidence becomes available.
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clinical practice guidelines for recall and Maintenance of patients with tooth borne and implant borne dental restorations
General dentistry, 2016Co-Authors: Avinash S Bidra, Diane M Daubert, Lily T Garcia, Timothy F Kosinski, Conrad A Nenn, John A Olsen, Jeffrey A Platt, Susan S Wingrove, Nancy Deal Chandler, Donald A CurtisAbstract:Purpose: To provide guidelines for patient recall regimen, professional Maintenance regimen, and at-Home Maintenance regimen for patients with tooth- and implant-borne removable and fixed res torations. Methods: The American College of Prosthodontists (ACP) convened a scientific panel of experts appointed by the ACP, American Dental Association (ADA), Academy of General Dentistry (AGD), and American Dental Hygienists Association (ADHA) who critically evaluated and debated recently published findings from 2 systematic reviews on this topic. The major outcomes and consequenc es considered during formulation of the clinical practice guidelines (CPGs) were risk for failure of tooth- and implant-borne restorations. The panel conducted a round table discussion of the proposed guidelines, which were debated in detail. Feedback was used to supplement and refine the proposed guidelines, and consensus was attained. Results: A set of CPGs was developed for tooth-borne restorations and implant-borne restorations. Each CPG comprised of 1) patient recall; 2) professional Maintenance, and 3) at-Home Maintenance. For tooth-borne restorations, the professional Maintenance and at-Home Maintenance CPGs were subdivided for removable and fixed restorations. For implant-borne restorations, the professional Maintenance CPGs were subdivided for removable and fixed restorations and further divided into biological Maintenance and mechanical Maintenance for each type of restoration. The at-Home Maintenance CPGs were subdivided for removable and fixed restorations. Conclusion: The clinical practice guidelines presented in this document were initially developed using the 2 systematic reviews. Additional guidelines were developed using expert opinion and consensus, which included discussion of the best clinical practices, clinical feasibility and risk-benefit ratio to the patient. To the authors’ knowledge, these are the first CPGs addressing patient recall regimen, professional Maintenance regimen, and at-Home Maintenance regimen for patients with tooth-borne and implant-borne restorations. This document serves as a baseline with the expectation of future modifications when additional evidence becomes available.
R. Kotarinos - One of the best experts on this subject based on the ideXlab platform.
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Rehabilitation of the short pelvic floor. II: Treatment of the patient with the short pelvic floor
International Urogynecology Journal, 2003Co-Authors: M. P. Fitzgerald, R. KotarinosAbstract:Several urogynecologic syndromes are associated with the clinical finding of a short, painful, tender and weak pelvic floor and a variety of connective tissue abnormalities. Techniques for rehabilitation include the avoidance of perpetuating factors, rehabilitation of extrapelvic musculoskeletal abnormalities, the use of manual techniques and needling to promote resolution of connective tissue problems, closure of any diastasis recti, and transvaginal/transrectal manual release of muscular trigger points and contractures. Therapy can be facilitated by pudendal or epidural nerve block. Patients contribute to their success through Home Maintenance programs.
Lily T Garcia - One of the best experts on this subject based on the ideXlab platform.
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Improving Oral Health Through Curriculum Framework Innovation in Supportive Care and Home Maintenance.
Journal of dental education, 2019Co-Authors: Lily T Garcia, Donald A Curtis, Kent L. Knoernschild, Stephen D. CampbellAbstract:How can dental educators drive efforts to ensure our communities maintain oral health? In 2014, the American Dental Association (ADA) Health Policy Institute reported a decline in dental care utilization among adults.[1][1] Is predoctoral dental education doing enough to address this disturbing
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Patient-Specific, Risk-Based Prevention, Maintenance, and Supportive Care: A Need for Action and Innovation in Education.
Journal of prosthodontics : official journal of the American College of Prosthodontists, 2019Co-Authors: Fatemeh S. Afshari, Lily T Garcia, Donald A Curtis, Stephen D. Campbell, Kent L. Knoernschild, Judy Chia Chun YuanAbstract:Purpose To develop a competency-based curriculum framework for prevention, supportive care, and Maintenance for use in educational and patient care programs and to seek consensus on an overarching competency statement that embraces these critical learning and patient care concepts. Materials and methods A preliminary survey of current preventive and Maintenance practices in U.S. dental and prosthodontic programs was completed and summarized with quantitative analysis. The American College of Prosthodontists organized a one-day consensus workshop with 14 participants from various U.S. dental schools with diverse backgrounds to develop a curriculum framework. The curriculum framework was used in the development of a joint competency statement using an iterative, online consensus process of debate and feedback. Results The preliminary survey helped frame the initiative and identify potential educational needs and gaps. Consensus was achieved for a recommended competency statement: "Graduates must be competent in promoting oral health through risk assessment, diagnosis, prevention, and management of the hard tissue, soft tissue, and prostheses, and as part of professional recall and Home Maintenance." This competency statement complements the proposed curriculum framework designed around 3 domains-caries prevention, periodontal supportive care, and prosthesis supportive care-with a set of recommended learning objectives. Conclusions Commission on Dental Accreditation (CODA) learning standards do not outline patient-customized, evidence-based recall and Home Maintenance programs that highlight prevention of dental caries, periodontal supportive care, prosthesis Maintenance, and patient education. The proposed competency-based curricular framework serves as an initial step in addressing student learning and patient care within the context of a recall system and Home Maintenance program while offering schools the needed flexibility for implementation within their curriculum.
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clinical practice guidelines for recall and Maintenance of patients with tooth borne and implant borne dental restorations
General dentistry, 2016Co-Authors: Avinash S Bidra, Diane M Daubert, Lily T Garcia, Timothy F Kosinski, Conrad A Nenn, John A Olsen, Jeffrey A Platt, Susan S Wingrove, Nancy Deal Chandler, Donald A CurtisAbstract:The purpose of this article is to provide guidelines for patient recall regimen, professional Maintenance regimen, and at-Home Maintenance regimen for patients with tooth-borne and implant-borne removable and fixed restorations. The American College of Prosthodontists (ACP) convened a scientific panel of experts appointed by the ACP, American Dental Association, Academy of General Dentistry, and American Dental Hygienists Association, who critically evaluated and debated recently published findings from 2 systematic reviews on this topic. The major outcomes and consequences considered during formulation of the clinical practice guidelines (CPGs) were risk for failure of tooth- and implant-borne restorations. The panel conducted a roundtable discussion of the proposed guidelines, which were debated in detail. Feedback was used to supplement and refine the proposed guidelines, and consensus was attained. A set of CPGs was developed for tooth-borne restorations and implant-borne restorations. Each CPG comprised (1) patient recall, (2) professional Maintenance, and (3) at-Home Maintenance. For tooth-borne restorations, the professional Maintenance and at-Home Maintenance CPGs were subdivided for removable and fixed restorations. For implant-borne restorations, the professional Maintenance CPGs were subdivided for removable and fixed restorations and further divided into biological Maintenance and mechanical Maintenance for each type of restoration. The at-Home Maintenance CPGs were subdivided for removable and fixed restorations. The clinical practice guidelines presented in this document were initially developed using the 2 systematic reviews. Additional guidelines were developed using expert opinion and consensus, which included discussion of the best clinical practices, clinical feasibility, and risk-benefit ratio to the patient. To the authors' knowledge, these are the first CPGs addressing patient recall regimen, professional Maintenance regimen, and at-Home Maintenance regimen for patients with tooth-borne and implant-borne restorations. This document serves as a baseline with the expectation of future modifications when additional evidence becomes available.
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clinical practice guidelines for recall and Maintenance of patients with tooth borne and implant borne dental restorations
Journal of Prosthodontics, 2016Co-Authors: Avinash S Bidra, Diane M Daubert, Lily T Garcia, Timothy F Kosinski, Conrad A Nenn, John A Olsen, Jeffrey A Platt, Susan S Wingrove, Nancy Deal Chandler, Donald A CurtisAbstract:Purpose To provide guidelines for patient recall regimen, professional Maintenance regimen, and at-Home Maintenance regimen for patients with tooth-borne and implant-borne removable and fixed restorations. Materials and Methods The American College of Prosthodontists (ACP) convened a scientific panel of experts appointed by the ACP, American Dental Association (ADA), Academy of General Dentistry (AGD), and American Dental Hygienists Association (ADHA) who critically evaluated and debated recently published findings from two systematic reviews on this topic. The major outcomes and consequences considered during formulation of the clinical practice guidelines (CPGs) were risk for failure of tooth- and implant-borne restorations. The panel conducted a round table discussion of the proposed guidelines, which were debated in detail. Feedback was used to supplement and refine the proposed guidelines, and consensus was attained. Results A set of CPGs was developed for tooth-borne restorations and implant-borne restorations. Each CPG comprised (1) patient recall, (2) professional Maintenance, and (3) at-Home Maintenance. For tooth-borne restorations, the professional Maintenance and at-Home Maintenance CPGs were subdivided for removable and fixed restorations. For implant-borne restorations, the professional Maintenance CPGs were subdivided for removable and fixed restorations and further divided into biological Maintenance and mechanical Maintenance for each type of restoration. The at-Home Maintenance CPGs were subdivided for removable and fixed restorations. Conclusions The clinical practice guidelines presented in this document were initially developed using the two systematic reviews. Additional guidelines were developed using expert opinion and consensus, which included discussion of the best clinical practices, clinical feasibility, and risk-benefit ratio to the patient. To the authors’ knowledge, these are the first CPGs addressing patient recall regimen, professional Maintenance regimen, and at-Home Maintenance regimen for patients with tooth-borne and implant-borne restorations. This document serves as a baseline with the expectation of future modifications when additional evidence becomes available.
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clinical practice guidelines for recall and Maintenance of patients with tooth borne and implant borne dental restorations
General dentistry, 2016Co-Authors: Avinash S Bidra, Diane M Daubert, Lily T Garcia, Timothy F Kosinski, Conrad A Nenn, John A Olsen, Jeffrey A Platt, Susan S Wingrove, Nancy Deal Chandler, Donald A CurtisAbstract:Purpose: To provide guidelines for patient recall regimen, professional Maintenance regimen, and at-Home Maintenance regimen for patients with tooth- and implant-borne removable and fixed res torations. Methods: The American College of Prosthodontists (ACP) convened a scientific panel of experts appointed by the ACP, American Dental Association (ADA), Academy of General Dentistry (AGD), and American Dental Hygienists Association (ADHA) who critically evaluated and debated recently published findings from 2 systematic reviews on this topic. The major outcomes and consequenc es considered during formulation of the clinical practice guidelines (CPGs) were risk for failure of tooth- and implant-borne restorations. The panel conducted a round table discussion of the proposed guidelines, which were debated in detail. Feedback was used to supplement and refine the proposed guidelines, and consensus was attained. Results: A set of CPGs was developed for tooth-borne restorations and implant-borne restorations. Each CPG comprised of 1) patient recall; 2) professional Maintenance, and 3) at-Home Maintenance. For tooth-borne restorations, the professional Maintenance and at-Home Maintenance CPGs were subdivided for removable and fixed restorations. For implant-borne restorations, the professional Maintenance CPGs were subdivided for removable and fixed restorations and further divided into biological Maintenance and mechanical Maintenance for each type of restoration. The at-Home Maintenance CPGs were subdivided for removable and fixed restorations. Conclusion: The clinical practice guidelines presented in this document were initially developed using the 2 systematic reviews. Additional guidelines were developed using expert opinion and consensus, which included discussion of the best clinical practices, clinical feasibility and risk-benefit ratio to the patient. To the authors’ knowledge, these are the first CPGs addressing patient recall regimen, professional Maintenance regimen, and at-Home Maintenance regimen for patients with tooth-borne and implant-borne restorations. This document serves as a baseline with the expectation of future modifications when additional evidence becomes available.
I. Vogiatzis - One of the best experts on this subject based on the ideXlab platform.
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S98 Effectiveness of Home Maintenance tele-rehabilitation on COPD exacerbations
Thorax, 2015Co-Authors: Giorgos Kaltsakas, Ai Papaioannou, Maroula Vasilopoulou, Stauroula Spetsioti, Sophia Antiopi Gennimata, Anastasios Palamidas, Nikolaos Chynkiamis, Eleni Kortianou, Theodora Vasilogiannakopoulou, I. VogiatzisAbstract:Acute exacerbations are cardinal events in the natural history of chronic obstructive pulmonary disease (COPD) and are associated with increased morbidity and mortality. Tele-monitoring interventions are a relatively new field in COPD research and management. Furthermore, the effect of Home tele-rehabilitation on COPD exacerbation has not been thoroughly studied. Therefore, we set out to investigate whether a Home tele-rehabilitation program would be as beneficial as an outpatient Maintenance rehabilitation program, in the context of COPD exacerbations, following completion of a 3-month course of supervised pulmonary rehabilitation. We studied 137 Caucasian, ambulatory COPD patients. Forty seven patients were assigned to Home Maintenance tele-rehabilitation (FEV 1 ,%pred = 50 ± 22, mean±SD). Fifty patients were assigned to twice weekly hospital-based Maintenance rehabilitation (FEV 1 ,%pred = 52 ± 17). Forty COPD patients (FEV 1 , %pred = 52 ± 21), were not assigned to any rehabilitation program and served as controls. Tele-rehabilitation included Home exercise reconditioning, self-management techniques, dietary, and psychological advice. Patients were provided with tablets and wireless devices to record and transmit data, related to symptoms, lung function, and vital signs, to a tele-health platform. Patients were followed up for 12 months. At baseline there were no significant differences amongst the tele-rehabilitation (3.3 ± 3.1), hospital-based rehabilitation (3.4 ± 1.9), or control (3.3 ± 1.6), groups in terms of COPD exacerbations. After 12 months, COPD exacerbations in the group of Home tele-rehabilitation were significantly reduced to 1.7 ± 1.7. In the group of hospital-based rehabilitation COPD exacerbations were also significantly reduced to 1.8 ± 1.4. In contrast, in the control group COPD exacerbations remained unchanged (3.5 ± 1.7). There were significant difference amongst the two rehabilitation groups (tele-rehabilitation and hospital-based) and the control group in terms of COPD exacerbations (p In conclusion, ongoing Home tele-rehabilitation with the use of tele-monitoring could significantly reduce COPD exacerbations and seems to be as beneficial as an outpatient hospital-based Maintenance rehabilitation program in the context of COPD exacerbations. Thus, tele-rehabilitation may constitute a satisfactory alternative rehabilitative strategy to diminish health care costs.
Avinash S Bidra - One of the best experts on this subject based on the ideXlab platform.
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clinical practice guidelines for recall and Maintenance of patients with tooth borne and implant borne dental restorations
General dentistry, 2016Co-Authors: Avinash S Bidra, Diane M Daubert, Lily T Garcia, Timothy F Kosinski, Conrad A Nenn, John A Olsen, Jeffrey A Platt, Susan S Wingrove, Nancy Deal Chandler, Donald A CurtisAbstract:The purpose of this article is to provide guidelines for patient recall regimen, professional Maintenance regimen, and at-Home Maintenance regimen for patients with tooth-borne and implant-borne removable and fixed restorations. The American College of Prosthodontists (ACP) convened a scientific panel of experts appointed by the ACP, American Dental Association, Academy of General Dentistry, and American Dental Hygienists Association, who critically evaluated and debated recently published findings from 2 systematic reviews on this topic. The major outcomes and consequences considered during formulation of the clinical practice guidelines (CPGs) were risk for failure of tooth- and implant-borne restorations. The panel conducted a roundtable discussion of the proposed guidelines, which were debated in detail. Feedback was used to supplement and refine the proposed guidelines, and consensus was attained. A set of CPGs was developed for tooth-borne restorations and implant-borne restorations. Each CPG comprised (1) patient recall, (2) professional Maintenance, and (3) at-Home Maintenance. For tooth-borne restorations, the professional Maintenance and at-Home Maintenance CPGs were subdivided for removable and fixed restorations. For implant-borne restorations, the professional Maintenance CPGs were subdivided for removable and fixed restorations and further divided into biological Maintenance and mechanical Maintenance for each type of restoration. The at-Home Maintenance CPGs were subdivided for removable and fixed restorations. The clinical practice guidelines presented in this document were initially developed using the 2 systematic reviews. Additional guidelines were developed using expert opinion and consensus, which included discussion of the best clinical practices, clinical feasibility, and risk-benefit ratio to the patient. To the authors' knowledge, these are the first CPGs addressing patient recall regimen, professional Maintenance regimen, and at-Home Maintenance regimen for patients with tooth-borne and implant-borne restorations. This document serves as a baseline with the expectation of future modifications when additional evidence becomes available.
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clinical practice guidelines for recall and Maintenance of patients with tooth borne and implant borne dental restorations
Journal of Prosthodontics, 2016Co-Authors: Avinash S Bidra, Diane M Daubert, Lily T Garcia, Timothy F Kosinski, Conrad A Nenn, John A Olsen, Jeffrey A Platt, Susan S Wingrove, Nancy Deal Chandler, Donald A CurtisAbstract:Purpose To provide guidelines for patient recall regimen, professional Maintenance regimen, and at-Home Maintenance regimen for patients with tooth-borne and implant-borne removable and fixed restorations. Materials and Methods The American College of Prosthodontists (ACP) convened a scientific panel of experts appointed by the ACP, American Dental Association (ADA), Academy of General Dentistry (AGD), and American Dental Hygienists Association (ADHA) who critically evaluated and debated recently published findings from two systematic reviews on this topic. The major outcomes and consequences considered during formulation of the clinical practice guidelines (CPGs) were risk for failure of tooth- and implant-borne restorations. The panel conducted a round table discussion of the proposed guidelines, which were debated in detail. Feedback was used to supplement and refine the proposed guidelines, and consensus was attained. Results A set of CPGs was developed for tooth-borne restorations and implant-borne restorations. Each CPG comprised (1) patient recall, (2) professional Maintenance, and (3) at-Home Maintenance. For tooth-borne restorations, the professional Maintenance and at-Home Maintenance CPGs were subdivided for removable and fixed restorations. For implant-borne restorations, the professional Maintenance CPGs were subdivided for removable and fixed restorations and further divided into biological Maintenance and mechanical Maintenance for each type of restoration. The at-Home Maintenance CPGs were subdivided for removable and fixed restorations. Conclusions The clinical practice guidelines presented in this document were initially developed using the two systematic reviews. Additional guidelines were developed using expert opinion and consensus, which included discussion of the best clinical practices, clinical feasibility, and risk-benefit ratio to the patient. To the authors’ knowledge, these are the first CPGs addressing patient recall regimen, professional Maintenance regimen, and at-Home Maintenance regimen for patients with tooth-borne and implant-borne restorations. This document serves as a baseline with the expectation of future modifications when additional evidence becomes available.
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clinical practice guidelines for recall and Maintenance of patients with tooth borne and implant borne dental restorations
General dentistry, 2016Co-Authors: Avinash S Bidra, Diane M Daubert, Lily T Garcia, Timothy F Kosinski, Conrad A Nenn, John A Olsen, Jeffrey A Platt, Susan S Wingrove, Nancy Deal Chandler, Donald A CurtisAbstract:Purpose: To provide guidelines for patient recall regimen, professional Maintenance regimen, and at-Home Maintenance regimen for patients with tooth- and implant-borne removable and fixed res torations. Methods: The American College of Prosthodontists (ACP) convened a scientific panel of experts appointed by the ACP, American Dental Association (ADA), Academy of General Dentistry (AGD), and American Dental Hygienists Association (ADHA) who critically evaluated and debated recently published findings from 2 systematic reviews on this topic. The major outcomes and consequenc es considered during formulation of the clinical practice guidelines (CPGs) were risk for failure of tooth- and implant-borne restorations. The panel conducted a round table discussion of the proposed guidelines, which were debated in detail. Feedback was used to supplement and refine the proposed guidelines, and consensus was attained. Results: A set of CPGs was developed for tooth-borne restorations and implant-borne restorations. Each CPG comprised of 1) patient recall; 2) professional Maintenance, and 3) at-Home Maintenance. For tooth-borne restorations, the professional Maintenance and at-Home Maintenance CPGs were subdivided for removable and fixed restorations. For implant-borne restorations, the professional Maintenance CPGs were subdivided for removable and fixed restorations and further divided into biological Maintenance and mechanical Maintenance for each type of restoration. The at-Home Maintenance CPGs were subdivided for removable and fixed restorations. Conclusion: The clinical practice guidelines presented in this document were initially developed using the 2 systematic reviews. Additional guidelines were developed using expert opinion and consensus, which included discussion of the best clinical practices, clinical feasibility and risk-benefit ratio to the patient. To the authors’ knowledge, these are the first CPGs addressing patient recall regimen, professional Maintenance regimen, and at-Home Maintenance regimen for patients with tooth-borne and implant-borne restorations. This document serves as a baseline with the expectation of future modifications when additional evidence becomes available.