The effect of prosthetic margin location on caries susceptibility. A systematic review and meta-analysis
Key Points Provides insight into the secondary caries rates of prosthetic margins according to their position relative to the free gingiva. Recognises that existing evidence cannot support subgingival margin placement to reduce the risk of secondary caries in the short- or long-term. Stresses the la...
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| Veröffentlicht in: | British dental journal 2013-06, Vol.214 (12), p.617-624 |
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| creator | Papageorgiou, S. N. Papadelli, A. P. Koidis, P. T. Petridis, H. P. |
| description | Key Points
Provides insight into the secondary caries rates of prosthetic margins according to their position relative to the free gingiva.
Recognises that existing evidence cannot support subgingival margin placement to reduce the risk of secondary caries in the short- or long-term.
Stresses the lack of adequately reported relevant studies with large samples, which precludes safe recommendations.
Background
The prosthetic margin location relevant to the free gingival margin may influence the incidence of secondary caries due to the differences that exist between the micro-environment within the gingival crevice compared to the rest of the oral environment.
Objective
The purpose of this study was to systematically review the effect of prosthetic margin placement on caries susceptibility of abutment teeth.
Method
Two independent authors identified cohort studies using MEDLINE, EMBASE, CDSR, CENTRAL, Google Scholar and Scopus through March 2012. Reference lists were also scanned. Included studies had to report on caries incidence with regard to location of prosthetic margins, with a minimum follow-up period of two years.
Results
A total of 5,541 references were identified and, after application of the inclusion criteria, 22 studies were included in the systematic review. Random-effects meta-analysis could be made in two studies, in which secondary caries incidence did not differ between margins placed subgingivally compared to equi- or supragingivally placed margins for a follow-up period up to ten years. Indications were found of a possible lower secondary caries rate at 15 years of follow up, based on one study.
Conclusion
This systematic review and meta-analysis failed to detect a significantly different secondary caries rate of subgingivally located prosthetic margins in the short to mid-term (≤10 years). Due to the small number and the limitations of the included studies the results do not provide conclusive evidence as to the effect of prosthetic margin placement on the incidence of secondary caries. |
| doi_str_mv | 10.1038/sj.bdj.2013.582 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1370637338</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>3001216311</sourcerecordid><originalsourceid>FETCH-LOGICAL-c407t-9f78c24207afef1a775194c50841713a996f1a354e76f8b04f405cc88b6875a93</originalsourceid><addsrcrecordid>eNp1kc1r3DAQxUVpaTYf596KoJde7Iws2ZKPIaRJIdBLehaydpSV8cfWI7fsf18tm4ZSKAgGpN88zbzH2AcBpQBprqkvu21fViBkWZvqDdsIpZuillq-ZRsA0AU0As7YOVEPIJSC5j07q6Q22tTVhu2edsgxBPSJz4Hvl5nSDlP0fHTLc5z4MHuX4jzxfLxbIhKnlTzuU-ziENOh5DecDpRwdMe2BX9G_MXdtOUjJle4yQ0HinTJ3gU3EF691Av2_cvd0-1D8fjt_uvtzWPhFehUtEEbX6kKtAsYhNO6Fq3yNRgltJCubZt8K2uFugmmAxUU1N4b0zVG166VF-zzSTev8mNFSnaMedxhcBPOK1khNTTZHmky-ukftJ_XJc97okRTSakydX2ifPaGFgx2v8RszsEKsMcQLPU2h2CPIdgcQu74-KK7diNuX_k_rmcATgDlp-kZl78-_o_mb86okyQ</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1370162334</pqid></control><display><type>article</type><title>The effect of prosthetic margin location on caries susceptibility. A systematic review and meta-analysis</title><source>MEDLINE</source><source>EZB-FREE-00999 freely available EZB journals</source><source>SpringerLink Journals - AutoHoldings</source><creator>Papageorgiou, S. N. ; Papadelli, A. P. ; Koidis, P. T. ; Petridis, H. P.</creator><creatorcontrib>Papageorgiou, S. N. ; Papadelli, A. P. ; Koidis, P. T. ; Petridis, H. P.</creatorcontrib><description>Key Points
Provides insight into the secondary caries rates of prosthetic margins according to their position relative to the free gingiva.
Recognises that existing evidence cannot support subgingival margin placement to reduce the risk of secondary caries in the short- or long-term.
Stresses the lack of adequately reported relevant studies with large samples, which precludes safe recommendations.
Background
The prosthetic margin location relevant to the free gingival margin may influence the incidence of secondary caries due to the differences that exist between the micro-environment within the gingival crevice compared to the rest of the oral environment.
Objective
The purpose of this study was to systematically review the effect of prosthetic margin placement on caries susceptibility of abutment teeth.
Method
Two independent authors identified cohort studies using MEDLINE, EMBASE, CDSR, CENTRAL, Google Scholar and Scopus through March 2012. Reference lists were also scanned. Included studies had to report on caries incidence with regard to location of prosthetic margins, with a minimum follow-up period of two years.
Results
A total of 5,541 references were identified and, after application of the inclusion criteria, 22 studies were included in the systematic review. Random-effects meta-analysis could be made in two studies, in which secondary caries incidence did not differ between margins placed subgingivally compared to equi- or supragingivally placed margins for a follow-up period up to ten years. Indications were found of a possible lower secondary caries rate at 15 years of follow up, based on one study.
Conclusion
This systematic review and meta-analysis failed to detect a significantly different secondary caries rate of subgingivally located prosthetic margins in the short to mid-term (≤10 years). Due to the small number and the limitations of the included studies the results do not provide conclusive evidence as to the effect of prosthetic margin placement on the incidence of secondary caries.</description><identifier>ISSN: 0007-0610</identifier><identifier>EISSN: 1476-5373</identifier><identifier>DOI: 10.1038/sj.bdj.2013.582</identifier><identifier>PMID: 23787852</identifier><language>eng</language><publisher>London: Nature Publishing Group UK</publisher><subject>692/699 ; 692/700 ; Dental Abutments ; Dental Caries - etiology ; Dental Caries - microbiology ; Dental Caries Susceptibility ; Dental Prosthesis Design ; Dentistry ; Gingiva - anatomy & histology ; Humans ; Medicine ; Meta-analysis ; Prostheses ; Prosthodontics ; Systematic review ; Teeth ; Tooth Preparation, Prosthodontic</subject><ispartof>British dental journal, 2013-06, Vol.214 (12), p.617-624</ispartof><rights>Springer Nature Limited 2013</rights><rights>Copyright Nature Publishing Group Jun 21, 2013</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c407t-9f78c24207afef1a775194c50841713a996f1a354e76f8b04f405cc88b6875a93</citedby><cites>FETCH-LOGICAL-c407t-9f78c24207afef1a775194c50841713a996f1a354e76f8b04f405cc88b6875a93</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1038/sj.bdj.2013.582$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1038/sj.bdj.2013.582$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23787852$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Papageorgiou, S. N.</creatorcontrib><creatorcontrib>Papadelli, A. P.</creatorcontrib><creatorcontrib>Koidis, P. T.</creatorcontrib><creatorcontrib>Petridis, H. P.</creatorcontrib><title>The effect of prosthetic margin location on caries susceptibility. A systematic review and meta-analysis</title><title>British dental journal</title><addtitle>Br Dent J</addtitle><addtitle>Br Dent J</addtitle><description>Key Points
Provides insight into the secondary caries rates of prosthetic margins according to their position relative to the free gingiva.
Recognises that existing evidence cannot support subgingival margin placement to reduce the risk of secondary caries in the short- or long-term.
Stresses the lack of adequately reported relevant studies with large samples, which precludes safe recommendations.
Background
The prosthetic margin location relevant to the free gingival margin may influence the incidence of secondary caries due to the differences that exist between the micro-environment within the gingival crevice compared to the rest of the oral environment.
Objective
The purpose of this study was to systematically review the effect of prosthetic margin placement on caries susceptibility of abutment teeth.
Method
Two independent authors identified cohort studies using MEDLINE, EMBASE, CDSR, CENTRAL, Google Scholar and Scopus through March 2012. Reference lists were also scanned. Included studies had to report on caries incidence with regard to location of prosthetic margins, with a minimum follow-up period of two years.
Results
A total of 5,541 references were identified and, after application of the inclusion criteria, 22 studies were included in the systematic review. Random-effects meta-analysis could be made in two studies, in which secondary caries incidence did not differ between margins placed subgingivally compared to equi- or supragingivally placed margins for a follow-up period up to ten years. Indications were found of a possible lower secondary caries rate at 15 years of follow up, based on one study.
Conclusion
This systematic review and meta-analysis failed to detect a significantly different secondary caries rate of subgingivally located prosthetic margins in the short to mid-term (≤10 years). Due to the small number and the limitations of the included studies the results do not provide conclusive evidence as to the effect of prosthetic margin placement on the incidence of secondary caries.</description><subject>692/699</subject><subject>692/700</subject><subject>Dental Abutments</subject><subject>Dental Caries - etiology</subject><subject>Dental Caries - microbiology</subject><subject>Dental Caries Susceptibility</subject><subject>Dental Prosthesis Design</subject><subject>Dentistry</subject><subject>Gingiva - anatomy & histology</subject><subject>Humans</subject><subject>Medicine</subject><subject>Meta-analysis</subject><subject>Prostheses</subject><subject>Prosthodontics</subject><subject>Systematic review</subject><subject>Teeth</subject><subject>Tooth Preparation, Prosthodontic</subject><issn>0007-0610</issn><issn>1476-5373</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNp1kc1r3DAQxUVpaTYf596KoJde7Iws2ZKPIaRJIdBLehaydpSV8cfWI7fsf18tm4ZSKAgGpN88zbzH2AcBpQBprqkvu21fViBkWZvqDdsIpZuillq-ZRsA0AU0As7YOVEPIJSC5j07q6Q22tTVhu2edsgxBPSJz4Hvl5nSDlP0fHTLc5z4MHuX4jzxfLxbIhKnlTzuU-ziENOh5DecDpRwdMe2BX9G_MXdtOUjJle4yQ0HinTJ3gU3EF691Av2_cvd0-1D8fjt_uvtzWPhFehUtEEbX6kKtAsYhNO6Fq3yNRgltJCubZt8K2uFugmmAxUU1N4b0zVG166VF-zzSTev8mNFSnaMedxhcBPOK1khNTTZHmky-ukftJ_XJc97okRTSakydX2ifPaGFgx2v8RszsEKsMcQLPU2h2CPIdgcQu74-KK7diNuX_k_rmcATgDlp-kZl78-_o_mb86okyQ</recordid><startdate>20130601</startdate><enddate>20130601</enddate><creator>Papageorgiou, S. N.</creator><creator>Papadelli, A. P.</creator><creator>Koidis, P. T.</creator><creator>Petridis, H. P.</creator><general>Nature Publishing Group UK</general><general>Nature Publishing Group</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QP</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M7P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20130601</creationdate><title>The effect of prosthetic margin location on caries susceptibility. A systematic review and meta-analysis</title><author>Papageorgiou, S. N. ; Papadelli, A. P. ; Koidis, P. T. ; Petridis, H. P.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c407t-9f78c24207afef1a775194c50841713a996f1a354e76f8b04f405cc88b6875a93</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>692/699</topic><topic>692/700</topic><topic>Dental Abutments</topic><topic>Dental Caries - etiology</topic><topic>Dental Caries - microbiology</topic><topic>Dental Caries Susceptibility</topic><topic>Dental Prosthesis Design</topic><topic>Dentistry</topic><topic>Gingiva - anatomy & histology</topic><topic>Humans</topic><topic>Medicine</topic><topic>Meta-analysis</topic><topic>Prostheses</topic><topic>Prosthodontics</topic><topic>Systematic review</topic><topic>Teeth</topic><topic>Tooth Preparation, Prosthodontic</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Papageorgiou, S. N.</creatorcontrib><creatorcontrib>Papadelli, A. P.</creatorcontrib><creatorcontrib>Koidis, P. T.</creatorcontrib><creatorcontrib>Petridis, H. P.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Natural Science Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>ProQuest Biological Science Collection</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Biological Science Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>British dental journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Papageorgiou, S. N.</au><au>Papadelli, A. P.</au><au>Koidis, P. T.</au><au>Petridis, H. P.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The effect of prosthetic margin location on caries susceptibility. A systematic review and meta-analysis</atitle><jtitle>British dental journal</jtitle><stitle>Br Dent J</stitle><addtitle>Br Dent J</addtitle><date>2013-06-01</date><risdate>2013</risdate><volume>214</volume><issue>12</issue><spage>617</spage><epage>624</epage><pages>617-624</pages><issn>0007-0610</issn><eissn>1476-5373</eissn><abstract>Key Points
Provides insight into the secondary caries rates of prosthetic margins according to their position relative to the free gingiva.
Recognises that existing evidence cannot support subgingival margin placement to reduce the risk of secondary caries in the short- or long-term.
Stresses the lack of adequately reported relevant studies with large samples, which precludes safe recommendations.
Background
The prosthetic margin location relevant to the free gingival margin may influence the incidence of secondary caries due to the differences that exist between the micro-environment within the gingival crevice compared to the rest of the oral environment.
Objective
The purpose of this study was to systematically review the effect of prosthetic margin placement on caries susceptibility of abutment teeth.
Method
Two independent authors identified cohort studies using MEDLINE, EMBASE, CDSR, CENTRAL, Google Scholar and Scopus through March 2012. Reference lists were also scanned. Included studies had to report on caries incidence with regard to location of prosthetic margins, with a minimum follow-up period of two years.
Results
A total of 5,541 references were identified and, after application of the inclusion criteria, 22 studies were included in the systematic review. Random-effects meta-analysis could be made in two studies, in which secondary caries incidence did not differ between margins placed subgingivally compared to equi- or supragingivally placed margins for a follow-up period up to ten years. Indications were found of a possible lower secondary caries rate at 15 years of follow up, based on one study.
Conclusion
This systematic review and meta-analysis failed to detect a significantly different secondary caries rate of subgingivally located prosthetic margins in the short to mid-term (≤10 years). Due to the small number and the limitations of the included studies the results do not provide conclusive evidence as to the effect of prosthetic margin placement on the incidence of secondary caries.</abstract><cop>London</cop><pub>Nature Publishing Group UK</pub><pmid>23787852</pmid><doi>10.1038/sj.bdj.2013.582</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | British dental journal, 2013-06, Vol.214 (12), p.617-624 |
| issn | 0007-0610 1476-5373 |
| language | eng |
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| source | MEDLINE; EZB-FREE-00999 freely available EZB journals; SpringerLink Journals - AutoHoldings |
| subjects | 692/699 692/700 Dental Abutments Dental Caries - etiology Dental Caries - microbiology Dental Caries Susceptibility Dental Prosthesis Design Dentistry Gingiva - anatomy & histology Humans Medicine Meta-analysis Prostheses Prosthodontics Systematic review Teeth Tooth Preparation, Prosthodontic |
| title | The effect of prosthetic margin location on caries susceptibility. A systematic review and meta-analysis |
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