RESUMEN
PURPOSE: Numerous studies report on the outcome performance of posterior composite restorations. However, there are fewer studies providing data for anterior restorations. The aim of this study was to evaluate the clinical outcome performance of anterior permanent restorations by analyzing a large dataset from a German national health insurance company. MATERIALS AND METHODS: Routine claims data from a major German national health insurance company were assessed. Fee codes were used for tracing restoration careers on a day-count basis. The treatment was defined as a placed restoration (Class III and IV) on a mesial or distal tooth surface, irrespective of the extension. The restorations were placed between January 1, 2010 and December 31, 2013. Statistical analyses were conducted using Kaplan-Meier survival analysis to determine cumulative 4-year survival rates. The primary outcome was re-intervention on the same surface. Secondary outcomes were crowning and extraction which were analyzed separately. RESULTS: A total of 2,417,791 restorations involving mesial surfaces and a number of 2,409,031 restorations involving distal surfaces were observed. At 4 years, the cumulative survival rates concerning the primary outcome 're-intervention' were 79.9% for mesial and 80.9% for distal restorations. The respective annual failure rates (AFR) were 5.5% and 5.2%. Four-year survival rates for the secondary outcome 'crown' were 93.8% for mesial and 94.1% for distal anterior restorations. The respective AFRs were 1.6% and 1.5%. For the secondary outcome 'extraction,' the respective rates were 94.6% for mesial and 93.9% for distal restorations. The respective AFRs were 1.4% and 1.6%. CONCLUSION: The performance of permanent anterior restorations which were placed in general dental practices in Germany can be rated as acceptable.
Asunto(s)
Fracaso de la Restauración Dental , Restauración Dental Permanente , Humanos , Alemania , Fracaso de la Restauración Dental/estadística & datos numéricos , Femenino , Masculino , Persona de Mediana Edad , Adulto , Resinas Compuestas , Estimación de Kaplan-Meier , Resultado del Tratamiento , Anciano , Adulto Joven , Adolescente , Coronas , RetratamientoRESUMEN
PURPOSE: The aim of this retrospective study was to determine the outcome of double crowns (DCs) using pooled data over a period of 27 years. METHODS: Billing data were obtained from the digital accounting system of a university dental clinic. All DCs inserted and invoiced from January 1, 1992, to December 31, 2019, were collected. The maximum observation period of a DC was determined by a recorded follow-up or the occurrence of a target event. Target events were divided into primary, i.e., tooth extraction, and secondary, i.e., failure of DC, types. The dataset was analyzed using descriptive statistics and Kaplan-Meier survival and multivariate Cox regression analyses. RESULTS: A total of 4,097 tooth-supported DCs in 1,148 patients were included in the analysis. The mean observation period for individual DC was 5.32 years. The cumulative survival rates at 5 and 10 years for the primary target event were 89.7% and 73.8%, respectively. The cumulative survival rates at 5 and 10 years for the secondary target event were 83.6% and 60.6%, respectively. In the multivariate analysis, age and metal denture bases were significantly associated with both target events. CONCLUSIONS: This study confirmed DCs as a reliable and long-term successful treatment option for anchoring removable partial dentures. The use of a metal denture base and a younger patient age might reduce the risk of complications.