Survival of extensive restorations in primary molars: 15-year practice-based study
| Autor: | Tuomo Maisala, Leo Tjäderhane, Seppo Turunen, Håkon Valen, Merja Auero, Jussi Furuholm, Sinikka Varsio, Battsetseg Tseveenjav, Aida Mulic |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Male
Molar Adolescent Resin composite medicine.medical_treatment Dentistry Primary care Dental Caries Health records Oral health engineering.material 03 medical and health sciences 0302 clinical medicine medicine Humans Dental Restoration Failure Tooth Deciduous Child Dental Restoration Permanent General Dentistry Finland Retrospective Studies business.industry Age Factors Retrospective cohort study 030206 dentistry Amalgam (dentistry) Child Preschool engineering Female business Dental restoration 030217 neurology & neurosurgery |
| Zdroj: | International Journal of Paediatric Dentistry. 28:249-256 |
| ISSN: | 0960-7439 |
| DOI: | 10.1111/ipd.12348 |
| Popis: | Background Caries decline in the western world is accompanied by strong polarization among children; 8% of Finnish 5-year-olds having 76% of untreated caries. This high caries risk group needs preventive and restorative strategies. Aim To explore survival of extensive restorations in primary molars. Design This study was based on health records from 2002 to 2016 of children under 18 years. Results Of severely affected primary molars (n = 1061), 41% were restored with preformed metal crowns (PMCs), 38% with glass-ionomer cement (GIC)/polyacid-modified resin composite (PAMRC)/resin-modified GIC (RMGIC), and 21% with resin composites (RC). Younger children (3-8) received 97% of the PMCs and 86% of GIC/PAMRC/RMGIC; older ones (≥9) 91% of the RC restorations. Neither amalgam nor indirect restorations were registered. General dentists (GDs) engaged in primary care restored with GIC/PAMRC/RMGIC (52%) or RC (48%). GDs in general anesthesia care service placed 66% and specializing/specialized dentists 31% of PMCs. PMCs had lower failure rate (1.4% vs 3.0%) than GIC/PAMRC/RMGIC (P = 0.001). Choosing PMCs reduced patient visits compared to other restorations (P Conclusions Severely affected primary molars of children at high caries risk are better managed, using PMCs to optimize the resources in public oral health services. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Plný text