At the end of 2015, The American College of Prosthodontics (ACP) published new guidelines regarding the care and maintenance of dental restorations. These guidelines covered restorations supported by dental implants and those supported by natural teeth. The new guidelines don’t contain anything surprising, but it’s important to understand the reasoning behind any oral health recommendations.
The updated recommendations from the ACP uphold what’s been the standard of dental restoration care for a while. The ACP still recommends visits to the dentists every six months for inspection, care and maintenance of dental restorations including dental implants, porcelain veneers and dental crowns. The guidelines encourage dentists to clean natural teeth and restorations thoroughly and with the correct tools to avoid potential damage to restorations.
At home recommendations from the ACP encourage people to follow good oral hygiene practices including twice daily brushing, flossing at least once a day and using any supplement methods necessary to remove food debris and plaque from the gum line and between teeth. Patients with complex and multiple restorations on natural teeth that surround or support a removable restoration, the ACP suggests using chlorhexidine rinses, high fluoride toothpaste and the addition of triclosan antibiotic when necessary.
The need for additional study
One of the biggest revelations from the ACP’s 2015 guidelines was that only a few of the current clinical care recommendations have good, science-based support. In clinical care guidelines, the quality of evidence receives ratings that range from A to D; with A being the best score. The ACP issued a “D” rating for a majority of the guidelines because they’re extrapolated from or based on lower-quality evidence. The recommendations that received an “A” rating from ACP include thorough dental exams, brushing and flossing twice a day and the guidelines for complex and multiple dental restorations. Despite the “lower quality” evidence, it’s still advisable to follow the existing care recommendations as they’re based accurately on existing evidence. Additional study and research will yield better information and help create recommendations that receive a higher rating from the ACP.
The best place to receive recommendations that pertain to your specific dental restorations is from a qualified dental professional. At Creative Dental, we have extensive experience with many forms of dental restorations and understand the proper care and maintenance required to help those restorations last without the need for replacement or removal. Contact us today to discuss ways to improve and protect your smile.