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Volume 3 , Issue 1
Spring 2017

Pages 25–30

Guideline on Recall and Maintenance for Patients with Restorations Based Mostly on Expert Opinion

Hope Saltmarsh, RDH, CPHDH, MEd/Shavonne R. Healy, RDH, BSDH

DOI: 10.11607/ebh.118

Background: Evidence-based clinical practice guidelines (CPGs) should be considered when implementing patient care protocols into practice. Current recommendations and protocols for the management of tooth- and implant-borne restorations are lacking and poorly defined. Due to the anatomical challenges associated with these types of prostheses, plaque control can be difficult, and so professional and at-home maintenance regimens may be unique when compared to a natural dentition. This article critically appraises a 2016 CPG for recall and maintenance of patients with tooth- and implant-borne restorations.

Clinical question: This CPG was created because of concerns regarding risk of failure for tooth- and implant-borne restorations.

Summary of methods: A scientific panel of experts was convened by the American College of Prosthodontists (ACP) to critically evaluate and debate a previously published two-part systematic review and to create this CPG. The authors, appointed by the ACP, the American Dental Association (ADA), the Academy of General Dentistry (AGD), and the American Dental Hygienists’ Association (ADHA), added recommendations based on expert opinion and consensus.

Critical appraisal: The authors did not follow many of the best practices for development of evidence-based CPGs. The recommendations of the CPG are supported by the lowest level of clinical evidence, expert opinion.

Practical implications: The use of this guideline may improve care protocols for healthy adult patients with toothand implant-borne removable and fixed restorations. This guideline may supplement but not replace the ADHA’s Standards for Clinical Practice of Dental Hygiene.

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