Patients' self-report on post-retained restoration is more valuable than expected! Explorative analysis of an 11-year follow-up
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Patients' self-report on post-retained restoration is more valuable than expected! Explorative analysis of an 11-year follow-up. / von Stein-Lausnitz, Manja; Reissmann, Daniel R; Roggendorf, Matthias J; Sterzenbach, Guido; Naumann, Michael.
in: ACTA ODONTOL SCAND, Jahrgang 77, Nr. 1, 01.2019, S. 33-38.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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T1 - Patients' self-report on post-retained restoration is more valuable than expected! Explorative analysis of an 11-year follow-up
AU - von Stein-Lausnitz, Manja
AU - Reissmann, Daniel R
AU - Roggendorf, Matthias J
AU - Sterzenbach, Guido
AU - Naumann, Michael
PY - 2019/1
Y1 - 2019/1
N2 - OBJECTIVE: Assessment of long-term clinical data regarding post-endodontic restorations is essential for the evaluation of different post-and-core concepts. The aim of the present study was to assess the diagnostic accuracy of patient self-reporting on post-endodontic restorations after 11 years of clinical service.MATERIALS AND METHODS: Twenty-nine patients (61 ± 15 years old) with endodontic glass-fibre and titanium post-endodontic restorations were examined within the 11-year follow-up of a randomized controlled trial. Restorations were assessed by self-reports during a telephone interview (one item), the completion of a four-item questionnaire and clinical and radiographic examination. A gold standard for restoration in situ or 'failure' was defined by clinical and radiographic examination. Diagnostic accuracy of patients' self-reports was evaluated by calculating the sensitivity, specificity, and positive (PPV) and negative predictive values (NPV).RESULTS: After a mean observation time of 137 months (min/max: 125/154 months), 25 (86.2%) restorations were in situ and 4 (13.8%) failures were detected. Self-report during a telephone interview and the four-item questionnaire correctly identified all in situ restorations (specificity = both 100%, NPV = 92.6%/96.2%). Self-report during a telephone interview identified two out of four failures (sensitivity = 50%, PPV = 100%), and self-report on the four-item questionnaire identified three out of four failures (sensitivity = 75%, PPV = 100%).CONCLUSIONS: When the clinical examination is not feasible, patients' self-report shows valuable diagnostic potential in the identification of the post-endodontic failure.
AB - OBJECTIVE: Assessment of long-term clinical data regarding post-endodontic restorations is essential for the evaluation of different post-and-core concepts. The aim of the present study was to assess the diagnostic accuracy of patient self-reporting on post-endodontic restorations after 11 years of clinical service.MATERIALS AND METHODS: Twenty-nine patients (61 ± 15 years old) with endodontic glass-fibre and titanium post-endodontic restorations were examined within the 11-year follow-up of a randomized controlled trial. Restorations were assessed by self-reports during a telephone interview (one item), the completion of a four-item questionnaire and clinical and radiographic examination. A gold standard for restoration in situ or 'failure' was defined by clinical and radiographic examination. Diagnostic accuracy of patients' self-reports was evaluated by calculating the sensitivity, specificity, and positive (PPV) and negative predictive values (NPV).RESULTS: After a mean observation time of 137 months (min/max: 125/154 months), 25 (86.2%) restorations were in situ and 4 (13.8%) failures were detected. Self-report during a telephone interview and the four-item questionnaire correctly identified all in situ restorations (specificity = both 100%, NPV = 92.6%/96.2%). Self-report during a telephone interview identified two out of four failures (sensitivity = 50%, PPV = 100%), and self-report on the four-item questionnaire identified three out of four failures (sensitivity = 75%, PPV = 100%).CONCLUSIONS: When the clinical examination is not feasible, patients' self-report shows valuable diagnostic potential in the identification of the post-endodontic failure.
KW - Journal Article
U2 - 10.1080/00016357.2018.1497804
DO - 10.1080/00016357.2018.1497804
M3 - SCORING: Journal article
C2 - 30156134
VL - 77
SP - 33
EP - 38
JO - ACTA ODONTOL SCAND
JF - ACTA ODONTOL SCAND
SN - 0001-6357
IS - 1
ER -