Selection of dental materials and longevity of replaced restorations in Public Dental Health clinics in northern Sweden
| Autor: | Ulrika Funegård, Karin Sunnegårdh-Grönberg, Mats Nilsson, Jan W.V. van Dijken, Anders Lindberg |
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| Rok vydání: | 2009 |
| Předmět: |
Dental Restoration Failure
Adult Male endocrine system Time Factors media_common.quotation_subject medicine.medical_treatment Patient characteristics Dentistry Public Health Dentistry engineering.material Dental Caries Composite Resins Dental Amalgam medicine Humans Dental Restoration Permanent General Dentistry Selection (genetic algorithm) media_common Dental Leakage Sweden business.industry Dental health Dental Clinics Longevity Middle Aged Amalgam (dentistry) Cross-Sectional Studies Glass Ionomer Cements Retreatment engineering Female Clinical Competence business Dental Cavity Preparation Dental restoration |
| Zdroj: | Journal of dentistry. 37(9) |
| ISSN: | 1879-176X |
| Popis: | To investigate the selection of direct restorative materials and longevity of replaced restorations in relation to operator and patients characteristics.A cross-sectional study of treatment in practice, recording all new placements and replacements of direct restorations was performed during 2 weeks comprising all dentists within the Public Dental Health clinics in the county council of Västerbotten.A total of 2834 data collection sheets, one for each placed restoration, were received with a dropout of 10%. Restorations analyzed in the study were placed in permanent teeth in patients older than 15 years. First restorations placed due to primary caries were 671 and replacements 1536. Class II was the most frequently treated cavity followed by class I. The median longevity of replaced restorations was for amalgam, resin based composite and glass ionomer 16, 6 and 11 years, respectively. High caries risk patients showed shorter longevity for resin based composite restorations than low or moderate risk patients. Secondary caries as reason for failure for class II resin based composite restorations occurred significantly later than loss or fracture. Significantly longer longevity was observed for replaced restorations executed by more experienced dentists.The use of amalgam was negligible and the material was predominantly replaced by resin based composites in first and replaced restorations. Class II was the most frequent placed and replaced restorations. Caries risk and experience of operator influenced longevity of replacements. |
| Databáze: | OpenAIRE |
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