Dental treatment under intravenous sedation prolongs longevity of a fixed prosthesis in patients with intellectual disabilities

• Material Type: 博士論文
• Title: Dental treatment under intravenous sedation prolongs longevity of a fixed prosthesis in patients with intellectual disabilities
• Author/Editor: 米山（山口）, 香織
• Author Heading: 米山（山口）, 香織
• Publication, Distribution, etc.: Wiley Periodicals LLC.
• Publication Date: 2022-03-02
• Publication Date (W3CDTF): 2022-03-02
• Alternative Title: 静脈内鎮静法下での歯科治療は知的能力障害患者の固定性補綴装置の寿命を延ばす
• Periodical title: Special Care in Dentistry
• No. or year of volume/issue: 42 3
• Volume: 42
• Issue: 3
• Pages: 209-215
• ISSN (Periodical Title): ISSN : 1754-4505
• Degree grantor/type: Nagasaki University (長崎大学)
• Date Granted: 2022-03-02
• Dissertation Number: 甲医歯薬第1410号
• Degree Type: 博士(歯学)
• Text Language Code: eng
• Subject Heading: anesthesia; dental caries; dental prosthesis retention; intellectual disability; plaque; survivalanalysis
• Target Audience: 一般
• Note (General): Aims: This study aimed to assess the longevity of a fixed prosthesis in patients with intellectual disability (ID) and to investigate the risk factors associated with the failure of a prosthesis due to abutment tooth extraction or prosthesis dislodgement or removal. Methods: We studied past medical records to evaluate the longevity of 315 prostheses that were luted in 76 patients with ID. We calculated the survival rates and assessed 15 variables potentially associated with prosthetic failure using multivariate Cox regression analyses with shared frailty for patients. Results: Three-quarters of our sample population had severe or profound ID. The maximum observation period was 31.0 years, and the corresponding survival ratio was 32.5%; the survival ratio at 10 years was 59.4%. The use of intravenous sedation significantly influenced the success of the prosthesis, with the hazard ratio (HR) being 0.49 times that of conventional treatment without behavior-altering drug therapy. The most significant risk factor for prosthetic failure was age at placement; the HR for patients aged ≥31 years was 2.82 times that for patients aged ≤ 20 years. Conclusions: In patients with severe ID, appropriate intravenous sedation was effective in prolonging the longevity of a fixed prosthesis.; 長崎大学学位論文 学位記番号:博(医歯薬)甲第1410号 学位授与年月日:令和4年3月2日; Author: Kaori Yamaguchi-Komeyama, Naomi Tanoue, Shinji Kurata, Takao Ayuse; Citation: Special Care in Dentistry, 42(3), pp. 209-215; 2022; identifier:Nagasaki University (長崎大学), 博士(歯学) (2022-03-02)
• Source: https://nagasaki-u.repo.nii.ac.jp/?action=repository_action_common_download&item_id=27381&item_no=1&attribute_id=70&file_no=1 （fulltext）; https://nagasaki-u.repo.nii.ac.jp/?action=repository_action_common_download&item_id=27381&item_no=1&attribute_id=70&file_no=1
• Access Restrictions: インターネット公開
• Rights (production): © 2021 Special Care Dentistry Association and Wiley Periodicals LLC. This is the peer reviewed version of the following article: Special Care in Dentistry, 42(3), pp. 209-215; 2022, which has been published in final form at https://doi.org/10.1111/scd.12677. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived Versions. This article may not be enhanced, enriched or otherwise transformed into a derivative work, without express permission from Wiley or by statutory rights under applicable legislation. Copyright notices must not be removed, obscured or modified. The article must be linked to Wiley’s version of record on Wiley Online Library and any embedding, framing or otherwise making available the article or pages thereof by third parties from platforms, services and websites other than Wiley Online Library must be prohibited.
• Related Material: http://hdl.handle.net/10069/00041413
• Related Material (DOI): 10.1111/scd.12677
• Data Provider (Database): 国立情報学研究所 : 学術機関リポジトリデータベース（IRDB）（機関リポジトリ）; https://irdb.nii.ac.jp
• Original Data Provider (Database): 長崎大学 : 長崎大学学術研究成果リポジトリ