Hoyle, P., Patel, K. and Benson, P.E. orcid.org/0000-0003-0865-962X (2019) Does replacement of missing dental units with resin-retained bridges improve oral health-related quality of life?: A systematic review. Journal of Dentistry, 91. 103209. ISSN 0300-5712
Abstract
Objectives To assess the current literature in regard to two research questions:
• Does placement of a 2-unit cantilever RRB to replace a missing dental unit improve oral health-related quality of life (OHRQoL) in patients over 18 years old?
• Are there any differences in OHRQoL between different methods of replacing missing teeth?
Methods Systematic review following the Preferred Reporting Items for Systemic Reviews and Meta-Analysis statement (PRISMA) statement.
Data/sources MEDLINE via Ovid, Scopus, PsycINFO via Ovid, Cochrane Library, Web of Science and clinicaltrials.gov were searched (Jan 1980 to Nov 2018) using high-level MeSH terms for studies published in English, investigating OHRQoL, using valid indices.
Risk of bias (RoB) Determined using Cochrane RoB tool and ROBINS-I.
Evidence certainty Grading of Recommendations, Assessment, Development and Evaluation (GRADE) Working Group tool.
Results Study Selection: 280 articles were identified; 270 were excluded after abstract review, 7 after examining full text, leaving 3 articles (3 studies, 188 participants, 172 analysed) included in this review; one RCT and two observational studies.
Synthesis of results: There was significant heterogeneity and no meta-analysis was possible.
Description of effect: One pre-post study design found provision of 2-unit RRBs significantly reduced the total OHIP-49 score (effect size 0.67), compared with an untreated control. One case-control study found no differences in total OHIP-49 between individuals treated with RRB or implant-supported crown. Major complications related to a worse OHRQoL.
Discussion Quality of evidence: The overall RoB assessments were one study “some concerns” and two studies “serious”. The GRADE assessment was “moderate” for one comparison and “low” for two comparisons.
Clinical significance: A 2-unit cantilever RRB to replace one missing tooth probably results in a large improvement in oral health-related quality of life. Clinicians should ensure that the correct investigations and design of prosthesis are prescribed to help reduce any failures that may impact on OHRQoL.
Metadata
Item Type: | Article |
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Authors/Creators: |
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Copyright, Publisher and Additional Information: | © 2019 Elsevier. This is an author produced version of a paper subsequently published in Journal of Dentistry. Uploaded in accordance with the publisher's self-archiving policy. Article available under the terms of the CC-BY-NC-ND licence (https://creativecommons.org/licenses/by-nc-nd/4.0/). |
Keywords: | Quality of life; Oral health-related quality of life; Resin-retained bridge; Tooth replacement; Adhesive bridge |
Dates: |
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Institution: | The University of Sheffield |
Academic Units: | The University of Sheffield > Faculty of Medicine, Dentistry and Health (Sheffield) > School of Clinical Dentistry (Sheffield) |
Depositing User: | Symplectic Sheffield |
Date Deposited: | 09 Dec 2019 09:57 |
Last Modified: | 08 Nov 2020 01:39 |
Status: | Published |
Publisher: | Elsevier BV |
Refereed: | Yes |
Identification Number: | 10.1016/j.jdent.2019.103209 |
Related URLs: | |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:154304 |
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