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.
Přispěvatelé: Oral Regenerative Medicine (ORM)
Jazyk: angličtina
Rok vydání: 2023
Předmět:
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