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Patient- and treatment-related factors may influence the longevity of primary teeth restorations in high caries-risk children: A university-based retrospective study.
Dalpian, Débora Martini; Gallina, Caroline Sala; Nicoloso, Gabriel Ferreira; Correa, Marcos Britto; Garcia-Godoy, Franklin; Araujo, Fernando Borba de; Casagrande, Luciano.
Afiliación
  • Dalpian DM; School of Dentistry, Franciscan University (UFN), Santa Maria - RS, Brazil.
  • Gallina CS; School of Dentistry, Franciscan University (UFN), Santa Maria - RS, Brazil.
  • Nicoloso GF; CESUCA, Cachoeirinha - RS, Brazil.
  • Correa MB; School of Dentistry, Post-Graduate Program in Dentistry, Federal University of Pelotas (UFPel), Pelotas- RS, Brazil.
  • Garcia-Godoy F; Bioscience Research Center College of Dentistry, College of Dentistry, University of Tennessee Health Science Center, Memphis, Tennessee, USA.
  • Araujo FB; The Forsyth Institute, Cambridge, Massachusetts, USA.
  • Casagrande L; Post-Graduate Program in Pediatric Dentistry, Federal University of Rio Grande do Sul (UFRGS), Porto Alegre - RS, Brazil.
Am J Dent ; 31(5): 261-266, 2018 Oct.
Article en En | MEDLINE | ID: mdl-30346673
PURPOSE: To evaluate the longevity and factors associated with failure of primary teeth restorations placed in high caries-risk children. METHODS: The sample was comprised of children treated in a University Dental Service. Patients' records were screened retrospectively to determine whether they had received restorative treatment in primary teeth presenting cavitated caries lesions. Kaplan-Meier estimator and Multivariate Cox regression analysis with shared frailty were used to assess restorations' survival and factors associated with failure, respectively. RESULTS: 123 high caries-risk children (10.3±4 DMF-T) with 316 restorations were analyzed. The 3-year survival reached 53.4% (AFR=18.8%). Restorations placed without rubber dam (P= 0.04), over selective caries removal (P= 0.03), with calcium hydroxide liner (P< 0.01) and glass-ionomer cement (P= 0.04) presented lower survival rates. Caries-controlled patients presented significantly (P= 0.03) higher rates of restoration survival (77.7%) than caries-active patients (49.9%). The adjusted model showed that restorations placed in teeth after selective caries removal showed 3.41 times higher risk of failure compared with restorations over complete caries removal (95%CI:1.37-8.46). CLINICAL SIGNIFICANCE: Adhesive restorations placed in high-caries experience patients have limited survival rates. Some treatment-related factors may influence the performance of these restorations. A strict preventive regimen to control dental caries activity must be followed in order to increase the restoration survival.
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Resinas Compuestas / Caries Dental / Restauración Dental Permanente Tipo de estudio: Etiology_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Límite: Child / Humans Idioma: En Revista: Am J Dent Asunto de la revista: ODONTOLOGIA Año: 2018 Tipo del documento: Article País de afiliación: Brasil Pais de publicación: Estados Unidos
Buscar en Google
Añadir a Mi BVS
Imprimir
XML
PubMed Links

Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Resinas Compuestas / Caries Dental / Restauración Dental Permanente Tipo de estudio: Etiology_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Límite: Child / Humans Idioma: En Revista: Am J Dent Asunto de la revista: ODONTOLOGIA Año: 2018 Tipo del documento: Article País de afiliación: Brasil Pais de publicación: Estados Unidos