Tooth replacement options for partially dentate older adults: a survival analysis

Gerald McKenna; Sayaka Tada; Conor McLister; Cristiane DaMata; Martina Hayes; Michael Cronin; Ciaran Moore; Finbarr Allen

doi:10.1016/j.jdent.2020.103468

Tooth replacement options for partially dentate older adults: a survival analysis

J Dent. 2020 Dec:103:103468. doi: 10.1016/j.jdent.2020.103468. Epub 2020 Sep 8.

Authors

Gerald McKenna¹, Sayaka Tada², Conor McLister³, Cristiane DaMata⁴, Martina Hayes⁵, Michael Cronin⁶, Ciaran Moore⁷, Finbarr Allen⁸

Affiliations

¹ Centre for Public Health, Queen's University, Belfast, United Kingdom. Electronic address: g.mckenna@qub.ac.uk.
² Faculty of Dentistry, National University of Singapore, Singapore. Electronic address: sayaka.tada@nus.edu.sg.
³ School of Dentistry, Belfast Health and Social Care Trust, Royal Victoria Hospital, Belfast, United Kingdom. Electronic address: conor.mclister@belfasttrust.hscni.net.
⁴ Cork University Dental School and Hospital, University College Cork, Ireland. Electronic address: cristiane.damata@ucc.ie.
⁵ Cork University Dental School and Hospital, University College Cork, Ireland. Electronic address: martina.hayes@ucc.ie.
⁶ School of Mathematical Sciences, University College Cork, Ireland. Electronic address: m.cronin@ucc.ie.
⁷ Centre for Public Health, Queen's University, Belfast, United Kingdom. Electronic address: cmoore49@qub.ac.uk.
⁸ Faculty of Dentistry, National University of Singapore, Singapore. Electronic address: denpfa@nus.edu.sg.

PMID: 32911009
DOI: 10.1016/j.jdent.2020.103468

Abstract

Objectives: To compare the success of two different tooth replacement strategies for partially dentate older adults; namely resin bonded bridgework (RBB) provided to restore patients according to the principles of the shortened dental arch concept (SDA) and conventional full-arch rehabilitation with removable dental prostheses (RDPs).

Methods: A randomised controlled clinical trial (RCT) was conducted with partially dentate adults aged 65 years or older. Each patient from the RDP group had all missing natural teeth replaced with cobalt-chromium framework RDPs. Each patient from the SDA group was restored to 10 occluding pairs of natural and replacement teeth using RBB. Patients were followed-up at 6, 12, 24, 36 months. Success rates were generated according to defined success criteria. Log-rank tests and Cox's proportional hazard models were used to compare the success of the two treatment strategies.

Results: After 36 months, 89 patients completed the RCT; n = 45 in the RDP group and n = 44 in the SDA group. The overall success rate of the SDA treatment was 90.4% compared to 73.0% for RDPs (p = 0.005). In the upper arch SDA treatment was 100% successful compared to 86.4% for RDPs (p = 0.019). In the lower arch, lower success rates were reported for both the SDA treatment (80.0%) and RDPs (60.0%) (p = 0.054). Further analyses with cox's proportional hazard models demonstrated that SDA treatment was significantly more successful than RDPs (Hazard Ratio: 2.47, p = 0.04).

Conclusions: After 36 months SDA treatment using RBB was significantly more successful than RDPs used for conventional full-arch rehabilitation in partially dentate older adults.

Clinical significance: Functionally orientated treatment according to the principles of the SDA is a feasible alternative to RDPs for partially dentate older patients. SDA treatment using RBB can achieve higher success rates compared to RDPs in this patient group.

Keywords: Older adults; Partially; Removable Partial Denture; Shortened Dental Arch; Survival Analysis; dentate.

Publication types

Randomized Controlled Trial
Research Support, Non-U.S. Gov't

MeSH terms

Aged
Dental Arch
Denture, Partial, Removable*
Humans
Jaw, Edentulous, Partially*
Survival Analysis
Tooth Loss*
Tooth*