title: Clinical Practice Guidelines for Recall and Maintenance of Patients with Tooth-Borne and Implant-Borne Dental Restorations.
abstract: OBJECTIVE
  To provide guidelines for patient recall regimen, professional maintenance regimen, and at-home maintenance regimen for patients with tooth-borne and implant-borne removable and fixed restorations.
  
  
  METHODS
  The American College of Prosthodontists (ACP) convened a scientific panel of experts appointed by the ACP, American Dental Association (ADA), Academy of General Dentistry (AGD), and American Dental Hygienists Association (ADHA) who critically evaluated and debated recently published findings from two systematic reviews on this topic. The major outcomes and consequences considered during formulation of the clinical practice guidelines (CPGs) were risk for failure of tooth- and implant-borne restorations. The panel conducted a round table discussion of the proposed guidelines, which were debated in detail. Feedback was used to supplement and refine the proposed guidelines, and consensus was attained.
  
  
  RESULTS
  A set of CPGs was developed for tooth-borne restorations and implant-borne restorations. Each CPG comprised (1) patient recall, (2) professional maintenance, and (3) at-home maintenance. For tooth-borne restorations, the professional maintenance and at-home maintenance CPGs were subdivided for removable and fixed restorations. For implant-borne restorations, the professional maintenance CPGs were subdivided for removable and fixed restorations and further divided into biological maintenance and mechanical maintenance for each type of restoration. The at-home maintenance CPGs were subdivided for removable and fixed restorations.
  
  
  CONCLUSIONS
  The clinical practice guidelines presented in this document were initially developed using the two systematic reviews. Additional guidelines were developed using expert opinion and consensus, which included discussion of the best clinical practices, clinical feasibility, and risk-benefit ratio to the patient. To the authors' knowledge, these are the first CPGs addressing patient recall regimen, professional maintenance regimen, and at-home maintenance regimen for patients with tooth-borne and implant-borne restorations. This document serves as a baseline with the expectation of future modifications when additional evidence becomes available.
authors.affiliation: Department of Reconstructive Sciences, University of Connecticut Health Center, Farmington, CT.
authors.forename: Avinash S
authors.initials: AS
authors.lastname: Bidra
authors.affiliation: Department of Periodontics, University of Washington School of Dentistry, Seattle, WA.
authors.forename: Diane M
authors.initials: DM
authors.lastname: Daubert
authors.affiliation: Office of the Dean, University of Iowa College of Dentistry & Dental Clinics, Iowa City, IA.
authors.forename: Lily T
authors.initials: LT
authors.lastname: Garcia
authors.affiliation: Department of Restorative Dentistry, University of Detroit Mercy School of Dentistry, Detroit, MI.
authors.forename: Timothy F
authors.initials: TF
authors.lastname: Kosinski
authors.affiliation: Department of General Dental Sciences, Marquette University School of Dentistry, Milwaukee, WI.
authors.forename: Conrad A
authors.initials: CA
authors.lastname: Nenn
authors.affiliation: Private Practice, Franklin, WI.
authors.forename: John A
authors.initials: JA
authors.lastname: Olsen
authors.affiliation: Department of Biomedical and Applied Sciences, Division of Dental Biomaterials, Indiana University School of Dentistry, Indianapolis, IN.
authors.forename: Jeffrey A
authors.initials: JA
authors.lastname: Platt
authors.affiliation: Private Practice Hygienist, Regeneration Research, Missoula, MT.
authors.forename: Susan S
authors.initials: SS
authors.lastname: Wingrove
authors.affiliation: Executive Director, American College of Prosthodontists and ACP Education Foundation, Chicago, IL.
authors.forename: Nancy Deal
authors.initials: ND
authors.lastname: Chandler
authors.affiliation: Department of Preventive & Restorative Dental Sciences, UCSF School of Dentistry, San Francisco, CA.
authors.forename: Donald A
authors.initials: DA
authors.lastname: Curtis
mesh_terms: D003729:Dental Care / Q000592:standards*; D015921:Dental Implants; D019094:Dental Prosthesis, Implant-Supported; D003793:Dental Restoration, Permanent; D003830:Denture, Partial, Fixed; D006801:Humans
chemical_list: D015921:Dental Implants
keywords: Clinical practice guidelines; implant-borne; maintenance; patient recall; tooth-borne