DENTAL PATIENT-REPORTED OUTCOME MEASURES ARE ESSENTIAL FOR EVIDENCE-BASED PROSTHETIC DENTISTRY
DENTAL PATIENT-REPORTED OUTCOME MEASURES ARE ESSENTIAL FOR EVIDENCE-BASED PROSTHETIC DENTISTRY
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DOI：
10.1016/j.jebdp.2019.01.003
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发表时间：
2019-03-01
影响因子：
3.6
通讯作者：
Reissmann, Daniel R.
中科院分区：
文献类型：
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作者：
Reissmann, Daniel R.
对于基于证据的牙科修复治疗决策，需要在适当人群中进行科学研究的证据，采用最先进的干预措施，合理的控制和相关的结果。本文将简要回顾涉及的患者群体和干预措施应用于义肢牙科和更广泛地回顾结果用于义肢牙科循证牙科治疗决策。义齿牙科的患者群体通常遭受广泛的牙齿物质损失和/或牙齿脱落。假体牙科的典型干预措施是用传统的或种植体支持的固定或可移动的牙齿假体替换大量的牙齿结构和丢失的牙齿。充分的对照或比较也不应将治疗牙齿脱落作为合法的选择。多年来，修复治疗几乎只关注疾病导向的结果，如数字替换缺失的牙齿以恢复当前的口腔健康并防止进一步恶化，而现在，牙科患者报告的结果（dPROs），即患者直接报告的结果，越来越受到关注。dPRO对患者来说是最重要的，与传统的以疾病为导向的测量方法相比，dPRO测量方法在临床实践和研究环境中具有几个优势，如易于适用性和减轻临床医生的负担。在基于证据的牙科修复中，应该减少dPRO措施的应用，只有一种工具成为标准。此外，dPROs还可能成为临床实践中以标准化方式评估患者口腔健康状况的工具。最后，关于dPROs的信息将成为义肢牙科循证治疗决策的一个组成部分。
For evidence-based dental treatment decision-making in prosthetic dentistry, evidence from scientific studies performed in the appropriate population with state-of-the-art interventions, reasonable controls, and relevant outcomes is required. This article will briefly review patient populations involved and interventions applied in prosthetic dentistry and more extensively review outcomes used for evidence-based dental treatment decision-making in prosthetic dentistry. Dental patient populations in prosthetic dentistry usually suffer from extensive loss of tooth substance and/or tooth loss. Typical interventions in prosthetic dentistry are replacement of a substantial amount of tooth structure and lost teeth with conventional or implant-supported fixed or removable dental protheses. Sufficient controls or comparisons should also involve no treatment for tooth loss as a legitimate option. For many years, prosthodontic treatment almost solely focused on disease-oriented outcomes such as numerical replacement of missing teeth to restore current oral health and prevent further deterioration, and now, dental patient-reported outcomes (dPROs), the outcomes that are directly reported by the patient, are gaining increasing attention. dPROs are what matters most for the patient, and dPRO measures have several advantages when applied in clinical practice and research settings compared with traditional disease-oriented measures such as ease of applicability and less burdensome for the clinicians. In evidence-based prosthetic dentistry, there should be a shift to fewer applied dPRO measures, with only one instrument becoming standard. Furthermore, dPROs will probably also become tools to assess patients' oral health status in clinical practice in a standardized manner. Finally, information on dPROs will become an integral part of evidence-based treatment decision-making in prosthetic dentistry.