How Long Do Crowns, Veneers, Bridges Last? Prosthodontists Answer Using Clinical Practice Guidelines

How Long Do Crowns, Veneers, Bridges Last? Prosthodontists Answer Using Clinical Practice Guidelines


According to the CDC 120 million
Americans are missing at least one tooth in their mouth and about 35 million
Americans are missing all teeth in one or both jaws.
This is a pretty substantive number. There’s a relationship between a healthy
body and a healthy mouth and that’s very real. And when people are missing teeth
they end up getting restored, oftentimes with either with tooth supported
restorations or implant supported restorations. Virtually on any procedure
in medicine, you’re replacing a knee or hip, you look up the current clinical
practice guidelines. That gives you a template, a roadmap. We needed
well-defined guidelines as a profession simply because we had had a lot of
antidotal stories about what you should look for how often you should examine
patients, and no real set criteria. In reviewing the evidence in the literature,
we read over 5,000 articles for each of the two systematic reviews and that
boiled down to clinical practice guidelines that are very clear and
simple and a person doesn’t have to read all those articles if they follow the
clinical practice guidelines. For the first time now through this project we
were able to connect all the dots, assemble all the data, and provide one
packaged document which all clinicians can refer to. And I really applaud the ACP in wanting to develop clinical practice guidelines
on maintenance and aftercare. The effort to develop the clinical practice
guidelines were led by prosthodontist. We had input from the ADA and we had input
from the dental hygiene, and we had input from the general dentists. There are eight tips to take care of your restored teeth. One is obtaining a professional dental
examination at least every six months. Second is follow the dentist recommended
at home maintenance protocols specific to your situation.
The third thing is very common, brush your teeth with a fluoride containing
toothpaste twice a day. The scientific data indicates this even for implant supported restorations. And fourth, floss at least once daily. The fifth is, wear a night guard if recommended by your dentist. Sixth is, use a mouthwash recommended by your dentist specific to your situation. Seven is do not smoke or chew tobacco. And finally eight, do not consume food
with high sugar in them which are in general are bad for your health. People that follow maintenance programs generally do very well. When a person is
not in a maintenance program they have a 90 percent increased chance of losing
their implant over a 15 year period. Today was the first I had actually seen
a placard with with the guidelines. They were pretty much standard practice, things that I’ve been accustomed to doing for a long time. Well I’m much more
religious in terms of tending to things like daily brushings, and I use a prescription oral rinse. The biggest takeaway for
patients from the clinical practice guidelines is they need to be in an active
partnership with their healthcare provider. If you put the restoration I
make you on a table it lasts forever but we all know that the mouth is a very
dynamic place and how we care for the restorations that are made is going to
make a significant difference in their longevity. When you go on a commercial
plane you see the pilot using a checklist. Clinical practice guidelines
are kind of like that checklist. Even though that pilot has flown that plane,
taken off ten thousand times by using that checklist, it assures a more
predictable result. We have received an overwhelming
response so far. The clinical practice guidelines were simultaneously copublished in four different scientific journals which have a wide reach in the
community. We just finished with Mr. Schmidt. I’m a prosthodontist with a
full-time teaching position at UCSF in San Francisco. I’ll use these clinical
practice guidelines with allied members of the healthcare field,
you know the hygienists, the assistants, the dental students that are training to
become dentists, in a way so that they’re sensitized to the needs of patients. This guideline now will actually help future researchers to use this as a benchmark
and then we will revise these guidelines as further scientific evidence
becomes available and becomes mainstream. The value of these guidelines really
comes in the ability to standardize the care for our patients but also it’s
something that we can refer to so that there’s confidence when we’re talking to
a patient ‘hey, this is what works for you, you’ve certainly put a significant
investment into your dental treatment, this is how we’re going to make it last
for you.’ My hope is that I can keep a good healthy set of teeth going so that I don’t have to worry about eating a good hard apple, or chomping on an ear of corn. These are little things I know, but they mean so much in terms of quality of life.

Author: Kevin Mason

2 thoughts on “How Long Do Crowns, Veneers, Bridges Last? Prosthodontists Answer Using Clinical Practice Guidelines

  1. Try not to cause the dental cap ever break off. If you have anything hard in your mouth, don't bite it. It's also recommended to avoid anything real sticky. If you do end up with something sticky, just suck on it and don't try to fight it. Just let it dissolve slowly in your mouth. What I personally do it if I do eat anything sweet, I always make sure to brush my teeth very shortly afterwards. That's because I've noticed that sugar causes a coating to grow on your teeth. If you're away from home, either carry your toothbrush and toothpaste with you or at very least have some strong paper towels handy. The reason for the paper towels are used to be able to at very least target the areas that have the coating and just take your paper towel and rub it off with a paper towel around your finger. I've discovered it works wonders until you get home to actually brush you're teeth. It always helps to have paper towels handy, especially if you're one of those people who really likes sweets but you need to keep your teeth clean. If you can't brush right away and you happen to be out for the day or at least for several hours, wiping down your teeth is definitely the way to go but don't have just any paper towel if you can help it. Some paper towels are stronger than others and those are the ones you really want. If you're stuck with less than what you want, then fold it over as many times as needed to get the same results. That way, at least your teeth will be cleaner until you get home and then you can just go ahead and brush when you return home

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