Clinical survival and performance of premolars restored with direct or indirect cusp-replacing resin composite restorations with a mean follow-up of 14 years
Autor: | Hofsteenge, J. W., Fennis, W. M.M., Kuijs, R. H., Özcan, M., Cune, M. S., Gresnigt, M. M.M., Kreulen, C. M. |
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Přispěvatelé: | Oral Regenerative Medicine (ORM) |
Jazyk: | angličtina |
Rok vydání: | 2023 |
Předmět: |
Indirect
Cusp-replacing Survival Success Composite materials SDG 10 - Reduced Inequalities Clinical performance Direct Reconstructive and regenerative medicine Radboud Institute for Health Sciences [Radboudumc 10] Clinical study All institutes and research themes of the Radboud University Medical Center Mechanics of Materials Restorative dentistry Adhesion General Materials Science General Dentistry |
Zdroj: | Dental Materials, 39, 4, pp. 383-390 Hofsteenge, J W, Fennis, W M M, Kuijs, R H, Özcan, M, Cune, M S, Gresnigt, M M M & Kreulen, C M 2023, ' Clinical survival and performance of premolars restored with direct or indirect cusp-replacing resin composite restorations with a mean follow-up of 14 years ', Dental Materials, vol. 39, no. 4, pp. 383-390 . https://doi.org/10.1016/j.dental.2023.03.004 Dental Materials, 39, 383-390 Dental Materials, 39(4), 383-390. Elsevier Science |
ISSN: | 1879-0097 0109-5641 |
DOI: | 10.1016/j.dental.2023.03.004 |
Popis: | Contains fulltext : 291751.pdf (Publisher’s version ) (Open Access) OBJECTIVES: The objective is to evaluate the long-term clinical survival and performance of direct and indirect resin composite restorations replacing cusps in vital upper premolars. METHODS: Between 2001 and 2007, 176 upper premolars in 157 patients were restored with 92 direct and 84 indirect resin composite restorations as part of an RCT. Inclusion criteria were fracture of the buccal or palatal cusp of vital upper premolars along with a class II cavity or restoration in the same tooth. RESULTS: Forty patients having 23 direct and 22 indirect composite restorations respectively, were lost to follow-up (25.6%). The cumulative Kaplan-Meier survival rates were 63.6% (mean observation time: 15.3 years, SE 5.6%) with an AFR of 2.4% for direct restorations and 54.5% (mean observation time: 13.9 years, SE: 6.4%) with an AFR of 3.3% for indirect restorations. The Cox regression analysis revealed a statistically significant influence of the patient's age at placement on the survival of the restoration (HR 1.036, p = 0.024), the variables gender, type of upper premolar, type of restoration, and which cusp involved in the restoration had no statistically significant influence. Direct composite restorations failed predominantly due to tooth fracture, indirect restorations primarily by adhesive failure (p |
Databáze: | OpenAIRE |
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